Health begins at home
| ISRCTN | ISRCTN96259142 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN96259142 |
| Secondary identifying numbers | FM0001 |
- Submission date
- 08/02/2018
- Registration date
- 13/02/2018
- Last edited
- 02/08/2019
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Background and study aims
The NHS scores well internationally on access to health care, but access has been measured on methods likely to undersample the more disadvantaged. Social landlords have access to more disadvantaged groups and may be able to improve health outcomes for their tenants and reduce their NHS usage by simple interventions. The aim of this study is to test whether provision of health information and signposting of services by housing association professionals to their tenants results in improved health and wellbeing outcomes.
Who can participate?
London social housing ‘general needs’ tenants aged over 50
What does the study involve?
Participants are given a health assessment then randomly allocated into a control group or one of two intervention groups. The control group receive no interventions. The 'signposting' group receive advice from the Neighbourhood Manager (a frontline staff member responsible for managing a group of properties). The treatment group receive an intensive 'hand-holding' service from a specialised team of health and wellbeing support workers to put them in contact with appropriate care and support providers. Participants are followed up over 18 months and changes in health outcomes and NHS usage are measured.
What are the possible benefits and risks of participating?
The interventions may support residents to engage with other services in their local area and offer general advice on health conditions aiming to help them understand and manage their health. No risks are anticipated as none of the services offered have any adverse effects on health.
Where is the study run from?
Family Mosaic (UK)
When is the study starting and how long is it expected to run for?
April 2012 to January 2016
Who is funding the study?
1. Family Mosaic (UK)
2. Economic and Social Research Council (UK)
Who is the main contact?
Prof. Stephen Gibbons
Contact information
Public
London School of Economics
London
WC2 2AE
United Kingdom
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Community |
| Study type | Quality of life |
| Participant information sheet | Not available in web format, please use the contact details to request a patient information sheet |
| Scientific title | Trial of health information interventions for samples of housing association tenants in London |
| Study objectives | To test whether provision of health information and signposting of services by housing association professionals to their tenants resulted in improved health and wellbeing outcomes. |
| Ethics approval(s) | London School of Economics Research Ethics Committee, 01/02/2013 |
| Health condition(s) or problem(s) studied | General health |
| Intervention | Participants were given a baseline health assessment, after which participants found to have serious untreated health conditions were withdrawn to receive intensive treatment. The remaining pool of 532 participants was randomised into into two treatment groups (intensive and non intensive) and one control group: 1. A control group which received no intervention 2. A 'signposting' group which received advice from the Neighbourhood Manager (a frontline staff member responsible for managing a group of properties) 3. A treatment group which received an intensive 'hand-holding' service from a specialised team of health and wellbeing support workers to put tenants in contact with appropriate care and support providers The entire process of random number generation and assignment was carried out through an automated function in the data entry system. A restricted randomisation was used, with stratification by age (over and under 70) and gender. No blocking was used. Participants were followed up over 18 months and changes in health outcomes and NHS usage were measured. |
| Intervention type | Other |
| Primary outcome measure | Measured at baseline assessment, a 9-month intermediate assessment, and a final 18-month assessment: 1. Self-reported health outcomes: general health rating measured using a 5-point Likert scale, average health rating (asked at beginning and end of survey, average of these taken) measured using a 0-10 numeric scale 2. Mental wellbeing, measured using ONS Wellbeing measure, Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS), Loneliness on a 0-10 numeric scale 3. NHS usage: planned GP appointments, emergency GP appointments, planned hospital appointments, Accident and Emergency attendances, and nights in hospital in the last 6 months 4. Number of falls in the last 6 months 5. Self-reported activity and mobility ratings, measured on a 0-10 numeric scale 6. Health behaviours: completion of breast cancer tests, completion of cervical cancer tests, completion of bowel cancer tests, smoking levels, alcohol consumption, completion of blood pressure test |
| Secondary outcome measures | There are no secondary outcome measures |
| Overall study start date | 01/04/2012 |
| Completion date | 01/01/2016 |
Eligibility
| Participant type(s) | Healthy volunteer |
|---|---|
| Age group | Senior |
| Sex | Both |
| Target number of participants | 600 |
| Total final enrolment | 547 |
| Key inclusion criteria | Tenants of Family Mosaic, over 50 years of age |
| Key exclusion criteria | Tenants found to have serious health conditions |
| Date of first enrolment | 01/03/2013 |
| Date of final enrolment | 01/03/2014 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
E1 2RJ
United Kingdom
Sponsor information
Charity
Albion House
20 Queen Elizabeth Street
London
SE1 2RJ
United Kingdom
"ROR" |
https://ror.org/04zj5v917 |
|---|
Funders
Funder type
Charity
No information available
Government organisation / National government
- Alternative name(s)
- ESRC
- Location
- United Kingdom
Results and Publications
| Intention to publish date | 13/05/2018 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Documentation on the trial is available from the authors or Family Mosaic, on request. The research article is accepted for publication, subject to obtaining a retrospective registration for the randomised control trial. |
| IPD sharing plan | The data is disclosive as it reveals residents' addresses and health conditions. Permission was obtained from participants for anonymised data sharing for research purposes. The data can be made available on request, in an anonymised format, by arrangement with Family Mosaic. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/05/2018 | 02/08/2019 | Yes | No |
Editorial Notes
02/08/2019: Publication reference and total final enrolment number added.
