FallsNCT07516054
Action Falls for Domiciliary Care
An observational study of Falls, run by University of Nottingham at 1 site in United Kingdom.
Trial summary
Action Falls is a programme that helps older adults avoid falls and injuries. It finds out why someone might fall and suggests ways to help, like checking their medication and encouraging them to stay active. It was created to try and prevent falls in care homes. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Falls
- How many people
- 65 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 15 Jul 2026to Jun 2028
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Observations: staff working in one reablement service in Nottinghamshire County Council and one in Lincolnshire County Council and one private provider in each site. Interviews: older people receiving domiciliary care and their relatives from the sites in the observations, social care staff from County Council and one in Lincolnshire County Council Co-design workshops: older people receiving domiciliary care and their relatives from the sites in the observations, and social care staff from Nottinghamshire County Council and Lincolnshire County Council and BelleVie Care
Who may be able to join
- Observations:
- Domiciliary care workers working in the settings and localities in the sample and providing support to older people
- Social care practitioners working in the settings and localities in the sample
- Interviews:
- Older people (65 years and over) supported by domiciliary care and providing support to older people
- Relatives of older people supported by domiciliary care
Show all 16Show fewer
- Social care practitioners
- Owners of domiciliary care
- Commissioners and senior decision makers in Lincolnshire County Council and Nottinghamshire County Council
- Co-design workshops:
- Domiciliary care workers working in BelleVie Care
- Older people (65 years and over) supported by domiciliary care
- Relatives of older people supported by domiciliary care
- Social care practitioners
- Owners of domiciliary care
- Commissioners and senior decision makers in Lincolnshire County Council and Nottinghamshire County Council
Who cannot join
- Lack of capacity to give informed consent
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United Kingdom1 site, 1 recruiting
- Recruiting
University of Nottingham
Nottingham, Nottinghamshire, NG7 2UH
Katie Robinson, PhD, 447966 774679, katie.robinson@nottingham.ac.uk
About this study
Official title: Adapting and Implementing the Action Falls Programme for Domiciliary Care: A Focus on Rural and Coastal Communities
Action Falls is a programme that helps older adults avoid falls and injuries. It finds out why someone might fall and suggests ways to help, like checking their medication and encouraging them to stay active. It was created to try and prevent falls in care homes. It includes training for care home staff, a manual, and a checklist of what to look out for and what to do. Home care providers, local care groups, and older adults who live in the community think Action Falls could be useful too, to help reduce the number of falls in older adults who live at home. The investigators have identified that the programme could be particularly useful for older people who are supported by home care services.
The goal of this project is to develop ways to deliver and keep the programme running for older people supported by home care services. A future study will then try it out and see it helps people manage falls in home care.
Read more
The first part aims to plan and make changes to the current Action Falls programme to make sure it is suitable for use in home care settings. The investigators will do this by
- observing what happens on home care visits
- asking people who are supported by and who deliver home care how the programme needs to be changed.
In a future study the investigators will then deliver the programme across home care in Nottinghamshire and Lincolnshire and evaluate how well it has worked. The study will focus on coastal and rural areas.
Read the detailed description
Action Falls is a falls management programme for older people living in a care home that proactively identifies risk factors for falling and promotes actions to reduce these risks. This can include things such as reviewing medications, checking footwear is appropriate and supporting more activity. It has been collaboratively developed with care home staff, clinicians and researchers. The programme includes a training programme for care home staff, a manual, and a checklist of risk factors and actions. In the course of the work with the care home sector, domiciliary care providers, care organisations and social care practitioners have raised that Action Falls would be beneficial for domiciliary care. Areas where it would need to be adapted have been identified by these groups which include an increased focus on older people and their relatives who support with care needs. It is the push from the sector that has led to this collaborative grant.
Aims and objectives:
The aim is to adapt Action Falls for domiciliary care settings. The work will meet the following objectives:
- To explore the context of delivering Action Falls in domiciliary care
- To adapt the Action Falls materials to meet the needs of people accessing domiciliary care
- To develop a logic model of the adapted intervention
Evaluation plan:
Action Falls will be adapted, implemented and evaluated using the Adapt framework:
- Step One: To identify Action Falls as a potential intervention for domiciliary care. This has already been completed with Action Falls being identified as a potential intervention.
- Step Two: To plan for and undertake adaptations to Action Falls for domiciliary care. This will be done by exploring the context of domiciliary care by observing domiciliary care visits and carrying out interviews with older people, domiciliary care workers and owners and commissioners. The Action Falls materials will then be adapted using co-design workshops.
The final step (step 3) will be to evaluate the delivery of Action Falls. This will be done in a future study
- Conditions
- Falls
- Keywords
- falls, implementation, independence, social care, home care
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| domiciliary care | Domiciliary care settings in Lincolnshire and Nottinghamshire |
What is being measured
The primary outcome is the main question the study is designed to answer.
Types of programme adaptations using the Consolidated Framework for Implementation Research (CFIR)
Adaptations to the Action Falls Programme will be coded to the CFIR. Each adaption will be classified to the relevant CFIR domain: innovation, inner setting, outer setting, individuals, process. The number and classification of adaptation types will be recorded.
Measured: 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Apr 2026
- Study start15 Jul 2026
- Primary completionJun 2028 (estimated)
- Study completionJun 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for FallsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 65 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Nottingham
- Sponsor type
- University, hospital or other
- Collaborators
- University of Lincoln, University of Manchester, Nottingham University Hospitals NHS Trust
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07516054
- Sponsor's protocol ID
- FMHS 06-1025
- Status last verified
- Mar 2026
- First submitted
- 17 Mar 2026
- Last updated
- 24 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: The analysis spreadsheet for which consent to share has been obtained will be shared via the University of Nottingham data archive under a CC-BY license. Any data which is deemed to be personally or commercially sensitive will assessed on a case-by-case basis to determine whether it can be shared. There will be no need to update the data past the project period. All published outputs will contain a Data Availability Statement including the datacite DOI that directs to the relevant data set. Data will be released at the same time as any published outputs underpinned by the data or by one year from the end of the project. Individual field notes and interview transcript will not be shared due to the small number in one locality to maintain anonymity.
Study at a glance
From the registry record, last updated by the sponsor on 24 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Adapting and Implementing the Action Falls Programme for Domiciliary Care: A Focus on Rural and Coastal Communities
- ClinicalTrials.gov ID
- NCT07516054
- Acronym / sponsor ID
- FMHS 06-1025
- Conditions
- Falls
- Keywords
- falls, implementation, independence, social care, home care
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 65 participants (estimated)
- Lead sponsor
- University of NottinghamUniversity, hospital or other
- Collaborators
- University of Lincoln, University of Manchester, Nottingham University Hospitals NHS Trust
- Study start
- 15 Jul 2026 (actual)
- Primary completion
- Jun 2028 (estimated)
- Study completion
- Jun 2028 (estimated)
- First posted
- 7 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Action Falls is a programme that helps older adults avoid falls and injuries. It finds out why someone might fall and suggests ways to help, like checking their medication and encouraging them to stay active. It was created to try and prevent falls in care homes. It includes training for care home staff, a manual, and a checklist of what to look out for and what to do. Home care providers, local care groups, and older adults who live in the community think Action Falls could be useful too, to help reduce the number of falls in older adults who live at home. The investigators have identified that the programme could be particularly useful for older people who are supported by home care services.
The goal of this project is to develop ways to deliver and keep the programme running for older people supported by home care services. A future study will then try it out and see it helps people manage falls in home care.
The first part aims to plan and make changes to the current Action Falls programme to make sure it is suitable for use in home care settings. The investigators will do this by
- observing what happens on home care visits
- asking people who are supported by and who deliver home care how the programme needs to be changed.
In a future study the investigators will then deliver the programme across home care in Nottinghamshire and Lincolnshire and evaluate how well it has worked. The study will focus on coastal and rural areas.
Detailed description
Action Falls is a falls management programme for older people living in a care home that proactively identifies risk factors for falling and promotes actions to reduce these risks. This can include things such as reviewing medications, checking footwear is appropriate and supporting more activity. It has been collaboratively developed with care home staff, clinicians and researchers. The programme includes a training programme for care home staff, a manual, and a checklist of risk factors and actions. In the course of the work with the care home sector, domiciliary care providers, care organisations and social care practitioners have raised that Action Falls would be beneficial for domiciliary care. Areas where it would need to be adapted have been identified by these groups which include an increased focus on older people and their relatives who support with care needs. It is the push from the sector that has led to this collaborative grant.
Aims and objectives:
The aim is to adapt Action Falls for domiciliary care settings. The work will meet the following objectives:
- To explore the context of delivering Action Falls in domiciliary care
- To adapt the Action Falls materials to meet the needs of people accessing domiciliary care
- To develop a logic model of the adapted intervention
Evaluation plan:
Action Falls will be adapted, implemented and evaluated using the Adapt framework:
- Step One: To identify Action Falls as a potential intervention for domiciliary care. This has already been completed with Action Falls being identified as a potential intervention.
- Step Two: To plan for and undertake adaptations to Action Falls for domiciliary care. This will be done by exploring the context of domiciliary care by observing domiciliary care visits and carrying out interviews with older people, domiciliary care workers and owners and commissioners. The Action Falls materials will then be adapted using co-design workshops.
The final step (step 3) will be to evaluate the delivery of Action Falls. This will be done in a future study
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| domiciliary care | – | –Domiciliary care settings in Lincolnshire and Nottinghamshire |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Observations: staff working in one reablement service in Nottinghamshire County Council and one in Lincolnshire County Council and one private provider in each site. Interviews: older people receiving domiciliary care and their relatives from the sites in the observations, social care staff from County Council and one in Lincolnshire County Council Co-design workshops: older people receiving domiciliary care and their relatives from the sites in the observations, and social care staff from Nottinghamshire County Council and Lincolnshire County Council and BelleVie Care
Key inclusion criteria (16 listed)
- Domiciliary care workers working in the settings and localities in the sample and providing support to older people
- Social care practitioners working in the settings and localities in the sample
- Older people (65 years and over) supported by domiciliary care and providing support to older people
- Relatives of older people supported by domiciliary care
- Social care practitioners
Key exclusion criteria (1 listed)
- Lack of capacity to give informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Types of programme adaptations using the Consolidated Framework for Implementation Research (CFIR)
Time frame: 18 months
Adaptations to the Action Falls Programme will be coded to the CFIR. Each adaption will be classified to the relevant CFIR domain: innovation, inner setting, outer setting, individuals, process. The number and classification of adaptation types will be recorded.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jul 2026.
- Individual participant dataSharing planned: Undecided. The analysis spreadsheet for which consent to share has been obtained will be shared via the University of Nottingham data archive under a CC-BY license. Any data which is deemed to be personally or commercially sensitive will assessed on a case-by-case basis to determine whether it can be shared. There will be no need to update the data past the project period. All published outputs will contain a Data Availability Statement including the datacite DOI that directs to the relevant data set. Data will be released at the same time as any published outputs underpinned by the data or by one year from the end of the project. Individual field notes and interview transcript will not be shared due to the small number in one locality to maintain anonymity.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Falls, run by University of Nottingham at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 24 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Katie Robinson, PhD (447966774679, katie.robinson@nottingham.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Types of programme adaptations using the Consolidated Framework for Implementation Research (CFIR) (time frame: 18 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jul 2026.