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CompletedNCT06947915CHAFFINCHUpdated Nov 24, 2025

Co-producing a Novel Model an Outcome Framework for the Implementation of Falls Management in Care Home Settings.

An observational study in Old Age, Long Term Care Facility and Fall Prevention, sponsored by University of Nottingham. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-24.

Sponsored by University of Nottingham · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
31
Ages
18 Years and older
Sex
All
01

Study summary

AIM: To co-produce a novel model for implementation of falls management for older people living in care homes

SECONDARY OBJECTIVES

Component One Objectives:

Primary :To co-produce a novel model for the implementation of falls management in care homes Secondary

  • To facilitate a series of co-production workshops with representation of key stakeholders
  • To co-produce a novel implementation model for falls management
  • To co-produce an outcomes framework to evaluate the implementation model
  • To explore the feasibility of delivering the model and using the outcomes framework across Nottingham and Nottinghamshire Integrated Care Systems (ICSs)

Component Two Objectives:

  • To evaluate how and the extent to which co-production occurs during the process of developing a novel model and an outcomes framework for the implementation for falls management in care homes
  • To reflect on challenges and facilitators of using co-production approaches in this context
  • To evaluate how care home residents can be supported to voice their priorities within the process.
Read the detailed description

Component One: Co-production of the implementation model and outcomes framework A series of co-production workshops will be undertaken using a systemic action research methodology to develop and explore the feasibility of a novel implementation model and outcomes framework. This will involve three small workshop groups consisting of residents and relatives, care home staff only, and representatives from ICS partner organisations. All participants will be invited to attend a multi-stakeholder workshop in the later stages of the process to share ideas. Data collected for component one will be collected by the PI and PhD student. The novel model will be co-produced as part of this project but may include activities such as a care home audit programme, a reporting process, training and education and a community of practice. Following co-production of the model it will be delivered across Nottinghamshire ICB and refined in line with the systemic action research process.

Component Two: Evaluating the co-production process A process evaluation will be undertaken to explore how and the extent to which co-production occurs in component one, including reflection on challenges and facilitators, and how resident involvement is supported. Data collected for component two will be collected by the PhD student.

02

Conditions studied

  • Old Age
  • Long Term Care Facility
  • Fall Prevention

Keywords

  • long term care
  • falls management
03

In context

Lead sponsor

University of Nottingham is the lead sponsor of 455 studies on the registry; 77 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Care home staff, residents and ICS stakeholders

Inclusion criteria

- Key stakeholders within an ICS system including: carers, registered health professionals, managers and owners/executives from care homes commissioners, health care professionals and regulators involved in care home and falls management pathways, residents living in care homes relatives of residents living in care homes

  • 18 years and over (no upper age limit)
  • Any member of staff working in the 10 case study care homes in Nottinghamshire

Exclusion criteria

Exclusion Criteria:

  • Unable to read and understand written English
  • Lack of capacity to give informed consent
05

Study design

Observational model
Other
Time perspective
Other
Enrollment
31 participants (actual)
Patient registry
No

Groups and cohorts

  • Stakeholder

    Stakeholder across the ICS: Key stakeholders within an ICS system including: carers, registered health professionals, managers and owners/executives from care homes commissioners, health care professionals and regulators involved in care home and falls management pathways residents living in care homes relatives of residents living in care homes

    Other: Co-design workshop

  • Care home staff

    Any member of staff working in the case study care homes

    Other: Survey · Other: Interview

Interventions

  • OtherCo-design workshop

    Co-design workshops to develop the implementation model

  • OtherSurvey

    Survey of care staff knowledge and confidence

  • OtherInterview

    Interview to explore care staff experience of the falls management support

06

What researchers measure

Primary outcomes

  1. Key features of the falls management implementation model and outcomes framework using thematic analysis from the co-design workshops through study completion anticipated at 18 months

    The data collected to address this primary includes: * The number of workshops, location, duration and range of stakeholders attending * Summary of key themes from each meeting drawn together from flipcharts, online flipchart programmes such as padlet and field notes * Cross-comparison of themes between the stakeholder groups * Record of between meeting activities to describe the types of information and activities undertaken * List of problems and potential solutions * Facilitator maintained notes on the decisions made in developing the model and the factors influencing the decisions * Description of the key features of the model Description of outcomes framework

    Time frame: From enrolment to the end of the co-design workshops at 12 months

07

Study locations

1 site
  • University of Nottingham
    Nottingham, United Kingdom
08

References and documents

Publications

  • Hallam-Bowles F, Kilby A, Gordon A, Timmons S, Logan P, Rees L, Lawry W; CHAFFINCH stakeholder group; Robinson K. A Qualitative Evaluation Exploring Co-Production of Falls Management in Care Homes. Health Expect. 2025 Dec;28(6):e70500. doi: 10.1111/hex.70500. PubMed 41261769 ↗

Individual participant data

Plan to share: No — Due to the small number of participants

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06947915
Lead sponsor
University of Nottingham
Collaborators
Nottingham University Hospitals NHS Trust
Responsible party
Sponsor
First posted
Apr 27, 2025
Start date
Mar 2, 2023
Primary completion
Mar 18, 2025
Completion
Mar 18, 2025
Last update
Nov 24, 2025

Study contacts

Katie Robinson
principal investigator · University of Nottingham

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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