An observational study in Fall and Fall Accident, sponsored by Nottingham University Hospitals NHS Trust. Recruiting at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.
Sponsored by Nottingham University Hospitals NHS Trust · Observational
Falls are common among older people living in care homes and can cause serious injuries. After a fall, older people require post-falls management. This involves timely risk assessment and immediate action to manage potential injuries and reduce risk of further falls. Residents may need support from several organisations. However, coordinating post-falls management can be challenging. Organisations may have different ways of working. There may be differences in opinions about the best course of action. Care home residents, relatives, staff and health professionals have highlighted that post-falls management guidance is needed.
This research aims to develop principles for post-falls management for older people in care homes. The principles are intended to support a consistent approach and shared understanding across health and social care organisations. The first component (an online national survey) is already underway to map current post-falls management organisational processes for older people who fall in care homes and is not included in this protocol. This protocol includes the final three components of the research: 1) patient journey mapping to understand decision making process after a fall, 2) semi-structured interviews to explore different perspectives on factors affecting post falls decision-making and key areas for inclusion in the principles, and 3) an online modified Delphi to develop a consensus on key principles for consistent post-falls management in care homes. The research follows an implementation science approach and the Behaviour Change Wheel will be used to structure the work.
A mixed methods, sequential exploratory design will be used to co-develop principles. This study includes 3 components:
Nottingham University Hospitals NHS Trust is the lead sponsor of 107 studies on the registry; 19 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Patient journey mapping: older people living in care homes who have experienced a fall
Interviews: older people and relatives taking part in the patient journey mapping, care home and healthcare staff with experience of post-falls management in care homes.
Delphi: care home and healthcare staff with experience of post-falls management in care homes.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Patient journey mapping:
Interviews:
Delphi:
Exclusion Criteria:
Patient journey mapping:
Interviews:
Delphi:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
This includes older people aged 65 years and older living in care home settings, relatives of care home residents, care home and healthcare staff.
Identification of principles for consistent post-falls management with older people in care homes using the Behaviour Change Wheel.
Principles will be classified to the relevant level of the Behaviour Change Wheel: sources of behaviour, intervention functions, policy categories. The classification of principles will be recorded.
Time frame: 18 months
Started Jun 2026 (actual). Primary completion is estimated for Aug 2027, 14 months after the start.
How these figures are worked out, and which studies are left out of them.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
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