Home Environmental Risks and Caregiver Awareness
High Prevalence But Low Awareness of Environmental Risks in Home Care: A Cross-Sectional Study
This cross-sectional study aimed to assess home environmental risks and caregiver awareness among individuals receiving home healthcare services. It also examined factors associated with caregivers' awareness of these risks.
The main questions addressed in this study were:
- How common were environmental risks in home care settings?
- To what extent were caregivers aware of these risks?
- Which factors were associated with caregiver awareness of home environmental risks? Participants receiving home healthcare services and their caregivers were evaluated during routine home visits. Data were collected through face-to-face interviews using a structured questionnaire and a home environmental risk checklist.
調査の概要
詳細な説明
This cross-sectional study was conducted to evaluate home environmental risks and caregiver awareness among individuals receiving home healthcare services. Home care settings represent a complex care environment in which patient safety may be compromised by various environmental hazards. Despite the high prevalence of such risks, caregiver awareness and recognition remain limited, which may affect the safety and quality of care delivered in home settings.
The study population consisted of patients who applied to home healthcare services affiliated with a public hospital in Istanbul between January 20 and March 1, 2026, and their caregivers. Participants were evaluated during routine home visits.
Data were collected through face-to-face interviews using a structured questionnaire and a home environmental risk checklist developed based on existing home safety recommendations. The checklist was used to identify potential environmental hazards within the home setting. In addition, caregivers' awareness of these risks and their perceptions regarding the modifiability of risks were assessed.
Home environmental risks were categorized according to their level of modifiability as easy, moderate, or difficult, based on the type of intervention required. Caregiver-related factors, including prior information, caregiving experience, and sociodemographic characteristics, were also recorded.
The study aimed to describe the frequency of home environmental risks, assess the level of caregiver awareness, and examine factors associated with awareness. In addition, perceived barriers to risk mitigation, such as financial constraints and unsuitable housing conditions, were evaluated to better understand the structural challenges affecting home safety.
研究の種類
入学 (実際)
連絡先と場所
研究場所
-
-
Maltepe
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Istanbul、Maltepe、トルコ（Türkiye）
- Marmara University School of medicine
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参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Caregivers of individuals receiving home healthcare services during the study period
- Caregivers who were present during routine home visits
- Caregivers who agreed to participate and provided informed responses
- Caregivers without communication barriers (e.g., language-related difficulties)
Exclusion Criteria:
- Caregivers in households where an acute medical condition requiring urgent intervention was present at the time of the visit
- Caregivers who declined to participate or were unable to complete the assessment
研究計画
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
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Caregivers in Home Healthcare Settings
Caregivers of individuals receiving home healthcare services, providing information on home environmental risks and awareness during routine home visits.
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No intervention was administered.
This observational study involved the assessment of home environmental risks and caregiver awareness during routine home healthcare visits.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Presence of home environmental risks
時間枠：baseline
|
The proportion of households with at least one identified environmental risk, including fall-related hazards (slippery floors, inadequate lighting, clutter), risks related to medical device use, and structural safety problems within the home environment, assessed using a structured home safety checklist.
|
baseline
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Caregiver awareness of home environmental risks
時間枠：baseline
|
The proportion of caregivers who correctly reported the presence of environmental risks in the home, based on comparison with risks identified through the structured home safety checklist.
|
baseline
|
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Barriers to addressing home environmental risks
時間枠：baseline
|
Caregiver-reported barriers to addressing environmental risks in the home, including financial constraints, unsuitable housing conditions, and other perceived limitations.
|
baseline
|
協力者と研究者
出版物と役立つリンク
一般刊行物
- Lindberg C, Fock J, Nilsen P, Schildmeijer K. Registered nurses' efforts to ensure safety for home-dwelling older patients. Scand J Caring Sci. 2023 Jun;37(2):571-581. doi: 10.1111/scs.13142. Epub 2022 Dec 29.
- Lekman J, Linden E, Ekstedt M. The challenge of risk prevention in home healthcare-An interview study with nurses in municipal care. Scand J Caring Sci. 2023 Dec;37(4):1067-1078. doi: 10.1111/scs.13181. Epub 2023 May 24.
- Russell D, Dowding D, Trifilio M, McDonald MV, Song J, Adams V, Ojo MI, Perry EK, Shang J. Individual, social, and environmental factors for infection risk among home healthcare patients: A multi-method study. Health Soc Care Community. 2021 May;29(3):780-788. doi: 10.1111/hsc.13321. Epub 2021 Feb 19.
- Rouhi M, Linden T, Doherty D, Prior SJ. Environmental Risk Assessment in Community Care: A Scoping Review. Healthcare (Basel). 2024 Apr 19;12(8):859. doi: 10.3390/healthcare12080859.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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