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.
Visão geral do estudo
Status
Intervenção / Tratamento
Descrição detalhada
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.
Tipo de estudo
Inscrição (Real)
Contactos e Locais
Locais de estudo
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Maltepe
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Istanbul, Maltepe, Turquia (Türkiye)
- Marmara University School of Medicine
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Filho
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Método de amostragem
População do estudo
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
Coortes e Intervenções
Grupo / Coorte |
Intervenção / Tratamento |
|---|---|
|
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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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Presence of home environmental risks
Prazo: baseline
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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.
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baseline
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Caregiver awareness of home environmental risks
Prazo: baseline
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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.
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baseline
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Barriers to addressing home environmental risks
Prazo: baseline
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Caregiver-reported barriers to addressing environmental risks in the home, including financial constraints, unsuitable housing conditions, and other perceived limitations.
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baseline
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Colaboradores e Investigadores
Publicações e links úteis
Publicações Gerais
- 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.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 09.2026.26-0025
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Informações sobre medicamentos e dispositivos, documentos de estudo
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