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Conducting adult social care research in the UK-impacts of challenges to study processes on study feasibility

Conducting adult social care research in the UK-impacts of challenges to study processes on study feasibility
Conducting adult social care research in the UK-impacts of challenges to study processes on study feasibility

The challenges of conducting adult social care research in the UK have long been documented. Calls have been made repeatedly for greater financial investment in social care research, an aligned research infrastructure including the recruitment of study sites and participants, support for a research culture and enabling capacity for the sector to participate in research. Ultimately these strategies should support researchers to investigate important practice issues that are identified and developed in collaboration with social care, aiming to continue to enhance well-being and quality of life for adults with health and care needs. Our commentary is referenced to a feasibility cluster randomised trial to address the high prevalence of incontinence and the prevention and treatment of incontinence-associated dermatitis for adults living at home who are receiving homecare services and for adults living in long-term care facilities. This study commenced in 2020 and completed in 2025, a 2-year delay because of challenges and protractions, despite innovative solutions throughout the research study, which we share in this commentary. We conclude that despite its unequivocal importance, conducting adult social care research and particularly using trial methodologies in the UK warrant further changes. These should be systemic and happen at pace.

Adult, Aged, Feasibility Studies, Health Services Research/organization & administration, Home Care Services, Humans, Patient Selection, Quality of Life, Randomized Controlled Trials as Topic, Research Design, Social Work/organization & administration, United Kingdom/epidemiology, Urinary Incontinence/therapy
0002-0729
Fitzpatrick, Joanne M
b356ea3e-95de-49dc-96c0-45fbabd51d03
Chatterton, Christopher
af7d3ec9-bc58-4efe-a2ed-229b73913469
Fader, Mandy
c318f942-2ddb-462a-9183-8b678faf7277
Graham, Tanya
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Norton, Christine
1c77c449-6a2a-4d2c-a600-197faa925fed
Woodward, Sue
fcf00367-04c2-4e26-adee-c86d30f96035
Harris, Ruth
1e848808-be89-4f63-a62b-41ec65b8c82f
Fitzpatrick, Joanne M
b356ea3e-95de-49dc-96c0-45fbabd51d03
Chatterton, Christopher
af7d3ec9-bc58-4efe-a2ed-229b73913469
Fader, Mandy
c318f942-2ddb-462a-9183-8b678faf7277
Graham, Tanya
8d1f961d-d8d9-48cb-83f3-ddeb8cf1746d
Norton, Christine
1c77c449-6a2a-4d2c-a600-197faa925fed
Woodward, Sue
fcf00367-04c2-4e26-adee-c86d30f96035
Harris, Ruth
1e848808-be89-4f63-a62b-41ec65b8c82f

Fitzpatrick, Joanne M, Chatterton, Christopher, Fader, Mandy, Graham, Tanya, Norton, Christine, Woodward, Sue and Harris, Ruth (2025) Conducting adult social care research in the UK-impacts of challenges to study processes on study feasibility. Age and Ageing, 54 (10), [afaf202]. (doi:10.1093/ageing/afaf202).

Record type: Review

Abstract

The challenges of conducting adult social care research in the UK have long been documented. Calls have been made repeatedly for greater financial investment in social care research, an aligned research infrastructure including the recruitment of study sites and participants, support for a research culture and enabling capacity for the sector to participate in research. Ultimately these strategies should support researchers to investigate important practice issues that are identified and developed in collaboration with social care, aiming to continue to enhance well-being and quality of life for adults with health and care needs. Our commentary is referenced to a feasibility cluster randomised trial to address the high prevalence of incontinence and the prevention and treatment of incontinence-associated dermatitis for adults living at home who are receiving homecare services and for adults living in long-term care facilities. This study commenced in 2020 and completed in 2025, a 2-year delay because of challenges and protractions, despite innovative solutions throughout the research study, which we share in this commentary. We conclude that despite its unequivocal importance, conducting adult social care research and particularly using trial methodologies in the UK warrant further changes. These should be systemic and happen at pace.

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More information

Accepted/In Press date: 29 August 2025
e-pub ahead of print date: 8 October 2025
Additional Information: © The Author(s) 2025. Published by Oxford University Press on behalf of the British Geriatrics Society.
Keywords: Adult, Aged, Feasibility Studies, Health Services Research/organization & administration, Home Care Services, Humans, Patient Selection, Quality of Life, Randomized Controlled Trials as Topic, Research Design, Social Work/organization & administration, United Kingdom/epidemiology, Urinary Incontinence/therapy

Identifiers

Local EPrints ID: 506674
URI: http://eprints.soton.ac.uk/id/eprint/506674
ISSN: 0002-0729
PURE UUID: cdde975c-9d99-4653-8e55-ee253aa8c3a1

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Date deposited: 13 Nov 2025 17:49
Last modified: 13 Nov 2025 17:50

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Contributors

Author: Joanne M Fitzpatrick
Author: Christopher Chatterton
Author: Mandy Fader
Author: Tanya Graham
Author: Christine Norton
Author: Sue Woodward
Author: Ruth Harris

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