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Completed

NCT Number: NCT07645976

Home Environmental Risks and Caregiver Awareness

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.

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Key information

Conditions

Home Care Services Home Health Care

Sex eligibility

All sexes

Study type

Observational

Primary location

Marmara University School of Medicine

Istanbul, Maltepe, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

observation

Other

No intervention was administered. This observational study involved the assessment of home environmental risks and caregiver awareness during routine home healthcare visits.

Primary outcomes

  1. Presence of home environmental risks

    Time frame: 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.

Secondary outcomes

  1. Caregiver awareness of home environmental risks

    Time frame: 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.

  2. Barriers to addressing home environmental risks

    Time frame: baseline

    Caregiver-reported barriers to addressing environmental risks in the home, including financial constraints, unsuitable housing conditions, and other perceived limitations.

Sponsors and collaborators

Lead sponsor

Marmara University Pendik Training and Research Hospital

Other

Registry information

Official study title

High Prevalence But Low Awareness of Environmental Risks in Home Care: A Cross-Sectional Study

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Jun 12, 2026
Registry last updated
Jun 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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