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.