School for Public Health and Primary Care (Caphri), Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
J Am Med Dir Assoc. 2013 Aug;14(8):599-604. doi: 10.1016/j.jamda.2013.03.002. Epub 2013 Apr 20.
The current study describes the process evaluation of a multicomponent intervention program (Expelling Belts [EXBELT]) to reduce the use of belt restraints in psychogeriatric nursing homes. The aim was to assess the feasibility and ascertain suggestions for optimization of the EXBELT program.
A descriptive study comprising longitudinal elements.
Fifteen psychogeriatric nursing home wards in 6 Dutch nursing homes.
The study population consisted of 4 different groups of participants who took part in the intervention arm of the quasi-experimental study examining the effectiveness of EXBELT: nursing home staff who attended the final session of the educational program; 2 nurse specialists who delivered the educational program and did the consultations; 4 groups of delegates representing the nursing home associations where the EXBELT program was implemented; and the relatives of those residents in the intervention group who were restrained with a belt at the start of the study.
Both quantitative and qualitative data were collected from the study population. Data were assessed by means of self-administered questionnaires, recording forms, group interviews, telephone interviews, and monthly meetings.
The EXBELT study was largely performed according to protocol and very well received by nursing home staff as well as resident's relatives. Suggestions to improve the EXBELT program include the addition of examples of how to communicate about the policy change, improving the reach of the intended target population, adding more case-based learning strategies, and embedding the available consultants more proactively.
The implementation of EXBELT was highly successful in the current research population and is likely to be feasible in psychogeriatric nursing homes in general.
本研究描述了一项多组分干预计划（Expelling Belts [EXBELT]）的过程评估，以减少精神科养老院中腰带约束的使用。目的是评估该 EXBELT 计划的可行性，并确定优化该计划的建议。
一项包含纵向元素的描述性研究。
6 家荷兰养老院的 15 个精神科养老院病房。
该研究人群由参与准实验研究的干预组的 4 组不同参与者组成，该研究旨在检查 EXBELT 的有效性：参加教育计划最后一次会议的养老院工作人员；提供教育计划并进行咨询的 2 名护士专家；实施 EXBELT 计划的养老院协会的 4 个代表团体；以及在研究开始时被腰带约束的干预组居民的亲属。
从研究人群中收集了定量和定性数据。通过自我管理问卷、记录表格、小组访谈、电话访谈和每月会议评估数据。
EXBELT 研究基本按照方案进行，受到养老院工作人员和居民亲属的高度评价。改进 EXBELT 计划的建议包括添加有关如何就政策变更进行沟通的示例、提高目标人群的覆盖范围、增加更多基于案例的学习策略以及更积极地嵌入现有的顾问。
EXBELT 在当前研究人群中的实施非常成功，在一般的精神科养老院中可能具有可行性。
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