Suppr超能文献

在长期护理中实施知识转化干预措施:维生素D与骨质疏松症研究(ViDOS)的可行性结果

Implementing a knowledge translation intervention in long-term care: feasibility results from the Vitamin D and Osteoporosis Study (ViDOS).

作者信息

Kennedy Courtney C, Thabane Lehana, Ioannidis George, Adachi Jonathan D, Papaioannou Alexandra

机构信息

Department of Medicine, McMaster University, Hamilton, ON, Canada.

Department of Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.

出版信息

J Am Med Dir Assoc. 2014 Dec;15(12):943-5. doi: 10.1016/j.jamda.2014.05.007. Epub 2014 Jun 18.

Abstract

OBJECTIVES

To evaluate the feasibility of implementing an interdisciplinary, multifaceted knowledge translation intervention within long-term care (LTC) and to identify any challenges that should be considered in designing future studies.

DESIGN

Cluster randomized controlled trial.

SETTING

Forty LTC homes across the province of Ontario, Canada.

PARTICIPANTS

LTC teams composed of physicians, nurses, pharmacists, and other staff.

MEASUREMENTS

Cluster-level feasibility measures, including recruitment, retention, data completion, and participation in the intervention. A process evaluation was completed by directors of care indicating which process/policy changes had been implemented.

RESULTS

Recruitment and retention rates were 22% and 63%, respectively. Good fidelity with the intervention was achieved, including attendance at educational meetings. After ViDOS, 7 process indicators were being newly implemented by more than 50% of active intervention homes.

CONCLUSION

Despite recruitment and retention challenges, the multifaceted intervention produced a number of policy/process changes and had good intervention fidelity. This study is registered at ClinicalTrials.gov NCT01398527.

摘要

目的

评估在长期护理(LTC)中实施跨学科、多方面知识转化干预措施的可行性,并确定在设计未来研究时应考虑的任何挑战。

设计

整群随机对照试验。

地点

加拿大安大略省的40家长期护理机构。

参与者

由医生、护士、药剂师和其他工作人员组成的长期护理团队。

测量

整群层面的可行性指标,包括招募、留存、数据完成情况以及对干预措施的参与度。由护理主任完成过程评估,指出已实施的过程/政策变化。

结果

招募率和留存率分别为22%和63%。干预措施的依从性良好,包括参加教育会议。在实施ViDOS之后,超过50%的积极干预机构新实施了7项过程指标。

结论

尽管存在招募和留存方面的挑战,但多方面干预措施带来了一些政策/过程变化,且干预依从性良好。本研究已在ClinicalTrials.gov注册,注册号为NCT01398527。

相似文献

引用本文的文献

2
Quality improvement studies in nursing homes: a scoping review.养老院中的质量改进研究:范围综述。
BMC Health Serv Res. 2021 Aug 12;21(1):803. doi: 10.1186/s12913-021-06803-8.

本文引用的文献

4
Intervention research in nursing homes: the rise and rise of the cluster randomized trial.
J Am Med Dir Assoc. 2008 May;9(4):213-4. doi: 10.1016/j.jamda.2008.01.014.
5
A conceptual framework for implementation fidelity.实施保真度的概念框架。
Implement Sci. 2007 Nov 30;2:40. doi: 10.1186/1748-5908-2-40.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验