Kennedy Courtney C, Thabane Lehana, Ioannidis George, Adachi Jonathan D, Papaioannou Alexandra
Department of Medicine, McMaster University, Hamilton, ON, Canada.
Department of Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.
J Am Med Dir Assoc. 2014 Dec;15(12):943-5. doi: 10.1016/j.jamda.2014.05.007. Epub 2014 Jun 18.
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.
Cluster randomized controlled trial.
Forty LTC homes across the province of Ontario, Canada.
LTC teams composed of physicians, nurses, pharmacists, and other staff.
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.
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.
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.
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。
整群随机对照试验。
加拿大安大略省的40家长期护理机构。
由医生、护士、药剂师和其他工作人员组成的长期护理团队。
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。
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。
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。