NCT01703689

Impact of Educational and Professional Supportive Interventions on Nursing Home Quality Indicators

Impact of Either Audit and Feedback Only or Audit and Feedback Associated to Cooperative Work Meetings Between Hospital Geriatricians and Nursing Home Staff on Quality Indicators and Health Care Practices in Nursing Homes.

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 8,039 (actual)
• Sponsor: Agence Régionale de la Santé - Midi Pyrénées · Other Government
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

Introduction: Efficacy of audit and feedback interventions on nursing home (NH)quality indicators is not well-established. The main objective: The main purpose of the IQUARE study was to examine the impact of two types of audit and feedback interventions on NH quality indicators and on residents dependence levels in a 18-month follow-up. Study hypothesis: We hypothesised that audit and feedback associated to educational and professional supportive interventions are more efficacy in improving NH quality indicators than audit and feedback only. Secondary objectives: Investigate the impact of the interventions on 1. Residents: * Functional decline rate * Drug prescriptions (quantity and quality) * Prevalence of adverse health outcomes (e.g., falls) 2. NHs: * Planning and implementation of therapeutic measures

Detailed description

IQUARE is a multicentric individually-tailored controlled trial comparing two types of audit and feedback interventions: * audit and feedback associated to cooperative work meetings between hospital geriatricians and nursing home (NH) staff in a 6-month intervention (strong intervention) * audit and feedback only (light intervention) Power statistics and sample size calculations indicated that each group should be composed of at least 2 500 individuals. The strong intervention will last 6 months and is composed of two face-to-face cooperative meetings (hospital geriatricians and NH staff). Data will be collected at baseline and in a 18-month follow-up.

Conditions

• Quality Indicators
• Physical Disability

Interventions

Type	Name	Description
BEHAVIORAL	Audit and Feedback	Descriptive statistics to each nursing home (NH) with regards to its own indicators of quality and residents' health status, and the same descriptive statistics on the sub-regional and regional levels were done to all NHs for comparative purposes.
BEHAVIORAL	Cooperative Work	Nursing homes (NH)in the strong intervention group had two half-day meetings of cooperative work with a hospital geriatrician to identify NHs' weaknesses regarding quality of care and to establish strategies for overcoming these weaknesses.

Timeline

• Start date: 2011-05-01
• Primary completion: 2011-07-01
• Completion: 2013-03-01
• First posted: 2012-10-10
• Last updated: 2016-07-19

Locations

175 sites across 1 country: France