Impact of Educational and Professional Supportive Interventions on Nursing Home Quality Indicators
- Conditions
- Quality IndicatorsPhysical Disability
- Interventions
- Behavioral: Audit and FeedbackBehavioral: Cooperative Work
- Registration Number
- NCT01703689
- Lead Sponsor
- Agence Régionale de la Santé - Midi Pyrénées
- Brief 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 8039
- Nursing homes (NH) voluntarily accepted to participate in the study.
- NH residents of both sex
- Residents living in the NH for ≥ 30 days
- Residents and their general practitioner (GP) having received information about the study
- NH residents do not voluntarily decline to participate in the study
- NH currently participating in another interventional study
- GP of NH residents refused participation in the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description intervention group (LIG) Audit and Feedback Nursing homes that only received audit and feedback information on quality indicators strong intervention group (SIG) Audit and Feedback Nursing homes that received audit and feedback information on quality indicators and benefited of cooperative work meetings with hospital geriatricians strong intervention group (SIG) Cooperative Work Nursing homes that received audit and feedback information on quality indicators and benefited of cooperative work meetings with hospital geriatricians
- Primary Outcome Measures
Name Time Method Change from baseline in nursing home quality indicators at 18 months baseline and 18-month follow-up Indicators of quality of care in 10 main outcomes: dementia (e.g.,prevalence of cognitive assessment), behavioural disturbances (e.g., prevalence of behavioural disturbances assessment), restraining (e.g., prevalence of restrained residents with a medical prescription for restraining), mood (e.g., prevalence of mood assessment), osteoporosis and falls (e.g., systematic analysis of fall records), nutrition (e.g., prevalence of residents who were weighed ≥ 3 times in the last 3 months), pressure ulcers (e.g., prevalence of residents who were evaluated for the risk of pressure ulcers), pain (e.g., prevalence of residents who were evaluated for pain among residents in end-of-life), medication (e.g., prevalence of re-evaluation of residents' drug prescriptions among residents who take psychotropic), and care and services (e.g., prevalence of hospitalisations in the emergency department in the last 12 months).
- Secondary Outcome Measures
Name Time Method Onset of dependence in activities of daily living from baseline to 18 months follow-up baseline and 18-month follow-up Onset of dependence will be measured using the 6-item Katz ADL scale. Activities examined are: bathing, dressing, transferring, walking inside home, incontinence, and eating/drinking. Ability in executing each activity will be set as: "able to execute alone, without difficulty", "able to execute alone, with some difficulty", or "needing help to execute or unable to execute".
Trial Locations
- Locations (174)
Castelgirou
🇫🇷Cépet, France
EHPAD les arcades
🇫🇷Dourgne, France
EHPAD le parc ALBI
🇫🇷Albi, France
EHPAD Canarie Vieuzac
🇫🇷Argelès-Gazost, France
MAPAD Les Pradels
🇫🇷Assier, France
Les jardins d´Agape
🇫🇷Auch, France
Les Jardins auscitains
🇫🇷Auch, France
Saint Dominique
🇫🇷Auch, France
ONAC résidence paul oddo
🇫🇷Barbazan, France
EHPAD Résidence Castelmouly
🇫🇷Bagnères-de-Bigorre, France
EHPAD Résidence Mutualiste La Pyrénéenne
🇫🇷Aureilhan, France
Notre Dame
🇫🇷Beaumont-de-Lomagne, France
Ehpad Sherpa
🇫🇷Belmont-sur-Rance, France
Le Pastel
🇫🇷Bessières, France
Le Pastourel
🇫🇷Bessières, France
Emeraude
🇫🇷Blagnac, France
Sainte-Cécile
🇫🇷Bessières, France
Résidence de Vinci
🇫🇷Blagnac, France
EHPAD St joseph de BRASSAC
🇫🇷Brassac, France
EHPAD Robert Durrieu
🇫🇷Bretenoux, France
M.R Orpea
🇫🇷Cahors, France
EHPAD La Cascade
🇫🇷Cajarc, France
EHPAD La Croix Bleue
🇫🇷Capdenac-gare, France
EHPAD le bosc Carmaux
🇫🇷Carmaux, France
Tour Tottier
🇫🇷Castelginest, France
M.R St Luc - Castelnau Montratier
🇫🇷Castelnau-Montratier, France
Chic Ehpad C.H
🇫🇷Castelsarrasin, France
EHPAD Villégiale Saint Jacques CHIC - CASTRES/MAZAMET
🇫🇷Castres, France
MAPA Résidence St Astier
🇫🇷Catus, France
EHPAD Caylus - Val de Bonnette
🇫🇷Caylus, France
Jeanne Penent
🇫🇷Cazères, France
EHPAD Arc-En-Ciel
🇫🇷Cazals, France
ALLIANCE
🇫🇷Cologne, France
EHPAD St Laurent
🇫🇷Cruejouls, France
EHPAD Saint-Philippe
🇫🇷Ercé, France
EHPAD St JEAN CH de Gaillac
🇫🇷Gaillac, France
EHPAD St ANDRE CH de Gaillac
🇫🇷Gaillac, France
EHPAD Accueil du Frère Jean
🇫🇷Galan, France
EHPAD La Baïse
🇫🇷Galan, France
EHPAD Résidence Zélia
🇫🇷Ibos, France
EHPAD Le Jonquère
🇫🇷Juillan, France
Ehpad Les Quietudes
🇫🇷Lautrec, France
Ch Gimont
🇫🇷Gimont, France
MR Charles de Gaulle
🇫🇷Gramat, France
Saint-Jacques
🇫🇷L´ Isle-Jourdain, France
Foyer Pierre Bonhomme
🇫🇷Gramat, France
EHPAD Saint Dominique
🇫🇷Gramond, France
Ehpad de Graulhet
🇫🇷Graulhet, France
Ste Sophie
🇫🇷Grisolles, France
EHPAD Gustave Pédoya
🇫🇷La Bastide-de-Sérou, France
EHPADL'Oustal d'En Thibaud
🇫🇷Labruguière, France
M.R La Miséricorde
🇫🇷Lacapelle-Marival, France
Centre hospitalier du Pays d´Olmes - Laroques d´Olmes
🇫🇷Laroques d´Olmes, France
Résidence du Lac
🇫🇷Lafrançaise, France
La Barbacane
🇫🇷Larrazet, France
MAPAD Les Ségalines
🇫🇷Latronquière, France
Résidence Paul et Lisa
🇫🇷Launaguet, France
EHPAD La Madone
🇫🇷Lourdes, France
La Vendinelle
🇫🇷Le Cabanial, France
Centre hospitalier du Pays d´Olmes - Résidence du Touyre
🇫🇷Lavelanet, France
Ehpad Barrere
🇫🇷Lectoure, France
Ehpad Feral
🇫🇷Lectoure, France
EHPAD L´Oasis
🇫🇷Livinhac-le-Haut, France
EHPAD Le Petit Jer
🇫🇷Lourdes, France
EHPAD Notre Dame des Grâces
🇫🇷Lugan, France
EHPAD Le Paginet
🇫🇷Lunac, France
EHPAD Le santoulis
🇫🇷Luzenac, France
Résidence Curtis
🇫🇷Léguevin, France
EHPAD Faux-Bourg Saint-Adrien
🇫🇷L´ Isle-en-Dodon, France
Val de Gers
🇫🇷Masseube, France
EHPAD Le Clos du Raunier
🇫🇷Mazères, France
EHPAD du CH Millau - St Michel
🇫🇷Millau, France
EHPAD Les Charmettes
🇫🇷Millau, France
MR Beau Séjour
🇫🇷Mercuès, France
EHPAD de MONESTIES
🇫🇷Monestiés, France
EHPAD Louise de Roquelaure
🇫🇷Mirepoix, France
St Jean Marie Vianney
🇫🇷Montbeton, France
Montauban - Ehpad Ushpa
🇫🇷Montauban, France
Ange Gardien
🇫🇷Montauban, France
MR Saint Orens
🇫🇷Montauban, France
M.R La Roseraie
🇫🇷Montfaucon, France
MR Sainte-Marie
🇫🇷Montcuq, France
MR L´Etoile du Soir
🇫🇷Montredon, France
L´Hermitage
🇫🇷Montréjeau, France
EHPAD Rés. Parc de la Corette
🇫🇷Mur-de-Barrez, France
Résidence Marie-Antoinette
🇫🇷Muret, France
Le Barry
🇫🇷Muret, France
EHPAD Sainte Marie les Ursulines
🇫🇷Nant, France
EHPAD Résidence les deux vallées
🇫🇷Nant, France
EHPAD Résidence du Lac
🇫🇷Orleix, France
Centre Alzheimer Marie-Louise
🇫🇷Pechbonnieu, France
La Houlette
🇫🇷Pibrac, France
Cité Saint Joseph
🇫🇷Plaisance du Gers, France
EHPAD La résidence du Lac
🇫🇷Pont de Salars, France
La Tranquilité
🇫🇷Pins-Justaret, France
Le Prat
🇫🇷Plaisance-du-Touch, France
Oasis-Palmeraie
🇫🇷Pointis-de-Rivière, France
L´Auta
🇫🇷Portet-sur-Garonne, France
M.R Les balcons du Lot
🇫🇷Prayssac, France
EHPAD Résidence du petit bois
🇫🇷Pradines, France
Résidence Isatis
🇫🇷Quint-Fonsegrives, France
EHPAD la Maison Du Lac
🇫🇷Puygouzon, France
EHPAD Jean Baptiste Delfau
🇫🇷Requista, France
M.R Les Lavandes
🇫🇷Puy-l´Évêque, France
Bel Adour
🇫🇷Riscle, France
EHPAD Les Rosiers
🇫🇷Rignac, France
EHPAD Hermitage et Terrasses de Rabastens
🇫🇷Rabastens, France
EHPAD de Revel
🇫🇷Revel, France
EHPAD Bon Accueil
🇫🇷Rodez, France
EHPAD Saint Cyrice
🇫🇷Rodez, France
EHPAD La Miséricorde
🇫🇷Saint-Affrique, France
Les Clos des Amandiers
🇫🇷Saint-Alban, France
EHPAD Julie Chauchard
🇫🇷Rodez, France
EHPAD Saint Jacques du CH
🇫🇷Rodez, France
EHPAD Le clos de Siloe
🇫🇷Roquecourbe, France
Lavallée
🇫🇷Saint-Clar, France
EHPAD de l´Hôpital local
🇫🇷Saint-Geniez-d´Olt, France
EHPAD Les Galets d´Olt
🇫🇷Saint-Côme-d´Olt, France
Le Mas Saint-Pierre
🇫🇷Saint-Gaudens, France
EHPAD Le Val d´Olt
🇫🇷Saint-Laurent-d´Olt, France
L´Ensoleillade
🇫🇷Saint-Gaudens, France
Centre hospitalier Ariège Couserans
🇫🇷Saint-Girons, France
EHPAD Hector d´Ossun
🇫🇷Saint-Lizier, France
Les Rossignols
🇫🇷Saint-Lys, France
Maréchal Leclerc
🇫🇷Saint-Lys, France
Résidence La Joie de Vivre
🇫🇷Saint-Lys, France
EHPAD Clos St François
🇫🇷Saint-Sernin-sur-Rance, France
Ehpad Chez Nous
🇫🇷Saint-Sulpice, France
EHPAD Petite Plaisance SAVAGNAC
🇫🇷Salvagnac, France
EHPAD Vert Coteau
🇫🇷Saverdun, France
EHPAD Les grands chênes
🇫🇷Saïx, France
EHPAD Paul Ané
🇫🇷Seix, France
La Septfontoise
🇫🇷Septfonds, France
Ehpad Le Pre Fleuri
🇫🇷Serviès, France
EHPAD St Vinçent et Ste Croix
🇫🇷Sorèze, France
EHPAD Sainte Marie
🇫🇷Siradan, France
Les Tourelles
🇫🇷Toulouse, France
EHPAD St Jean
🇫🇷St AMANS DES COTS, France
Maurice Garrigou
🇫🇷Toulouse, France
Résidence Saint-Simon
🇫🇷Toulouse, France
La Cotonnière
🇫🇷Toulouse, France
EHPAD Les Fontaines
🇫🇷Toulouse, France
La Pastellière
🇫🇷Toulouse, France
Orpéa Crampel
🇫🇷Toulouse, France
Ehpad Belcantou
🇫🇷Trébas, France
EHPAD Résidence Les Rives du Pélam
🇫🇷Trie-sur-Baïse, France
Le Grand Marquisat
🇫🇷Tournefeuille, France
EHPAD du Centre Hospitalier Des Deux Rives
🇫🇷Valence D Agen, France
M.R Résidence Valpré
🇫🇷Vayrac, France
EHPAD ND de Touscayrats
🇫🇷Verdalle, France
MR Saint Jacques
🇫🇷Verdun-sur-Garonne, France
EHPAD La Clairière - Les Acacias
🇫🇷Vic-en-Bigorre, France
Ch Vic-Fezensac
🇫🇷Vic-fezensac, France
Le Château fleuri
🇫🇷Vic-Fezensac, France
EHPAD Sainte Claire
🇫🇷Villefranche-de-Rouergue, France
Saint-Joseph
🇫🇷Fronton, France
Caroline Baron
🇫🇷Toulouse, France
La Cerisaie
🇫🇷Castelmaurou, France
Korian Les Ainés du Lauragais
🇫🇷Baziège, France
Les Roses
🇫🇷Calmont, France
EHPAD Gai Logis
🇫🇷Capdenac-Gare, France
Notre Dame du Bon Accueil
🇫🇷Castelnau-d´Estrétefonds, France
MR Louis Conte
🇫🇷Gramat, France
EHPADRouanet-Iché de LABASTIDE-ROUAIROUX
🇫🇷Labastide-Rouairoux, France
EHPAD St vinçent de paul
🇫🇷Lacaune, France
EHPAD résidence le grand champ
🇫🇷Lagrave, France
Les Causeries
🇫🇷Laguépie, France
MAPAD Les logis de l´Impernal
🇫🇷Luzech, France
EHPAD Saint Joseph
🇫🇷Marcillac-Vallon, France
Résidence de l´abbaye
🇫🇷Saint-Antonin-Noble-Val, France
Plénitude Saint-Michel
🇫🇷Toulouse, France
Arc-en-Ciel
🇫🇷Toulouse, France
EHPAD Sud Rulhedu CH
🇫🇷Villefranche-de-Rouergue, France
Le Pin
🇫🇷Villeneuve-Tolosane, France