Improving Pain Management in Nursing Homes: a Pilot Study

Not Applicable

Completed

• Conditions: Pain Management
• Interventions: Other: ProQuaS 2 Intervention

• Registration Number: NCT03471390
• Lead Sponsor: University of Basel

Brief Summary

This study aims to improve pain management in Swiss nursing homes by addressing behavior change of the care workers with a multilevel intervention

Detailed Description

Pain management in nursing homes often is inadequate despite the availability of evidence- based pain management guidelines. Barriers to pain management in nursing homes occur on several levels including lack of knowledge and negative beliefs towards pain of care workers.

For this embedded mixed-methods pilot study a convenience sample of maximum six nursing homes will be recruited. The planned intervention comprises the implementation of pain management policies, training of all care workers in pain assessment and management as well as training and introduction of a facility pain champion. Quantitative outcomes assessed at baseline, after three and six months include self-efficacy and attitudes to pain of care workers, functional interference from pain and pain intensity in residents. Feasibility and acceptability of the intervention and potential barriers to its implementation will be explored in focus groups and interviews.

Study Timeline

• Study Start: 2017-10-24
• Study First Submitted: 2018-03-07
• Study First Submitted QC: 2018-03-13
• Study First Posted: 2018-03-20
• Primary Completion: 2018-11-15
• Study Completion: 2019-03-01
• Status Verified: 2021-04
• Last Update Submitted: 2021-04-27
• Last Update Posted: 2021-04-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 250

Inclusion Criteria

Care workers:

• Registered nurses, licensed practical nurses/certified caregivers, nursing assistants, nurse aides and other care workers from the participating nursing home
• Working in direct resident care
• Participating care workers have to be employed for at least one month at the data collection
• Students, apprentices and interns have to be employed at least six months in total
• Speak and understand German
• Older than 16 years

Residents:

• All residents living in a participating nursing home, older than 64 years
• Written informed consent to participate in data collection signed by the resident or in case of severe cognitive impairment by his/her legally acceptable representative

Exclusion Criteria

Care workers:

• Temporary employment for less than six months

Residents:

• Critical current health status or terminal life situation
• Known life expectancy less than 3 months
• Short term residents (length of stay <6 months)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
ProQuaS 2- Intervention	ProQuaS 2 Intervention	-

Primary Outcome Measures

Name	Time	Method
Self- efficacy in pain management	Change from baseline to 6 months	Care workers' self-efficacy in pain management scale; * investigator-developed scale based on guide for constructing self-efficacy scales (Bandura 2006); * numeric rating scale ranging from 0 ="not confident at all" to 100="highly confident"; * total score will be computed by calculating a mean over single item scores (range: 0-100, higher scores indicating better self-efficacy)

Trial Locations

Locations (4)

Senevita Gellertblick; 🇨🇭 Basel, Switzerland

Senevita Wangenmatt; 🇨🇭 Bern, Switzerland

Senevita Obstgarten; 🇨🇭 Affoltern Am Albis, Switzerland

Senevita Aespliz; 🇨🇭 Ittigen, Switzerland