The iCARE Study: An Integrated Collection of Education Modules on Fall and Fracture Prevention for Healthcare Providers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Feasibility - Length of time to complete PREVENT Program
研究概览
简要总结
A large proportion of older adults living in long term care homes are frail and have osteoporosis. With age, there is a gradual and progressive decline in bone quality and quantity and an increase in frailty, which is associated with increased fracture risk. Additionally, fractures pose a significant burden to the health and quality of life of long term care residents and contribute to high healthcare costs. Despite the high prevalence of osteoporosis, falls, and fractures in long term care, the management of osteoporosis is not optimal among long term care residents at risk of fracture. The aim of this study is to co-design a service provision (i.e., PREVENT - Person-centred Routine Fracture PreEVENTion) with healthcare providers in long term care and to determine the feasibility of implementing PREVENT in long term care settings.
详细描述
Fractures pose a significant burden on health, quality of life, and mortality of older adults in long term care (LTC) and contribute to high health care costs. PREVENT (Person-centred Routine Fracture PreEVENTion) is a scalable model for delivering routine assessments and interventions on diet and supplements, multifactorial fall and fracture prevention strategies, and medications to long term care teams to treat residents at high risk of fracture. The purpose of the iCARE study is to create a fall and fracture educational program (i.e., PREVENT) for LTC healthcare providers to deliver routine assessments for the management and treatment of osteoporosis. The benefit of such a guide may help to reduce the devastating impact of fractures in older adults residing in LTC homes. The aim of this pilot study is to: 1) determine feasibility and 2) adaptations through facilitators and barriers. Before a larger trial can be implemented to determine the effectiveness of the PREVENT Program in practice, the iCARE study seeks to determine the feasibility of implementing PREVENT in practice and identify strategies to tailor the program to the individual long term care home and care team through design thinking solutions.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Five long LTC homes in Ontario that
- •Have a minimum of 70 residents
- •Are publicly owned and private for-profit and private not-for-profit homes in both urban and rural sites
- •Individual Level Inclusion Criteria:
- •At least one internal champion
- •Five Professional Advisory Committee (PAC) care teams from five long term care homes in Ontario that provide osteoporosis care to residents.
排除标准
- 未提供
结局指标
主要结局
Feasibility - Length of time to complete PREVENT Program
时间窗: 4 months
Length of time for participants to implement the PREVENT Program
Fidelity of delivering the PREVENT program
时间窗: 4-6 months
Determine the fidelity of delivering the PREVENT program. Criteria for success: ≥ 80% on the fidelity checklist.
Feasibility - Number of Questions Completed
时间窗: 4 months
The number of questions answered by the participants for each questionnaire. Criteria for success is 80% of questions are completed.
Feasibility - Logistics of linking data (Yes/No format)
时间窗: 4 months
Determine the logistics of linking MDS 2.0 data with pharmaceutical database data at the resident level. This will be assessed by a "yes" or "no" (i.e., Feasible - Yes vs. Feasible - No)
Feasibility - Recruitment Rate
时间窗: 2 months
Number of long term care homes (LTCs) in Ontario recruited within two months. Criteria for success: recruit 5 LTC homes in Ontario within 2 months
Feasibility - LTC home readiness and capacity
时间窗: 1 month
Determine long term care home readiness and capacity to participate in the iCARE study based on a Readiness Checklist Survey. Criteria for success: at least 75% of homes approached are ready and have the capacity to participate in the study
次要结局
- Adaptations to PREVENT Program(4-6 months)
- Changes in Prescribing Habits(4-6 months)
研究者
Alexandra Papaioannou
Executive Director and Clinician Scientist, GERAS Centre for Aging Research
Hamilton Health Sciences Corporation