Belt restraint reduction in nursing homes.
- Conditions
- physical restraints use in the nursing home care of older people with dementia. Het gebruik van vrijheidsbeperkende materialen in verpleeghuizen dementerende ouderen
- Registration Number
- NL-OMON26766
- Lead Sponsor
- Maastricht University Faculty of Health, Medicine, and Life SciencesSchool for Public Health and Primary Care (CAPHRI)Post-office box 6166200 MD Maastricht
- Brief Summary
1. Hamers JP, Huizing AR: Why do we use physical restraints in the elderly? Z Gerontol Geriatr 2005, 38(1):19-25.<br> 2. Hamers JP, Gulpers MJ, Strik W: Use of physical restraints with cognitively impaired nursing home residents. J Adv Nurse 2004, 45(3):246-251.<br> 3. Huizing AR, Hamers JP, Gulpers MJ, Berger MP: Short-term effects of an educational intervention on physical restraint use: a cluster randomized trial. BMC Geriatr 2006, 6:17.<br> 3. Huizing AR, Hamers JP, Gulpers MJ, Berger MP: Preventing the use of physical restraints on residents newly admitted to psycho-geriatric nursing home wards: A cluster-randomized trial. Int J Nurs Stud 2008, 46:459-469.<br> 4. Hamers JP, Meyer G, Kopke S, Lindenmann R, Groven R, Huizing AR: Attitudes of Dutch, German and Swiss nursing staff towards physical restraint use in nursing home residents, a cross-sectional study. Int J Nurs Stud 2008, 46:248-255.<br> 5. Hamers JPH, Gulpers MJM. Reducing physical restraints in nursing homes: results of a pilot study. J Nutr Health Aging Suppl 2009; 13: S17.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 480
The management boards of the four participating nursing home associations agreed with the implementation of the EXBELT program. To participate, the prevalence of belt use on psychogeriatric nursing home wards had to be at least 10%.
Wards are excluded if the unit is dedicated to residents with Korsakoff’s, if far-reaching reorganizations and/or constructional renovations will be implemented, and if participating in other studies and/or projects aimed at the reduction of restrain use.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary outcome measure of the effect evaluation is the use of belts.
- Secondary Outcome Measures
Name Time Method Secondary outcome measures include other types of physical restraints (e.g. belts, bilateral full-enclosure bedrails, deep or overturned chairs, chairs with a locked tray table, chairs on a board), psychoactive drug use, number of falls and fall-related injuries, the use of alternative interventions, cognitive level, activities of daily living (ADL)-status, ADL-dependency, and mobility.