Better tArgetting, Better Outcomes for Frail ELderly Patients

Completed

• Conditions: Residents in Longterm Care Facilities
• Interventions: Other: interRAI LTCF

• Registration Number: NCT06034444
• Lead Sponsor: Centre hospitalier de l'Université de Montréal (CHUM)

Brief Summary

The acronym for this proposal, BABEL, refers to the fact that a common "language" - the interRAI risk-stratification and decision-making tool - will be used in this project, allowing several measures of care quality in long-term care facilities to be compared with those in other provinces for the first time. The impact of the use of this assessment system and associated care planning protocols will also be investigated using usual practice as the point of reference.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-06-20
• Study Start: 2018-08-16
• Primary Completion: 2020-03-31
• Study Completion: 2020-03-31
• Status Verified: 2023-09
• Study First Submitted QC: 2023-09-05
• Last Update Submitted: 2023-09-05
• Study First Posted: 2023-09-13
• Last Update Posted: 2023-09-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 5692

Inclusion Criteria

• All nursing home residents in a particular unit where standardized evaluations are being introduced (for example, all residents in a particular floor or wing of the longterm care facility)

Exclusion Criteria

• Residents who are admitted to a nursing home unit for less than 1 week.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
interRAI LTCF	interRAI LTCF	Nursing homes in Quebec where interRAI evaluations and care plans will be introduced.

Primary Outcome Measures

Name	Time	Method
Change in falls prevalence	Every 3 months, for a minimum of 6 months and a maximum of 36 months	Prevalence of falls among residents under study
Change in prevalence of pain	Every 3 months, for a minimum of 6 months and a maximum of 36 months	Using interRAI pain scale scores greater than 0
Change in depression prevalence	Every 3 months, for a minimum of 6 months and a maximum of 36 months	Depression rating scale score of 3 or more (from interRAI LTCF)
Change in prevalence of potentially inappropriate antipsychotic use	Every 3 months, for a minimum of 6 months and a maximum of 36 months	Use of antipsychotics in the absence of an appropriate diagnosis
Change in the prevalence of physical restraints use	Every 3 months, for a minimum of 6 months and a maximum of 36 months	Use of physical restraints on residents as assessed using interRAI LTCF

Secondary Outcome Measures

Name	Time	Method
Change in prevalence of pressure ulcers	Every 3 months, for a minimum of 6 months and a maximum of 36 months	Stage 2 pressure ulcer on the interRAI pressure ulcer scale

Trial Locations

Locations (1)

Donald Berman Maimonides; 🇨🇦 Montréal, Quebec, Canada