The Effects of a Multifactorial Intervention to Reduce Physical Restraints for Care Providers in Nursing Homes: A Cluster Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 354
- Locations
- 1
- Primary Endpoint
- knowledge
Study Overview
Brief Summary
Scholars from around the world have been strongly advocating restraint-free care in long-term care institutions. Therefore, the aim of this study was to evaluate the effects of a multifactorial intervention to reduce physical restraints for care providers in nursing homes.
Detailed Description
In Taiwanese nursing homes, the use of physical restraints on residents as a protective measure is fairly common. However, physical restraints can be seen as a violation of human rights, and there is no guarantee of the effectiveness or safety of such physical restraints.This study was to evaluate the effects of a multifactorial intervention to reduce physical restraints for care providers in nursing homes. A cluster randomized controlled trial was conducted using pretest-posttest control group design. A purposive sampling of participants was chosen from care providers of 6 nursing home institutions in Taiwan, who were then randomly assigned to the experimental group (3 nursing homes) or the control group (3 nursing homes). The experimental group underwent multifactorial interventions to reduce physical restraint.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Double (Participant, Care Provider)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •A full-time care provider
- •Worked in a nursing home for more than three months
- •Care providers have imposed physical restraints on elderly residents aged 60 or above Within the last month.
Exclusion Criteria
- •can't speak or read chinese, Vietnamese, Indonesian
Outcomes
Primary Outcomes
knowledge
Time Frame: 8 minutes
The Knowledge of Restraints use scale . The Knowledge of Restraints use scale was used to assess the knowledge component. The scale consists of 20 items scored as 1 (true) or 0 (false or uncertainty). A higher score indicates more knowledge; total scores range from 0 to 20.
physical restraint use
Time Frame: 1 minutes
the percentage of physical restraint use
Attitudes
Time Frame: 8 minutes
The Attitudes of Restraints use scale . The Attitudes of Restraints use scale was used to assess participants' attitudes about restraint use. The scale is a 15 items with a 5-point Likert scale ranging from 1 (not at all agree) to 5 (most agree); the range of total scores is from 15 to 75. Higher scores indicate more negative attitudes about physical restraint use.
Behavior
Time Frame: 4 minutes
The Behavior of restraints use scale . The Behavior of restraints use scale was used to assess care providers' behavior about restraint use. The scale consists of 13 items scored as 1 (yes) or 0 (no); the range of total scores is from 0 to 13. The higher the score, the better the behavior.
Secondary Outcomes
- agitated and inappropriate behavior(1 minutes)
- Extubation rate(1 minutes)
- fall-related fractures(1 minutes)
- Restraint types(1 minutes)
- Multiple restraints(1 minutes)
- psychotropic medication prescriptions(1 minutes)
- falls rate(1 minutes)
Investigators
Su-Hua Liang
Investigator
Chang Gung Memorial Hospital