Courtney C Kennedy1, Lehana Thabane2, George Ioannidis1, Jonathan D Adachi1, Alexandra Papaioannou3. 1. Department of Medicine, McMaster University, Hamilton, ON, Canada. 2. Department of Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada. 3. Department of Medicine, McMaster University, Hamilton, ON, Canada. Electronic address: papaioannou@hhsc.ca.
Abstract
OBJECTIVES: To evaluate the feasibility of implementing an interdisciplinary, multifaceted knowledge translation intervention within long-term care (LTC) and to identify any challenges that should be considered in designing future studies. DESIGN: Cluster randomized controlled trial. SETTING:Forty LTC homes across the province of Ontario, Canada. PARTICIPANTS: LTC teams composed of physicians, nurses, pharmacists, and other staff. MEASUREMENTS: Cluster-level feasibility measures, including recruitment, retention, data completion, and participation in the intervention. A process evaluation was completed by directors of care indicating which process/policy changes had been implemented. RESULTS:Recruitment and retention rates were 22% and 63%, respectively. Good fidelity with the intervention was achieved, including attendance at educational meetings. After ViDOS, 7 process indicators were being newly implemented by more than 50% of active intervention homes. CONCLUSION: Despite recruitment and retention challenges, the multifaceted intervention produced a number of policy/process changes and had good intervention fidelity. This study is registered at ClinicalTrials.gov NCT01398527.
RCT Entities:
OBJECTIVES: To evaluate the feasibility of implementing an interdisciplinary, multifaceted knowledge translation intervention within long-term care (LTC) and to identify any challenges that should be considered in designing future studies. DESIGN: Cluster randomized controlled trial. SETTING: Forty LTC homes across the province of Ontario, Canada. PARTICIPANTS: LTC teams composed of physicians, nurses, pharmacists, and other staff. MEASUREMENTS: Cluster-level feasibility measures, including recruitment, retention, data completion, and participation in the intervention. A process evaluation was completed by directors of care indicating which process/policy changes had been implemented. RESULTS: Recruitment and retention rates were 22% and 63%, respectively. Good fidelity with the intervention was achieved, including attendance at educational meetings. After ViDOS, 7 process indicators were being newly implemented by more than 50% of active intervention homes. CONCLUSION: Despite recruitment and retention challenges, the multifaceted intervention produced a number of policy/process changes and had good intervention fidelity. This study is registered at ClinicalTrials.gov NCT01398527.
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