CONNECT for Better Falls Prevention in VA Community Living Centers
CONNECT
1 other identifier
interventional
689
1 country
4
Brief Summary
This is a randomized trial of 2 nursing home staff educational approaches to reduce falls in VA nursing home (CLC) residents. One is a traditional falls education program using web-based modules, feedback of quality indicators, and meetings with influential peers. The other is a 12 week program that trains staff to form better connections and use effective communication strategies with a diverse network of co-workers, so that problem solving about resident problems is enhanced. The study will test whether the second intervention increases the effectiveness of the traditional falls education program.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Feb 2010
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 2, 2009
CompletedFirst Posted
Study publicly available on registry
February 4, 2009
CompletedStudy Start
First participant enrolled
February 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2012
CompletedResults Posted
Study results publicly available
October 30, 2014
CompletedApril 24, 2015
October 1, 2014
1.7 years
February 2, 2009
October 9, 2014
April 6, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Fall-related Process Measures
The proportion of applicable fall quality indicators documented for residents with falls during the study period. Quality indicators are specific fall risk assessment or prevention activities including orthostatic blood pressure assessment, vision assessment, environmental modification (bedroom, bathroom), footwear change, physical or occupational therapy referral, psychoactive medication reduction.
6 months
Secondary Outcomes (1)
Change in Facility Fall Rates
6 months
Study Arms (2)
FALLS only
ACTIVE COMPARATORTraditional falls educational intervention, including self-study modules, audit and feedback, falls team training, academic detailing, and toolkit.
CONNECT and FALLS
EXPERIMENTALCONNECT educational intervention is designed to improve relationship-building and communication. The intervention includes 2 in-class session, group mapping exercise, individual relationship mapping exercises, Self-monitoring of interactions, individual staff coaching sessions. FALLS is a traditional falls educational intervention, including self-study modules, audit and feedback, falls team training, academic detailing, and toolkit.
Interventions
The CONNECT educational intervention is a training program for staff to improve communication with a more dense network of co-workers, in order to improve resident problem-solving. Includes in class sessions, group and individual mapping exercises, self-monitoring of interactions, and individual staff coaching.
FALLS is a traditional falls quality improvement education program including online modules, audit and feedback, and academic detailing sessions
Eligibility Criteria
You may qualify if:
- All clinical and support staff in participating VA Community Living Centers
You may not qualify if:
- Inability to speak and understand English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- US Department of Veterans Affairslead
- Duke Universitycollaborator
Study Sites (4)
VA Medical Center, Asheville
Asheville, North Carolina, 28805, United States
Durham VA Medical Center, Durham, NC
Durham, North Carolina, 27705, United States
Hunter Holmes McGuire VA Medical Center
Richmond, Virginia, 23249, United States
VA Medical Center, Salem VA
Salem, Virginia, 24153, United States
Related Publications (2)
Colon-Emeric CS, Lyles KW, Su G, Pieper CF, Magaziner JS, Adachi JD, Bucci-Rechtweg CM, Haentjens P, Boonen S; HORIZON Recurrent Fracture Trial. Clinical risk factors for recurrent fracture after hip fracture: a prospective study. Calcif Tissue Int. 2011 May;88(5):425-31. doi: 10.1007/s00223-011-9474-4. Epub 2011 Feb 18.
PMID: 21331567RESULTAnderson RA, Corazzini K, Porter K, Daily K, McDaniel RR Jr, Colon-Emeric C. CONNECT for quality: protocol of a cluster randomized controlled trial to improve fall prevention in nursing homes. Implement Sci. 2012 Feb 29;7:11. doi: 10.1186/1748-5908-7-11.
PMID: 22376375RESULT
Related Links
Results Point of Contact
- Title
- Dr. Cathleen Colon-Emeric
- Organization
- Durham VA GRECC
Study Officials
- PRINCIPAL INVESTIGATOR
Cathleen S. Colon-Emeric, MD
Durham VA Medical Center, Durham, NC
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 2, 2009
First Posted
February 4, 2009
Study Start
February 1, 2010
Primary Completion
October 1, 2011
Study Completion
August 1, 2012
Last Updated
April 24, 2015
Results First Posted
October 30, 2014
Record last verified: 2014-10