Trials Sponsors Conditions Drugs Pricing

Conditions

Keywords

Quality indicatorsquality of carenursing homelong-term care unitnursing home organisationnursing home structuredisabilitydependencefunctional declinefunctional impairmentolder adultselderlyaudit and feedbackcooperative workgeriatricianmedicationhospitalisationcomorbidity

Outcome Measures

Primary Outcomes (1)

Change from baseline in nursing home quality indicators at 18 months
Indicators of quality of care in 10 main outcomes: dementia (e.g.,prevalence of cognitive assessment), behavioural disturbances (e.g., prevalence of behavioural disturbances assessment), restraining (e.g., prevalence of restrained residents with a medical prescription for restraining), mood (e.g., prevalence of mood assessment), osteoporosis and falls (e.g., systematic analysis of fall records), nutrition (e.g., prevalence of residents who were weighed ≥ 3 times in the last 3 months), pressure ulcers (e.g., prevalence of residents who were evaluated for the risk of pressure ulcers), pain (e.g., prevalence of residents who were evaluated for pain among residents in end-of-life), medication (e.g., prevalence of re-evaluation of residents' drug prescriptions among residents who take psychotropic), and care and services (e.g., prevalence of hospitalisations in the emergency department in the last 12 months).
baseline and 18-month follow-up

Secondary Outcomes (1)

Onset of dependence in activities of daily living from baseline to 18 months follow-up

Study Arms (2)

strong intervention group (SIG)

EXPERIMENTAL

Nursing homes that received audit and feedback information on quality indicators and benefited of cooperative work meetings with hospital geriatricians

Behavioral: Audit and FeedbackBehavioral: Cooperative Work

intervention group (LIG)

ACTIVE COMPARATOR

Nursing homes that only received audit and feedback information on quality indicators

Behavioral: Audit and Feedback

Interventions

Audit and FeedbackBehavioral

Descriptive statistics to each nursing home (NH) with regards to its own indicators of quality and residents' health status, and the same descriptive statistics on the sub-regional and regional levels were done to all NHs for comparative purposes.

intervention group (LIG)strong intervention group (SIG)

Cooperative WorkBehavioral

Nursing homes (NH)in the strong intervention group had two half-day meetings of cooperative work with a hospital geriatrician to identify NHs' weaknesses regarding quality of care and to establish strategies for overcoming these weaknesses.

Eligibility Criteria

Sexall

Healthy VolunteersNo

Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

Nursing homes (NH) voluntarily accepted to participate in the study.
NH residents of both sex

Sponsors & Collaborators

Observatoire Régional de la Santé Midi-Pyrénées (ORSMIP)
Type not reportedcollaborator
Agence Régionale de la Santé - Midi Pyrénées
Governmentlead

Study Sites (175)

EHPAD le parc ALBI

Albi, 81000, France

EHPAD Canarie Vieuzac

Argelès-Gazost, 65400, France

MAPAD Les Pradels

Assier, 46320, France

Les Jardins auscitains

Auch, 32000, France

Les jardins d´Agape

Auch, 32000, France

Saint Dominique

Auch, 32000, France

EHPAD Résidence Mutualiste La Pyrénéenne

Aureilhan, 65800, France

Related Publications (3)

Dubucs X, de Souto Barreto P, Rolland Y. Organizational and environmental factors associated with transfers of nursing home residents to emergency departments. Eur Geriatr Med. 2018 Jun;9(3):339-346. doi: 10.1007/s41999-018-0059-x. Epub 2018 May 8.
PMID: 34654246DERIVED
Cool C, Cestac P, McCambridge C, Rouch L, de Souto Barreto P, Rolland Y, Lapeyre-Mestre M. Reducing potentially inappropriate drug prescribing in nursing home residents: effectiveness of a geriatric intervention. Br J Clin Pharmacol. 2018 Jul;84(7):1598-1610. doi: 10.1111/bcp.13598. Epub 2018 May 14.
PMID: 29607568DERIVED

Study Officials

Yves Rolland, MD, PhD
La Grave- Casselardit University Hospital Centre, Service de Médecine Interne et Gérontologie Clinique - Gérontopôle
PRINCIPAL INVESTIGATOR

Enrollment

8,039 participants (actual enrollment reported by the registry).

Study Design

Study Type: interventional
Phase: not applicable
Allocation: NON RANDOMIZED
Masking: SINGLE
Who Masked: OUTCOMES ASSESSOR
Purpose: HEALTH SERVICES RESEARCH
Intervention Model: PARALLEL
Sponsor Type: OTHER GOV
Responsible Party: PRINCIPAL INVESTIGATOR
PI Title: MD PhD

Study Record Dates

First Submitted

September 27, 2012

First Posted

October 10, 2012

Study Start

May 2011

Date type not reported

This date has not been verified as actual or estimated.

Impact of Educational and Professional Supportive Interventions on Nursing Home Quality Indicators

Brief Summary

Registry Overview

Trial Relationships

Study Timeline

Study Start

Primary Completion

First Submitted

First Posted

Study Completion

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (1)

Study Arms (2)

strong intervention group (SIG)

intervention group (LIG)

Interventions

Eligibility Criteria

You may qualify if:

Sponsors & Collaborators

Study Sites (175)

Related Publications (3)

Study Officials

Enrollment

Study Design

Study Record Dates

Other Outcomes (1)

You may not qualify if:

Source record

Locations

Brief Summary

Registry Overview

Trial Relationships

Related Scientific Literature

Study Timeline

Study Start

Primary Completion

First Submitted

First Posted

Study Completion

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (1)

Study Arms (2)

strong intervention group (SIG)

intervention group (LIG)

Interventions

Eligibility Criteria

You may qualify if:

Sponsors & Collaborators

Study Sites (175)

Related Publications (3)

Study Officials

Enrollment

Study Design

Study Record Dates

Other Outcomes (1)

You may not qualify if:

Source record

Locations