Impact of Educational and Professional Supportive Interventions on Nursing Home Quality Indicators
IQUARE
Impact of Either Audit and Feedback Only or Audit and Feedback Associated to Cooperative Work Meetings Between Hospital Geriatricians and Nursing Home Staff on Quality Indicators and Health Care Practices in Nursing Homes.
1 other identifier
interventional
8,039
1 country
175
Brief Summary
Introduction: Efficacy of audit and feedback interventions on nursing home (NH)quality indicators is not well-established. The main objective: The main purpose of the IQUARE study was to examine the impact of two types of audit and feedback interventions on NH quality indicators and on residents dependence levels in a 18-month follow-up. Study hypothesis: We hypothesised that audit and feedback associated to educational and professional supportive interventions are more efficacy in improving NH quality indicators than audit and feedback only. Secondary objectives: Investigate the impact of the interventions on
- Functional decline rate
- Drug prescriptions (quantity and quality)
- Prevalence of adverse health outcomes (e.g., falls)
- NHs:
- Planning and implementation of therapeutic measures
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2011
Typical duration for not_applicable
175 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2011
CompletedFirst Submitted
Initial submission to the registry
September 27, 2012
CompletedFirst Posted
Study publicly available on registry
October 10, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedJuly 19, 2016
July 1, 2016
2 months
September 27, 2012
July 18, 2016
Conditions
Keywords
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
baseline and 18-month follow-up
Other Outcomes (1)
Reduction in the prescription of psychotropic drugs from baseline to 18-month follow-up
baseline and 18-month follow-up
Study Arms (2)
strong intervention group (SIG)
EXPERIMENTALNursing homes that received audit and feedback information on quality indicators and benefited of cooperative work meetings with hospital geriatricians
intervention group (LIG)
ACTIVE COMPARATORNursing homes that only received audit and feedback information on quality indicators
Interventions
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.
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
You may qualify if:
- Nursing homes (NH) voluntarily accepted to participate in the study.
- NH residents of both sex
- Residents living in the NH for ≥ 30 days
- Residents and their general practitioner (GP) having received information about the study
- NH residents do not voluntarily decline to participate in the study
You may not qualify if:
- NH currently participating in another interventional study
- GP of NH residents refused participation in the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
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
EHPAD Résidence Castelmouly
Bagnères-de-Bigorre, 65200, France
ONAC résidence paul oddo
Barbazan, 31510, France
Korian Les Ainés du Lauragais
Baziege, 31450, France
Notre Dame
Beaumont-de-Lomagne, 82500, France
Ehpad Sherpa
Belmont-sur-Rance, 12370, France
Le Pastel
Bessières, 31660, France
Le Pastourel
Bessières, 31660, France
Sainte-Cécile
Bessières, 31660, France
Emeraude
Blagnac, 31700, France
Résidence de Vinci
Blagnac, 31700, France
EHPAD St joseph de BRASSAC
Brassac, 81260, France
EHPAD Robert Durrieu
Bretenoux, 46130, France
M.R Orpea
Cahors, 46000, France
EHPAD La Cascade
Cajarc, 46160, France
Les Roses
Calmont, 31560, France
EHPAD Gai Logis
Capdenac-Gare, 12700, France
EHPAD La Croix Bleue
Capdenac-Gare, 12700, France
EHPAD le bosc Carmaux
Carmaux, 81400, France
Tour Tottier
Castelginest, 31780, France
La Cerisaie
Castelmaurou, 31180, France
Notre Dame du Bon Accueil
Castelnau-d´Estrétefonds, 31620, France
M.R St Luc - Castelnau Montratier
Castelnau-Montratier, 46170, France
Chic Ehpad C.H
Castelsarrasin, 82100, France
EHPAD Villégiale Saint Jacques CHIC - CASTRES/MAZAMET
Castres, 81100, France
MAPA Résidence St Astier
Catus, 46150, France
EHPAD Caylus - Val de Bonnette
Caylus, 82160, France
EHPAD Arc-En-Ciel
Cazals, 46250, France
Jeanne Penent
Cazères, 31220, France
Castelgirou
Cépet, 31620, France
ALLIANCE
Cologne, 32430, France
EHPAD St Laurent
Cruéjouls, 12340, France
EHPAD les arcades
Dourgne, 81110, France
EHPAD Saint-Philippe
Ercé, 09140, France
Saint-Joseph
Fronton, 31620, France
EHPAD St ANDRE CH de Gaillac
Gaillac, 81601, France
EHPAD St JEAN CH de Gaillac
Gaillac, 81601, France
EHPAD Accueil du Frère Jean
Galan, 65330, France
EHPAD La Baïse
Galan, 65330, France
Ch Gimont
Gimont, 32200, France
Foyer Pierre Bonhomme
Gramat, 46500, France
MR Charles de Gaulle
Gramat, 46500, France
MR Louis Conte
Gramat, 46500, France
EHPAD Saint Dominique
Gramond, 12160, France
Ehpad de Graulhet
Graulhet, 81300, France
Saint-Jacques
Grenade, 31330, France
Ste Sophie
Grisolles, 82170, France
EHPAD Résidence Zélia
Ibos, 65420, France
EHPAD Le Jonquère
Juillan, 65290, France
EHPAD Faux-Bourg Saint-Adrien
L'Isle-en-Dodon, 31230, France
Saint-Jacques
L'Isle-Jourdain, 32600, France
EHPAD Gustave Pédoya
La Bastide-de-Sérou, 09240, France
EHPADRouanet-Iché de LABASTIDE-ROUAIROUX
Labastide-Rouairoux, 81270, France
EHPADL'Oustal d'En Thibaud
Labruguière, 81290, France
M.R La Miséricorde
Lacapelle-Marival, 46120, France
EHPAD St vinçent de paul
Lacaune, 81230, France
Résidence du Lac
Lafrançaise, 82130, France
EHPAD résidence le grand champ
Lagrave, 81150, France
Les Causeries
Laguépie, 82250, France
Centre hospitalier du Pays d´Olmes - Laroques d´Olmes
Laroques d´Olmes, 09600, France
La Barbacane
Larrazet, 82500, France
MAPAD Les Ségalines
Latronquière, 46210, France
Résidence Paul et Lisa
Launaguet, 31140, France
Ehpad Les Quietudes
Lautrec, 81440, France
Centre hospitalier du Pays d´Olmes - Résidence du Touyre
Lavelanet, 09300, France
La Vendinelle
Le Cabanial, 31460, France
Ehpad Barrere
Lectoure, 32700, France
Ehpad Feral
Lectoure, 32700, France
Résidence Curtis
Léguevin, 31490, France
EHPAD L´Oasis
Livinhac-le-Haut, 12300, France
EHPAD La Madone
Lourdes, 65100, France
EHPAD Le Petit Jer
Lourdes, 65100, France
EHPAD Notre Dame des Grâces
Lugan, 12220, France
EHPAD Le Paginet
Lunac, 12270, France
MAPAD Les logis de l´Impernal
Luzech, 46140, France
EHPAD Le santoulis
Luzenac, 09250, France
EHPAD Saint Joseph
Marcillac-Vallon, 12330, France
Val de Gers
Masseube, 32140, France
EHPAD Le Clos du Raunier
Mazères, 09270, France
MR Beau Séjour
Mercuès, 46090, France
EHPAD du CH Millau - St Michel
Millau, 12100, France
EHPAD Les Charmettes
Millau, 12100, France
EHPAD Louise de Roquelaure
Mirepoix, 09500, France
EHPAD de MONESTIES
Monestiés, 81640, France
Ange Gardien
Montauban, 82000, France
Montauban - Ehpad Ushpa
Montauban, 82000, France
MR Saint Orens
Montauban, 82000, France
St Jean Marie Vianney
Montbeton, 82290, France
MR Sainte-Marie
Montcuq, 46800, France
M.R La Roseraie
Montfaucon, 46240, France
MR L´Etoile du Soir
Montredon, 46270, France
L´Hermitage
Montréjeau, 31210, France
EHPAD Rés. Parc de la Corette
Mur-de-Barrez, 12600, France
Le Barry
Muret, 31600, France
Résidence Marie-Antoinette
Muret, 31600, France
EHPAD Résidence les deux vallées
Nant, 12230, France
EHPAD Sainte Marie les Ursulines
Nant, 12230, France
EHPAD Résidence du Lac
Orleix, 65800, France
Centre Alzheimer Marie-Louise
Pechbonnieu, 31140, France
La Houlette
Pibrac, 31820, France
La Tranquilité
Pins-Justaret, 31860, France
Cité Saint Joseph
Plaisance Du Gers, 32160, France
Le Prat
Plaisance-du-Touch, 31830, France
Oasis-Palmeraie
Pointis-de-Rivière, 31210, France
EHPAD La résidence du Lac
Pont-de-Salars, 12290, France
L´Auta
Portet-sur-Garonne, 31120, France
EHPAD Résidence du petit bois
Pradines, 46090, France
M.R Les balcons du Lot
Prayssac, 46220, France
M.R Les Lavandes
Puy-l´Évêque, 46700, France
EHPAD la Maison Du Lac
Puygouzon, 81990, France
Résidence Isatis
Quint-Fonsegrives, 31120, France
EHPAD Hermitage et Terrasses de Rabastens
Rabastens, 81800, France
EHPAD de Revel
Revel, 31250, France
EHPAD Jean Baptiste Delfau
Réquista, 12170, France
EHPAD Les Rosiers
Rignac, 12390, France
Bel Adour
Riscle, 32400, France
EHPAD Bon Accueil
Rodez, 12000, France
EHPAD Julie Chauchard
Rodez, 12000, France
EHPAD Saint Cyrice
Rodez, 12000, France
EHPAD Saint Jacques du CH
Rodez, 12000, France
EHPAD Le clos de Siloe
Roquecourbe, 81210, France
EHPAD La Miséricorde
Saint-Affrique, 12400, France
Les Clos des Amandiers
Saint-Alban, 31140, France
EHPAD St Jean
Saint-Amans-des-Cots, 12460, France
Résidence de l´abbaye
Saint-Antonin-Noble-Val, 82140, France
Lavallée
Saint-Clar, 32380, France
EHPAD Les Galets d´Olt
Saint-Côme-d´Olt, 12500, France
Le Mas Saint-Pierre
Saint-Gaudens, 31800, France
L´Ensoleillade
Saint-Gaudens, 31800, France
EHPAD de l´Hôpital local
Saint-Geniez-d'Olt, 12130, France
Centre hospitalier Ariège Couserans
Saint-Girons, 09201, France
EHPAD Le Val d´Olt
Saint-Laurent-d'Olt, 12560, France
EHPAD Hector d´Ossun
Saint-Lizier, 09190, France
Les Rossignols
Saint-Lys, 31470, France
Maréchal Leclerc
Saint-Lys, 31470, France
Résidence La Joie de Vivre
Saint-Lys, 31470, France
EHPAD Clos St François
Saint-Sernin-sur-Rance, 12380, France
Ehpad Chez Nous
Saint-Sulpice, 81370, France
EHPAD Les grands chênes
Saïx, 81710, France
EHPAD Petite Plaisance SAVAGNAC
Salvagnac, 81630, France
EHPAD Vert Coteau
Saverdun, 09700, France
EHPAD Paul Ané
Seix, 09140, France
La Septfontoise
Septfonds, 82240, France
Ehpad Le Pre Fleuri
Serviès, 81220, France
EHPAD Sainte Marie
Siradan, 65370, France
EHPAD St Vinçent et Ste Croix
Sorèze, 81540, France
Les Tourelles
Toulouse, 31000, France
Maurice Garrigou
Toulouse, 31000, France
Plénitude Saint-Michel
Toulouse, 31000, France
Résidence Saint-Simon
Toulouse, 31035, France
La Cotonnière
Toulouse, 31200, France
Arc-en-Ciel
Toulouse, 31300, France
EHPAD Les Fontaines
Toulouse, 31300, France
La Pastellière
Toulouse, 31300, France
Orpéa Crampel
Toulouse, 31400, France
Caroline Baron
Toulouse, 31500, France
Le Grand Marquisat
Tournefeuille, 31170, France
Ehpad Belcantou
Trébas, 81340, France
EHPAD Résidence Les Rives du Pélam
Trie-sur-Baïse, 65220, France
EHPAD du Centre Hospitalier Des Deux Rives
Valence, 82400, France
M.R Résidence Valpré
Vayrac, 46110, France
EHPAD ND de Touscayrats
Verdalle, 81110, France
MR Saint Jacques
Verdun-sur-Garonne, 82600, France
EHPAD La Clairière - Les Acacias
Vic-en-Bigorre, 65500, France
Ch Vic-Fezensac
Vic-Fezensac, 32190, France
Le Château fleuri
Vic-Fezensac, 32190, France
EHPAD Sainte Claire
Villefranche-de-Rouergue, 12200, France
EHPAD Sud Rulhedu CH
Villefranche-de-Rouergue, 12200, France
Le Pin
Villeneuve-Tolosane, 31270, 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: 34654246DERIVEDCool 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: 29607568DERIVEDLaffon de Mazieres C, Lapeyre-Mestre M, Vellas B, de Souto Barreto P, Rolland Y. Organizational Factors Associated With Inappropriate Neuroleptic Drug Prescribing in Nursing Homes: A Multilevel Approach. J Am Med Dir Assoc. 2015 Jul 1;16(7):590-7. doi: 10.1016/j.jamda.2015.01.092. Epub 2015 Mar 10.
PMID: 25769961DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Yves Rolland, MD, PhD
La Grave- Casselardit University Hospital Centre, Service de Médecine Interne et Gérontologie Clinique - Gérontopôle
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 1, 2011
Primary Completion
July 1, 2011
Study Completion
March 1, 2013
Last Updated
July 19, 2016
Record last verified: 2016-07