Safer Care for Older People in (Residential) Environments

NCT03426072 | Completed

• 1 other identifier: SCOPE ABBC
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The overall aim of the program is to advance knowledge translation science in order to improve clinical and staff related outcomes in long term care facilities (nursing homes) in western Canada. SCOPE will assess the effect of Care Aide led Quality Improvement efforts on staff quality of work life as well as resident quality of care. A key element of SCOPE is a leadership development stream which introduces complexity science and education on quality improvement which aims to support front line teams with their improvement initiative

Conditions

Nursing Homes

Keywords

quality improvement

Outcome Measures

Primary Outcomes (1)

• Conceptual Research Use

  Conceptual use of best practices: indirect measure of application of research and best practices measured by a 5 item scale. BMC Health Services Research 2011; 11:107 demonstrating acceptable validity and reliability

  1 year

Secondary Outcomes (2)

• Resident Assessment Index -minimal Data Set (RAI-MDS) factors

  change between intervention and control groups 1 year post intervention

• Staff outcomes

  change between intervention and control groups 1 year post intervention

Study Arms (2)

modified IHI breakthrough series

EXPERIMENTAL

The SCOPE intervention is a complex, "high facilitation", multi-component intervention operating at the microsystem (resident care unit) level of the organization and is designed to engage, develop, and equip Health Care Aides to implement improvement initiatives.

Other: modified IHI breakthrough series

Control

NO INTERVENTION

The control units (propensity matched) have no intervention and form a naturalistic control

Interventions

modified IHI breakthrough series OTHER

There are five main elements to the intervention: 1. Establishment of the team and set up 2. Establishing baseline performance and knowledge 3. Ongoing developmental support 4. Learning sessions (3) 5. Action periods (3) 6. The actual facilitative actions (e.g., coaching, guiding, mentoring, supporting) occur in combination with limited teaching, largely during telephone conferences but also in any visit, which may occur up to quarterly. 5\. The concluding session is an opportunity for networking, sharing successes and making plans for the continuation of project work following the end of formal support

modified IHI breakthrough series

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Facilities must be a part of TMS to be eligible for SCOPE. This means that they are:
• A nursing home or residential long term care facility which provides 24-hour on-site housing and health care services care for older adults by professional (nursing) staff and others
• Registered with the provincial government
• % of residents aged 65 or over
• RAI-MDS 2.0 implemented since January 2011
• Facility operations conducted in the English language
• Urban\* facilities located within designated health regions and within 110 km of the TREC-designated hub for the health region:
• Fraser Health Authority (Hub is New Westminster)
• Interior Health Authority (Hubs are Kelowna, Kamloops)
• Alberta (AHS): Edmonton and Calgary Zones (Edmonton \& Calgary are hubs)

You may not qualify if:

• Facilities that have participated in the SCOPE pilot study (Pro00012517)
• Facilities integrated with acute care. Defined as residential long-term care facility (usually one or more resident units) that:
• Are physically located within an acute care facility and
• Share central services (e.g., human resources, laundry), as well as, other functions integral to care delivery such as staffing, supervision, performance management, etc.)
• Co-located services (where the daily operations of the resident units are managed separately and staff independently) are acceptable
• Facilities with more than one sub-acute (e.g., orthopaedic rehab) unit
• Facilities with fewer than 35 long-term care beds
• Facilities which are expected to undergo major change within the next two years

Sponsors & Collaborators

• University of Alberta: lead
• Canadian Institutes of Health Research (CIHR): collaborator

Study Sites (1)

University of Alberta

Edmonton, Alberta, T6G 2P4, Canada

Location

Related Publications (1)

• Wagg A, Hoben M, Ginsburg L, Doupe M, Berta W, Song Y, Norton P, Knopp-Sihota J, Estabrooks C. Safer Care for Older Persons in (residential) Environments (SCOPE): a pragmatic controlled trial of a care aide-led quality improvement intervention. Implement Sci. 2023 Mar 29;18(1):9. doi: 10.1186/s13012-022-01259-8.

  PMID: 36991434 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: control sites are propensity matched to intervention sites. All sites have comprehensive dataset. Trial status of each home is unknown to assessor and statistician
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: cluster randomised controlled trail with nursing home unit as the cluster, care aides and residents as the unit of analysis

Study Record Dates

• First Submitted: February 1, 2018
• First Posted: February 8, 2018
• Study Start: January 4, 2018
• Primary Completion: May 30, 2020
• Study Completion: May 30, 2020
• Last Updated: July 18, 2022

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)