Improving Pain Management in Nursing Homes: a Pilot Study

NCT03471390 | Completed

• 1 other identifier: ProQuaS
• Study Type: interventional
• Target: 250
• Locations: 1 country
• Sites: 4

Brief Summary

This study aims to improve pain management in Swiss nursing homes by addressing behavior change of the care workers with a multilevel intervention

Conditions

Pain Management

Keywords

Nursing Home

Outcome Measures

Primary Outcomes (1)

• Self- efficacy in pain management

  Care workers' self-efficacy in pain management scale * investigator-developed scale based on guide for constructing self-efficacy scales (Bandura 2006) * numeric rating scale ranging from 0 ="not confident at all" to 100="highly confident" * total score will be computed by calculating a mean over single item scores (range: 0-100, higher scores indicating better self-efficacy)

  Change from baseline to 6 months

Study Arms (1)

ProQuaS 2- Intervention

EXPERIMENTAL

Other: ProQuaS 2 Intervention

Interventions

ProQuaS 2 Intervention OTHER

Training and implementation of facility pain champions, comprehensive training of all care workers in pain assessment and management, implementation of pain management policies

ProQuaS 2- Intervention

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Care workers:
• Registered nurses, licensed practical nurses/certified caregivers, nursing assistants, nurse aides and other care workers from the participating nursing home
• Working in direct resident care
• Participating care workers have to be employed for at least one month at the data collection
• Students, apprentices and interns have to be employed at least six months in total
• Speak and understand German
• Older than 16 years
• Residents:
• All residents living in a participating nursing home, older than 64 years
• Written informed consent to participate in data collection signed by the resident or in case of severe cognitive impairment by his/her legally acceptable representative

You may not qualify if:

• Care workers:
• Temporary employment for less than six months
• Residents:
• Critical current health status or terminal life situation
• Known life expectancy less than 3 months
• Short term residents (length of stay \<6 months)

Sponsors & Collaborators

• University of Basel: lead
• Senevita AG: collaborator

Study Sites (4)

Senevita Obstgarten

Affoltern am Albis, Switzerland

Location

Senevita Gellertblick

Basel, Switzerland

Location

Senevita Wangenmatt

Bern, Switzerland

Location

Senevita Aespliz

Ittigen, Switzerland

Location

Related Publications (1)

• Brunkert T, Ruppen W, Simon M, Zuniga F. A theory-based hybrid II implementation intervention to improve pain management in Swiss nursing homes: A mixed-methods study protocol. J Adv Nurs. 2019 Feb;75(2):432-442. doi: 10.1111/jan.13817. Epub 2018 Sep 6.

  PMID: 30109728 BACKGROUND

MeSH Terms

Conditions

Agnosia

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Franziska Zúñiga, PhD

  University of Basel

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: University lecturer

Model Details: non- randomized incomplete stepped-wedge design

Study Record Dates

• First Submitted: March 7, 2018
• First Posted: March 20, 2018
• Study Start: October 24, 2017
• Primary Completion: November 15, 2018
• Study Completion: March 1, 2019
• Last Updated: April 30, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

CH (4)