Implementation of the Pain Management Toolkit

NCT07157709 | Enrolling By Invitation

• 2 other identifiers: EK Nr:1371/2024CM-300
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The overall aim of this research study is to implement and evaluate the toolkitinto the nursing home by using scientific methods, which is cut down in specific aims.

1. 1.To assess the effectiveness of the toolbox on
2. 2.staff outcomes
3. 3.pain management practice
4. 4.resident's outcomes
5. 5.To identify potential barriers and facilitators of the implementation from the perspective of the staff
6. 6.To investigate different outcomes of the implementation strategies

Conditions

Pain

Keywords

pain; pain management; implementation; toolkit; non-pharmacological; long term care

Outcome Measures

Primary Outcomes (7)

• Nursing staff self-efficacy in pain management (self-efficacy in pain management scale)

  The self-efficacy from the nursing staff with regard to pain management will be assessed by the self-efficacy in pain management scale developed by Brunkert et al. in 2019.

  1 year

• Pain management process indicator: number of non-pharmacological measures

  This data will be collected from the nursing home resident's record - the last 7 days will be assessed.

  1 year

• Pain management process indicator: number/dosage of pain medication

  This data will be collected from the nursing home resident's record - the last 7 days will be assessed.

  1 year

• Resident's outcome indicator: frequency of pain

  The frecquency of documented pain in the last 7 days will be assessed, by going through the nursing home resident's records.

  1 year

• Resident's outcome indicators: pain intensity

  Pain intensity will be assessed by the documented pain in the nursing home resident's records. The most recent pain intensity score will be used.

  1 year

• Resident's outcome indicators: pain impairment (PEG scale)

  The pain impairment will be assessed by using the PEG scale developed by Wander et al. in 2022.

  1 year

• Resident's outcome indicators: quality of life (VAS scale)

  The EQ-5D VAS is an internationally well-known, valid and reliable instrument to assess quality of life in adults in will be used to assess health related quality of life.

  1 year

Secondary Outcomes (2)

• Staff's perception about implementation barriers (pCAT)

  1 year

• Staff's perception about implementation facilitators (pCAT)

  1 year

Other Outcomes (3)

• Staff's perception about the appropriateness of the toolkit (IAM scale)

  1 year

• Staff's perception about the feasibility of the toolkit (IAM scale)

  1 year

• Penetration of the toolkit (FIM scale)

  1 year

Study Arms (1)

non-pharmcological interverntions to reduce pain

EXPERIMENTAL

non-pharmacological interventions will be administered in order to treat pain

Other: non-pharmacological interventions

Interventions

non-pharmacological interventions OTHER

Care staff collaborate with residents to select the most suitable non-pharmacological intervention from the designated toolkit to reduce pain. It is imperative to pay attention to the resident's preferences and to ascertain which intervention they would like to attempt.

Also known as: Empathic attention and communication, Physical exercise, Relaxation techniques, Self-hypnosis and fantasy journeys, Relieving pressure on affected body parts/positioning, Distraction, Promoting sleep, Psychological support, Cold application, Heat application, Wraps and compresses, Laughter therapy, Massage, Music, Aromatherapy: massage with essential oils, Aromatherapy: gargling with essential oils, Aromatherapy: inhalation of essential oils, Aromatherapy: lymphatic drainage with essential oils, Mindfulness exercises

non-pharmcological interverntions to reduce pain

Eligibility Criteria

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

You may qualify if:

• presence of pain
• living in the collaborating nursing home

Sponsors & Collaborators

• Medizinische Universität Graz, Institut für Pflegewissenschaft: lead

Study Sites (1)

Medical University of Graz

Graz, Styria, 8010, Austria

Location

MeSH Terms

Conditions

Pain; Agnosia

Interventions

Exercise; Relaxation Therapy; Hypnosis; Patient Positioning; Osteogenesis, Distraction; Laughter Therapy; Massage; Music Therapy; Oils, Volatile

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Mind-Body Therapies; Complementary Therapies; Therapeutics; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities; Patient Care; Health Services; Health Care Facilities Workforce and Services; Bone Lengthening; Orthopedic Procedures; Surgical Procedures, Operative; Therapy, Soft Tissue; Musculoskeletal Manipulations; Physical Therapy Modalities; Rehabilitation; Sensory Art Therapies; Aftercare; Continuity of Patient Care; Oils; Lipids

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Univ.-Ass. Priv.-Doz. Dr.rer.cur. BSc MSc

Study Record Dates

• First Submitted: August 18, 2025
• First Posted: September 5, 2025
• Study Start: July 1, 2025
• Primary Completion: April 30, 2026
• Study Completion (Estimated): September 1, 2026
• Last Updated: September 5, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

AU (1)