Journal
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
Volume 15, Issue 12, Pages 943-945Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jamda.2014.05.007
Keywords
Long-term care; knowledge translation; osteoporosis; fractures; feasibility; process
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Funding
- Canadian Institutes of Health Research [MOP-114982]
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Objectives: To evaluate the feasibility of implementing an interdisciplinary, multifaceted knowledge translation intervention within long-term care (LTC) and to identify any challenges that should be considered in designing future studies. Design: Cluster randomized controlled trial. Setting: Forty LTC homes across the province of Ontario, Canada. Participants: LTC teams composed of physicians, nurses, pharmacists, and other staff. Measurements: Cluster-level feasibility measures, including recruitment, retention, data completion, and participation in the intervention. A process evaluation was completed by directors of care indicating which process/policy changes had been implemented. Results: Recruitment and retention rates were 22% and 63%, respectively. Good fidelity with the intervention was achieved, including attendance at educational meetings. After ViDOS, 7 process indicators were being newly implemented by more than 50% of active intervention homes. Conclusion: Despite recruitment and retention challenges, the multifaceted intervention produced a number of policy/process changes and had good intervention fidelity. (C) 2014 Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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