4.7 Article

Implementing a Knowledge Translation Intervention in Long-Term Care: Feasibility Results From the Vitamin D and Osteoporosis Study (ViDOS)

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出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jamda.2014.05.007

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Long-term care; knowledge translation; osteoporosis; fractures; feasibility; process

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  1. 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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