Physical Disability Clinical Trial
Official title:
Impact of Either Audit and Feedback Only or Audit and Feedback Associated to Cooperative Work Meetings Between Hospital Geriatricians and Nursing Home Staff on Quality Indicators and Health Care Practices in Nursing Homes.
Introduction: Efficacy of audit and feedback interventions on nursing home (NH)quality
indicators is not well-established.
The main objective: The main purpose of the IQUARE study was to examine the impact of two
types of audit and feedback interventions on NH quality indicators and on residents
dependence levels in a 18-month follow-up.
Study hypothesis: We hypothesised that audit and feedback associated to educational and
professional supportive interventions are more efficacy in improving NH quality indicators
than audit and feedback only.
Secondary objectives: Investigate the impact of the interventions on
1. Residents:
- Functional decline rate
- Drug prescriptions (quantity and quality)
- Prevalence of adverse health outcomes (e.g., falls)
2. NHs:
- Planning and implementation of therapeutic measures
IQUARE is a multicentric individually-tailored controlled trial comparing two types of audit
and feedback interventions:
- audit and feedback associated to cooperative work meetings between hospital
geriatricians and nursing home (NH) staff in a 6-month intervention (strong
intervention)
- audit and feedback only (light intervention) Power statistics and sample size
calculations indicated that each group should be composed of at least 2 500
individuals. The strong intervention will last 6 months and is composed of two
face-to-face cooperative meetings (hospital geriatricians and NH staff). Data will be
collected at baseline and in a 18-month follow-up.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research
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