Impact of Educational and Professional Supportive Interventions on Nursing Home Quality Indicators (IQUARE)

Agence Régionale de la Santé - Midi Pyrénées

Status: Completed

Conditions: Physical Disability; Quality Indicators

Treatments: Behavioral: Audit and Feedback; Behavioral: Cooperative Work

Study type: Interventional

Funder types: Other

Identifiers

NCT01703689

ARSMP.2010.1

Details and patient eligibility

About

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

Full description

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.

Enrollment: 8,039 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Nursing homes (NH) voluntarily accepted to participate in the study.
• NH residents of both sex
• Residents living in the NH for ≥ 30 days
• Residents and their general practitioner (GP) having received information about the study
• NH residents do not voluntarily decline to participate in the study

Exclusion criteria

• NH currently participating in another interventional study
• GP of NH residents refused participation in the study.

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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8,039 participants in 2 patient groups

strong intervention group (SIG)

Experimental group

Description:

Nursing homes that received audit and feedback information on quality indicators and benefited of cooperative work meetings with hospital geriatricians

Treatment:

Behavioral: Cooperative Work

Behavioral: Audit and Feedback

intervention group (LIG)

Active Comparator group

Description:

Nursing homes that only received audit and feedback information on quality indicators

Treatment:

Behavioral: Audit and Feedback