Effect of an Educational Program for Staff in Nursing Homes Concerning Patients Fecal Incontinence (EPSPFI)
Effect of an Educational Program for Staff in Nursing Homes Concerning Patients Fecal Incontinence: a Cluster-randomized Controlled Trial
Fecal incontinence (FI) has an increasing prevalence in the geriatric population which cannot be explained by co-morbidity or anatomical and psychological changes of aging alone. In the nursing home population previous studies suggest a prevalence between 10 and 69%, but is most often reported to be between 40 and 55%. FI leads to a high direct and indirect economic burden to the health-care system, and is an important cause og institutionalization of the elderly patients. In addition, FI is associated with shame, social isolation and reduced quality of life.
The importance of identifying treatable causes of FI in the frail elderly, rather than just managing passively, is strongly emphasized. It is indicated that the level of awareness among health personnel regarding appropriate assessment and treatment options is limited, and that FI is considered a normal part of aging.
This study is based on the assumption that FI among nursing home patients can be prevented, cured or ameliorated by offering nursing home staff knowledge of best practise. The primary objective of the study is to test the hypothesis that a multifaceted educational program for staff on assessment and treatment of FI, is associated with a reduction in patients' frequency of FI.
The design of the study is a two armed cluster randomized trail (C-RCT) with a repeated cross-sectional approach.The results will be analysed according to multilevel and longitudinal modelling, and the study will use mixed effect models with the cluster treated as a random effect.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Trondheim, Noruega, 7004
- Sor Trondelag University College
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Niño
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
Nursing homes with similar:
- patients characteristcs
- care staff/patients ratio
- general practitioner consultancy
Patients:
- All patients on long term care residency (residency >month)
Registered Nurses/authorized social educators:
- All working half time or more
Exclusion Criteria:
Nursing homes:
- With some kind of speciality (eks rehabilitation, dementia)
Patients:
- Short term care residency
Registered nurses/authorized social educator:
- Working less than half time
- Working only night shifts
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: Multifaceted educational program
A multifaceted educational program for nursing home staff consisting of:
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Sin intervención: Control
The control arm will not receive any educational program and will continue with usual care.
Data with information about ordinary care will be gathered as part of the data collection procedure in the study.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Change in frequency of fecal incontinence among patients
Periodo de tiempo: Baseline, after 3 months and after 6 months
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As measured by The Long-Term Care Facilities Assessment System (interRAI-LTCF 2012), section H: Continence.
Because of relatively high risk of death and movement out of clusters, a repeated cross-sectional opproach to analyses will be used.
Frequency of FI will thereby be analysed on a across-sectional group level.
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Baseline, after 3 months and after 6 months
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Remission of fecal incontinence among patients
Periodo de tiempo: Baseline, after 3 months and after 6 months
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For remission of FI a cohort approach to data analyses with only those identified with FI at baseline and still present at 3 and 6 month follow-up, will be included in the analyses
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Baseline, after 3 months and after 6 months
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Change in knowledge among registered nurses and authorized social educators
Periodo de tiempo: Baseline, after 3 months and after 6 months
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Measured my a multiple choice test
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Baseline, after 3 months and after 6 months
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Change in FI-related concerns among patients
Periodo de tiempo: Baseline, after 3 months and after 6 months
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Relevant concerns as measured by The Long-Term Care Facilities Assessment System (interRAI-LTCF 2012) are: Mood and behavior, psycho-social wellbeing, urinary continence, constipation, diarrhea, skin condition, participation in activities
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Baseline, after 3 months and after 6 months
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Correlates of FI among patients
Periodo de tiempo: Baseline, after 3 months and after 6 months
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Relevant correlates as measured by The Long-Term Care Facilities Assessment System (interRAI-LTCF 2012) are: cognitive functioning, communication and vision, functionality and mobility, medical diagnosis, mouth and nutrition status, medications, treatment, examination/procedures
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Baseline, after 3 months and after 6 months
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Change in behavior among health personnel
Periodo de tiempo: Baseline, after 3 months and after 6 months
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Measured by analyses of patient assessments and interventions as documented by health personnel in the electronic patient record and by the Fecal Incontinence in Nursing Home Patients questionnaire
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Baseline, after 3 months and after 6 months
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Anne G Vinsnes, Professor, Norwegian University of Science and Technology
Publicaciones y enlaces útiles
Publicaciones Generales
- Blekken LE, Vinsnes AG, Gjeilo KH, Morkved S, Salvesen O, Norton C, Nakrem S. Effect of a multifaceted educational program for care staff concerning fecal incontinence in nursing home patients: study protocol of a cluster randomized controlled trial. Trials. 2015 Mar 1;16:69. doi: 10.1186/s13063-015-0595-3.
- Blekken LE, Nakrem S, Gjeilo KH, Norton C, Morkved S, Vinsnes AG. Feasibility, acceptability, and adherence of two educational programs for care staff concerning nursing home patients' fecal incontinence: a pilot study preceding a cluster-randomized controlled trial. Implement Sci. 2015 May 23;10:72. doi: 10.1186/s13012-015-0263-8.
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- HiST05
Plan de datos de participantes individuales (IPD)
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