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

NCT ID: NCT01703689

Last Updated: 2016-07-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

8039 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2013-03-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

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.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Quality Indicators Physical Disability

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

strong intervention group (SIG)

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

Group Type EXPERIMENTAL

Audit and Feedback

Intervention Type BEHAVIORAL

Descriptive statistics to each nursing home (NH) with regards to its own indicators of quality and residents' health status, and the same descriptive statistics on the sub-regional and regional levels were done to all NHs for comparative purposes.

Cooperative Work

Intervention Type BEHAVIORAL

Nursing homes (NH)in the strong intervention group had two half-day meetings of cooperative work with a hospital geriatrician to identify NHs' weaknesses regarding quality of care and to establish strategies for overcoming these weaknesses.

intervention group (LIG)

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

Group Type ACTIVE_COMPARATOR

Audit and Feedback

Intervention Type BEHAVIORAL

Descriptive statistics to each nursing home (NH) with regards to its own indicators of quality and residents' health status, and the same descriptive statistics on the sub-regional and regional levels were done to all NHs for comparative purposes.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Audit and Feedback

Descriptive statistics to each nursing home (NH) with regards to its own indicators of quality and residents' health status, and the same descriptive statistics on the sub-regional and regional levels were done to all NHs for comparative purposes.

Intervention Type BEHAVIORAL

Cooperative Work

Nursing homes (NH)in the strong intervention group had two half-day meetings of cooperative work with a hospital geriatrician to identify NHs' weaknesses regarding quality of care and to establish strategies for overcoming these weaknesses.

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

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.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Observatoire Régional de la Santé Midi-Pyrénées (ORSMIP)

UNKNOWN

Sponsor Role collaborator

Agence Régionale de la Santé - Midi Pyrénées

OTHER_GOV

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Yves Rolland

MD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Yves Rolland, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

La Grave- Casselardit University Hospital Centre, Service de Médecine Interne et Gérontologie Clinique - Gérontopôle

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

EHPAD le parc ALBI

Albi, , France

Site Status

EHPAD Canarie Vieuzac

Argelès-Gazost, , France

Site Status

MAPAD Les Pradels

Assier, , France

Site Status

Les Jardins auscitains

Auch, , France

Site Status

Les jardins d´Agape

Auch, , France

Site Status

Saint Dominique

Auch, , France

Site Status

EHPAD Résidence Mutualiste La Pyrénéenne

Aureilhan, , France

Site Status

EHPAD Résidence Castelmouly

Bagnères-de-Bigorre, , France

Site Status

ONAC résidence paul oddo

Barbazan, , France

Site Status

Korian Les Ainés du Lauragais

Baziege, , France

Site Status

Notre Dame

Beaumont-de-Lomagne, , France

Site Status

Ehpad Sherpa

Belmont-sur-Rance, , France

Site Status

Le Pastel

Bessières, , France

Site Status

Le Pastourel

Bessières, , France

Site Status

Sainte-Cécile

Bessières, , France

Site Status

Emeraude

Blagnac, , France

Site Status

Résidence de Vinci

Blagnac, , France

Site Status

EHPAD St joseph de BRASSAC

Brassac, , France

Site Status

EHPAD Robert Durrieu

Bretenoux, , France

Site Status

M.R Orpea

Cahors, , France

Site Status

EHPAD La Cascade

Cajarc, , France

Site Status

Les Roses

Calmont, , France

Site Status

EHPAD Gai Logis

Capdenac-Gare, , France

Site Status

EHPAD La Croix Bleue

Capdenac-Gare, , France

Site Status

EHPAD le bosc Carmaux

Carmaux, , France

Site Status

Tour Tottier

Castelginest, , France

Site Status

La Cerisaie

Castelmaurou, , France

Site Status

Notre Dame du Bon Accueil

Castelnau-d´Estrétefonds, , France

Site Status

M.R St Luc - Castelnau Montratier

Castelnau-Montratier, , France

Site Status

Chic Ehpad C.H

Castelsarrasin, , France

Site Status

EHPAD Villégiale Saint Jacques CHIC - CASTRES/MAZAMET

Castres, , France

Site Status

MAPA Résidence St Astier

Catus, , France

Site Status

EHPAD Caylus - Val de Bonnette

Caylus, , France

Site Status

EHPAD Arc-En-Ciel

Cazals, , France

Site Status

Jeanne Penent

Cazères, , France

Site Status

Castelgirou

Cépet, , France

Site Status

ALLIANCE

Cologne, , France

Site Status

EHPAD St Laurent

Cruéjouls, , France

Site Status

EHPAD les arcades

Dourgne, , France

Site Status

EHPAD Saint-Philippe

Ercé, , France

Site Status

Saint-Joseph

Fronton, , France

Site Status

EHPAD St ANDRE CH de Gaillac

Gaillac, , France

Site Status

EHPAD St JEAN CH de Gaillac

Gaillac, , France

Site Status

EHPAD Accueil du Frère Jean

Galan, , France

Site Status

EHPAD La Baïse

Galan, , France

Site Status

Ch Gimont

Gimont, , France

Site Status

Foyer Pierre Bonhomme

Gramat, , France

Site Status

MR Charles de Gaulle

Gramat, , France

Site Status

MR Louis Conte

Gramat, , France

Site Status

EHPAD Saint Dominique

Gramond, , France

Site Status

Ehpad de Graulhet

Graulhet, , France

Site Status

Saint-Jacques

Grenade, , France

Site Status

Ste Sophie

Grisolles, , France

Site Status

EHPAD Résidence Zélia

Ibos, , France

Site Status

EHPAD Le Jonquère

Juillan, , France

Site Status

EHPAD Faux-Bourg Saint-Adrien

L'Isle-en-Dodon, , France

Site Status

Saint-Jacques

L'Isle-Jourdain, , France

Site Status

EHPAD Gustave Pédoya

La Bastide-de-Sérou, , France

Site Status

EHPADRouanet-Iché de LABASTIDE-ROUAIROUX

Labastide-Rouairoux, , France

Site Status

EHPADL'Oustal d'En Thibaud

Labruguière, , France

Site Status

M.R La Miséricorde

Lacapelle-Marival, , France

Site Status

EHPAD St vinçent de paul

Lacaune, , France

Site Status

Résidence du Lac

Lafrançaise, , France

Site Status

EHPAD résidence le grand champ

Lagrave, , France

Site Status

Les Causeries

Laguépie, , France

Site Status

Centre hospitalier du Pays d´Olmes - Laroques d´Olmes

Laroques d´Olmes, , France

Site Status

La Barbacane

Larrazet, , France

Site Status

MAPAD Les Ségalines

Latronquière, , France

Site Status

Résidence Paul et Lisa

Launaguet, , France

Site Status

Ehpad Les Quietudes

Lautrec, , France

Site Status

Centre hospitalier du Pays d´Olmes - Résidence du Touyre

Lavelanet, , France

Site Status

La Vendinelle

Le Cabanial, , France

Site Status

Ehpad Barrere

Lectoure, , France

Site Status

Ehpad Feral

Lectoure, , France

Site Status

Résidence Curtis

Léguevin, , France

Site Status

EHPAD L´Oasis

Livinhac-le-Haut, , France

Site Status

EHPAD La Madone

Lourdes, , France

Site Status

EHPAD Le Petit Jer

Lourdes, , France

Site Status

EHPAD Notre Dame des Grâces

Lugan, , France

Site Status

EHPAD Le Paginet

Lunac, , France

Site Status

MAPAD Les logis de l´Impernal

Luzech, , France

Site Status

EHPAD Le santoulis

Luzenac, , France

Site Status

EHPAD Saint Joseph

Marcillac-Vallon, , France

Site Status

Val de Gers

Masseube, , France

Site Status

EHPAD Le Clos du Raunier

Mazères, , France

Site Status

MR Beau Séjour

Mercuès, , France

Site Status

EHPAD du CH Millau - St Michel

Millau, , France

Site Status

EHPAD Les Charmettes

Millau, , France

Site Status

EHPAD Louise de Roquelaure

Mirepoix, , France

Site Status

EHPAD de MONESTIES

Monestiés, , France

Site Status

Ange Gardien

Montauban, , France

Site Status

Montauban - Ehpad Ushpa

Montauban, , France

Site Status

MR Saint Orens

Montauban, , France

Site Status

St Jean Marie Vianney

Montbeton, , France

Site Status

MR Sainte-Marie

Montcuq, , France

Site Status

M.R La Roseraie

Montfaucon, , France

Site Status

MR L´Etoile du Soir

Montredon, , France

Site Status

L´Hermitage

Montréjeau, , France

Site Status

EHPAD Rés. Parc de la Corette

Mur-de-Barrez, , France

Site Status

Le Barry

Muret, , France

Site Status

Résidence Marie-Antoinette

Muret, , France

Site Status

EHPAD Résidence les deux vallées

Nant, , France

Site Status

EHPAD Sainte Marie les Ursulines

Nant, , France

Site Status

EHPAD Résidence du Lac

Orleix, , France

Site Status

Centre Alzheimer Marie-Louise

Pechbonnieu, , France

Site Status

La Houlette

Pibrac, , France

Site Status

La Tranquilité

Pins-Justaret, , France

Site Status

Cité Saint Joseph

Plaisance Du Gers, , France

Site Status

Le Prat

Plaisance-du-Touch, , France

Site Status

Oasis-Palmeraie

Pointis-de-Rivière, , France

Site Status

EHPAD La résidence du Lac

Pont-de-Salars, , France

Site Status

L´Auta

Portet-sur-Garonne, , France

Site Status

EHPAD Résidence du petit bois

Pradines, , France

Site Status

M.R Les balcons du Lot

Prayssac, , France

Site Status

M.R Les Lavandes

Puy-l´Évêque, , France

Site Status

EHPAD la Maison Du Lac

Puygouzon, , France

Site Status

Résidence Isatis

Quint-Fonsegrives, , France

Site Status

EHPAD Hermitage et Terrasses de Rabastens

Rabastens, , France

Site Status

EHPAD de Revel

Revel, , France

Site Status

EHPAD Jean Baptiste Delfau

Réquista, , France

Site Status

EHPAD Les Rosiers

Rignac, , France

Site Status

Bel Adour

Riscle, , France

Site Status

EHPAD Bon Accueil

Rodez, , France

Site Status

EHPAD Julie Chauchard

Rodez, , France

Site Status

EHPAD Saint Cyrice

Rodez, , France

Site Status

EHPAD Saint Jacques du CH

Rodez, , France

Site Status

EHPAD Le clos de Siloe

Roquecourbe, , France

Site Status

EHPAD La Miséricorde

Saint-Affrique, , France

Site Status

Les Clos des Amandiers

Saint-Alban, , France

Site Status

EHPAD St Jean

Saint-Amans-des-Cots, , France

Site Status

Résidence de l´abbaye

Saint-Antonin-Noble-Val, , France

Site Status

Lavallée

Saint-Clar, , France

Site Status

EHPAD Les Galets d´Olt

Saint-Côme-d´Olt, , France

Site Status

Le Mas Saint-Pierre

Saint-Gaudens, , France

Site Status

L´Ensoleillade

Saint-Gaudens, , France

Site Status

EHPAD de l´Hôpital local

Saint-Geniez-d'Olt, , France

Site Status

Centre hospitalier Ariège Couserans

Saint-Girons, , France

Site Status

EHPAD Le Val d´Olt

Saint-Laurent-d'Olt, , France

Site Status

EHPAD Hector d´Ossun

Saint-Lizier, , France

Site Status

Les Rossignols

Saint-Lys, , France

Site Status

Maréchal Leclerc

Saint-Lys, , France

Site Status

Résidence La Joie de Vivre

Saint-Lys, , France

Site Status

EHPAD Clos St François

Saint-Sernin-sur-Rance, , France

Site Status

Ehpad Chez Nous

Saint-Sulpice, , France

Site Status

EHPAD Les grands chênes

Saïx, , France

Site Status

EHPAD Petite Plaisance SAVAGNAC

Salvagnac, , France

Site Status

EHPAD Vert Coteau

Saverdun, , France

Site Status

EHPAD Paul Ané

Seix, , France

Site Status

La Septfontoise

Septfonds, , France

Site Status

Ehpad Le Pre Fleuri

Serviès, , France

Site Status

EHPAD Sainte Marie

Siradan, , France

Site Status

EHPAD St Vinçent et Ste Croix

Sorèze, , France

Site Status

Les Tourelles

Toulouse, , France

Site Status

Maurice Garrigou

Toulouse, , France

Site Status

Plénitude Saint-Michel

Toulouse, , France

Site Status

Résidence Saint-Simon

Toulouse, , France

Site Status

La Cotonnière

Toulouse, , France

Site Status

Arc-en-Ciel

Toulouse, , France

Site Status

EHPAD Les Fontaines

Toulouse, , France

Site Status

La Pastellière

Toulouse, , France

Site Status

Orpéa Crampel

Toulouse, , France

Site Status

Caroline Baron

Toulouse, , France

Site Status

Le Grand Marquisat

Tournefeuille, , France

Site Status

Ehpad Belcantou

Trébas, , France

Site Status

EHPAD Résidence Les Rives du Pélam

Trie-sur-Baïse, , France

Site Status

EHPAD du Centre Hospitalier Des Deux Rives

Valence, , France

Site Status

M.R Résidence Valpré

Vayrac, , France

Site Status

EHPAD ND de Touscayrats

Verdalle, , France

Site Status

MR Saint Jacques

Verdun-sur-Garonne, , France

Site Status

EHPAD La Clairière - Les Acacias

Vic-en-Bigorre, , France

Site Status

Ch Vic-Fezensac

Vic-Fezensac, , France

Site Status

Le Château fleuri

Vic-Fezensac, , France

Site Status

EHPAD Sainte Claire

Villefranche-de-Rouergue, , France

Site Status

EHPAD Sud Rulhedu CH

Villefranche-de-Rouergue, , France

Site Status

Le Pin

Villeneuve-Tolosane, , France

Site Status

Countries

Review the countries where the study has at least one active or historical site.

France

References

Explore related publications, articles, or registry entries linked to this study.

Dubucs X, de Souto Barreto P, Rolland Y. Organizational and environmental factors associated with transfers of nursing home residents to emergency departments. Eur Geriatr Med. 2018 Jun;9(3):339-346. doi: 10.1007/s41999-018-0059-x. Epub 2018 May 8.

Reference Type DERIVED
PMID: 34654246 (View on PubMed)

Cool C, Cestac P, McCambridge C, Rouch L, de Souto Barreto P, Rolland Y, Lapeyre-Mestre M. Reducing potentially inappropriate drug prescribing in nursing home residents: effectiveness of a geriatric intervention. Br J Clin Pharmacol. 2018 Jul;84(7):1598-1610. doi: 10.1111/bcp.13598. Epub 2018 May 14.

Reference Type DERIVED
PMID: 29607568 (View on PubMed)

Laffon de Mazieres C, Lapeyre-Mestre M, Vellas B, de Souto Barreto P, Rolland Y. Organizational Factors Associated With Inappropriate Neuroleptic Drug Prescribing in Nursing Homes: A Multilevel Approach. J Am Med Dir Assoc. 2015 Jul 1;16(7):590-7. doi: 10.1016/j.jamda.2015.01.092. Epub 2015 Mar 10.

Reference Type DERIVED
PMID: 25769961 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

ARSMP.2010.1

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.