Co-Development and Evaluation of a Complex Intervention to Increase Medication Safety in Nursing Homes

NCT ID: NCT04990986

Last Updated: 2024-05-01

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

436 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-01

Study Completion Date

2023-10-31

Brief Summary

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The study aims to develop and evaluate a new, multifaceted (complex) intervention in a mixed methods study-design to increase medication safety in nursing homes. The SAME-study will be locally anchored, including investigation of patient safety culture, in a mixed methods design, including both in depth qualitative and organizational-focused quantitative methods.

Detailed Description

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In the SAME-study, we aim to develop and evaluate a new, multifaceted (complex) intervention in a mixed methods study-design to increase medication safety in nursing homes. The SAME-study will be locally anchored, including investigation of patient safety culture, in a mixed methods design, including both in depth qualitative and organizational-focused quantitative methods. This study will be guided by the following main research questions and hypothesis:

1. Can we elucidate new areas susceptible for intervention to increase medication safety in nursing homes through qualitative in-depth investigation of patient safety culture in nursing homes guided by safety theory with participatory approach?
2. Is it possible to develop a multifaceted intervention fit to context within actual resource-frame to increase medication safety in nursing homes based on patient safety culture, guided by safety theory with participatory approach?
3. A complex intervention developed within a participatory framework will lead to positive change of care-staff self-reported perceptions of patient safety climate culture in nursing homes in the intervention group compared with the control group of this study?

Study design This study applies mixed-methods pragmatic paradigm led by Safety 1 and 2 theory, with participatory approach to an exploratory sequential three-phased study-design, embedding a randomized controlled trial (cRCT). Overall study-settings will be nursing homes within the municipality of Aalborg, North Denmark Region, Denmark.

Conditions

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Medication Safety Patient Safety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study applies mixed-methods pragmatic paradigm led by Safety 1 and 2 theory, with participatory approach to an exploratory sequential three-phased study-design, embedding a randomized controlled trial (cRCT).
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Intervention

The complex intervention will be co-developed during first phase of the study.

Group Type OTHER

Complex intervention

Intervention Type OTHER

Will be co-developed during the study.

Control

Half of the group will be included as control and thus not exposed to the intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Complex intervention

Will be co-developed during the study.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* involved directly or indirectly in the medication process
* employment of at least two months in a nursing-home within the municipality of Aalborg, sufficient spoken and written Danish language

Exclusion Criteria

\-
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Aalborg University

OTHER

Sponsor Role collaborator

Aalborg Municipality

OTHER

Sponsor Role collaborator

University College of Northern Denmark

OTHER

Sponsor Role collaborator

Anne Estrup Olesen

OTHER

Sponsor Role lead

Responsible Party

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Anne Estrup Olesen

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Anne E Olesen, Ph.D.

Role: STUDY_DIRECTOR

Aalborg University Hospital

Locations

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Aalborg University Hospital

Aalborg, , Denmark

Site Status

Countries

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Denmark

References

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Juhl MH, Soerensen AL, Kristensen JK, Johnsen SP, Olesen AE. Safe Medication in Nursing Home Residents Through the Development and Evaluation of an Intervention (SAME): Protocol for a Fully Integrated Mixed Methods Study With a Cocreative Approach. JMIR Res Protoc. 2023 Mar 31;12:e43538. doi: 10.2196/43538.

Reference Type DERIVED
PMID: 37000508 (View on PubMed)

Other Identifiers

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AalborgH2021-015

Identifier Type: -

Identifier Source: org_study_id

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