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J Am Med Dir Assoc. 2014 Dec;15(12):943-5. doi: 10.1016/j.jamda.2014.05.007. Epub 2014 Jun 18.

Implementing a knowledge translation intervention in long-term care: feasibility results from the Vitamin D and Osteoporosis Study (ViDOS).

Author information

1
Department of Medicine, McMaster University, Hamilton, ON, Canada.
2
Department of Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.
3
Department of Medicine, McMaster University, Hamilton, ON, Canada. Electronic address: papaioannou@hhsc.ca.

Abstract

OBJECTIVES:

To evaluate the feasibility of implementing an interdisciplinary, multifaceted knowledge translation intervention within long-term care (LTC) and to identify any challenges that should be considered in designing future studies.

DESIGN:

Cluster randomized controlled trial.

SETTING:

Forty LTC homes across the province of Ontario, Canada.

PARTICIPANTS:

LTC teams composed of physicians, nurses, pharmacists, and other staff.

MEASUREMENTS:

Cluster-level feasibility measures, including recruitment, retention, data completion, and participation in the intervention. A process evaluation was completed by directors of care indicating which process/policy changes had been implemented.

RESULTS:

Recruitment and retention rates were 22% and 63%, respectively. Good fidelity with the intervention was achieved, including attendance at educational meetings. After ViDOS, 7 process indicators were being newly implemented by more than 50% of active intervention homes.

CONCLUSION:

Despite recruitment and retention challenges, the multifaceted intervention produced a number of policy/process changes and had good intervention fidelity. This study is registered at ClinicalTrials.gov NCT01398527.

KEYWORDS:

Long-term care; feasibility; fractures; knowledge translation; osteoporosis; process

PMID:
24953541
PMCID:
PMC5096938
DOI:
10.1016/j.jamda.2014.05.007
[Indexed for MEDLINE]
Free PMC Article

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