PMID- 28069045
OWN - NLM
STAT- MEDLINE
DCOM- 20180302
LR  - 20240324
IS  - 1745-6215 (Electronic)
IS  - 1745-6215 (Linking)
VI  - 18
IP  - 1
DP  - 2017 Jan 10
TI  - Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM): 
      Protocol for a cluster-randomized trial.
PG  - 9
LID - 10.1186/s13063-016-1748-8 [doi]
LID - 9
AB  - BACKGROUND: Audit and feedback is effective in improving the quality of care. 
      However, methods and results of international studies are heterogeneous, and 
      studies have been criticized for a lack of systematic use of theory. In TREC 
      (Translating Research in Elder Care), a longitudinal health services research 
      program, we collect comprehensive data from care providers and residents in 
      Canadian nursing homes to improve quality of care and life of residents, and 
      quality of worklife of caregivers. The study aims are to a) systematically feed 
      back TREC research data to nursing home care units, and b) compare the 
      effectiveness of three different theory-based feedback strategies in improving 
      performance within care units. METHODS: INFORM (Improving Nursing Home Care 
      through Feedback On PerfoRMance Data) is a 3.5-year pragmatic, three-arm, 
      parallel, cluster-randomized trial. We will randomize 67 Western Canadian nursing 
      homes with 203 care units to the three study arms, a standard feedback strategy 
      and two assisted and goal-directed feedback strategies. Interventions will target 
      care unit managerial teams. They are based on theory and evidence related to 
      audit and feedback, goal setting, complex adaptive systems, and empirical work on 
      feeding back research results. The primary outcome is the increased number of 
      formal interactions (e.g., resident rounds or family conferences) involving care 
      aides - non-registered caregivers providing up to 80% of direct care. Secondary 
      outcomes are a) other modifiable features of care unit context (improved 
      feedback, social capital, slack time) b) care aides' quality of worklife 
      (improved psychological empowerment, job satisfaction), c) more use of best 
      practices, and d) resident outcomes based on the Resident Assessment Instrument - 
      Minimum Data Set 2.0. Outcomes will be assessed at baseline, immediately after 
      the 12-month intervention period, and 18 months post intervention. DISCUSSION: 
      INFORM is the first study to systematically assess the effectiveness of different 
      strategies to feed back research data to nursing home care units in order to 
      improve their performance. Results of this study will enable development of a 
      practical, sustainable, effective, and cost-effective feedback strategy for 
      routine use by managers, policy makers and researchers. The results may also be 
      generalizable to care settings other than nursing homes. TRIAL REGISTRATION: 
      ClinicalTrials.gov Identifier: NCT02695836 . Date of registration: 24 February 
      2016.
FAU - Hoben, Matthias
AU  - Hoben M
AUID- ORCID: 0000-0003-3465-315X
AD  - Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada. 
      mhoben@ualberta.ca.
AD  - Alberta Innovates-Health Solutions (AIHS) post-doctoral fellow, Translating 
      Research in Elder Care (TREC), Faculty of Nursing, University of Alberta, 5-006 
      Edmonton Clinic Health Academy (ECHA), 11405 87 Avenue, Edmonton, AB T6G 1C9, 
      Canada. mhoben@ualberta.ca.
FAU - Norton, Peter G
AU  - Norton PG
AD  - Department of Family Medicine, University of Calgary, Cumming School of Medicine, 
      Calgary, Alberta, Canada.
FAU - Ginsburg, Liane R
AU  - Ginsburg LR
AD  - Faculty of Health, York University, School of Health Policy and Management, 
      Toronto, Ontario, Canada.
FAU - Anderson, Ruth A
AU  - Anderson RA
AD  - School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, 
      North Carolina, USA.
FAU - Cummings, Greta G
AU  - Cummings GG
AD  - Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
FAU - Lanham, Holly J
AU  - Lanham HJ
AD  - Department of Medicine and Department of Family and Community Medicine, 
      University of Texas, Health Science Center San Antonio, San Antonio, Texas, USA.
FAU - Squires, Janet E
AU  - Squires JE
AD  - School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
FAU - Taylor, Deanne
AU  - Taylor D
AD  - Interior Health Authority, Kelowna, British Columbia, Canada.
FAU - Wagg, Adrian S
AU  - Wagg AS
AD  - Faculty of Medicine and Dentistry, University of Alberta, Division of Geriatric 
      Medicine, Edmonton, Alberta, Canada.
FAU - Estabrooks, Carole A
AU  - Estabrooks CA
AD  - Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
LA  - eng
SI  - ClinicalTrials.gov/NCT02695836
GR  - CIHR/Canada
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20170110
PL  - England
TA  - Trials
JT  - Trials
JID - 101263253
SB  - IM
MH  - Aged
MH  - *Clinical Protocols
MH  - Feedback
MH  - Humans
MH  - *Nursing Homes
MH  - *Quality of Health Care
PMC - PMC5223357
OTO - NOTNLM
OT  - Audit and Feedback
OT  - Clinical Microsystems
OT  - Cluster Randomized Controlled Trial
OT  - Nursing Homes
OT  - Performance
OT  - Quality Improvement
OT  - Quality of Care
EDAT- 2017/01/11 06:00
MHDA- 2018/03/03 06:00
PMCR- 2017/01/10
CRDT- 2017/01/11 06:00
PHST- 2016/05/04 00:00 [received]
PHST- 2016/12/08 00:00 [accepted]
PHST- 2017/01/11 06:00 [entrez]
PHST- 2017/01/11 06:00 [pubmed]
PHST- 2018/03/03 06:00 [medline]
PHST- 2017/01/10 00:00 [pmc-release]
AID - 10.1186/s13063-016-1748-8 [pii]
AID - 1748 [pii]
AID - 10.1186/s13063-016-1748-8 [doi]
PST - epublish
SO  - Trials. 2017 Jan 10;18(1):9. doi: 10.1186/s13063-016-1748-8.