An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViD<it>OS</it>) pilot cluster randomized controlled trial
<p>Abstract</p> <p>Background</p> <p>Knowledge translation (KT) research in long-term care (LTC) is still in its early stages. This protocol describes the evaluation of a multifaceted, interdisciplinary KT intervention aimed at integrating evidence-based osteoporosis an...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-05-01
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| Series: | Implementation Science |
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| Online Access: | http://www.implementationscience.com/content/7/1/48 |
| _version_ | 1818484293365661696 |
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| author | Kennedy Courtney C Ioannidis George Giangregorio Lora M Adachi Jonathan D Thabane Lehana Morin Suzanne N Crilly Richard G Marr Sharon Josse Robert G Lohfeld Lynne Pickard Laura E King Susanne van der Horst Mary-Lou Campbell Glenda Stroud Jackie Dolovich Lisa Sawka Anna M Jain Ravi Nash Lynn Papaioannou Alexandra |
| author_facet | Kennedy Courtney C Ioannidis George Giangregorio Lora M Adachi Jonathan D Thabane Lehana Morin Suzanne N Crilly Richard G Marr Sharon Josse Robert G Lohfeld Lynne Pickard Laura E King Susanne van der Horst Mary-Lou Campbell Glenda Stroud Jackie Dolovich Lisa Sawka Anna M Jain Ravi Nash Lynn Papaioannou Alexandra |
| author_sort | Kennedy Courtney C |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Knowledge translation (KT) research in long-term care (LTC) is still in its early stages. This protocol describes the evaluation of a multifaceted, interdisciplinary KT intervention aimed at integrating evidence-based osteoporosis and fracture prevention strategies into LTC care processes.</p> <p>Methods and design</p> <p>The Vitamin D and Osteoporosis Study (ViD<it>OS</it>) is underway in 40 LTC homes (n = 19 intervention, n = 21 control) across Ontario, Canada. The primary objectives of this study are to assess the feasibility of delivering the KT intervention, and clinically, to increase the percent of LTC residents prescribed ≥800 IU of vitamin D daily. Eligibility criteria are LTC homes that are serviced by our partner pharmacy provider and have more than one prescribing physician. The target audience within each LTC home is the Professional Advisory Committee (PAC), an interdisciplinary team who meets quarterly. The key elements of the intervention are three interactive educational sessions led by an expert opinion leader, action planning using a quality improvement cycle, audit and feedback reports, nominated internal champions, and reminders/point-of-care tools. Control homes do not receive any intervention, however both intervention and control homes received educational materials as part of the Ontario Osteoporosis Strategy. Primary outcomes are feasibility measures (recruitment, retention, attendance at educational sessions, action plan items identified and initiated, internal champions identified, performance reports provided and reviewed), and vitamin D (≥800 IU/daily) prescribing at 6 and 12 months. Secondary outcomes include the proportion of residents prescribed calcium supplements and osteoporosis medications, and falls and fractures. Qualitative methods will examine the experience of the LTC team with the KT intervention. Homes are centrally randomized to intervention and control groups in blocks of variable size using a computer generated allocation sequence. Randomization is stratified by home size and profit/nonprofit status. Prescribing data retrieval and analysis are performed by blinded personnel.</p> <p>Discussion</p> <p>Our study will contribute to an improved understanding of the feasibility and acceptability of a multifaceted intervention aimed at translating knowledge to LTC practitioners. Lessons learned from this study will be valuable in guiding future research and understanding the complexities of translating knowledge in LTC.</p> <p>Trial registration</p> <p>ClinicalTrials.gov NCT01398527.</p> |
| first_indexed | 2024-12-10T15:53:18Z |
| format | Article |
| id | doaj.art-511672ae47814f8c9d5743771fc1e622 |
| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-12-10T15:53:18Z |
| publishDate | 2012-05-01 |
| publisher | BMC |
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| series | Implementation Science |
| spelling | doaj.art-511672ae47814f8c9d5743771fc1e6222022-12-22T01:42:43ZengBMCImplementation Science1748-59082012-05-01714810.1186/1748-5908-7-48An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViD<it>OS</it>) pilot cluster randomized controlled trialKennedy Courtney CIoannidis GeorgeGiangregorio Lora MAdachi Jonathan DThabane LehanaMorin Suzanne NCrilly Richard GMarr SharonJosse Robert GLohfeld LynnePickard Laura EKing Susannevan der Horst Mary-LouCampbell GlendaStroud JackieDolovich LisaSawka Anna MJain RaviNash LynnPapaioannou Alexandra<p>Abstract</p> <p>Background</p> <p>Knowledge translation (KT) research in long-term care (LTC) is still in its early stages. This protocol describes the evaluation of a multifaceted, interdisciplinary KT intervention aimed at integrating evidence-based osteoporosis and fracture prevention strategies into LTC care processes.</p> <p>Methods and design</p> <p>The Vitamin D and Osteoporosis Study (ViD<it>OS</it>) is underway in 40 LTC homes (n = 19 intervention, n = 21 control) across Ontario, Canada. The primary objectives of this study are to assess the feasibility of delivering the KT intervention, and clinically, to increase the percent of LTC residents prescribed ≥800 IU of vitamin D daily. Eligibility criteria are LTC homes that are serviced by our partner pharmacy provider and have more than one prescribing physician. The target audience within each LTC home is the Professional Advisory Committee (PAC), an interdisciplinary team who meets quarterly. The key elements of the intervention are three interactive educational sessions led by an expert opinion leader, action planning using a quality improvement cycle, audit and feedback reports, nominated internal champions, and reminders/point-of-care tools. Control homes do not receive any intervention, however both intervention and control homes received educational materials as part of the Ontario Osteoporosis Strategy. Primary outcomes are feasibility measures (recruitment, retention, attendance at educational sessions, action plan items identified and initiated, internal champions identified, performance reports provided and reviewed), and vitamin D (≥800 IU/daily) prescribing at 6 and 12 months. Secondary outcomes include the proportion of residents prescribed calcium supplements and osteoporosis medications, and falls and fractures. Qualitative methods will examine the experience of the LTC team with the KT intervention. Homes are centrally randomized to intervention and control groups in blocks of variable size using a computer generated allocation sequence. Randomization is stratified by home size and profit/nonprofit status. Prescribing data retrieval and analysis are performed by blinded personnel.</p> <p>Discussion</p> <p>Our study will contribute to an improved understanding of the feasibility and acceptability of a multifaceted intervention aimed at translating knowledge to LTC practitioners. Lessons learned from this study will be valuable in guiding future research and understanding the complexities of translating knowledge in LTC.</p> <p>Trial registration</p> <p>ClinicalTrials.gov NCT01398527.</p>http://www.implementationscience.com/content/7/1/48Knowledge translationLong-term careNursing homeOsteoporosisFracturesVitamin DMultifacetedInterdisciplinaryFeasibilityAudit and feedbackRemindersInteractiveEducational meetingOpinion leader |
| spellingShingle | Kennedy Courtney C Ioannidis George Giangregorio Lora M Adachi Jonathan D Thabane Lehana Morin Suzanne N Crilly Richard G Marr Sharon Josse Robert G Lohfeld Lynne Pickard Laura E King Susanne van der Horst Mary-Lou Campbell Glenda Stroud Jackie Dolovich Lisa Sawka Anna M Jain Ravi Nash Lynn Papaioannou Alexandra An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViD<it>OS</it>) pilot cluster randomized controlled trial Implementation Science Knowledge translation Long-term care Nursing home Osteoporosis Fractures Vitamin D Multifaceted Interdisciplinary Feasibility Audit and feedback Reminders Interactive Educational meeting Opinion leader |
| title | An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViD<it>OS</it>) pilot cluster randomized controlled trial |
| title_full | An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViD<it>OS</it>) pilot cluster randomized controlled trial |
| title_fullStr | An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViD<it>OS</it>) pilot cluster randomized controlled trial |
| title_full_unstemmed | An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViD<it>OS</it>) pilot cluster randomized controlled trial |
| title_short | An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViD<it>OS</it>) pilot cluster randomized controlled trial |
| title_sort | interdisciplinary knowledge translation intervention in long term care study protocol for the vitamin d and osteoporosis study vid it os it pilot cluster randomized controlled trial |
| topic | Knowledge translation Long-term care Nursing home Osteoporosis Fractures Vitamin D Multifaceted Interdisciplinary Feasibility Audit and feedback Reminders Interactive Educational meeting Opinion leader |
| url | http://www.implementationscience.com/content/7/1/48 |
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