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A multicentric individually-tailored controlled trial of education and professional support to nursing home staff: Research protocol and baseline data of the IQUARE study

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The journal of nutrition, health & aging

Abstract

Background

Whilst the number of people living in nursing homes (NH) is expected to rise, research on NH quality is scarce. The purpose of this article is to describe the research protocol of the IQUARE study and to present its baseline data.

Methods and design

IQUARE is a 18-month multicentric individually-tailored controlled trial of education and professional support to NH staff. The main purposes of IQUARE are to improve the quality of the health care provided in NHs and to reduce the risk of functional decline among residents. Data on internal organisation and residents’ health for the 175 participating NHs were recorded by NH staff at baseline. NHs were allocated to either a light intervention group (LIG, n = 90 NHs, totalising 3 258 participants) or a strong intervention group (SIG, n = 85 NHs, totalising 3 017 participants). Intervention for LIG consisted at delivering to NH staff descriptive statistics on indicators of quality regarding their NH and the NHs from their sub-region of health and region; whereas for SIG, NH staff received the same information that LIG, but quality indicators were discussed by a cooperative work (two half-day meetings) between a hospital geriatrician and NH staff. Strategies for overcoming NH’s weaknesses were then traced; the efficacy of strategies is evaluated at a 6-month period.

Results

Baseline data showed high levels of dependence, comorbidities, psychological disturbances and medication’s consumption among NH residents. Large discrepancies among NHs were observed.

Conclusions

IQUARE is one of the largest controlled trials in NHs developed in France. Results from IQUARE may constitute the basis for the development of new work modalities within the French health system, and serve as a model of a feasible research approach in NHs.

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References

  1. Kimyagarov S, Klid R, Fleissig Y, Kopel B, Arad M, Adunsky A (2012) Skeletal muscle mass abnormalities are associated with survival rates of institutionalized elderly nursing home residents. J Nutr Health Aging 16(5):432–436.

    Article  PubMed  CAS  Google Scholar 

  2. Lattanzio F, Mussi C, Scafato E, Ruggiero C, Dell’Aquila G, Pedone C, Mammarella F, Galluzzo L, Salvioli G, Senin U, Carbonin PU, Bernabei R, Cherubini A (2010) Health care for older people in Italy: The U.L.I.S.S.E. Project (Un link informatico sui servizi sanitari esistenti per l’anziano — a computerized network on health care services for older people). J Nutr Health Aging 14(3):238–242.

    Article  PubMed  CAS  Google Scholar 

  3. Rolland Y, Abellan Van Kan G, Hermabessiere S, Gerard S, Guyonnet-Gillette S, Vellas B (2009) Descriptive study of nursing home residents from the REHPA network. J Nutr Health Aging 13:679–683.

    Article  PubMed  CAS  Google Scholar 

  4. Onder G, Carpenter I, Finne-Soveri H, Gindin J, Frijters D, Henrard JC, Nikolaus T, Topinkova E, Tosato M, Liperoti R, Landi F, Bemabei R (2012) Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (SHELTER) study. BMC Health Serv Res 12:5.

    Article  PubMed  Google Scholar 

  5. Thomas DR, Rolland Y, Morley JE (2012) Nursing home care. In: Sinclair AJ, Morley JE and Vellas B (eds) Pathy’s principles and practice of geriatric medicine, Volume 1 & 2, Fifth Edition, John Wiley & Sons, Ltd, pp 1697–1708.

  6. Jesus P, Desport JC, Massoulard A, Villemonteix C, Baptiste A, Gindre-Poulvelarie L, Lorgueuilleux S, Javerliat V, Fraysse JL, Preux PM (2012) Nutritional assessment and follow-up of residents with and without dementia in nursing homes in the Limousin region of France: a health network initiative. J Nutr Health Aging 16(5):504–508.

    Article  PubMed  CAS  Google Scholar 

  7. Gaskill D, Isenring EA, Black LJ, Hassall S, Bauer JD (2009) Maintaining nutrition in aged care residents with a train-the-trainer intervention and Nutrition Coordinator. J Nutr Health Aging 13(10):913–917.

    Article  PubMed  CAS  Google Scholar 

  8. Galik E, Resnick B (2012) Psychotropic medication use and association with physical and psychosocial outcomes in nursing home residents. J Psychiatr Ment Health Nurs. doi: 10.1111/j.1365-2850.2012.01911.x.

  9. Bourgeois J, Elseviers MM, Azermai M, Van Bortel L, Petrovic M, Stichele RRV. Benzodiazepine use in Belgian nursing homes: a closer look into indications and dosages. Eur J Clin Pharmacol (2012) 68:833–844. doi: 10.1007/s00228-011-1188-z.

    Article  PubMed  CAS  Google Scholar 

  10. Brodaty H, Draper B, Saab D, Low L-F, Richards V, Paton H, Lie D (2001) Psychosis, depression and behavioural disturbances in Sydney nursing home residents: prevalence and predictors. Int J Geriatr Psychiatry 16: 504–512. doi: 10.1002/gps.382.

    Article  PubMed  CAS  Google Scholar 

  11. ng an entitlement to longterm care services for older people in Europe: projections for long-term care expenditure to 2050. J Eur Soc Policy 17:33–48.

  12. Frandin K, Borell L, Gronstedt H, Bergland A, Helbostad JL, Puggaard L, Andresen M, Granbo R, Hellstrom K (2009) A Nordic multi-center study on physical and daily activities for residents in nursing home settings: design of a randomized, controlled trial. Aging Clin Exp Res 21: 314–322.

    PubMed  Google Scholar 

  13. Beck AM, Damkjaer K, Sorbye LW (2010) Physical and social functional abilities seem to be maintained by a multifaceted randomized controlled nutritional intervention among old (>65 years) Danish nursing home residents. Arch Gerontol Geriatr 50: 351–355. doi:10.1016/j.archger.2009.05.018.

    Article  PubMed  Google Scholar 

  14. Rantz MJ, Popejoy L, Petroski GF et al. (2001) Randomized clinical trial of a quality improvement intervention in nursing homes. Gerontologist 41(4):525–538.

    Article  PubMed  CAS  Google Scholar 

  15. Rolland Y, Andrieu S, Crochard A, Goni S, Hein C, Vellas B. (2012) Psychotropic drag consumption at admission and discharge of nursing home residents. J Am Med Dir Assoc 13(4):407.e7–407.e12.

    Article  Google Scholar 

  16. Olivier P, Bertrand L, Tubery M, Lauque D, Monstastruc J-L, Lapeyre-Mestre M. (2009) Hospitalizations because of adverse drag reactions in elderly patients admitted through the emergency department: a prospective survey. Drags Aging 26(6):475–482.

    Article  Google Scholar 

  17. McGregor JC, Kim PW, Perencevich EN, Bradham DD, Furuno JP, Kaye KS, Fink JC, Langenberg P, Roghmann M-C, Harris AD (2005) Utility of the Chronic Disease Score and Charlson Comorbidity Index as comorbidity measures for use in epidemiologic studies of antibiotic-resistant organisms. Am J Epidemiol 161:483–493. doi: 10.1093/aje/kwi068.

    Article  PubMed  Google Scholar 

  18. Castle NG, Ferguson JC (2010) What is nursing home quality and how is it measured? Gerontologist 50(4):426–442. doi:10.1093/geront/gnq052

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France

    Philipe de Souto Barreto, B. Vellas & Y. Rolland

  2. Laboratoire d’Anthropologie bioculturelle, droit, éthique et santé, UMR7268 Aix-Marseille Univ., Aix-en-Provence, France

    Philipe de Souto Barreto

  3. UMR INSERM 1027, University of Toulouse III, Toulouse, France

    M. Lapeyre-Mestre, B. Vellas & Y. Rolland

  4. Service de Pharmacologie Clinique, CHU de Toulouse, 37 Allees Jules Guesde, F-31000, Toulouse, France

    M. Lapeyre-Mestre

  5. Observatoire Régional de la Santé de Midi-Pyrénées (ORSMIP), Toulouse, France

    C. Mathieu & F. Cayla

  6. Agence Régionale de la Santé — Midi Pyrénées, Toulouse, France

    C. Piau & C. Bouget

  7. Gérontopôle de Toulouse, Institut du Vieillissement., 37, Allées Jules Guesde., 31000, Toulouse, France

    Philipe de Souto Barreto

Authors
  1. Philipe de Souto Barreto
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  2. M. Lapeyre-Mestre
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  3. C. Mathieu
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  4. C. Piau
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  5. C. Bouget
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  6. F. Cayla
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  7. B. Vellas
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  8. Y. Rolland
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Correspondence to Philipe de Souto Barreto.

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de Souto Barreto, P., Lapeyre-Mestre, M., Mathieu, C. et al. A multicentric individually-tailored controlled trial of education and professional support to nursing home staff: Research protocol and baseline data of the IQUARE study. J Nutr Health Aging 17, 173–178 (2013). https://doi.org/10.1007/s12603-013-0008-9

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  • DOI: https://doi.org/10.1007/s12603-013-0008-9

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