Clinical trial NCT03471390: Improving Pain Management in Nursing Homes: a Pilot Study
Official title: Identification and Development of Interfaces and Processes to Improve Quality of Life of Residents at Senevita ProQuaS 2- Improving Pain Management in Nursing Homes: a Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pain Management
Keywords: Nursing Home
Lead sponsor: University of Basel
Sponsor class: OTHER
Collaborators: name: Senevita AG
First posted: 2018-03-20
Enrollment: 250
Sex: ALL
Minimum age (years): 16
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SEQUENTIAL
Intervention model description: non- randomized incomplete stepped-wedge design
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study aims to improve pain management in Swiss nursing homes by addressing behavior change of the care workers with a multilevel intervention

Detailed description: Pain management in nursing homes often is inadequate despite the availability of evidence- based pain management guidelines. Barriers to pain management in nursing homes occur on several levels including lack of knowledge and negative beliefs towards pain of care workers.

For this embedded mixed-methods pilot study a convenience sample of maximum six nursing homes will be recruited. The planned intervention comprises the implementation of pain management policies, training of all care workers in pain assessment and management as well as training and introduction of a facility pain champion. Quantitative outcomes assessed at baseline, after three and six months include self-efficacy and attitudes to pain of care workers, functional interference from pain and pain intensity in residents. Feasibility and acceptability of the intervention and potential barriers to its implementation will be explored in focus groups and interviews.

Eligibility criteria: Inclusion Criteria:

Care workers:

* Registered nurses, licensed practical nurses/certified caregivers, nursing assistants, nurse aides and other care workers from the participating nursing home
* Working in direct resident care
* Participating care workers have to be employed for at least one month at the data collection
* Students, apprentices and interns have to be employed at least six months in total
* Speak and understand German
* Older than 16 years

Residents:

* All residents living in a participating nursing home, older than 64 years
* Written informed consent to participate in data collection signed by the resident or in case of severe cognitive impairment by his/her legally acceptable representative

Exclusion Criteria:

Care workers:

* Temporary employment for less than six months

Residents:

* Critical current health status or terminal life situation
* Known life expectancy less than 3 months
* Short term residents (length of stay \<6 months)

Primary outcomes:
measure: Self- efficacy in pain management
timeFrame: Change from baseline to 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Affoltern Am Albis
country: Switzerland
facility: Senevita Obstgarten
city: Basel
country: Switzerland
facility: Senevita Gellertblick
city: Bern
country: Switzerland
facility: Senevita Wangenmatt
city: Ittigen
country: Switzerland
facility: Senevita Aespliz
Study officials:
affiliation: University of Basel
name: Franziska Zúñiga, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Brunkert T, Ruppen W, Simon M, Zuniga F. A theory-based hybrid II implementation intervention to improve pain management in Swiss nursing homes: A mixed-methods study protocol. J Adv Nurs. 2019 Feb;75(2):432-442. doi: 10.1111/jan.13817. Epub 2018 Sep 6.