The Aged Residential Care Healthcare Utilization Study (ARCHUS): A Multidisciplinary, Cluster Randomized Controlled Trial Designed to Reduce Acute Avoidable Hospitalizations From Long-Term Care Facilities

2015 ◽  
Vol 16 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Martin J. Connolly ◽  
Michal Boyd ◽  
Joanna B. Broad ◽  
Ngaire Kerse ◽  
Thomas Lumley ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Residential Care ◽  
Long Term Care ◽  
Controlled Trial ◽  
Term Care ◽  
Avoidable Hospitalizations ◽  
Randomized Controlled ◽  
Care Facilities ◽  
Cluster Randomized

Effectiveness of Multifaceted Hand Hygiene Interventions in Long-Term Care Facilities in Hong Kong: A Cluster-Randomized Controlled Trial

2012 ◽  
Vol 33 (8) ◽  
pp. 761-767 ◽  
Author(s):  
Mei-lin Ho ◽  
Wing-hong Seto ◽  
Lai-chin Wong ◽  
Tin-yau Wong
Keyword(s):  
Randomized Controlled Trial ◽  
Hand Hygiene ◽  
Long Term Care ◽  
Controlled Trial ◽  
Term Care ◽  
Multimodal Strategy ◽  
Randomized Controlled ◽  
Care Facilities ◽  
Cluster Randomized

Objective.To determine the effectiveness of World Health Organization (WHO) multimodal strategy in promoting hand hygiene (HH) among healthcare workers (HCWs) in long-term care facilities (LTCFs).Design.Cluster-randomized controlled trial.Setting.Eighteen homes for the elderly in Hong Kong were randomly allocated to 2 intervention arms and a control arm. Direct observation of HH practice was conducted by trained nurses. Either handrubbing with alcohol-based handrub (ABHR) or handwashing with liquid soap and water was counted as a compliant action. Disease notification data during 2007–2010 were used to calculate incidence rate ratio (IRR).Participants.Managers and HCWs of the participating homes.Interventions.The WHO multimodal strategy was employed. All intervention homes were supplied with ABHR (WHO formulation I), ABHR racks, pull reels, HH posters and reminders, a health talk, video clips, training materials, and performance feedback. The only difference was that intervention arms 1 and 2 were provided with slightly powdered and powderless gloves, respectively.Results.A total of 11,669 HH opportunities were observed. HH compliance increased from 27.0% to 60.6% and from 22.2% to 48.6% in intervention arms 1 and 2, respectively. Both intervention arms showed increased HH compliance after intervention compared to controls, at 21.6% compliance (both P < .001). Provision of slightly powdered versus powderless gloves did not have any significant impact on ABHR usage. Respiratory outbreaks (IRR, 0.12; 95% confidence interval [CI], 0.01–0.93; P = .04) and methicillin-resistant Staphylococcus aureus infections requiring hospital admission (IRR, 0.61; 95% CI, 0.38–0.97; P = .04) were reduced after intervention.Conclusions.A promotion program applying the WHO multimodal strategy was effective in improving HH among HCWs in LTCFs.

Exergames to Improve the Mobility of Long-Term Care Residents: A Cluster Randomized Controlled Trial

2018 ◽  
Vol 7 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Lynne Taylor ◽  
Ngaire Kerse ◽  
Jochen Klenk ◽  
Robert Borotkanics ◽  
Ralph Maddison
Keyword(s):  
Randomized Controlled Trial ◽  
Long Term Care ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Term Care ◽  
Randomized Controlled ◽  
Cluster Randomized
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