scholarly journals Community integrated intermediary care (CIIC) service model to enhance family-based long-term care for older people: Protocol for a cluster randomized controlled trial in Thailand (Preprint)

10.2196/20196 ◽  
2020 ◽  
Author(s):  
Myo Nyein Aung ◽  
Saiyud Moolphate ◽  
Motoyuki Yuasa ◽  
Thin Nyein Nyein Aung ◽  
Yuka Koyanagi ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Long Term Care ◽  
Controlled Trial ◽  
Service Model ◽  
Term Care ◽  
Randomized Controlled ◽  
Family Based ◽  
Cluster Randomized ◽  
Care For Older People

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

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.

scholarly journals Enhancing family-based long-term care with a model of community integrated intermediary care (CIIC) service for Thai older adults in Chiang Mai, Thailand: Protocol for a cluster randomized controlled trial (Preprint)

2020 ◽  
Author(s):  
Myo Nyein Aung ◽  
Saiyud Moolphate ◽  
Motoyuki Yuasa ◽  
Thin Nyein Nyein Aung ◽  
Yuka Koyanagi ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Controlled Trial ◽  
World Health ◽  
Term Care ◽  
Randomized Controlled ◽  
Family Based ◽  
Cluster Randomized ◽  
Health Organization

BACKGROUND Thailand is one of the most rapidly aging countries in Asia. Traditional family-based care that has been the basis of most care for the older people is becoming unsustainable as families become smaller. In addition, women tend to be adversely affected as they still form the bulk of caregivers for older people, and many are likely to exit the labour market in order to provide care. Many family caregivers also have no or minimal training, and they may be called upon to provide quite complex care, raising the spectre of older people receiving sub-optimal care if they rely only on informal care that is provided by families and friends. Facing a rising burden of non-communicable diseases and age-related morbidity, Thai communities are increasingly in need of community integrated care model for older persons which can link existing health system and reduce the burden upon caring families. This need is common to many countries in the Association of Southeast Asian Nations (ASEAN). OBJECTIVE In this study, we aimed to assess the effectiveness of community-integrated intermediary care (CIIC) model to enhance family-based care for older people. METHODS This paper describes a cluster randomized controlled trial, comprising six intervention clusters and six control clusters that aim to recruit 2000 participants in each arm. This research protocol has been approved by the World Health Organization (WHO) Ethics Review Committee (ERC). The intervention clusters will receive an integrated model of care structured around 1) a community respite service, 2) the strengthening of family care capacity; and 3) an exercise program that aims to prevent entry into long-term care for older people. Control group clusters receive usual care i.e., the current system of long-term care common to all provinces in Thailand, consisting principally of a volunteer-assisted homecare service. The trial will be conducted in a period of two years. The primary outcome is the burden of family caregivers measured at a six month follow up, applying the caregiver burden inventory. Secondary outcomes consist of bio-psychosocial indicators including functional ability applying activity of daily living scale, depression applying geriatric depression scale and quality of life of older people applying the EuroQol 5-dimensions 5-levels scale. Intention-to-treat analysis will be followed. RESULTS n/A CONCLUSIONS Since ASEAN and many Asian countries share similar traditional family-based long-term care systems, the proposed CIIC model and the protocol for its implementation and evaluation may benefit other countries wishing to adopt similar community integrated care models for older people at risk of needing long-term care. CLINICALTRIAL World Health Organization Ethical Review Committee approval: WHO/ERC ID; ERC.0003064 Thailand Clinical Trial Registry, Trial registration number TCTR20190412004

scholarly journals Hospital Elder Life Program in Long‐Term Care ( HELP‐LTC ): A Cluster Randomized Controlled Trial

2020 ◽  
Vol 68 (10) ◽  
pp. 2329-2335
Author(s):  
Kenneth S. Boockvar ◽  
Kimberly M. Judon ◽  
Joseph P. Eimicke ◽  
Jeanne A. Teresi ◽  
Sharon K. Inouye
Keyword(s):  
Randomized Controlled Trial ◽  
Long Term Care ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Term Care ◽  
Randomized Controlled ◽  
Cluster Randomized ◽  
Hospital Elder Life Program
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