Sustaining Transfers Through Affordable Research Translation (START): Knowledge Translation Interventions to Support the Uptake of Innovations in Continuing Care Settings

This study is currently recruiting participants. (see Contacts and Locations)
Verified March 2014 by University of Alberta
Sponsor:
Collaborator:
AHS Cancer Control Alberta
Information provided by (Responsible Party):
University of Alberta
ClinicalTrials.gov Identifier:
NCT01746459
First received: December 6, 2012
Last updated: March 6, 2014
Last verified: March 2014
  Purpose

Currently, the health care that people receive is approximately 20 years behind up-to-date research findings. Developing ways to narrow the gap between evidence and practice is an important research focus in continuing care facilities, especially when one considers that the demand for these facilities is estimated to increase ten-fold in the next 25 years. In Alberta, there are an estimated 27,400 healthcare aides working in the continuing care sector. Developing reminders targeting these care providers will increase the likelihood that the significant resources invested to promote the uptake of research findings will lead to sustained practice change and, ultimately, improved client outcomes. The purpose of the START project (Sustaining Transfers through Affordable Research Translation) is to help bridge this gap between research and practice in supportive living and long-term care facilities by studying the effectiveness of reminder interventions to support the sustainability of a research-based mobility innovation. In particular, the project will evaluate the frequency and intensity of reminders that maintain the daily practice of healthcare aides to carry out a mobility innovation with clients in 24 supportive living and long-term care facilities. We will compare monthly versus every three month reminders, and we will compare paper-based reminders (like a sticker on a chart) and reminders provided by a healthcare aide peer. Using interviews, questionnaires and observations, the START project will also evaluate the processes that inhibit or promote the uptake of the mobility innovation by healthcare aides in their daily practice. In building this bridge between research evidence and practice, we will work closely with stakeholders at all levels of healthcare delivery (e.g. healthcare aides, facility leaders, policy makers and researchers) throughout the study. We expect our collaboration to contribute to sustainable innovations in the continuing care sector and, in particular, to the sustained use of an affordable mobility innovation in supportive living and long-term care settings.


Condition Intervention
Sustainability of Innovations
Knowledge Translation
Other: Paper-Based Reminder System
Other: Peer-Based Reminder System

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Sustaining Transfers Through Affordable Research Translation (START): Knowledge Translation Interventions to Support the Uptake of Innovations in Continuing Care Settings

Further study details as provided by University of Alberta:

Primary Outcome Measures:
  • Healthcare Aide Activity Uptake [ Time Frame: 1 Year ] [ Designated as safety issue: No ]
    The purpose of this study is to examine the effectiveness of reminders to support the sustainability of a mobility innovation by healthcare aides. Our primary outcome is healthcare aide uptake as operationalized by the number of completed mobility activity occasions. Healthcare aides record on a flowsheet the number of instances that the client completes on each of two occasions on the day shift and on the evening shift (i.e. four occasions per day).


Secondary Outcome Measures:
  • Client Mobility [ Time Frame: Change from Baseline Mobility at 1 Year ] [ Designated as safety issue: No ]
    We will measure the sustainability of client mobility across the four intervention arms. At the end of a year of data collection, a sample of clients will be assessed using the 30 second sit-to-stand test. Using a stopwatch and a standard armchair, we will instruct client participants to stand up and sit down as many times as possible until they are asked to stop after 30 seconds.


Estimated Enrollment: 1158
Study Start Date: February 2013
Estimated Study Completion Date: December 2015
Estimated Primary Completion Date: December 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Low Low
Low Intensity, Low Frequency Reminder System
Other: Paper-Based Reminder System
Paper-based reminders include: a) affixing stickers to clients' bedroom doors, beside their beds, or in their bathrooms; b) posting signs in prominent locations; and c) placing colored flags on the documentation flowsheets.
Active Comparator: Low, High
Low Intensity, High Frequency Reminder System
Other: Paper-Based Reminder System
Paper-based reminders include: a) affixing stickers to clients' bedroom doors, beside their beds, or in their bathrooms; b) posting signs in prominent locations; and c) placing colored flags on the documentation flowsheets.
Active Comparator: High, Low
High Intensity, Low Frequency Reminder System
Other: Paper-Based Reminder System
Paper-based reminders include: a) affixing stickers to clients' bedroom doors, beside their beds, or in their bathrooms; b) posting signs in prominent locations; and c) placing colored flags on the documentation flowsheets.
Other: Peer-Based Reminder System
Healthcare aides will provide formal and informal peer reminders about the mobility activity; the formal reminders will take place either monthly or every three months during change of shift meetings, while the informal reminders will be provided as opportunities arise during the work day.
Active Comparator: High, High
High Intensity, High Frequency Reminder System
Other: Paper-Based Reminder System
Paper-based reminders include: a) affixing stickers to clients' bedroom doors, beside their beds, or in their bathrooms; b) posting signs in prominent locations; and c) placing colored flags on the documentation flowsheets.
Other: Peer-Based Reminder System
Healthcare aides will provide formal and informal peer reminders about the mobility activity; the formal reminders will take place either monthly or every three months during change of shift meetings, while the informal reminders will be provided as opportunities arise during the work day.

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Clients will be eligible to participate if they can transfer independently or with the assistance of one person.
  • Healthcare aides will be eligible to participate if they have worked on the unit for a minimum of 3 months, and work at regular intervals (minimum of 6 shifts per month).
  • Licensed Practical Nurses and / or other Facility Leaders will be eligible to participate if they have experienced the peer and paper-based reminders within the last 2 months.

Exclusion Criteria:

  • Clients who require a mechanical lift, or the assistance of two people to transfer, will be excluded.
  • Healthcare aides who have worked for shorter less than 3 months, or fewer than 6 shifts per month, will be excluded.
  • Licensed Practical Nurses and / or other Facility Leaders will be excluded if they have not had experience with the peer and paper-based reminders within the last 2 months.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01746459

Contacts
Contact: Carla Ickert, MA 780-492-6317 cickert@ualberta.ca
Contact: Susan Slaughter, PhD 780-492-7321 sslaught@ualberta.ca

Locations
Canada, Alberta
Alberta Health Services Recruiting
Edmonton, Alberta, Canada, T5N 4A3
Contact: Anita Murphy, BA       anita.murphy@albertahealthservices.ca   
Sponsors and Collaborators
University of Alberta
AHS Cancer Control Alberta
Investigators
Principal Investigator: Susan Slaughter, PhD University of Alberta
  More Information

No publications provided by University of Alberta

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: University of Alberta
ClinicalTrials.gov Identifier: NCT01746459     History of Changes
Other Study ID Numbers: Pro00034781
Study First Received: December 6, 2012
Last Updated: March 6, 2014
Health Authority: Canada: University of Alberta Data Safety and Monitoring Committee

Keywords provided by University of Alberta:
Sustainability of Innovations
Knowledge Translation
Gerontology
Mobility

ClinicalTrials.gov processed this record on July 22, 2014