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Quality IndicatorsIQUARENCT01703689

Impact of Educational and Professional Supportive Interventions on Nursing Home Quality Indicators

A study testing Audit and Feedback and Cooperative Work in people with Quality Indicators and Physical Disability, run by Agence Régionale de la Santé - Midi Pyrénées at 175 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Introduction: Efficacy of audit and feedback interventions on nursing home (NH)quality indicators is not well-established. The main objective: The main purpose of the IQUARE study was to examine the impact of two types of audit and feedback interventions on NH quality indicators and on residents dependence levels in a… Read more about this study

Who is it for?
Any age
Conditions the study is for
Quality Indicators, Physical Disability
What is being tested?
Audit and Feedback and Cooperative Work
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8,039 participants
Where
175 sitesFrance
Study dates
May 2011to Mar 2013
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Nursing homes (NH) voluntarily accepted to participate in the study.
  • NH residents of both sex
  • Residents living in the NH for ≥ 30 days
  • Residents and their general practitioner (GP) having received information about the study
  • NH residents do not voluntarily decline to participate in the study

Who cannot join

  • NH currently participating in another interventional study
  • GP of NH residents refused participation in the study.

Trial locations and contacts

175 sites in 1 country.

175 sites in 1 country

France175 sites

  • EHPAD le parc ALBI

    Albi, 81000

  • EHPAD Canarie Vieuzac

    Argelès-Gazost, 65400

  • MAPAD Les Pradels

    Assier, 46320

  • Les Jardins auscitains

    Auch, 32000

  • Les jardins d´Agape

    Auch, 32000

  • Saint Dominique

    Auch, 32000

  • EHPAD Résidence Mutualiste La Pyrénéenne

    Aureilhan, 65800

  • EHPAD Résidence Castelmouly

    Bagnères-de-Bigorre, 65200

  • ONAC résidence paul oddo

    Barbazan, 31510

  • Korian Les Ainés du Lauragais

    Baziege, 31450

  • Notre Dame

    Beaumont-de-Lomagne, 82500

  • Ehpad Sherpa

    Belmont-sur-Rance, 12370

  • Le Pastel

    Bessières, 31660

  • Le Pastourel

    Bessières, 31660

  • Sainte-Cécile

    Bessières, 31660

  • Emeraude

    Blagnac, 31700

  • Résidence de Vinci

    Blagnac, 31700

  • EHPAD St joseph de BRASSAC

    Brassac, 81260

  • EHPAD Robert Durrieu

    Bretenoux, 46130

  • M.R Orpea

    Cahors, 46000

  • EHPAD La Cascade

    Cajarc, 46160

  • Les Roses

    Calmont, 31560

  • EHPAD Gai Logis

    Capdenac-Gare, 12700

  • EHPAD La Croix Bleue

    Capdenac-Gare, 12700

  • EHPAD le bosc Carmaux

    Carmaux, 81400

  • Tour Tottier

    Castelginest, 31780

  • La Cerisaie

    Castelmaurou, 31180

  • Notre Dame du Bon Accueil

    Castelnau-d´Estrétefonds, 31620

  • M.R St Luc - Castelnau Montratier

    Castelnau-Montratier, 46170

  • Chic Ehpad C.H

    Castelsarrasin, 82100

  • EHPAD Villégiale Saint Jacques CHIC - CASTRES/MAZAMET

    Castres, 81100

  • MAPA Résidence St Astier

    Catus, 46150

  • EHPAD Caylus - Val de Bonnette

    Caylus, 82160

  • EHPAD Arc-En-Ciel

    Cazals, 46250

  • Jeanne Penent

    Cazères, 31220

  • Castelgirou

    Cépet, 31620

  • ALLIANCE

    Cologne, 32430

  • EHPAD St Laurent

    Cruéjouls, 12340

  • EHPAD les arcades

    Dourgne, 81110

  • EHPAD Saint-Philippe

    Ercé, 09140

  • Saint-Joseph

    Fronton, 31620

  • EHPAD St ANDRE CH de Gaillac

    Gaillac, 81601

  • EHPAD St JEAN CH de Gaillac

    Gaillac, 81601

  • EHPAD Accueil du Frère Jean

    Galan, 65330

  • EHPAD La Baïse

    Galan, 65330

  • Ch Gimont

    Gimont, 32200

  • Foyer Pierre Bonhomme

    Gramat, 46500

  • MR Charles de Gaulle

    Gramat, 46500

  • MR Louis Conte

    Gramat, 46500

  • EHPAD Saint Dominique

    Gramond, 12160

  • Ehpad de Graulhet

    Graulhet, 81300

  • Saint-Jacques

    Grenade, 31330

  • Ste Sophie

    Grisolles, 82170

  • EHPAD Résidence Zélia

    Ibos, 65420

  • EHPAD Le Jonquère

    Juillan, 65290

  • EHPAD Faux-Bourg Saint-Adrien

    L'Isle-en-Dodon, 31230

  • Saint-Jacques

    L'Isle-Jourdain, 32600

  • EHPAD Gustave Pédoya

    La Bastide-de-Sérou, 09240

  • EHPADRouanet-Iché de LABASTIDE-ROUAIROUX

    Labastide-Rouairoux, 81270

  • EHPADL'Oustal d'En Thibaud

    Labruguière, 81290

  • M.R La Miséricorde

    Lacapelle-Marival, 46120

  • EHPAD St vinçent de paul

    Lacaune, 81230

  • Résidence du Lac

    Lafrançaise, 82130

  • EHPAD résidence le grand champ

    Lagrave, 81150

  • Les Causeries

    Laguépie, 82250

  • Centre hospitalier du Pays d´Olmes - Laroques d´Olmes

    Laroques d´Olmes, 09600

  • La Barbacane

    Larrazet, 82500

  • MAPAD Les Ségalines

    Latronquière, 46210

  • Résidence Paul et Lisa

    Launaguet, 31140

  • Ehpad Les Quietudes

    Lautrec, 81440

  • Centre hospitalier du Pays d´Olmes - Résidence du Touyre

    Lavelanet, 09300

  • La Vendinelle

    Le Cabanial, 31460

  • Ehpad Barrere

    Lectoure, 32700

  • Ehpad Feral

    Lectoure, 32700

  • Résidence Curtis

    Léguevin, 31490

  • EHPAD L´Oasis

    Livinhac-le-Haut, 12300

  • EHPAD La Madone

    Lourdes, 65100

  • EHPAD Le Petit Jer

    Lourdes, 65100

  • EHPAD Notre Dame des Grâces

    Lugan, 12220

  • EHPAD Le Paginet

    Lunac, 12270

  • MAPAD Les logis de l´Impernal

    Luzech, 46140

  • EHPAD Le santoulis

    Luzenac, 09250

  • EHPAD Saint Joseph

    Marcillac-Vallon, 12330

  • Val de Gers

    Masseube, 32140

  • EHPAD Le Clos du Raunier

    Mazères, 09270

  • MR Beau Séjour

    Mercuès, 46090

  • EHPAD du CH Millau - St Michel

    Millau, 12100

  • EHPAD Les Charmettes

    Millau, 12100

  • EHPAD Louise de Roquelaure

    Mirepoix, 09500

  • EHPAD de MONESTIES

    Monestiés, 81640

  • Ange Gardien

    Montauban, 82000

  • Montauban - Ehpad Ushpa

    Montauban, 82000

  • MR Saint Orens

    Montauban, 82000

  • St Jean Marie Vianney

    Montbeton, 82290

  • MR Sainte-Marie

    Montcuq, 46800

  • M.R La Roseraie

    Montfaucon, 46240

  • MR L´Etoile du Soir

    Montredon, 46270

  • L´Hermitage

    Montréjeau, 31210

  • EHPAD Rés. Parc de la Corette

    Mur-de-Barrez, 12600

  • Le Barry

    Muret, 31600

  • Résidence Marie-Antoinette

    Muret, 31600

  • EHPAD Résidence les deux vallées

    Nant, 12230

  • EHPAD Sainte Marie les Ursulines

    Nant, 12230

  • EHPAD Résidence du Lac

    Orleix, 65800

  • Centre Alzheimer Marie-Louise

    Pechbonnieu, 31140

  • La Houlette

    Pibrac, 31820

  • La Tranquilité

    Pins-Justaret, 31860

  • Cité Saint Joseph

    Plaisance Du Gers, 32160

  • Le Prat

    Plaisance-du-Touch, 31830

  • Oasis-Palmeraie

    Pointis-de-Rivière, 31210

  • EHPAD La résidence du Lac

    Pont-de-Salars, 12290

  • L´Auta

    Portet-sur-Garonne, 31120

  • EHPAD Résidence du petit bois

    Pradines, 46090

  • M.R Les balcons du Lot

    Prayssac, 46220

  • M.R Les Lavandes

    Puy-l´Évêque, 46700

  • EHPAD la Maison Du Lac

    Puygouzon, 81990

  • Résidence Isatis

    Quint-Fonsegrives, 31120

  • EHPAD Hermitage et Terrasses de Rabastens

    Rabastens, 81800

  • EHPAD Jean Baptiste Delfau

    Réquista, 12170

  • EHPAD de Revel

    Revel, 31250

  • EHPAD Les Rosiers

    Rignac, 12390

  • Bel Adour

    Riscle, 32400

  • EHPAD Bon Accueil

    Rodez, 12000

  • EHPAD Julie Chauchard

    Rodez, 12000

  • EHPAD Saint Cyrice

    Rodez, 12000

  • EHPAD Saint Jacques du CH

    Rodez, 12000

  • EHPAD Le clos de Siloe

    Roquecourbe, 81210

  • EHPAD La Miséricorde

    Saint-Affrique, 12400

  • Les Clos des Amandiers

    Saint-Alban, 31140

  • EHPAD St Jean

    Saint-Amans-des-Cots, 12460

  • Résidence de l´abbaye

    Saint-Antonin-Noble-Val, 82140

  • Lavallée

    Saint-Clar, 32380

  • EHPAD Les Galets d´Olt

    Saint-Côme-d´Olt, 12500

  • Le Mas Saint-Pierre

    Saint-Gaudens, 31800

  • L´Ensoleillade

    Saint-Gaudens, 31800

  • EHPAD de l´Hôpital local

    Saint-Geniez-d'Olt, 12130

  • Centre hospitalier Ariège Couserans

    Saint-Girons, 09201

  • EHPAD Le Val d´Olt

    Saint-Laurent-d'Olt, 12560

  • EHPAD Hector d´Ossun

    Saint-Lizier, 09190

  • Les Rossignols

    Saint-Lys, 31470

  • Maréchal Leclerc

    Saint-Lys, 31470

  • Résidence La Joie de Vivre

    Saint-Lys, 31470

  • EHPAD Clos St François

    Saint-Sernin-sur-Rance, 12380

  • Ehpad Chez Nous

    Saint-Sulpice, 81370

  • EHPAD Les grands chênes

    Saïx, 81710

  • EHPAD Petite Plaisance SAVAGNAC

    Salvagnac, 81630

  • EHPAD Vert Coteau

    Saverdun, 09700

  • EHPAD Paul Ané

    Seix, 09140

  • La Septfontoise

    Septfonds, 82240

  • Ehpad Le Pre Fleuri

    Serviès, 81220

  • EHPAD Sainte Marie

    Siradan, 65370

  • EHPAD St Vinçent et Ste Croix

    Sorèze, 81540

  • Les Tourelles

    Toulouse, 31000

  • Maurice Garrigou

    Toulouse, 31000

  • Plénitude Saint-Michel

    Toulouse, 31000

  • Résidence Saint-Simon

    Toulouse, 31035

  • La Cotonnière

    Toulouse, 31200

  • Arc-en-Ciel

    Toulouse, 31300

  • EHPAD Les Fontaines

    Toulouse, 31300

  • La Pastellière

    Toulouse, 31300

  • Orpéa Crampel

    Toulouse, 31400

  • Caroline Baron

    Toulouse, 31500

  • Le Grand Marquisat

    Tournefeuille, 31170

  • Ehpad Belcantou

    Trébas, 81340

  • EHPAD Résidence Les Rives du Pélam

    Trie-sur-Baïse, 65220

  • EHPAD du Centre Hospitalier Des Deux Rives

    Valence, 82400

  • M.R Résidence Valpré

    Vayrac, 46110

  • EHPAD ND de Touscayrats

    Verdalle, 81110

  • MR Saint Jacques

    Verdun-sur-Garonne, 82600

  • EHPAD La Clairière - Les Acacias

    Vic-en-Bigorre, 65500

  • Ch Vic-Fezensac

    Vic-Fezensac, 32190

  • Le Château fleuri

    Vic-Fezensac, 32190

  • EHPAD Sainte Claire

    Villefranche-de-Rouergue, 12200

  • EHPAD Sud Rulhedu CH

    Villefranche-de-Rouergue, 12200

  • Le Pin

    Villeneuve-Tolosane, 31270

Other trials in France

About this study

Official title: Impact of Either Audit and Feedback Only or Audit and Feedback Associated to Cooperative Work Meetings Between Hospital Geriatricians and Nursing Home Staff on Quality Indicators and Health Care Practices in Nursing Homes.

Introduction: Efficacy of audit and feedback interventions on nursing home (NH)quality indicators is not well-established.

The main objective: The main purpose of the IQUARE study was to examine the impact of two types of audit and feedback interventions on NH quality indicators and on residents dependence levels in a 18-month follow-up.

Read more

Study hypothesis: We hypothesised that audit and feedback associated to educational and professional supportive interventions are more efficacy in improving NH quality indicators than audit and feedback only.

Secondary objectives: Investigate the impact of the interventions on

  1. Residents:
  • Functional decline rate
  • Drug prescriptions (quantity and quality)
  • Prevalence of adverse health outcomes (e.g., falls)
  1. NHs:
  • Planning and implementation of therapeutic measures
Read the detailed description

IQUARE is a multicentric individually-tailored controlled trial comparing two types of audit and feedback interventions:

  • audit and feedback associated to cooperative work meetings between hospital geriatricians and nursing home (NH) staff in a 6-month intervention (strong intervention)
  • audit and feedback only (light intervention) Power statistics and sample size calculations indicated that each group should be composed of at least 2 500 individuals. The strong intervention will last 6 months and is composed of two face-to-face cooperative meetings (hospital geriatricians and NH staff). Data will be collected at baseline and in a 18-month follow-up.
Being tested
Audit and Feedback, Cooperative Work
Keywords
Quality indicators, quality of care, nursing home, long-term care unit, nursing home organisation, nursing home structure, disability, dependence, functional decline, functional impairment, older adults, elderly, audit and feedback, cooperative work, geriatrician, medication, hospitalisation, comorbidity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Audit and FeedbackBehavioural

    Descriptive statistics to each nursing home (NH) with regards to its own indicators of quality and residents' health status, and the same descriptive statistics on the sub-regional and regional levels were done to all NHs for comparative purposes.

  • Cooperative WorkBehavioural

    Nursing homes (NH)in the strong intervention group had two half-day meetings of cooperative work with a hospital geriatrician to identify NHs' weaknesses regarding quality of care and to establish strategies for overcoming these weaknesses.

Study groups in NCT01703689
Study groupRoleWhat they receive
strong intervention group (SIG)ExperimentalNursing homes that received audit and feedback information on quality indicators and benefited of cooperative work meetings with hospital geriatricians
Receives: Behavioral: Audit and Feedback; Behavioral: Cooperative Work
intervention group (LIG)Active comparatorNursing homes that only received audit and feedback information on quality indicators
Receives: Behavioral: Audit and Feedback

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in nursing home quality indicators at 18 months

    Indicators of quality of care in 10 main outcomes: dementia (e.g.,prevalence of cognitive assessment), behavioural disturbances (e.g., prevalence of behavioural disturbances assessment), restraining (e.g., prevalence of restrained residents with a medical prescription for restraining), mood (e.g., prevalence of mood assessment), osteoporosis and falls (e.g., systematic analysis of fall records), nutrition (e.g., prevalence of residents who were weighed ≥ 3 times in the last 3 months), pressure ulcers (e.g., prevalence of residents who were evaluated for the risk of pressure ulcers), pain (e.g., prevalence of residents who were evaluated for pain among residents in end-of-life), medication (e.g., prevalence of re-evaluation of residents' drug prescriptions among residents who take psychotropic), and care and services (e.g., prevalence of hospitalisations in the emergency department in the last 12 months).

    Measured: baseline and 18-month follow-up

Secondary outcomes (1)

  1. Onset of dependence in activities of daily living from baseline to 18 months follow-up

    Onset of dependence will be measured using the 6-item Katz ADL scale. Activities examined are: bathing, dressing, transferring, walking inside home, incontinence, and eating/drinking. Ability in executing each activity will be set as: "able to execute alone, without difficulty", "able to execute alone, with some difficulty", or "needing help to execute or unable to execute".

    Measured: baseline and 18-month follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Oct 2012 (estimated)
  2. Study startMay 2011
  3. Primary completionJul 2011
  4. Study completionMar 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
8,039 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01703689
Sponsor's protocol ID
ARSMP.2010.1
Acronym
IQUARE
Status last verified
Jul 2016
First submitted
27 Sep 2012
Last updated
19 Jul 2016
Results posted
No
Data monitoring committee
No

Publications

  • Dubucs X, de Souto Barreto P, Rolland Y. Organizational and environmental factors associated with transfers of nursing home residents to emergency departments. Eur Geriatr Med. 2018 Jun;9(3):339-346. doi: 10.1007/s41999-018-0059-x. Epub 2018 May 8.

    PubMed 34654246

  • Cool C, Cestac P, McCambridge C, Rouch L, de Souto Barreto P, Rolland Y, Lapeyre-Mestre M. Reducing potentially inappropriate drug prescribing in nursing home residents: effectiveness of a geriatric intervention. Br J Clin Pharmacol. 2018 Jul;84(7):1598-1610. doi: 10.1111/bcp.13598. Epub 2018 May 14.

    PubMed 29607568

  • Laffon de Mazieres C, Lapeyre-Mestre M, Vellas B, de Souto Barreto P, Rolland Y. Organizational Factors Associated With Inappropriate Neuroleptic Drug Prescribing in Nursing Homes: A Multilevel Approach. J Am Med Dir Assoc. 2015 Jul 1;16(7):590-7. doi: 10.1016/j.jamda.2015.01.092. Epub 2015 Mar 10.

    PubMed 25769961

Questions about this trial

What is this clinical trial studying?

A study testing Audit and Feedback and Cooperative Work in people with Quality Indicators and Physical Disability, run by Agence Régionale de la Santé - Midi Pyrénées at 175 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Jul 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 175 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in nursing home quality indicators at 18 months (time frame: baseline and 18-month follow-up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01703689, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Jul 2016.

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