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Effect of a multifaceted educational program for care staff concerning fecal incontinence in nursing home patients: study protocol of a cluster randomized controlled trial

Overview of attention for article published in Trials, March 2015
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Title
Effect of a multifaceted educational program for care staff concerning fecal incontinence in nursing home patients: study protocol of a cluster randomized controlled trial
Published in
Trials, March 2015
DOI 10.1186/s13063-015-0595-3
Pubmed ID
Authors

Lene Elisabeth Blekken, Anne Guttormsen Vinsnes, Kari Hanne Gjeilo, Siv Mørkved, Øyvind Salvesen, Christine Norton, Sigrid Nakrem

Abstract

Fecal incontinence has a high prevalence in the older population, which cannot be explained by comorbidity or the anatomical or psychological changes of aging alone. Fecal incontinence leads to a high economic burden to the healthcare system and is an important cause of institutionalization. In addition, fecal incontinence is associated with shame, social isolation and reduced quality of life. The importance of identifying treatable causes in the frail elderly is strongly emphasized. It is recommended that an assessment of fecal incontinence should be implemented as part of an evaluation of older patients. Although there is a substantial evidence base to guide choice of implementation activities targeting healthcare professionals, little implementation research has focused on the care of older people nor involved care processes or care personnel. This study is based on the assumption that fecal incontinence among nursing home patients can be prevented, cured or ameliorated by offering care staff knowledge of best practice through a multifaceted educational program. The primary objective is to test the hypothesis that a multifaceted educational program for nursing home care staff on assessment and treatment of fecal incontinence reduces patients' frequency of fecal incontinence. The study is a two-armed, parallel cluster-randomized controlled trial. Primary outcome is the frequency of fecal incontinence among patients. Sample size calculations resulted in a need for a total sample of 240 patients. Twenty nursing home units in one city in Norway will be recruited and allocated to intervention or control by an independent statistician using computer-generated tables. The intervention is a multifaceted educational program. Units in the control arm will provide care as usual. The intervention period is 3 months. Data will be collected at baseline, 3, and 6 months. Data will be analyzed using mixed effect models with the cluster treated as a random effect. This study is the first randomized controlled trial specifically focusing on this neglected area. The result of the study will give evidence for best practice for continence care in nursing homes, and organizational advice concerning implementation strategies. ClinicalTrials.gov: NCT02183740 , registered June 2014.

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The data shown below were compiled from readership statistics for 153 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 2 1%
United Kingdom 1 <1%
Denmark 1 <1%
Unknown 149 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 29 19%
Student > Bachelor 13 8%
Student > Ph. D. Student 12 8%
Student > Doctoral Student 12 8%
Researcher 11 7%
Other 34 22%
Unknown 42 27%
Readers by discipline Count As %
Nursing and Health Professions 27 18%
Medicine and Dentistry 25 16%
Social Sciences 23 15%
Unspecified 10 7%
Psychology 4 3%
Other 17 11%
Unknown 47 31%