Completed

NCT Number: NCT06034444

Better tArgetting, Better Outcomes for Frail ELderly Patients

The acronym for this proposal, BABEL, refers to the fact that a common "language" - the interRAI risk-stratification and decision-making tool - will be used in this project, allowing several measures of care quality in long-term care facilities to be compared with those in other provinces for the first time. The impact of the use of this assessment system and associated care planning protocols will also be investigated using usual practice as the point of reference.

Completed

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Key information

Conditions

Residents in Longterm Care Facilities

Sex eligibility

All sexes

Study type

Observational

Primary location

Donald Berman Maimonides

Montreal, Quebec, H4W 2Y6, Canada

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

All nursing home residents in a particular unit where standardized evaluations are being introduced (for example, all residents in a particular floor or wing of the longterm care facility)

Exclusion criteria

Residents who are admitted to a nursing home unit for less than 1 week.

Treatment and study plan

interRAI LTCF

Other

Standardized evaluations (interRAI LTCF) will be introduced to selected nursing homes in Quebec.

Primary outcomes

Change in depression prevalence

Time frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months

Depression rating scale score of 3 or more (from interRAI LTCF)
Change in prevalence of potentially inappropriate antipsychotic use

Time frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months

Use of antipsychotics in the absence of an appropriate diagnosis
Change in falls prevalence

Time frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months

Prevalence of falls among residents under study
Change in prevalence of pain

Time frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months

Using interRAI pain scale scores greater than 0
Change in the prevalence of physical restraints use

Time frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months

Use of physical restraints on residents as assessed using interRAI LTCF

Secondary outcomes

Change in prevalence of pressure ulcers

Time frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months

Stage 2 pressure ulcer on the interRAI pressure ulcer scale

Other outcomes

Change in other interRAI LTCF quality indicators

Time frame: Every 3 months, for a minimum of 6 months and a maximum of 36 months

interRAI LTCF evaluation leads to a number of quality indicators being generated each of which will be tracked over time for each facility to compare before and after effects, as well as comparisons with other centers in Canada

Sponsors and collaborators

Lead sponsor

Centre hospitalier de l'Université de Montréal (CHUM)

Other

Collaborators

Canadian Frailty Network

Registry information

Official study title

Better tArgetting, Better Outcomes for Frail ELderly Patients: A Quality Improvement Initiative in Long-term Care Facilities Using interRAI Long-term Care Assessment in Quebec

Acronym: BABEL

Important dates

Study start: 2018
Primary completion: 2020
Study completion: 2020
First posted: Sep 13, 2023
Registry last updated: Sep 13, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.