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Completed

NCT Number: NCT05193773

Effects of a Multifactorial Intervention to Reduce Physical Restraints for Care Providers in Nursing Homes

Scholars from around the world have been strongly advocating restraint-free care in long-term care institutions. Therefore, the aim of this study was to evaluate the effects of a multifactorial intervention to reduce physical restraints for care providers in nursing homes.

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Key information

Conditions

Nursing Homes Intervention Older People

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Nursing Homes

Miaoli, Taiwan

About this study

In Taiwanese nursing homes, the use of physical restraints on residents as a protective measure is fairly common. However, physical restraints can be seen as a violation of human rights, and there is no guarantee of the effectiveness or safety of such physical restraints.This study was to evaluate the effects of a multifactorial intervention to reduce physical restraints for care providers in nursing homes. A cluster randomized controlled trial was conducted using pretest-posttest control group design. A purposive sampling of participants was chosen from care providers of 6 nursing home institutions in Taiwan, who were then randomly assigned to the experimental group (3 nursing homes) or the control group (3 nursing homes). The experimental group underwent multifactorial interventions to reduce physical restraint.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • A full-time care provider
  • Worked in a nursing home for more than three months
  • Care providers have imposed physical restraints on elderly residents aged 60 or above Within the last month.

Exclusion criteria

  • can't speak or read chinese, Vietnamese, Indonesian

Treatment and study plan

multifactorial interventions

Other

The experimental group underwent multifactorial interventions to reduce physical restraint, including developing routines for physical restraint, promoting institutional policies to reduce the use of physical restraint, developing alternative methods, education, and consultations.

Primary outcomes

  1. knowledge

    Time frame: 8 minutes

    The Knowledge of Restraints use scale . The Knowledge of Restraints use scale was used to assess the knowledge component. The scale consists of 20 items scored as 1 (true) or 0 (false or uncertainty). A higher score indicates more knowledge; total scores range from 0 to 20.

  2. Attitudes

    Time frame: 8 minutes

    The Attitudes of Restraints use scale . The Attitudes of Restraints use scale was used to assess participants' attitudes about restraint use. The scale is a 15 items with a 5-point Likert scale ranging from 1 (not at all agree) to 5 (most agree); the range of total scores is from 15 to 75. Higher scores indicate more negative attitudes about physical restraint use.

  3. Behavior

    Time frame: 4 minutes

    The Behavior of restraints use scale . The Behavior of restraints use scale was used to assess care providers' behavior about restraint use. The scale consists of 13 items scored as 1 (yes) or 0 (no); the range of total scores is from 0 to 13. The higher the score, the better the behavior.

  4. physical restraint use

    Time frame: 1 minutes

    the percentage of physical restraint use

Secondary outcomes

  1. Restraint types

    Time frame: 1 minutes

    The percentage of restraint types use. The restraint types including device (wrist belt, waist belt, ankle belt, vest in wheel chair, belt in wheel chair, wheel chair with a table board, hand mitts, special sheet etc), area (trunk, waist, ankle, wrist), belt in bed, belt in wheel chair, day time, night, whole day.

  2. Multiple restraints

    Time frame: 1 minutes

    the percentage of multiple restraints

  3. agitated and inappropriate behavior

    Time frame: 1 minutes

    the percentage of agitated and inappropriate behavior

  4. Extubation rate

    Time frame: 1 minutes

    the percentage of extubation

  5. falls rate

    Time frame: 1 minutes

    the percentage of falls

  6. psychotropic medication prescriptions

    Time frame: 1 minutes

    the percentage of psychotropic medication prescriptions

  7. fall-related fractures

    Time frame: 1 minutes

    the percentage of fall-related fractures

Sponsors and collaborators

Lead sponsor

Su-Hua Liang

Other

Registry information

Official study title

The Effects of a Multifactorial Intervention to Reduce Physical Restraints for Care Providers in Nursing Homes: A Cluster Randomized Controlled Trial

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Jan 18, 2022
Registry last updated
Jan 18, 2022

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.

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