PROSENIOR. Prevention of Pressure Ulcers, Malnutrition, Poor Oral Health and Falls Among Older Persons Receiving Municipal Health Care and Are Registered in the Quality Registry Senior Alert

Condition(s) studied

Investigational drug(s) / intervention(s)

Care process for assessements of risks: Intervention aiming to reduce the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, workshops will be conducted in collaboration with nurse aides, registered nurses and managers. Cluster randomization is going to take place via a computerized program prior to the workshops meaning that only those nurse aides, registered nurses and managers working in nursing homes allocated to the intervention group are going to develop an intervention together with the research group and then test it .

Study summary

Inclusion criteria for study I and II is nurse aides, registered nurses and managers working in nursing homes who register in Senior Alert. To develop an intervention aiming to reduce the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, workshops will be conducted in collaboration with nurse aides, registered nurses and managers (study I). Cluster randomization is going to take place via a computerized program prior to the workshops meaning that only those nurse aides, registered nurses and managers working in nursing homes allocated to the intervention group are going to develop an intervention together with the research group and then test it (study II). The remaining nurse aides, registered nurses and managers working in nursing homes in the control group continue with regular care.

Eligibility

Primary outcome measure(s)

• Risk assessments and prevention care interventions focusing on falls. — Baseline 6 months prior to intervention
  Registry data from Senior Alert based on the following assessment: Downtown Fall Risk Index.
• Risk assessments and prevention care interventions focusing on pressure ulcers. — Baseline 6 months prior to intervention
  Registry data from Senior Alert based on the following assessment: The Modified Norton scale to measure risk for pressure ulcer.
• Risk assessments and prevention care interventions focusing on malnutrition. — Baseline 6 months prior to intervention
  Registry data from Senior Alert based on the following assessment: The Short Form-Mini Nutritional Assessment measure malnutrition.
• Risk assessments and prevention care interventions focusing on poor oral health — Baseline 6 months prior to intervention
  Registry data from Senior Alert based on the following assessment: The Revised Oral Assessment Guide (ROAG) to assess poor oral health.
• Risk assessments and prevention care interventions focusing on falls. — 1 month after intervention
  Registry data from Senior Alert based on the following assessment: Downtown Fall Risk Index.
• Risk assessments and prevention care interventions focusing on pressure ulcers. — 1 month after intervention
  Registry data from Senior Alert based on the following assessment: The Modified Norton scale to measure risk for pressure ulcer.
• Risk assessments and prevention care interventions focusing on malnutrition. — 1 month after intervention
  Registry data from Senior Alert based on the following assessment: The Short Form-Mini Nutritional Assessment measure malnutrition.
• Risk assessments and prevention care interventions focusing on poor oral health. — 1 month after intervention
  Registry data from Senior Alert based on the following assessment: The Revised Oral Assessment Guide (ROAG) to assess poor oral health.
• Risk assessments and prevention care interventions focusing on falls. — 6 months after intervention
  Registry data from Senior Alert based on the following assessment: Downtown Fall Risk Index.
• Risk assessments and prevention care interventions focusing on pressure ulcers. — 6 months after intervention
  Registry data from Senior Alert based on the following assessment: The Modified Norton scale to measure risk for pressure ulcer.
• Risk assessments and prevention care interventions focusing on malnutrition. — 6 months after intervention
  Registry data from Senior Alert based on the following assessment: The Short Form-Mini Nutritional Assessment measure malnutrition.
• Risk assessments and prevention care interventions focusing on poor oral health. — 6 months after intervention
  Registry data from Senior Alert based on the following assessment: the Revised Oral Assessment Guide (ROAG) to assess poor oral health.
• Risk assessments and prevention care interventions focusing on falls. — 12 months after intervention
  Registry data from Senior Alert based on the following assessment: Downtown Fall Risk Index.
• Risk assessments and prevention care interventions focusing on pressure ulcers. — 12 months after intervention
  Registry data from Senior Alert based on the following assessment: The Modified Norton scale to measure risk for pressure ulcer.
• Risk assessments and prevention care interventions focusing on malnutrition. — 12 months after intervention
  Registry data from Senior Alert based on the following assessment: The Short Form-Mini Nutritional Assessment measure malnutrition.
• Risk assessments and prevention care interventions focusing on poor oral health. — 12 months after intervention
  Registry data from Senior Alert based on the following assessment: The Revised Oral Assessment Guide (ROAG) to assess poor oral health.

Trial sites (1)

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