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Reducing physical restraints in psycho-geriatric nursing home residents.


- candidate number2048
- NTR NumberNTR648
- ISRCTNISRCTN10117742
- Date ISRCTN created19-jun-2006
- date ISRCTN requested16-mei-2006
- Date Registered NTR4-apr-2006
- Secondary IDsN/A 
- Public TitleReducing physical restraints in psycho-geriatric nursing home residents.
- Scientific TitleEffects of an educational intervention on physical restraint use in psycho-geriatric nursing home residents.
- ACRONYMN/A
- hypothesisIt is hypothesized that an educational intervention will lead to a reduction of restraint use in psycho-geriatric nursing home residents.
- Healt Condition(s) or Problem(s) studiedPhysical restraint use
- Inclusion criteriaPsycho-geriatric nursing home residents.
- Exclusion criteriaNursing home residents suffering from Korsakovís disease or psychiatric diseases are excluded.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-sep-2003
- planned closingdate1-okt-2006
- Target number of participants400
- InterventionsThe educational intervention consists of an educational programme combined with consultation with a nurse specialist. The educational intervention is designed to comply with the decision-making process concerning restraint use defined in a Dutch guideline for restraint use in care situations and to cause nurses to embrace a philosophy of restraint-free care and be familiar with techniques of individualized care. Nurses in the experimental group attended the educational programme on restraint use. Furthermore, consultation with a nurse specialist was introduced on the experimental wards. There was no educational intervention in the control group and residents received the normal care.
- Primary outcome1. Restraint prevalence: the percentage of residents observed restrained at any time during the 24-hour period;
2. Restraint intensity: the number of times in four observations that a particular residents is restrained;
3. Restraint types: restraint types used in residents;
4. Multiple restraint: the number of different restraint types used per resident recorded during the four observations.
- Secondary outcome1. Residents characteristics, like demographic characteristics, cognitive status, self performance in activities of daily living, mobility, fall incidence, fall-related injuries and psycho-active drug use;
2. Organisational characteristics, like workload of nurses and staffing level on the wards.
- TimepointsN/A
- Trial web siteN/A
- statusstopped: trial finished
- CONTACT FOR PUBLIC QUERIESMSc. Anna Huizing
- CONTACT for SCIENTIFIC QUERIESMSc. Anna Huizing
- Sponsor/Initiator University Maastricht (UM), Department of Health Care Studies
- Funding
(Source(s) of Monetary or Material Support)
University Maastricht (UM), Province of Limburg, Zorggroep Meander Oostelijk Zuid-Limburg
- PublicationsHuizing AR, Hamers JPH, Gulpers MJM, Berger MPF. Short-term effects of an educational intervention on physical restraint use: a pilot study. Submitted for publication. BMC Geriatr. 2006 Oct 26;6:17.
- Brief summaryPhysical restraints are still frequently used in nursing home residents despite growing evidence for the ineffectiveness and negative consequences of these methods. Therefore, reduction of physical restraint use is very important. The aim of the study is to investigate whether an educational intervention has an effect on the use of physical restraints in psycho-geriatric nursing home resident. A cluster randomized trial is applied to 15 psycho-geriatric nursing home wards (n=400 residents with dementia). The wards were assigned at random to either educational intervention (8 wards) or control status (7 wards). At baseline, 1 month, 4 months and 8 months post-intervention, restraint status was observed and residentsí characteristics, like mobility, cognitive status and fall incidence, were determined by using the Minimum Data Set (MDS) version 2.1 and the accident registration form. Organizational characteristics, like workload of nurses and FTE were determined by questionnaires and examination of registration systems of the nursing homes.
- Main changes (audit trail)
- RECORD4-apr-2006 - 29-okt-2010


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