An interventional study of Multifaceted educational program in Fecal Incontinence, sponsored by Norwegian University of Science and Technology. Completed at 1 site in Norway. Per ClinicalTrials.gov, last updated 2017-01-26.
Sponsored by Norwegian University of Science and Technology · Not applicable, Interventional, and Treatment
Fecal incontinence (FI) has an increasing prevalence in the geriatric population which cannot be explained by co-morbidity or anatomical and psychological changes of aging alone. In the nursing home population previous studies suggest a prevalence between 10 and 69%, but is most often reported to be between 40 and 55%. FI leads to a high direct and indirect economic burden to the health-care system, and is an important cause og institutionalization of the elderly patients. In addition, FI is associated with shame, social isolation and reduced quality of life.
The importance of identifying treatable causes of FI in the frail elderly, rather than just managing passively, is strongly emphasized. It is indicated that the level of awareness among health personnel regarding appropriate assessment and treatment options is limited, and that FI is considered a normal part of aging.
This study is based on the assumption that FI among nursing home patients can be prevented, cured or ameliorated by offering nursing home staff knowledge of best practise. The primary objective of the study is to test the hypothesis that a multifaceted educational program for staff on assessment and treatment of FI, is associated with a reduction in patients' frequency of FI.
The design of the study is a two armed cluster randomized trail (C-RCT) with a repeated cross-sectional approach.The results will be analysed according to multilevel and longitudinal modelling, and the study will use mixed effect models with the cluster treated as a random effect.
312 studies on the registry are indexed under Fecal Incontinence; 57 are open to participants now.
This study's enrollment of 300 is above the median of 50 across 216 interventional studies indexed under Fecal Incontinence.
Browse Fecal Incontinence studies →Norwegian University of Science and Technology is the lead sponsor of 487 studies on the registry; 52 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Nursing homes with similar:
Patients:
Registered Nurses/authorized social educators:
Exclusion Criteria:
Nursing homes:
Patients:
Registered nurses/authorized social educator:
A multifaceted educational program for nursing home staff consisting of: 1. One seven hours educational meeting (interactive workshop) conducted in the nursing home. Theoretical input and case-base discussions considering guidelines for nurse led assessment og interventions of patients fecal incontinence.The content will be made available as educational material. 2. Recruitment of one local opinion leader per nursing home unit. 3. Seven educational outreach meetings (1 hour 30 minutes per meeting) during the three months intervention period.
Behavioral: Multifaceted educational program
The control arm will not receive any educational program and will continue with usual care. Data with information about ordinary care will be gathered as part of the data collection procedure in the study.
Change in frequency of fecal incontinence among patients
As measured by The Long-Term Care Facilities Assessment System (interRAI-LTCF 2012), section H: Continence. Because of relatively high risk of death and movement out of clusters, a repeated cross-sectional opproach to analyses will be used. Frequency of FI will thereby be analysed on a across-sectional group level.
Time frame: Baseline, after 3 months and after 6 months
Remission of fecal incontinence among patients
For remission of FI a cohort approach to data analyses with only those identified with FI at baseline and still present at 3 and 6 month follow-up, will be included in the analyses
Time frame: Baseline, after 3 months and after 6 months
Change in knowledge among registered nurses and authorized social educators
Measured my a multiple choice test
Time frame: Baseline, after 3 months and after 6 months
Change in FI-related concerns among patients
Relevant concerns as measured by The Long-Term Care Facilities Assessment System (interRAI-LTCF 2012) are: Mood and behavior, psycho-social wellbeing, urinary continence, constipation, diarrhea, skin condition, participation in activities
Time frame: Baseline, after 3 months and after 6 months
Correlates of FI among patients
Relevant correlates as measured by The Long-Term Care Facilities Assessment System (interRAI-LTCF 2012) are: cognitive functioning, communication and vision, functionality and mobility, medical diagnosis, mouth and nutrition status, medications, treatment, examination/procedures
Time frame: Baseline, after 3 months and after 6 months
Change in behavior among health personnel
Measured by analyses of patient assessments and interventions as documented by health personnel in the electronic patient record and by the Fecal Incontinence in Nursing Home Patients questionnaire
Time frame: Baseline, after 3 months and after 6 months
Plan to share: No
This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.
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Norwegian University of Science and Technology