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The journal of nutrition, health & aging

, Volume 17, Issue 2, pp 173–178 | Cite as

A multicentric individually-tailored controlled trial of education and professional support to nursing home staff: Research protocol and baseline data of the IQUARE study

  • Philipe de Souto BarretoEmail author
  • M. Lapeyre-Mestre
  • C. Mathieu
  • C. Piau
  • C. Bouget
  • F. Cayla
  • B. Vellas
  • Y. Rolland
Article

Abstract

Background

Whilst the number of people living in nursing homes (NH) is expected to rise, research on NH quality is scarce. The purpose of this article is to describe the research protocol of the IQUARE study and to present its baseline data.

Methods and design

IQUARE is a 18-month multicentric individually-tailored controlled trial of education and professional support to NH staff. The main purposes of IQUARE are to improve the quality of the health care provided in NHs and to reduce the risk of functional decline among residents. Data on internal organisation and residents’ health for the 175 participating NHs were recorded by NH staff at baseline. NHs were allocated to either a light intervention group (LIG, n = 90 NHs, totalising 3 258 participants) or a strong intervention group (SIG, n = 85 NHs, totalising 3 017 participants). Intervention for LIG consisted at delivering to NH staff descriptive statistics on indicators of quality regarding their NH and the NHs from their sub-region of health and region; whereas for SIG, NH staff received the same information that LIG, but quality indicators were discussed by a cooperative work (two half-day meetings) between a hospital geriatrician and NH staff. Strategies for overcoming NH’s weaknesses were then traced; the efficacy of strategies is evaluated at a 6-month period.

Results

Baseline data showed high levels of dependence, comorbidities, psychological disturbances and medication’s consumption among NH residents. Large discrepancies among NHs were observed.

Conclusions

IQUARE is one of the largest controlled trials in NHs developed in France. Results from IQUARE may constitute the basis for the development of new work modalities within the French health system, and serve as a model of a feasible research approach in NHs.

Key words

Older adults nursing home quality indicator controlled trial health care 

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Copyright information

© Serdi and Springer-Verlag France 2013

Authors and Affiliations

  • Philipe de Souto Barreto
    • 1
    • 2
    • 7
    Email author
  • M. Lapeyre-Mestre
    • 3
    • 4
  • C. Mathieu
    • 5
  • C. Piau
    • 6
  • C. Bouget
    • 6
  • F. Cayla
    • 5
  • B. Vellas
    • 1
    • 3
  • Y. Rolland
    • 1
    • 3
  1. 1.Gérontopôle de Toulouse, Institut du VieillissementCentre Hospitalo-Universitaire de Toulouse (CHU Toulouse)ToulouseFrance
  2. 2.Laboratoire d’Anthropologie bioculturelle, droit, éthique et santéUMR7268 Aix-Marseille Univ.Aix-en-ProvenceFrance
  3. 3.UMR INSERM 1027University of Toulouse IIIToulouseFrance
  4. 4.Service de Pharmacologie CliniqueCHU de ToulouseToulouseFrance
  5. 5.Observatoire Régional de la Santé de Midi-Pyrénées (ORSMIP)ToulouseFrance
  6. 6.Agence Régionale de la Santé — Midi PyrénéesToulouseFrance
  7. 7.Gérontopôle de ToulouseInstitut du Vieillissement.ToulouseFrance

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