naa a22 4500 510786944 CHVBK 20180411083305.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12603-013-0008-9 doi (NATIONALLICENCE)springer-10.1007/s12603-013-0008-9 A multicentric individually-tailored controlled trial of education and professional support to nursing home staff: Research protocol and baseline data of the IQUARE study [Elektronische Daten] [Philipe de Souto Barreto, M. Lapeyre-Mestre, C. Mathieu, C. Piau, C. Bouget, F. Cayla, B. Vellas, Y. Rolland] 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. Serdi and Springer-Verlag France, 2013 Older adults nationallicence nursing home nationallicence quality indicator nationallicence controlled trial nationallicence health care nationallicence de Souto Barreto Philipe Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France aut Lapeyre-Mestre M. UMR INSERM 1027, University of Toulouse III, Toulouse, France aut Mathieu C. Observatoire Régional de la Santé de Midi-Pyrénées (ORSMIP), Toulouse, France aut Piau C. Agence Régionale de la Santé — Midi Pyrénées, Toulouse, France aut Bouget C. Agence Régionale de la Santé — Midi Pyrénées, Toulouse, France aut Cayla F. Observatoire Régional de la Santé de Midi-Pyrénées (ORSMIP), Toulouse, France aut Vellas B. Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France aut Rolland Y. Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France aut The journal of nutrition, health & aging Springer-Verlag 17/2(2013-02-01), 173-178 1279-7707 17:2<173 2013 17 12603 https://doi.org/10.1007/s12603-013-0008-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0008-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- de Souto Barreto Philipe Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France aut NATIONALLICENCE 700 1- Lapeyre-Mestre M. UMR INSERM 1027, University of Toulouse III, Toulouse, France aut NATIONALLICENCE 700 1- Mathieu C. Observatoire Régional de la Santé de Midi-Pyrénées (ORSMIP), Toulouse, France aut NATIONALLICENCE 700 1- Piau C. Agence Régionale de la Santé — Midi Pyrénées, Toulouse, France aut NATIONALLICENCE 700 1- Bouget C. Agence Régionale de la Santé — Midi Pyrénées, Toulouse, France aut NATIONALLICENCE 700 1- Cayla F. Observatoire Régional de la Santé de Midi-Pyrénées (ORSMIP), Toulouse, France aut NATIONALLICENCE 700 1- Vellas B. Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France aut NATIONALLICENCE 700 1- Rolland Y. Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/2(2013-02-01), 173-178 1279-7707 17:2<173 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer