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Evidence-based intervention to reduce avoidable hospital admissions in care home residents (the Better Health in Residents in Care Homes (BHiRCH) study): Protocol for a pilot cluster randomised trial

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Evidence-based intervention to reduce avoidable hospital admissions in care home residents (the Better Health in Residents in Care Homes (BHiRCH) study) : Protocol for a pilot cluster randomised trial. / Sampson, E.L.; Feast, A.; Blighe, A.; Froggatt, K.; Hunter, R.; Marston, L.; McCormack, B.; Nurock, S.; Panca, M.; Powell, C.; Rait, G.; Robinson, L.; Woodward-Carlton, B.; Young, J.; Downs, M.

In: BMJ Open, Vol. 9, No. 5, e026510, 27.05.2019.

Research output: Contribution to journalJournal article

Harvard

Sampson, EL, Feast, A, Blighe, A, Froggatt, K, Hunter, R, Marston, L, McCormack, B, Nurock, S, Panca, M, Powell, C, Rait, G, Robinson, L, Woodward-Carlton, B, Young, J & Downs, M 2019, 'Evidence-based intervention to reduce avoidable hospital admissions in care home residents (the Better Health in Residents in Care Homes (BHiRCH) study): Protocol for a pilot cluster randomised trial', BMJ Open, vol. 9, no. 5, e026510. https://doi.org/10.1136/bmjopen-2018-026510

APA

Sampson, E. L., Feast, A., Blighe, A., Froggatt, K., Hunter, R., Marston, L., McCormack, B., Nurock, S., Panca, M., Powell, C., Rait, G., Robinson, L., Woodward-Carlton, B., Young, J., & Downs, M. (2019). Evidence-based intervention to reduce avoidable hospital admissions in care home residents (the Better Health in Residents in Care Homes (BHiRCH) study): Protocol for a pilot cluster randomised trial. BMJ Open, 9(5), [e026510]. https://doi.org/10.1136/bmjopen-2018-026510

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Sampson, E.L. ; Feast, A. ; Blighe, A. ; Froggatt, K. ; Hunter, R. ; Marston, L. ; McCormack, B. ; Nurock, S. ; Panca, M. ; Powell, C. ; Rait, G. ; Robinson, L. ; Woodward-Carlton, B. ; Young, J. ; Downs, M. / Evidence-based intervention to reduce avoidable hospital admissions in care home residents (the Better Health in Residents in Care Homes (BHiRCH) study) : Protocol for a pilot cluster randomised trial. In: BMJ Open. 2019 ; Vol. 9, No. 5.

Bibtex

@article{f7f729d3c2294d47a5ec5349ab186336,
title = "Evidence-based intervention to reduce avoidable hospital admissions in care home residents (the Better Health in Residents in Care Homes (BHiRCH) study): Protocol for a pilot cluster randomised trial",
abstract = "Introduction Acute hospital admission is distressing for care home residents. Ambulatory care sensitive conditions, such as respiratory and urinary tract infections, are conditions that can cause unplanned hospital admission but may have been avoidable with timely detection and intervention in the community. The Better Health in Residents in Care Homes (BHiRCH) programme has feasibility tested and will pilot a multicomponent intervention to reduce these avoidable hospital admissions. The BHiRCH intervention comprises an early warning tool for noting changes in resident health, a care pathway (clinical guidance and decision support system) and a structured method for communicating with primary care, adapted for use in the care home. We use practice development champions to support implementation and embed changes in care. Methods and analysis Cluster randomised pilot trial to test study procedures and indicate whether a further definitive trial is warranted. Fourteen care homes with nursing (nursing homes) will be randomly allocated to intervention (delivered at nursing home level) or control groups. Two nurses from each home become Practice Development Champions trained to implement the intervention, supported by a practice development support group. Data will be collected for 3 months preintervention, monthly during the 12-month intervention and 1 month after. Individual-level data includes resident, care partner and staff demographics, resident functional status, service use and quality of life (for health economic analysis) and the extent to which staff perceive the organisation supports person centred care. System-level data includes primary and secondary health services contacts (ie, general practitioner and hospital admissions). Process evaluation assesses intervention acceptability, feasibility, fidelity, ease of implementation in practice and study procedures (ie, consent and recruitment rates). Ethics and dissemination Approved by Research Ethics Committee and the UK Health Research Authority. Findings will be disseminated via academic and policy conferences, peer-reviewed publications and social media (eg, Twitter). Trial registration number ISRCTN74109734; Pre-results. ",
keywords = "dementia, geriatric medicine, heart failure, primary care, respiratory infections, urinary tract infections",
author = "E.L. Sampson and A. Feast and A. Blighe and K. Froggatt and R. Hunter and L. Marston and B. McCormack and S. Nurock and M. Panca and C. Powell and G. Rait and L. Robinson and B. Woodward-Carlton and J. Young and M. Downs",
year = "2019",
month = may
day = "27",
doi = "10.1136/bmjopen-2018-026510",
language = "English",
volume = "9",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group Ltd",
number = "5",

}

RIS

TY - JOUR

T1 - Evidence-based intervention to reduce avoidable hospital admissions in care home residents (the Better Health in Residents in Care Homes (BHiRCH) study)

T2 - Protocol for a pilot cluster randomised trial

AU - Sampson, E.L.

AU - Feast, A.

AU - Blighe, A.

AU - Froggatt, K.

AU - Hunter, R.

AU - Marston, L.

AU - McCormack, B.

AU - Nurock, S.

AU - Panca, M.

AU - Powell, C.

AU - Rait, G.

AU - Robinson, L.

AU - Woodward-Carlton, B.

AU - Young, J.

AU - Downs, M.

PY - 2019/5/27

Y1 - 2019/5/27

N2 - Introduction Acute hospital admission is distressing for care home residents. Ambulatory care sensitive conditions, such as respiratory and urinary tract infections, are conditions that can cause unplanned hospital admission but may have been avoidable with timely detection and intervention in the community. The Better Health in Residents in Care Homes (BHiRCH) programme has feasibility tested and will pilot a multicomponent intervention to reduce these avoidable hospital admissions. The BHiRCH intervention comprises an early warning tool for noting changes in resident health, a care pathway (clinical guidance and decision support system) and a structured method for communicating with primary care, adapted for use in the care home. We use practice development champions to support implementation and embed changes in care. Methods and analysis Cluster randomised pilot trial to test study procedures and indicate whether a further definitive trial is warranted. Fourteen care homes with nursing (nursing homes) will be randomly allocated to intervention (delivered at nursing home level) or control groups. Two nurses from each home become Practice Development Champions trained to implement the intervention, supported by a practice development support group. Data will be collected for 3 months preintervention, monthly during the 12-month intervention and 1 month after. Individual-level data includes resident, care partner and staff demographics, resident functional status, service use and quality of life (for health economic analysis) and the extent to which staff perceive the organisation supports person centred care. System-level data includes primary and secondary health services contacts (ie, general practitioner and hospital admissions). Process evaluation assesses intervention acceptability, feasibility, fidelity, ease of implementation in practice and study procedures (ie, consent and recruitment rates). Ethics and dissemination Approved by Research Ethics Committee and the UK Health Research Authority. Findings will be disseminated via academic and policy conferences, peer-reviewed publications and social media (eg, Twitter). Trial registration number ISRCTN74109734; Pre-results.

AB - Introduction Acute hospital admission is distressing for care home residents. Ambulatory care sensitive conditions, such as respiratory and urinary tract infections, are conditions that can cause unplanned hospital admission but may have been avoidable with timely detection and intervention in the community. The Better Health in Residents in Care Homes (BHiRCH) programme has feasibility tested and will pilot a multicomponent intervention to reduce these avoidable hospital admissions. The BHiRCH intervention comprises an early warning tool for noting changes in resident health, a care pathway (clinical guidance and decision support system) and a structured method for communicating with primary care, adapted for use in the care home. We use practice development champions to support implementation and embed changes in care. Methods and analysis Cluster randomised pilot trial to test study procedures and indicate whether a further definitive trial is warranted. Fourteen care homes with nursing (nursing homes) will be randomly allocated to intervention (delivered at nursing home level) or control groups. Two nurses from each home become Practice Development Champions trained to implement the intervention, supported by a practice development support group. Data will be collected for 3 months preintervention, monthly during the 12-month intervention and 1 month after. Individual-level data includes resident, care partner and staff demographics, resident functional status, service use and quality of life (for health economic analysis) and the extent to which staff perceive the organisation supports person centred care. System-level data includes primary and secondary health services contacts (ie, general practitioner and hospital admissions). Process evaluation assesses intervention acceptability, feasibility, fidelity, ease of implementation in practice and study procedures (ie, consent and recruitment rates). Ethics and dissemination Approved by Research Ethics Committee and the UK Health Research Authority. Findings will be disseminated via academic and policy conferences, peer-reviewed publications and social media (eg, Twitter). Trial registration number ISRCTN74109734; Pre-results.

KW - dementia

KW - geriatric medicine

KW - heart failure

KW - primary care

KW - respiratory infections

KW - urinary tract infections

U2 - 10.1136/bmjopen-2018-026510

DO - 10.1136/bmjopen-2018-026510

M3 - Journal article

VL - 9

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 5

M1 - e026510

ER -