Evidence map›Paper›PMID 28431539›Full record

ArticleBMC palliative care2017

Pain Intervention for people with Dementia in nursing homes (PID): study protocol for a quasi-experimental nurse intervention.

Andrea Koppitz, Georg Bosshard, Geneviève Blanc, Hannele Hediger, Sheila Payne, Thomas Volken

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMC palliative care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Andrea KoppitzZurich University of Applied Sciences, School of Health Professions, Institute of Nursing, Technikumstrasse 81, 8401, Winterthur, Switzerland. andrea.koppitz@zhaw.ch.ORCID http://orcid.org/0000-0002-7274-6691
Georg BosshardUniversity Hospital Zurich, Clinic for Geriatric Medicine and Centre on Aging and Mobility at the University of Zurich, Gloriastrasse 25, 8091, Zurich, Switzerland.
Geneviève BlancZurich University of Applied Sciences, School of Health Professions, Institute of Nursing, Technikumstrasse 81, 8401, Winterthur, Switzerland.
Hannele HedigerZurich University of Applied Sciences, School of Health Professions, Institute of Nursing, Technikumstrasse 81, 8401, Winterthur, Switzerland.
Sheila PayneLancaster University, International Observatory on End of Life Care, Division of Health Research, Faculty of Health and Medicine, Lancaster, LA1 4YG, UK.
Thomas VolkenZurich University of Applied Sciences, School of Health Professions, Institute of health science, Technikumstrasse 81, 8401, Winterthur, Switzerland.
ZHAW Zurich University of Applied Sciences · CHLancaster University · GBUniversity of Zurich · CHZHAW Zurich University of Applied Sciences · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is estimated that 19 to 83% of people with dementia suffer from pain that is inadequately treated in the last months of life. A large number of healthcare workers who care for these people in nursing homes lack appropriate expertise and may therefore not always recognise, assess and treat pain in those with dementia who have complex problems on time, properly and efficiently. The aim of this intervention trial is to identify care needs of people with dementia suffering from pain living in a nursing home.

methodsA quasi-experimental nurse-led intervention trial based on a convenience sample of four nursing homes in the Swiss Canton of Zurich examines the effects on dementia patients (n = 411), the healthcare institution and the qualification level of the healthcare workers compared to historical controls, using an event analysis and a multilevel analysis. Healthcare workers will be individually trained how to assess, intervene and evaluate acute and chronic pain. There are three data-monitoring cycles (T0, T1, T2) and two intervention cycles (I1, I2) with a total study duration of 425 days. There is also a process evaluation based on Dobbins analyses that analyse in particular the potentials for change in clinical practice of change agents. DISCUSSION: The aim of the intervention trial is to improve pain management strategies in older people with dementia in nursing homes. Clinically significant findings will be expected that will help reduce suffering in the sense of "total pain" for people with dementia. The joint intra- and interdisciplinary collaboration between practice and supply-oriented (nursing) research will have both a lasting effect on the efficiency measurement and provide scientifically sound results. Nursing homes can integrate the findings from the intervention trial into their internal quality control process. The potential for improvements can be directly influenced by the nursing home itself.

trial registrationRegistration trial number: DRKS00009726 on DRKS, registered 10 January 2017, retrorespectively registered. Clearance certificate is available of the ethics committees of the canton of Thurgau, Switzerland, number: TG K201-02, and Zurich, Switzerland, number: ZH 01-2016.

Indexed as

Quality ImprovementDementiaFemaleHumansNursing HomesPain ManagementPain MeasurementPatient Care PlanningQuality of LifeSwitzerlandDementiaInterventionNursing homePain

Identifiers

PMID28431539
PMCPMC5399861
OpenAlexW2606945553

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.