Evidence map›Paper›PMID 36797014›Full record

ArticleBMJ open2023

Protocol for a process evaluation of a stepped wedge randomised controlled trial to reduce unnecessary hospitalisations of older people from residential aged care: the EDDIE+ study.

Ella Bracci, Michelle Allen, Hannah E Carter, Liz Cyarto, Trudy Dwyer, Nicholas Graves, Xing Ju Lee, Claudia Meyer, Florin Oprescu, Gillian Harvey

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
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

10 authors.

Ella BracciCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID 0000-0001-7319-027X
Michelle AllenAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Hannah E CarterAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID 0000-0002-0046-4126
Liz CyartoSchool of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.
Trudy DwyerAppleton Institute, Central Queensland University, Rockhampton, Queensland, Australia.ORCID 0000-0001-8408-7956
Nicholas GravesDuke-NUS Postgraduate Medical School, National University of Singapore, Singapore.ORCID 0000-0002-5559-3267
Xing Ju LeeSchool of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID 0000-0002-8803-2810
Claudia MeyerBolton Clarke Research Institute, Forest Hill, Victoria, Australia.ORCID 0000-0001-5853-6623
Florin OprescuSchool of Health and Behavioural Sciences, University of the Sunshine Coast, Maroochydore, Queensland, Australia.
Gillian HarveyCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia gillian.harvey@flinders.edu.au.ORCID 0000-0003-0937-7819

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Early Detection of Deterioration in Elderly residents (EDDIE+) programme is a theory-informed, multi-component intervention aimed at upskilling and empowering nursing and personal care staff to identify and manage early signs of deterioration in residents of aged care facilities. The intervention aims to reduce unnecessary hospital admissions from residential aged care (RAC) homes. Alongside a stepped wedge randomised controlled trial, an embedded process evaluation will be conducted to assess the fidelity, acceptability, mechanisms of action and contextual barriers and enablers of the EDDIE+ intervention. METHODS AND ANALYSIS: Twelve RAC homes in Queensland, Australia are participating in the study. A comprehensive mixed-methods process evaluation, informed by the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, will assess intervention fidelity, contextual barriers and enablers, mechanisms of action, and the acceptability of the programme from various stakeholder perspectives. Quantitative data will be collected prospectively from project documentation, including baseline context mapping of participating sites, activity tracking and regular check-in communication sheets. Qualitative data will be collected postintervention via semi-structured interviews with a range of stakeholder groups. The i-PARIHS constructs of innovation, recipients, context and facilitation will be applied to frame the analysis of quantitative and qualitative data. ETHICS AND DISSEMINATION: Ethical approval for this study has been granted by the Bolton Clarke Human Research Ethics Committee (approval number: 170031) with administrative ethical approval granted by the Queensland University of Technology University Human Research Ethics Committee (2000000618). Full ethical approval includes a waiver of consent for access to residents' demographic, clinical and health services de-identified data. A separate health services data linkage based on RAC home addresses will be sought through a Public Health Act application. Study findings will be disseminated through multiple channels, including journal publications, conference presentations and interactive webinars with a stakeholder network. TRIAL REGISTRATION NUMBER: Australia New Zealand Clinical Trial Registry (ACTRN12620000507987).

Indexed as

HospitalizationNursing HomesAgedAustraliaHomes for the AgedHumansQueenslandRandomized Controlled Trials as TopicChange managementEDUCATION & TRAINING (see Medical Education & Training)QUALITATIVE RESEARCH

Identifiers

PMID36797014
PMCPMC9936275

What OpenQuestion holds

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LicenceCC BY-NC
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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.