Chronic illness
Conditions
Interventions
The Systems for Person-centered Elder Care (SPEC) study is a stepped-wedge cluster randomized trial to evaluate a technology-enhanced, integrated care model for frail seniors in long-term care facilit
and also provision of tailored resources for care providers/managers and older adults/families. Education, training, and structured on- and off-line support will be provided.
Ten nurs
Sponsors
Seoul National University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Institutions: 1. Nursing homes designated as long-term care institutions by the National Health Insurance Services in Korea 2. Nursing homes with at least 45 residents 3. Nursing homes that agree to participate Residents: 1. Adults aged 65 or older 2. Older adults that agree to participate Staff: 1. Staff working at the nursing homes involved in the study 2. Staff that agree to participate
Exclusion criteria
Exclusion criteria: Institutions: 1. Nursing homes participating in any other intervention study(s) Residents: 1. Participants who are unable to read or communicate in Korean 2. Older adults staying at a participating nursing home for less than 7 days 3. Older adults who are terminally ill or comatose 4. Older adults who are incapable of participating
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of care (composite score of quality indicators of the interRAI LTCF) [Time frame: baseline, 3 months, 6 months, and 9 months of participant enrollment] | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quality of care (individual quality indicators of the interRAI LTCF) [Time frame: baseline, 3 months, 6 months, and 9 months of participant enrollment] 2. Care needs (identified clinical action points using the interRAI LTCF) [Time frame: baseline, 3 months, 6 months, and 9 months of participant enrollment] 3. Functional health (the Bathel index; Mini-Mental Status Examination; Patient Health Questionnaire) [Time frame: baseline, 3 months, 6 months, and 9 months of participant enrollment] 4. Quality of life (EuroQol EQ5-D; interRAI HRQoL) [Time frame: baseline, 3 months, 6 months, and 9 months of participant enrollment], (interRAI Self-reported QoL) [Time frame: 3 months and 9 months of participant enrollment] 5. Patient satisfaction (Client Satisfaction Questionnaire) [Time frame: 3 months, and 9 months of participant enrollment] 6. Health care utilization (hospital admissions; emergency department visits) [Time frame: 21 months] 7. Cost parameters (direct and indirect cost) [Time frame: 21 months] 8. Process evaluation (mixed methods) [Time frame: 21 months] Other measures: Care staff/organization 1. Empowerment (Psychological Empowerment Instrument) [Time frame: 3 months and 9 months] 2. Communication satisfaction (Communication Satisfaction Questionnaire) [Time frame: 3 months and 9 months] 3. Organizational commitment (Organizational Commitment Questionnaire) [Time frame: 3 months and 9 months] 4. Job satisfaction (Job Satisfaction Scale) [Time frame: 3 months and 9 months] 5. Technology/innovation acceptance (modified Technology Acceptance Model Questionnaire) [Time frame: 4 months and 9 months] | — |
Countries
Korea, South
Outcome results
None listed