Improving antibiotic use among residents of care homes for older people Not Applicable
Conditions
Interventions
In this non-randomised feasibility study, staff in all four care homes receive the intervention which comprises:
1. Training in antibiotic stewardship and the ARCHeS intervention for
cues to consider other causes of altered status
safety-netting advice to escalate at any time for assessment if there are concerns about a resident’s condition.
Sponsors
University of Dundee
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All care homes for older people in NHS Tayside and NHS Fife regions with >10 beds are potentially eligible, with care homes being invited a small number at a time until four recruited. All staff members (nurses and carers) working in the study care homes are eligible to participate in individual activities for intervention delivery and process evaluation.
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Recruitment of care homes recorded as the number (and proportion of those approached) of care homes recruited at 2 months after the recruitment start date 2. Retention recorded as the number of care homes that complete the 6-month feasibility study 3. Implementation outcomes are informed by implementation science theories and frameworks, including normalisation process theory (NPT) and the Theoretical Domains Framework (TDF): 3.1. Fidelity and adaptation are measures of the extent to which the intervention is delivered as intended, assessed using: training logs recording sessions delivered and the number (and proportion) of staff participating; interviews (and observations if possible) collecting qualitative data on the use of the intervention tools; weekly activity logs submitted by Antibiotic Champions recording quantitative data on the use of the tools and any feedback; and document analysis of completed tools. Measured at 6 months. 3.2. Adoption (or uptake) measures the extent to which intervention components are used in routine practice, assessed using weekly logs submitted by Antibiotic Champions; interviews (and observations if possible), and documentary analysis at 6 months 3.3. Reach (or penetration) measures how well the intervention has reached the target population, assessed using training logs and interviews (and observations if possible) at 6 months 3.4. Acceptability measures how well the staff like the intervention and find it suitable for use, assessed using interviews with topic guide structured around the Theoretical Framework of Acceptability, and feedback within weekly activity logs submitted by Antibiotic Champions at 6 months 3.5. Feasibility measures actual fit or utility/suitability for everyday use, assessed using interviews (and observations if possible) exploring barriers and enablers to intervention use at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
Scotland, United Kingdom
Contacts
Public ContactJane Dickson
Outcome results
None listed