Covid19, SARS-CoV Infection
Conditions
Keywords
Environmental Contamination, Nursing Home, Interventions
Brief summary
Nursing homes have long faced special challenges in implementing effective infection prevention programs, including limited resources and diagnostic challenges in a frail functionally disabled long-stay population. Advancing our understanding of the transmission of SARS-CoV-2 within these facilities for vulnerable populations deserves urgent and further investigation. Environmental contamination with SARS-CoV-2 that is reported in limited studies highlights the potential importance of transmission between patients, their environment, and healthcare providers via direct and indirect contact. This study seeks to characterize the epidemiology of SARS-CoV- 2 in the NH patient room environment over time and the risk of transmission to near and far environments, with the explicit intent of developing integrated, simple COVID-19 infection prevention strategies that can be reported to and implemented throughout other nursing homes and long-term care facilities.
Detailed description
In order to achieve these goals the study is being performed at four different nursing homes and will include patients with active or with recent COVID-19 infection, as well as nursing home staff members. The study will test a multimodal aging-friendly intervention including four components and hypothesizes that the implementation of this organizational, educational, quality improvement program will be associated with lower odds of SARS-CoV-2 transmission to the environment.
Interventions
BEHAVIORALCoaching, Cleaning, Communication, Collaboration
1. Coaching staff 2. Cleaning protocols, standardized 3. Communication with staff and leadership 4. Collaboration with local expertise
Sponsors
National Institute on Aging (NIA)
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The study will have a cluster-randomized design in which two of the four nursing homes will be randomized to the intervention arm or the control arm.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
for nursing home patients: * 18 years of age or older * Residing in a participating nursing home facility * Active or recent (last 14 days) COVID-19 infection
Exclusion criteria
for nursing home patients: * Not located in a participating nursing home facility Inclusion criteria for healthcare workers: \- Healthcare worker at a participating nursing home facility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surface contamination with SARS-CoV-2 | 3 months, depending on COVID-19 epidemiology | Prevalence of SARS-CoV-2 on surfaces in COVID-19 positive patient rooms |
Outcome results
None listed