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

doi:10.1136/bmjopen-2022-066857

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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

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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 and Gillian Harvey

BMJ Open, Vol.13(2), pp.1-9

2023

DOI: https://doi.org/10.1136/bmjopen-2022-066857

PMCID: PMC9936275

PMID: 36797014

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Abstract

Introduction: The 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.

Details

Title: 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
Authors: Ella Bracci (Author) - Flinders University
Michelle Allen (Author) - Queensland University of Technology
Hannah E Carter (Author) - Queensland University of Technology
Liz Cyarto (Author) - Queensland University of Technology
Trudy Dwyer (Author) - Central Queensland University
Nicholas Graves (Author) - National University of Singapore
Xing Ju Lee (Author) - Queensland University of Technology
Claudia Meyer (Author) - Bolton Clarke Research Institute (BCRI)
Florin Oprescu (Author) - University of the Sunshine Coast
Gillian Harvey (Corresponding Author) - Queensland University of Technology
Publication details: BMJ Open, Vol.13(2), pp.1-9
Publisher: B M J Group
Date published: 2023
DOI: 10.1136/bmjopen-2022-066857
ISSN: 2044-6055
PMID: 36797014; PMC9936275
Copyright note: This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Grants: An early detection program to prevent unnecessary hospital admissions of aged care residents, 1177501, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Organisation Unit: University of the Sunshine Coast, Queensland; Engage Research Lab; School of Health - Public Health
Language: English
Record Identifier: 99706996902621
Output Type: Journal article

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