Evaluating Adaptations in Nursing Home Trials
Author Information
Author(s): Hilgeman Michelle, Madrigal Caroline, Curyto Kimberly, Ott Corilyn, Geisser Sophia, Hartmann Christine, Snow A Lynn
Primary Institution: Tuscaloosa VA Medical Center
Hypothesis
How can interventions be adapted for local contexts while maintaining fidelity in pragmatic clinical trials?
Conclusion
The adapted Montessori intervention showed high adherence and sustained use across various nursing home sites.
Supporting Evidence
- The study adapted Montessori methods for use in VA nursing homes with input from various stakeholders.
- High adherence to the intervention was maintained across multiple sites over time.
Takeaway
This study looked at how to change care methods in nursing homes to better fit the needs of residents and staff while still keeping the core ideas of the method intact.
Methodology
The study involved a pre-implementation phase to adapt the Montessori approach and a subsequent pragmatic randomized trial to test the adapted intervention.
Participant Demographics
Diverse frontline staff including nursing assistants, nurses, and therapists delivered the intervention.
Digital Object Identifier (DOI)
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