Effects of multicomponent exercise training intervention on hemodynamic and physical function in older residents of long-term care facilities: A multicenter randomized clinical controlled trial

2021 ◽  
Author(s):  
Garyfallia Pepera ◽  
Mpea Christina ◽  
Krinta Katerina ◽  
Peristeropoulos Argirios ◽  
Antoniou Varsamo
Keyword(s):  
Exercise Training ◽  
Physical Function ◽  
Long Term Care ◽  
Controlled Trial ◽  
Training Intervention ◽  
Term Care ◽  
Care Facilities ◽  
Exercise Training Intervention

scholarly journals A randomized controlled trial comparing treatment with oral agents and basal insulin in elderly patients with type 2 diabetes in long-term care facilities

2015 ◽  
Vol 3 (1) ◽  
pp. e000104 ◽  
Author(s):  
Francisco J Pasquel ◽  
Winter Powell ◽  
Limin Peng ◽  
Theodore M Johnson ◽  
Shadi Sadeghi-Yarandi ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Randomized Controlled Trial ◽  
Long Term Care ◽  
Controlled Trial ◽  
Term Care ◽  
Randomized Controlled ◽  
Oral Agents ◽  
Care Facilities

scholarly journals Evaluating the implementation of the PACE Steps to Success Programme in long-term care facilities in seven countries according to the RE-AIM framework

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Mariska Oosterveld-Vlug ◽  
◽  
Bregje Onwuteaka-Philipsen ◽  
Maud ten Koppel ◽  
Hein van Hout ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Long Term Care ◽  
Controlled Trial ◽  
A Priori ◽  
Evaluation Study ◽  
Care Staff ◽  
Term Care ◽  
Factors Affecting ◽  
Care Facilities

Abstract Background The PACE ‘Steps to Success’ programme is a complex educational and development intervention for staff to improve palliative care in long-term care facilities (LTCFs). In a cluster randomized controlled trial, this programme has been implemented in 37 LTCFs in 7 European countries. Alongside an effectiveness study, a process evaluation study was conducted. This paper reports on the results of this process evaluation, of which the aim was to provide a more detailed understanding of the implementation of the PACE Programme across and within countries. Methods The process evaluation followed the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework and involved various measures and tools, including diaries for country trainers, evaluation questionnaires for care staff, attendance lists and interviews (online and face-to-face, individual and in groups) with country trainers, managers, PACE coordinators and other staff members. Based on key elements of the PACE Programme, a priori criteria for a high, medium and low level of the RE-AIM components Reach, Adoption, Implementation and intention to Maintenance were defined. Qualitative data on factors affecting each RE-AIM component gathered in the online discussion groups and interviews were analysed according to the principles of thematic analysis. Results The performance of the PACE Programme on the RE-AIM components was highly variable within and across countries, with a high or medium score for in total 28 (out of 37) LTCFs on Reach, for 26 LTCFs on Adoption, for 35 LTCFs on Implementation and for 34 LTCFs on intention to Maintenance. The factors affecting performance on the different RE-AIM components could be classified into three major categories: (1) the PACE Programme itself and its way of delivery, (2) people working with the PACE Programme and (3) contextual factors. Several country-specific challenges in implementing the PACE Programme were identified. Conclusions The implementation of the PACE Programme was feasible but leaves room for improvement. Our analysis helps to better understand the optimal levels of training and facilitation and provides recommendations to improve implementation in the LTC setting. The results of the process evaluation will be used to further adapt and improve the PACE Programme prior to its further dissemination. Trial registration The PACE study was registered at www.isrctn.com—ISRCTN14741671 (FP7-HEALTH-2013-INNOVATION-1 603111) July 30, 2015.

scholarly journals Comparison of a Chinese Herbal Medicine (CCH1) and Lactulose as First-Line Treatment of Constipation in Long-Term Care: A Randomized, Double-Blind, Double-Dummy, and Placebo-Controlled Trial

2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Chien-Hsun Huang ◽  
Jui-Shan Lin ◽  
Tsai-Chung Li ◽  
Shih-Chang Lee ◽  
Hsiu Po Wang ◽  
...  
Keyword(s):  
Long Term Care ◽  
Controlled Trial ◽  
Healthcare Providers ◽  
Double Blind ◽  
Term Care ◽  
Care Facilities ◽  
Bowel Movements ◽  
Institutionalized Patients ◽  
To Receive

Many institutionalized patients and their healthcare providers are dissatisfied with current laxative therapy. This study compared therapeutic efficacy, safety, and laxative cost of an herbal formula (CCH1) and lactulose for long stay patients with constipation. In this double-blind, double-dummy, and placebo-controlled trial, we randomized 93 residents with chronic constipation from two long-term care facilities in Taiwan to receive either CCH1 with lactulose placebo or CCH1 placebo with lactulose for 8 weeks, then followed up for 4 weeks without study medication. Both treatments were effective and well tolerated for patients, but CCH1 produced more spontaneous bowel movements, less rectal treatments, less amount of rescue laxative, and lower laxative cost than lactulose during treatment. No significant differences were found in stool consistency, stool amount, global assessment, and safety concerns. In conclusion, our results suggest that CCH1 may have better efficacy and could be used as an alternative option to lactulose in the treatment of constipation in long-term care.

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