TY - JOUR
T1 - Accelerating guideline dissemination in nursing homes during the COVID-19 pandemic
T2 - A patient-centered randomized controlled trial
AU - Kraschnewski, Jennifer L.
AU - Heilbrunn, Emily S.
AU - Calo, William A.
AU - Kong, Lan
AU - Lehman, Erik
AU - Hogentogler, Ellie
AU - Fisher, Abbey
AU - Osevala, Nicole
AU - Paules, Catherine I.
AU - Whitaker, Janice
AU - Urso, Jennifer
AU - Chamberlain, Linda
AU - Suda, Kim M.
AU - Stedjan, Meghan
AU - McNeil, Laura
N1 - Publisher Copyright:
© 2023 The Author(s)
PY - 2023/5/1
Y1 - 2023/5/1
N2 - Background: Nursing homes were ill-equipped for the pandemic; though facilities are required to have infection control staff, only 3% have taken a basic infection control course. Little is known about the implementation of effective practices outside of the acute care setting. We proposed an intervention utilizing Project ECHO, to connect Penn State University experts with nursing home staff and administrators to explore how infection control guidelines can be implemented effectively. Methods: A stratified cluster randomized design was used to assign nursing homes to either AHRQ-funded COVID-19 ECHO or AHRQ-funded COVID-19 ECHO+. Results: 136 nursing homes participated. There were no significant differences in COVID-19 infection rate, hospitalization, deaths, or influenza, between ECHO or ECHO+. Discussion: The ECHO model has significant strengths when compared to traditional training, as it allows for remote learning delivered by a multidisciplinary team of experts and utilizes case discussions that match the context of nursing homes.
AB - Background: Nursing homes were ill-equipped for the pandemic; though facilities are required to have infection control staff, only 3% have taken a basic infection control course. Little is known about the implementation of effective practices outside of the acute care setting. We proposed an intervention utilizing Project ECHO, to connect Penn State University experts with nursing home staff and administrators to explore how infection control guidelines can be implemented effectively. Methods: A stratified cluster randomized design was used to assign nursing homes to either AHRQ-funded COVID-19 ECHO or AHRQ-funded COVID-19 ECHO+. Results: 136 nursing homes participated. There were no significant differences in COVID-19 infection rate, hospitalization, deaths, or influenza, between ECHO or ECHO+. Discussion: The ECHO model has significant strengths when compared to traditional training, as it allows for remote learning delivered by a multidisciplinary team of experts and utilizes case discussions that match the context of nursing homes.
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U2 - 10.1016/j.gerinurse.2023.04.013
DO - 10.1016/j.gerinurse.2023.04.013
M3 - Article
C2 - 37167902
AN - SCOPUS:85158854625
SN - 0197-4572
VL - 51
SP - 439
EP - 445
JO - Geriatric Nursing
JF - Geriatric Nursing
ER -