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NCT03520010 · ClinicalTrials.gov registry record · NA
Facilitated Implementation of Antibiotic Stewardship in Wisconsin Nursing Homes
A NA study, sponsored by University of Wisconsin, Madison.
- Completed
- Registry status
- NA
- Development phase
- 338
- Enrollment target
NCT03520010 is a NA study that has completed, run by University of Wisconsin, Madison. The registered enrollment target is 338 participants.
The verdict
NCT03520010, a NA study, has completed, sponsored by University of Wisconsin, Madison.
- COMPLETED
- Registry status
- NA
- Development phase
- 338 participants
- Enrollment target
Study Summary
The Wisconsin Healthcare-Associated Infections in Long-Term Care Coalition has developed a toolkit of evidence-based best practices to improve the management of urinary tract infection (UTI) in Wisconsin nursing homes (NHs). The theory and evidence supporting the individual improvement strategies promoted in the "Wisconsin UTI Improvement Toolkit" are strong but their combined impact on antibiotic prescribing in Wisconsin NHs is not known. Moreover, many Wisconsin NHs lack the internal resources and expertise to successfully implement and sustain the change interventions recommended in the toolkit. Consequently, there is a critical need to identify effective strategies to support implementation of best practices in this setting. The investigators hypothesize that an externally-facilitated implementation based on coaching and peer-to-peer learning will result in superior toolkit adoption and reduced rates of antibiotic utilization compared to a standard implementation. To test these two hypotheses, the investigators are proposing a hybrid type 2 effectiveness-implementation randomized clinical trial in 20 Wisconsin NHs. Facilities randomized to the standard implementation approach will participate in a kickoff meeting and have access to a variety of online implementation resources. Facilities randomized to the enhanced implementation approach will have access to the same resources but will also be assigned a clinical coach and be invited to participate in ongoing collaborative learning sessions. The clinical coach will meet regularly with NH staff to guide the facility through implementation of the toolkit, including assembling a change team, performing an assessment to identify baseline barriers and facilitators of change, and ongoing integration of the toolkit practices into existing workflows. The learning collaborative will bring NH participants together to share change and improvement strategies with each other. UTI prescriptions per 1,000 resident-days in the
Interventions
- BEHAVIORAL Externally-facilitated implementation
- BEHAVIORAL Internally-driven implementation
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 338 participants |
| Start Date | 2018-06-01 |
| Est. Completion | 2021-11-24 |
| Phase | NA |
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Full Details on ClinicalTrials.gov ↗What the Registry Record Tells You About NCT03520010
The ClinicalTrials.gov registry entry for NCT03520010 describes a study currently listed as completed, categorized as NA. The registered enrollment target is 338 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is University of Wisconsin, Madison, which has 1,039 total studies on file at ClinicalTrials.gov.
The record links to 0 conditions, and to 2 interventions - of which Externally-facilitated implementation is the first listed.
NCT03520010 reports 0 study locations.
Frequently Asked Questions
What is clinical trial NCT03520010 about?
NCT03520010 is a clinical study titled "Facilitated Implementation of Antibiotic Stewardship in Wisconsin Nursing Homes". The Wisconsin Healthcare-Associated Infections in Long-Term Care Coalition has developed a toolkit of evidence-based best practices to improve the management of urinary tract infection (UTI) in Wisconsin nursing homes (NHs). The theory and evidence supporting the individual improvement strategies pr...
What is the current status of trial NCT03520010?
This trial is currently completed. It is a NA study. The enrollment target is 338 participants. The study started on 2018-06-01. Estimated completion is 2021-11-24.
What interventions are being tested in trial NCT03520010?
The interventions under investigation include: Externally-facilitated implementation (BEHAVIORAL), Internally-driven implementation (BEHAVIORAL).
Who is sponsoring clinical trial NCT03520010?
This trial is sponsored by University of Wisconsin, Madison, which has 1,039 total clinical trials registered on ClinicalTrials.gov.
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