The PREVENT Trial: a Pragmatic Cluster Randomized Controlled Trial of a Multifaceted Fracture Prevention Model for Long-term Care

Launched by MCMASTER UNIVERSITY · Jun 24, 2021

Keywords

ClinConnect Summary

The PREVENT Trial is studying a new program designed to help prevent hip fractures in older adults living in long-term care homes. Hip fractures are a serious concern for these residents, as they can lead to hospitalization, loss of independence, and even death. The PREVENT program uses a special tool to identify residents who are at high risk for fractures due to conditions like osteoporosis. It then provides training and resources to the healthcare staff, including doctors and nurses, to ensure they have the best strategies to support residents and their families in making treatment decisions. The trial will compare homes using this program with those receiving standard care to see if it effectively reduces the number of hip fractures.

To participate in the trial, long-term care homes in Ontario and Alberta with at least 70 residents can take part. However, residents who are very ill, in hospice care, or expected to stay for less than 90 days will not be eligible. For those who participate, the healthcare teams will learn new ways to help prevent falls and fractures, ultimately aiming to improve the health and safety of the residents. This trial is currently recruiting participants and hopes to make a significant impact on the quality of life for older adults in care.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Both profit and non-profit long-term care homes in Ontario and Alberta.
• • Homes must have a minimum of 70 occupied beds to participate; there is no maximum home size for participation.
• • For both control and intervention homes, resident eligibility (and study cohorts) will be determined via the RAI-MDS 2.0 database.
• Exclusion Criteria:
• • Residents identified as having end-stage disease, who are comatose, receiving hospice or respite care and who have an expected short stay (90 days or less).