Navigating Real-World Barriers in Nursing Home Pragmatic Trials

Friday, November 15, 2024

10:00 AM – 11:30 AM PST

Location: Room 204

CE: 1.5

Chair(s)

A. Lynn Snow, PhD (she/her/hers)

Professor
Psychology
University of Alabama
Tuscaloosa, Alabama, United States

Discussant(s)

A. Lynn Snow, PhD (she/her/hers)

Professor
Psychology
University of Alabama
Tuscaloosa, Alabama, United States

Individual Symposium Abstract First Author(s)

Kathy Richards, PhD RN FAAN FAASM (she/her/hers)

Research Professor and Senior Scientist
School of Nursing
The University of Texas Austin
The Woodlands, Texas, United States

Slides
Christine Hartmann, PhD (she/her/hers)

Research Career Scientist & Professor
Center for Healthcare Organization and Implementation Research
VA Bedford Healthcare System & University of Massachusetts Lowell
Bedford, Massachusetts, United States
EM

Ellen McCreedy, PhD

Associate Professor
Providence VA
Veterans' Administration
Providence, Rhode Island, United States
Michelle Hilgeman, PhD, FGSA (she/her/hers)

Psychologist Clinician Investigator
Research & Development
Tuscaloosa VA Medical Center
Tuscaloosa, Alabama, United States
Amy Recker, MPH (she/her/hers)

Project Director
Center for Long-Term Care Quality and Innovation
Brown University
Providence, Rhode Island, United States

Nursing homes (NHs) are an important setting for the use of pragmatic clinical trial (PCT) approaches, particularly due to the challenging implementation environments since the COVID-19 pandemic. NHs have well documented, long-standing quality challenges, staffing shortages, and substantial time gaps between the development of new evidence and innovations and their wide-spread industry adoption. Thus, NHs are an opportune setting for the development of pragmatic methods to accelerate the adoption of efficacious interventions into practice. In this symposium we explore successful approaches used in current NH PCTs to address five common challenges: organizational partnerships, intervention adaptation, use of technology in PCTs, pragmatic measurement of outcomes, and evaluating intervention-related staff competencies. We will explore each topic through an example from one or two recent NH PCTs, sharing challenges and successes. The discussant and panel will then examine the topics across all four represented PCTs and consider applications to future PCTs.

Learning Objectives:

List novel ideas for organizational partnership and strategies to adapt to the quickly-changing and challenging landscape of long-term care.
Describe innovative methods of intervention implementation, including competency-based evaluation and real-world application of the FRAME approach to adaptation tracking.
Demonstrate an understanding of pragmatic measurement and use of technologies in nursing home based trials.

Presentations:

10:00 AM – 11:30 AM PST

Sleep Measurement Technology in the 40 WINKS Pragmatic Clinical Trial: Challenges and Solutions
Individual Symposium Abstract First Author: Kathy C. Richards, PhD RN FAAN FAASM (she/her/hers) – The University of Texas Austin
10:00 AM – 11:30 AM PST

Partnering for Success: Involving Nursing Home Corporations and Systems in Pragmatic Clinical Trials
Individual Symposium Abstract First Author: Christine W. Hartmann, PhD (she/her/hers) – VA Bedford Healthcare System & University of Massachusetts Lowell
10:00 AM – 11:30 AM PST

Patient-Centered Outcome Measurement in Nursing Home-Based Pragmatic Trials: Capturing What Counts
Individual Symposium Abstract First Author: Ellen McCreedy, PhD – Veterans' Administration
10:00 AM – 11:30 AM PST

Systematic Evaluation of Adaptations and Fidelity in Pragmatic Nursing Home Clinical Trials
Individual Symposium Abstract First Author: Michelle M. Hilgeman, PhD, FGSA (she/her/hers) – Tuscaloosa VA Medical Center
10:00 AM – 11:30 AM PST

Evaluating Nursing Home-Based Interventions on Competency Levels
Individual Symposium Abstract First Author: Amy Recker, MPH (she/her/hers) – Brown University