Osteoporosis | Gaining Optimal Osteoporosis Assessments in Long-Term Care (GOAL)
Osteoporosis research study
What is the primary objective of this study?
The aim of this study is to disseminate the 2010 Osteoporosis Canada clinical practice guidelines, using a multi-faceted Knowledge Translation (KT) model, as KT aims to close the gap between knowledge generated from research and practice. The investigators' primary objective is to evaluate if this intervention can increase the percent of long-term care (LTC) residents receiving appropriate treatment for osteoporosis (i.e. treatment is considered appropriate for an individual over age 50 who has had a diagnosis of osteoporosis or a fragility fracture of the hip or vertebrae and those who have had more than one fragility fracture and is therefore considered high-risk). A secondary objective is to examine whether the intervention increases the percent of all LTC residents receiving Vitamin D equivalent to ≥800 IU/day.
Who is eligible to participate?
Inclusion Criteria: - A minimum of 2 physicians for each LTC home served by a Pharmacy provider Exclusion Criteria: - LTC homes that have only one prescribing physician
Which medical condition, disease, disorder, syndrome, illness, or injury is researched?
Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.
Other:Knowledge Translation Education SessionsTwo interactive sessions will be delivered to the interprofessional team at Month 1 and Month 6 and are 1 hour in length. The Clinical Consultant Pharmacist at each LTC home will lead the Knowledge Translation Sessions. Participants will watch an educational video, developed by the co-investigators with expertise in osteoporosis and geriatrics and members of the Ontario College of Family Physicians. Accompanying materials that support the topics in the video will be provided. Following the educational video, one of the experts from the video will phone the LTC home to address questions and provide the home with direct access to an expert.
Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.
Wave ALTC Homes randomized into Wave A will receive the intervention first. The intervention includes Knowledge Translation Education Sessions.
Wave BLTC Homes randomized into Wave B will receive the intervention after Wave A. The intervention includes Knowledge Translation Education Sessions.
Start Date: June 2013
Completed Date: September 2016
Primary Outcome: Difference in the percentage of residents appropriately prescribed an osteoporosis medication before and after the intervention.
Secondary Outcome: Difference in the percentage of residents prescribed Vitamin D (equivalent to ≥800 IU/day) before and after the intervention.
Study sponsors, principal investigator, and references
Principal Investigator: Alexandra Papaioannou, MD, MSc
Lead Sponsor: Hamilton Health Sciences Corporation
Collaborator: McMaster University