Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/26874
PIRA download icon_1.1View/Download Full Text
Title: Implementation of observational pain management protocol to improve pain management for long-term institutionalized older care residents with dementia: study protocol for a cluster-randomized controlled trial
Authors: Liu, JYW 
Lai, C 
Issue Date: 2014
Source: Trials, 2014, v. 15, 78, p. 1-12
Abstract: Background: Systematic use of observational pain tools has been advocated as a means to improve pain management for care home residents with dementia. Pain experts suggest that any observational tool should be used as part of a comprehensive pain management protocol, which should include score interpretation and verification with appropriately suggested treatments. The Observational Pain Management Protocol (Protocol) was therefore developed. This study aims to investigate the extent to which the implementation of this Protocol can improve pain management in care home residents with dementia.Methods/design: In this two-group, single-blinded, cluster-randomized controlled trial, 122 care home residents with dementia and pain-related diagnoses will be recruited from eight care homes (that is 15 to 16 residents from each care home). Invitations will be sent to all local care homes who meet the home selection criteria. The eight care homes will be randomly selected from all care homes that agree to join this trial. They will then be randomized to either the control or experimental conditions. Participants from each care home will be placed into their home's corresponding group to avoid 'contamination' effects across participants. Each intervention cycle will take 16 weeks (that is, baseline assessment and care home staff training for 4 weeks and Protocol implementation for 12 weeks). The Protocol will guide the pain management of the participants in the experimental care homes. Meanwhile, the control care homes will continue their usual pain management strategies. Intervention effects will be measured weekly during the protocol implementation period and compared with the baseline measurements, as well as between the experimental and control conditions.Discussion: Although similar pain protocols have been suggested previously, the recommendations were based on experts' opinions rather than evaluation of research studies. The feasibility and effectiveness of this kind of pain management protocol, tailored to older people with dementia, remains unknown. The findings of this trial will offer strong evidence that better strategies for pain management should be used in the care home daily routine.
Keywords: Dementia care
Nursing homes
Pain management
Pain measurement
Publisher: Biomed Central Ltd
Journal: Trials 
ISSN: 1745-6215
DOI: 10.1186/1745-6215-15-78
Rights: © 2014 Liu and Lai; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
The following publication Liu, J. Y. W., & Lai, C. (2014). Implementation of observational pain management protocol to improve pain management for long-term institutionalized older care residents with dementia: study protocol for a cluster-randomized controlled trial. Trials, 15, 78, 1-12 is available at https://dx.doi.org/10.1186/1745-6215-15-78
Appears in Collections:Journal/Magazine Article

Files in This Item:
File Description SizeFormat 
Liu_Implementation_Observational_Pain.pdf540.27 kBAdobe PDFView/Open
Open Access Information
Status open access
File Version Version of Record
Access
View full-text via PolyU eLinks SFX Query
Show full item record

Page views

114
Last Week
0
Last month
Citations as of May 15, 2022

Downloads

66
Citations as of May 15, 2022

SCOPUSTM   
Citations

15
Last Week
0
Last month
0
Citations as of May 12, 2022

WEB OF SCIENCETM
Citations

13
Last Week
0
Last month
0
Citations as of May 12, 2022

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.