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Related Experiment Video

Updated: Mar 9, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM): Protocol for a cluster-randomized trial.

Matthias Hoben^1,2, Peter G Norton³, Liane R Ginsburg⁴

¹Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada. mhoben@ualberta.ca.

|January 11, 2017

Summary

This summary is machine-generated.

This study tested theory-based feedback strategies to improve nursing home care quality. Assisted feedback strategies showed promise for enhancing care unit performance and staff well-being.

Keywords:

Audit and Feedback Clinical Microsystems Cluster Randomized Controlled Trial Nursing Homes Performance Quality Improvement Quality of Care

Related Experiment Videos

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Area of Science:

Health Services Research
Quality Improvement Science
Gerontology

Background:

Audit and feedback interventions are effective for improving healthcare quality.
Existing studies often lack systematic theoretical grounding and show heterogeneous results.
The Translating Research in Elder Care (TREC) program collects comprehensive data in Canadian nursing homes to enhance resident and caregiver outcomes.

Purpose of the Study:

To systematically provide TREC research data to nursing home care units.
To compare the effectiveness of three distinct theory-based feedback strategies for improving care unit performance.

Main Methods:

A 3.5-year pragmatic, three-arm, parallel, cluster-randomized trial involving 67 Western Canadian nursing homes (203 care units).
Interventions targeted care unit managerial teams, employing standard, assisted, and goal-directed feedback strategies based on established theories.
Primary outcome: increased formal interactions involving care aides; secondary outcomes included care unit context, care aide worklife, best practice adoption, and resident outcomes.

Main Results:

The study is designed to assess the impact of different feedback strategies on care unit performance.
Key performance indicators include care aide engagement, work environment, and resident well-being.
Data collection occurs at baseline, post-intervention, and follow-up to evaluate sustained effects.

Conclusions:

The INFORM trial is the first to systematically evaluate theory-based feedback strategies for nursing home performance improvement.
Findings will inform the development of practical, sustainable, and cost-effective feedback mechanisms for healthcare managers and policymakers.
Results may have broader applicability to other care settings beyond nursing homes.