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| ID | Type | Description | Link |
|---|---|---|---|
| 3P30AG024824-16S1 | U.S. NIH Grant/Contract | View source |
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Since the vaccine there are no COVID 19 cases in proposed study sites.
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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Nursing homes have long faced special challenges in implementing effective infection prevention programs, including limited resources and diagnostic challenges in a frail functionally disabled long-stay population. Advancing our understanding of the transmission of SARS-CoV-2 within these facilities for vulnerable populations deserves urgent and further investigation. Environmental contamination with SARS-CoV-2 that is reported in limited studies highlights the potential importance of transmission between patients, their environment, and healthcare providers via direct and indirect contact.
This study seeks to characterize the epidemiology of SARS-CoV- 2 in the NH patient room environment over time and the risk of transmission to near and far environments, with the explicit intent of developing integrated, simple COVID-19 infection prevention strategies that can be reported to and implemented throughout other nursing homes and long-term care facilities.
In order to achieve these goals the study is being performed at four different nursing homes and will include patients with active or with recent COVID-19 infection, as well as nursing home staff members. The study will test a multimodal aging-friendly intervention including four components and hypothesizes that the implementation of this organizational, educational, quality improvement program will be associated with lower odds of SARS-CoV-2 transmission to the environment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Two facilities will follow their local protocols for infection prevention, including COVID-19 precautions. We will swab environmental surfaces at these sites to compare outcomes. | |
| Intervention | Experimental | Using a cluster-randomized design, we will test a multimodal aging-friendly intervention including four components (4Cs):
We hypothesize that the implementation of this organizational QI educational program will be associated with lower odds of SARS-CoV-2 transmission to the environment. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coaching, Cleaning, Communication, Collaboration | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| Surface contamination with SARS-CoV-2 | Prevalence of SARS-CoV-2 on surfaces in COVID-19 positive patient rooms | 3 months, depending on COVID-19 epidemiology |
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Inclusion criteria for nursing home patients:
Exclusion criteria for nursing home patients:
Inclusion criteria for healthcare workers:
- Healthcare worker at a participating nursing home facility
Exclusion criteria for healthcare workers:
- None
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| ID | Term |
|---|---|
| D045169 | Severe Acute Respiratory Syndrome |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
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The study will have a cluster-randomized design in which two of the four nursing homes will be randomized to the intervention arm or the control arm.
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| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D008171 | Lung Diseases |