Translating research into practice intervention improves management of acute pain in older hip fracture patients

Marita G. Titler, Keela Herr, John M. Brooks, Xian Jin Xie, Gail Ardery, Margo L. Schilling, J. Lawrence Marsh, Linda Q. Everett, William R. Clarke

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

Objective. To test an interdisciplinary, multifaceted, translating research into practice (TRIP) intervention to (a) promote adoption, by physicians and nurses, of evidence-based (EB) acute pain management practices in hospitalized older adults, (b) decrease barriers to use of EB acute pain management practices, and (c) decrease pain intensity of older hospitalized adults. Study Design. Experimental design with the hospital as the unit of randomization. Study Setting. Twelve acute care hospitals in the Midwest. Data Sources. (a) Medical records (MRs) of patients ≥65 years or older with a hip fracture admitted before and following implementation of the TRIP intervention and (b) physicians and nurses who care for those patients. Data Collection. Data were abstracted from MRs and questions distributed to nurses and physicians. Principal Findings. The Summative Index for Quality of Acute Pain Care (0-18 scale) was significantly higher for the experimental (10.1) than comparison group (8.4) at the end of the TRIP implementation phase. At the end of the TRIP implementation phase, patients in the experimental group had a lower mean pain intensity rating than those in the comparison group (p<.0001). Conclusion. The TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture.

Original languageEnglish (US)
Pages (from-to)264-287
Number of pages24
JournalHealth Services Research
Volume44
Issue number1
DOIs
StatePublished - Feb 1 2009

Keywords

  • Elderly
  • Hip fracture
  • Implementation
  • Intervention
  • Pain
  • Translation

ASJC Scopus subject areas

  • Health Policy

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    Titler, M. G., Herr, K., Brooks, J. M., Xie, X. J., Ardery, G., Schilling, M. L., Marsh, J. L., Everett, L. Q., & Clarke, W. R. (2009). Translating research into practice intervention improves management of acute pain in older hip fracture patients. Health Services Research, 44(1), 264-287. https://doi.org/10.1111/j.1475-6773.2008.00913.x