Trial reportBMJ open2026
Codesigned STAIR OF KNOWLEDGE intervention to prevent pressure ulcers, malnutrition, poor oral health and falls in Swedish nursing homes: an external pilot cluster randomised controlled study.
Trial report in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05308862 (Prevention of Pressure Ulcers, Malnutrition, Poor Oral Health and Falls Among Older Persons Receiving Municipal Health Care and Are Registered in the Quality Registry Senior Alert), which is not on this map. Not yet cited in PubMed.
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The trial behind it
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Prevention of Pressure Ulcers, Malnutrition, Poor Oral Health and Falls Among Older Persons Receiving Municipal Health Care and Are Registered in the Quality Registry Senior Alert
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis external pilot study aimed to evaluate whether a definitive trial of the STAIR OF KNOWLEDGE intervention is warranted. The specific outcomes concerned the trial procedure, including the recruitment, randomisation and retention of nursing homes and the clinical outcomes required for a definitive trial.
designThe study is an external pilot cluster randomised controlled trial.
settingSwedish nursing homes participated.
participantsThe inclusion criteria for participation in the study were nursing homes working with in the Swedish national quality registry Senior Alert. Data from 309 older persons were extracted from the registry. Of these, 214 were women and 95 men, ages 65-102 years.
interventionThe intervention aims to support nursing staff in providing preventive care regarding pressure ulcers, malnutrition, poor oral health and falls to older persons in nursing homes. OUTCOME MEASURES: Following the Medical Research Council and the Knowledge to Action frameworks and guided by predefined progression criteria, we conducted an external pilot study to determine whether to proceed with a definitive trial. The outcome measures concerned testing nursing homes' recruitment and randomisation procedures, their retention and the selection of the most appropriate primary outcome measures.
resultsWe recruited eight nursing homes and randomised four to each study arm. All participating nursing homes completed the study, supporting its overall feasibility. The data collection and analysis for the intended clinical outcomes were also feasible. A total of 309 older persons were included in the study sample and were identified as being at risk of pressure ulcers, malnutrition, poor oral health and falls. Among these, actions were planned for 299 (96.8%). Of those for whom actions were planned, actions were implemented on 270 older persons (90.3%). After 12 months, a reduction in implemented actions was observed.
conclusionConducting the current pilot study was a critical step towards preparing for a future definitive trial. The predefined progression criteria were successfully met, demonstrating the feasibility of the specific objectives-including the recruitment, randomisation and retention of nursing homes-as well as the data collection and analysis of intended clinical outcomes. The results of this external pilot study support proceeding with a definitive trial. TRIAL REGISTRATION NUMBER: NCT05308862.
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