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Translating research in elder care: An applied program of health services research

The Translating Research in Elder Care (TREC) program is an observational multi-method health services research project underway in the prairie provinces of Canada (funded by the Canadian Institutes of Health Research). Its focus is improving care delivered in nursing homes. TREC is designed to establish the associations between organizational context, bedside knowledge use, work life quality for caregivers, and resident outcomes. The data sources for TREC include direct reports from frontline caregivers and their managers, facility and unit demographic data, and clinical outcome data generated as part of the regular care process using the interRAI Resident Assessment Instrument system. These articles describe the protocols for the Translating Research in Elder Care (TREC) program and the evolution of the approaches taken by the team in its first four years to feed research findings back to study participants as the team began to move toward an integrated knowledge translation model.

Collection published in: Trials, BMC Research Notes, BMC Health Services Research, BMC Geriatrics, Implementation Science, BMC Medical Research Methodology.

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  1. Research article

    Linguistic validation of the Alberta Context Tool and two measures of research use, for German residential long term care

    To study the association between organizational context and research utilization in German residential long term care (LTC), we translated three Canadian assessment instruments: the Alberta Context Tool (ACT),...

    Matthias Hoben, Marion Bär, Cornelia Mahler, Sarah Berger, Janet E Squires, Carole A Estabrooks, Andreas Kruse and Johann Behrens

    BMC Research Notes 2014 7:67

    Published on: 31 January 2014

  2. Research article

    The Older Persons’ Transitions in Care (OPTIC) study: pilot testing of the transition tracking tool

    OPTIC is a mixed method Partnership for Health System Improvement (http://​www.​cihr-irsc.​gc.​ca/​e/​34348.​html) study focused on improving care for nursing...

    Robert Colin Reid, Garnet E Cummings, Sarah L Cooper, Stephanie L Abel, Laura J Bissell, Carole A Estabrooks, Brian H Rowe, Adrian Wagg, Peter G Norton, Mike Ertel and Greta G Cummings

    BMC Health Services Research 2013 13:515

    Published on: 14 December 2013

  3. Research article

    German translation of the Alberta context tool and two measures of research use: methods, challenges and lessons learned

    Understanding the relationship between organizational context and research utilization is key to reducing the research-practice gap in health care. This is particularly true in the residential long term care (...

    Matthias Hoben, Cornelia Mahler, Marion Bär, Sarah Berger, Janet E Squires, Carole A Estabrooks and Johann Behrens

    BMC Health Services Research 2013 13:478

    Published on: 16 November 2013

  4. Research article

    Practice sensitive quality indicators in RAI-MDS 2.0 nursing home data

    In recent years, improving the quality of care for nursing home residents has generated a considerable amount of attention. In response, quality indicators (QIs), based on available evidence and expert consens...

    Carole A Estabrooks, Jennifer A Knopp-Sihota and Peter G Norton

    BMC Research Notes 2013 6:460

    Published on: 13 November 2013

  5. Study protocol

    Sustaining Transfers through Affordable Research Translation (START): study protocol to assess knowledge translation interventions in continuing care settings

    Bridging the research-practice gap is an important research focus in continuing care facilities, because the population of older adults (aged 65 years and over) requiring continuing care services is the fastes...

    Susan E Slaughter, Carole A Estabrooks, C Allyson Jones, Adrian S Wagg and Misha Eliasziw

    Trials 2013 14:355

    Published on: 26 October 2013

  6. Research article

    Optimizing the mobility of residents with dementia: a pilot study promoting healthcare aide uptake of a simple mobility innovation in diverse nursing home settings

    Almost 90 percent of nursing home residents have some type of mobility limitation. Many spend most of their waking hours lying in bed or sitting. Such inactivity can negatively affect residents’ health and gen...

    Susan E Slaughter and Carole A Estabrooks

    BMC Geriatrics 2013 13:110

    Published on: 18 October 2013

  7. Study protocol

    Older Persons’ Transitions in Care (OPTIC): a study protocol

    Changes in health status, triggered by events such as infections, falls, and geriatric syndromes, are common among nursing home (NH) residents and necessitate transitions between NHs and Emergency Departments ...

    Greta G Cummings, R Colin Reid, Carole A Estabrooks, Peter G Norton, Garnet E Cummings, Brian H Rowe, Stephanie L Abel, Laura Bissell, Joan L Bottorff, Carole A Robinson, Adrian Wagg, Jacques S Lee, Susan L Lynch and Elmabrok Masaoud

    BMC Geriatrics 2012 12:75

    Published on: 14 December 2012

  8. Research article

    Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach

    In Canada, healthcare aides (also referred to as nurse aides, personal support workers, nursing assistants) are unregulated personnel who provide 70-80% of direct care to residents living in nursing homes. Alt...

    Lisa A Cranley, Peter G Norton, Greta G Cummings, Debbie Barnard, Neha Batra-Garga and Carole A Estabrooks

    BMC Geriatrics 2012 12:59

    Published on: 25 September 2012

  9. Research

    Feedback reporting of survey data to healthcare aides

    This project occurred during the course of the Translating Research in Elder Care (TREC) program of research. TREC is a multilevel and longitudinal research program being conducted in the three Canadian Prairi...

    Alison M Hutchinson, Neha Batra-Garga, Lisa Cranley, Anne-Marie Bostrom, Greta Cummings, Peter Norton and Carole A Estabrooks

    Implementation Science 2012 7:89

    Published on: 13 September 2012

  10. Research

    Nursing home administrators’ perspectives on a study feedback report: a cross sectional survey

    This project is part of the Translating Research in Elder Care (TREC) program of research, a multi-level and longitudinal research program being conducted in 36 nursing homes in three Canadian Prairie Province...

    Anne-Marie Boström, Lisa A Cranley, Alison M Hutchinson, Greta G Cummings, Peter G Norton and Carole A Estabrooks

    Implementation Science 2012 7:88

    Published on: 13 September 2012

  11. Short report

    Should we feed back research results in the midst of a study?

    This report is an introduction to a series of three research papers that describe the evolution of the approaches taken by the Translating Research in Elder Care (TREC) research team during its first four year...

    Carole A Estabrooks, Gary F Teare and Peter G Norton

    Implementation Science 2012 7:87

    Published on: 13 September 2012

  12. Research article

    Advancing the argument for validity of the Alberta Context Tool with healthcare aides in residential long-term care

    Organizational context has the potential to influence the use of new knowledge. However, despite advances in understanding the theoretical base of organizational context, its measurement has not been adequatel...

    Carole A Estabrooks, Janet E Squires, Leslie A Hayduk, Greta G Cummings and Peter G Norton

    BMC Medical Research Methodology 2011 11:107

    Published on: 18 July 2011

  13. Study protocol

    SCOPE: Safer care for older persons (in residential) environments: A study protocol

    The current profile of residents living in Canadian nursing homes includes elder persons with complex physical and social needs. High resident acuity can result in increased staff workload and decreased qualit...

    Lisa A Cranley, Peter G Norton, Greta G Cummings, Debbie Barnard and Carole A Estabrooks

    Implementation Science 2011 6:71

    Published on: 11 July 2011

  14. Research article

    Validation of the conceptual research utilization scale: an application of the standards for educational and psychological testing in healthcare

    There is a lack of acceptable, reliable, and valid survey instruments to measure conceptual research utilization (CRU). In this study, we investigated the psychometric properties of a newly developed scale (th...

    Janet E Squires, Carole A Estabrooks, Christine V Newburn-Cook and Mark Gierl

    BMC Health Services Research 2011 11:107

    Published on: 19 May 2011

  15. Research article

    The care unit in nursing home research: Evidence in support of a definition

    Defining what constitutes a resident care unit in nursing home research is both a conceptual and practical challenge. The aim of this paper is to provide evidence in support of a definition of care unit in nursin...

    Carole A Estabrooks, Debra G Morgan, Janet E Squires, Anne-Marie Boström, Susan E Slaughter, Greta G Cummings and Peter G Norton

    BMC Medical Research Methodology 2011 11:46

    Published on: 14 April 2011

  16. Research article

    Development and assessment of the Alberta Context Tool

    The context of healthcare organizations such as hospitals is increasingly accepted as having the potential to influence the use of new knowledge. However, the mechanisms by which the organizational context inf...

    Carole A Estabrooks, Janet E Squires, Greta G Cummings, Judy M Birdsell and Peter G Norton

    BMC Health Services Research 2009 9:234

    Published on: 15 December 2009

  17. Study protocol

    Study protocol for the translating research in elder care (TREC): building context through case studies in long-term care project (project two)

    The organizational context in which healthcare is delivered is thought to play an important role in mediating the use of knowledge in practice. Additionally, a number of potentially modifiable contextual facto...

    Jo Rycroft-Malone, Sue Dopson, Lesley Degner, Alison M Hutchinson, Debra Morgan, Norma Stewart and Carole A Estabrooks

    Implementation Science 2009 4:53

    Published on: 11 August 2009

  18. Study protocol

    Study protocol for the translating research in elder care (TREC): building context – an organizational monitoring program in long-term care project (project one)

    While there is a growing awareness of the importance of organizational context (or the work environment/setting) to successful knowledge translation, and successful knowledge translation to better patient, pro...

    Carole A Estabrooks, Janet E Squires, Greta G Cummings, Gary F Teare and Peter G Norton

    Implementation Science 2009 4:52

    Published on: 11 August 2009

  19. Study protocol

    Translating research in elder care: an introduction to a study protocol series

    The knowledge translation field is undermined by two interrelated gaps – underdevelopment of the science and limited use of research in health services and health systems decision making. The importance of con...

    Carole A Estabrooks, Alison M Hutchinson, Janet E Squires, Judy Birdsell, Greta G Cummings, Lesley Degner, Debra Morgan and Peter G Norton

    Implementation Science 2009 4:51

    Published on: 10 August 2009

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