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- W2766386989 abstract "Background: Falls among hospitalised patients impose a considerable burden on health systems globally andprevention is a priority. Some patient-level interventions have been effective in reducing falls, but others have not.An alternative and promising approach to reducing inpatient falls is through the modification of the hospital physical environment and the night lighting of hospital wards is a leading candidate for investigation. In this pilot trial, we will determine the feasibility of conducting a main trial to evaluate the effects of modified night lighting on inpatient ward level fall rates. We will test also the feasibility of collecting novel forms of patient level data through a concurrent observational sub-study.Methods/design: A stepped wedge, cluster randomised controlled trial will be conducted in six inpatient wardsover 14 months in a metropolitan teaching hospital in Brisbane (Australia). The intervention will consist ofsupplementary night lighting installed across all patient rooms within study wards. The planned placement of luminaires, configurations and spectral characteristics are based on prior published research and pre-trial testingand modification. We will collect data on rates of falls on study wards (falls per 1000 patient days), the proportionof patients who fall once or more, and average length of stay. We will recruit two patients per ward per month to aconcurrent observational sub-study aimed at understanding potential impacts on a range of patient sleep andmobility behaviour. The effect on the environment will be monitored with sensors to detect variation in light levelsand night-time room activity. We will also collect data on possible patient-level confounders includingdemographics, pre-admission sleep quality, reported vision, hearing impairment and functional status.Discussion: This pragmatic pilot trial will assess the feasibility of conducting a main trial to investigate the effects of modified night lighting on inpatient fall rates using several new methods previously untested in the context of environmental modifications and patient safety. Pilot data collected through both parts of the trial will be utilised to inform sample size calculations, trial design and final data collection methods for a subsequent main trial." @default.
- W2766386989 created "2017-11-10" @default.
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- W2766386989 date "2016-01-01" @default.
- W2766386989 modified "2023-09-27" @default.
- W2766386989 title "Feasibility of a stepped wedge cluster RCT and concurrent observational sub-study to evaluate the effects of modified ward night lighting on inpatient fall rates and sleep quality: A protocol for a pilot trial" @default.
- W2766386989 hasPublicationYear "2016" @default.
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