Table 1.
Characteristics of TRAIN-ADa providers (N = 380) and intervention facilities (N = 14).
| Characteristics |
Providersb No. (%) |
|---|---|
| Provider | |
| Nurses | 298 (78.4) |
| Prescribing providers | 82 (21.6) |
| Physicians | 37 (9.7) |
| Physician assistants | 2 (0.5) |
| Nurse practitioners | 43 (11.3) |
| Prevalent participation (vs incident)c | 329 (86.6) |
| Facilityd | |
| Wave Allocation | |
| 1, 2 or 3 | 250 (65.8) |
| 4, 5, or 6 | 130 (34.2) |
| No champion turnover (vs any) | 258 (67.9) |
| No. enrolled providers >24 (median) | 261 (68.7) |
| No. enrolled residents >12 (median) | 174 (45.8) |
| Total No. Beds >133 (median) | 209 (55.0) |
| For profit status (vs non-profit) | 199 (52.4) |
| Licensed and registered nurse/hour/resident/day >1.4 (median) | 135 (35.5) |
| Five-star rating score of 5 (median)e | 219 (57.6) |
| Infectious disease practice score of 4 (median)f | 228 (60.0) |
| Palliative care practice > score of 3 (median)g | 180 (47.4) |
Trial to Reduce Antimicrobial Use in Nursing Home Residents with Alzheimer's Disease and other Dementias.
Analyses done at the provider level.
Providers enrolled at time of facility start-up versus follow-up period.
Medians calculated at the facility level.
Nursing Home Compare Five-star rating; range 0–5, higher scores indicate better care quality [24].
Infectious disease practice score is calculated using senior administrator survey responses about whether the facility had any of the following: infection preventionist, antimicrobial stewardship program, and standardized protocols or initiatives for the diagnosis and treatment of suspected UTI and LRI infections. One point is given for each practice with total score; range 0–4, higher scores indicate greater intensity of infection disease practices.
Palliative Care practice score based on senior administrator survey responses about whether the facility had the following: access to hospice, access to palliative care consultations, and proxy discussions about infection management on admission, during regular care plan meeting, when a resident develops signs and symptoms of an infection, and following an event such as an aspiration. One point is given for each practice with total score; range 0-6, higher scores indicate greater intensity of infection disease practices.