title: Implementing toileting trials in nursing homes: evaluation of a dissemination strategy.
abstract: OBJECTIVE
  This study sought to improve incontinence care in nursing homes (NHs) by administering and evaluating a webinar course that provided extended instruction to help NHs implement toileting trials in accordance with recommended procedures. Of particular interest was: 1) whether the course design would prompt NH staffs to implement the recommended protocol, and 2) whether participants preferred this course design to other models.
  
  
  METHODS
  The study collected descriptive evaluation data.
  
  
  METHODS
  The setting was comprised of seven NHs.
  
  
  METHODS
  Participants were staff members, typically nurses, from enrolled NHs who attended at least three of the six webinars that comprised the course.
  
  
  METHODS
  Data was collected using a course evaluation and implementation survey.
  
  
  RESULTS
  Staff in the participating nursing homes attended an average of 4.85 webinars, with an average of nine staff members attending each webinar (range: 3-20). Twelve of 16 responding participants said they preferred the webinar course to other course designs. All respondents said they would recommend the course and take a similar course again. All facilities submitted some evidence that staff providers had completed implementation assignments. Most facilities reported plans to sustain use of the recommended protocol.
  
  
  CONCLUSIONS
  This study found limited evidence that the webinar course prompts NHs to implement a recommended toileting trial protocol and is preferred to other training program designs.
authors.affiliation: Gerontology Consultant, 519 Stassi Lane, Santa Monica, CA, USA. Electronic address: rahmananna@yahoo.com.
authors.forename: Anna N
authors.initials: AN
authors.lastname: Rahman
authors.affiliation: Division of General Internal Medicine and Public Health, Center for Quality Aging, School of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA; Geriatric Research, Education, and Clinical Center, VA Medical Center, Nashville, TN, USA. Electronic address: john.schnelle@vanderbilt.edu.
authors.forename: John F
authors.initials: JF
authors.lastname: Schnelle
authors.affiliation: California Association of Long Term Care Medicine, Los Angeles, CA, USA; Division of Geriatrics, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
authors.forename: Dan
authors.initials: D
authors.lastname: Osterweil
mesh_terms: D002140:California; D005242:Fecal Incontinence / Q000451:nursing*; D006801:Humans; D009735:Nursing Homes; D014549:Urinary Incontinence / Q000451:nursing*
keywords: Dissemination; Incontinence care; Nursing home; Translational research