Optimizing Retention in a Pragmatic Trial of Community-Living Older Persons: The STRIDE Study.

Objectives: The Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study is testing the effectiveness of a multifactorial intervention to prevent serious fall injuries. Our aim was to describe procedures that were implemented to optimize participant retention; report retention yields by age, sex, clinical site, and follow-up time; provide reasons for study withdrawals; and highlight the successes and lessons learned from the STRIDE retention efforts.

Design: Pragmatic cluster randomized trial.

Increased Fluoroquinolone-Susceptibility and Preserved Nitrofurantoin-Susceptibility among Urine Isolates from Women Long-Term Care Residents: A Brief Report.

Suspected urinary tract infection is a common indication for antimicrobial therapy in long-term care residents. We sought to characterize antimicrobial susceptibilities among urine isolates collected from women long-term care residents enrolled in a clinical trial across 21 long-term care facilities in Connecticut, United States of America between August 2012 and October 2015. Among 967 urine cultures collected from 175 women long-term care residents with and without suspected urinary tract infection, we identified 456 bacterial isolates.

Frequency of Infection during Fever Episodes among Long-Term Care Residents.

Background: Empirical data regarding the frequency of infection during fever episodes among women in long-term care facilities are lacking.

Methods: We conducted a case-series analysis of women long-term care residents enrolled in a randomized trial evaluating cranberry capsules to reduce bacteriuria plus pyuria across twenty-one long-term care facilities in CT, USA. Fever episodes identified during adverse event surveillance were assessed using established guidelines for older adults.

Effect of Cranberry Capsules on Bacteriuria Plus Pyuria Among Older Women in Nursing Homes: A Randomized Clinical Trial.

Importance: Bacteriuria plus pyuria is highly prevalent among older women living in nursing homes. Cranberry capsules are an understudied, nonantimicrobial prevention strategy used in this population.

Objective: To test the effect of 2 oral cranberry capsules once a day on presence of bacteriuria plus pyuria among women residing in nursing homes.

Integration of fall prevention into state policy in Connecticut.

Purpose Of Study: To describe the ongoing efforts of the Connecticut Collaboration for Fall Prevention (CCFP) to move evidence regarding fall prevention into clinical practice and state policy.

Methods: A university-based team developed methods of networking with existing statewide organizations to influence clinical practice and state policy.

Results: We describe steps taken that led to funding and legislation of fall prevention efforts in the state of Connecticut.

Health outcome priorities among competing cardiovascular, fall injury, and medication-related symptom outcomes.

Objectives: To determine the priority that older adults with coexisting hypertension and fall risk give to optimizing cardiovascular outcomes versus fall- and medication symptom-related outcomes.

Design: Interview.

Setting: Community.

Development of a tool for eliciting patient priority from among competing cardiovascular disease, medication-symptoms, and fall injury outcomes.

Objectives: To develop a choice task for eliciting priorities in the face of competing cardiovascular disease (CVD) outcomes, medication-related symptoms, and fall injuries.

Design: Conjoint analysis.

Setting: Senior housing site.

Step by step: integrating evidence-based fall-risk management into senior centers.

Purpose: Our purpose in this project was to conceptualize and implement evidence-based fall-prevention programming into senior centers. We present challenges to this process and strategies to overcome them.

Design And Methods: We carried out a dissemination project in nine diverse senior centers in Connecticut.