Overview: To increase vitamin D use and evidence-based osteoporosis and fracture prevention practices in long-term care (LTC). 40 Long-Term Care homes across Ontario were randomized to the control or intervention groups. The participants in each home included the Medical Director, Director of Care, Pharmacist, Dietician, and other professionals.


ClinicalTrials.gov Identifier: NCT01398527
Study Type: Interventional (Clinical Trial)
Participants (N): 40
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Intervention Description: Three points of contact were made. The first being a 1-hour personal visit at each intervention LTC home from an osteoporosis expert with the homes professional or health advisory committee. The second and third contact points were made through webinars between the osteoporosis expert and the group from the first meeting.
Primary Outcome Number of LTC residents on vitamin D.
Results Absolute prescribing improvement of 15% for vitamin D and 7% for calcium (the prescribing improvement was 27.0% for vitamin D and 13% for calcium in homes who actively participated). LTC homes reported implementing several process/policy changes after participating in the study (examples: standard admission orders and dietary enhancements). ViDOS participants described the intervention as an enjoyable and valuable experience. The ongoing input from a specialist physician with osteoporosis expertise was considered a valuable component.

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