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Table 3 Design and characteristics of controlled studies (N = 15)

From: Effects of de-implementation strategies aimed at reducing low-value nursing procedures: a systematic review and meta-analysis

Author (year), Country

Design study

Setting

Target group

Type of low value care

Primary outcome (s)

Posttest intervention group (%)a

Posttest Control group (%)a

Statistical analyses performed (Yes/No)

Positive significant effect (Yes/No)

Desveaux et al. (2017) [38]b

Cluster RCT

Nursing home

Nurses

Antipsychotic prescribing (APM)

The days dispensed APM in the previous week

624/2947 (21.2%)

898/4162 (21.6%)

Yes

No

Evans et al. 1997, USA [39]

RCT

Nursing home

Gerontologic nurses

Restraint use

The prevalence of restraint use

18/127 (14.2%)

79/184 (42.9%)

Yes

Yes

Fitzpatrick (1997), USA [40]

Controlled before after

Hospital

Critical care and intermediate nurse

Restraint use

The incidence of restraint use

29/91 (31.9%)

8/51 (15.7%)

Yes

No

Gulpers et al. (2011), The Netherlands [41]

Controlled before after

Nursing home

Psychogeriatric nurses

Restraint use

The rate of residents with at least 1 physical restraint

135/250 (54.0%)

107/155 (69.0%)

Yes

Yes

Gulpers et al. (2013), the Netherlands [42]

Controlled before after

Nursing home

Psychogeriatric nurses

Restraint use

The rate of residents with at least 1 physical restraint

80/134 (59.7%)

68/91 (74.7%)

Yes

Yes

Huang et al. (2009) [43]c

Controlled before after

Hospital

Nurses

Restraint use

The reported Practice of Physical Restraint Use

40.88

39.20

Yes

Yes

Huizing et al. (2009), The Netherlands [44]

Cluster RCT

Nursing home

Nurses and registered Nurses

Restraint use

The use of restraints per residents

25/53 (47.2%)

15/37 (40.5%)

Yes

No

Huizing et al. (2009), The Netherlands [45]

Cluster RCT

Nursing home

Nurses

Restraint use

The use of restraints per residents

81/126 (64.3%)

69/115 (60.0%)

Yes

No

Koczy et al. (2011), Germany [46]

Cluster RCT

Nursing home

Nurses

Restraint use

The complete cessation of restraint use

173/208 (83.2%)

114/125 (91.2%)

Yes

No

Kopke et al. (2012), Germany [47]

RCT

Nursing home

Nurses

Restraint use

The percentage of residents with at least 1 physical restraint

423/1868 (22.6%)

525/1802 (29.1%)

Yes

Yes

Kwok et al. (2005), China [48]b

RCT

Hospital

Geriatric nurses

Restraint use

The proportion of subjects ever restrained

N/A

N/A

Yes

No

Lai et al. (2011), China [49]

Controlled before after

Hospital

Nurses

Restraint use

The prevalence of restraint use

299/612 (48.9%)

21/155 (13.5%)

Yes

No

Pellfolk et al. (2010), Sweden [50]

Cluster RCT

Residential care facilities

Registered nurses, licensed practical nurses and nurse’s aides

Restraint use

The use of restraint use

30/149 (20.1%)

53/139 (38.1%)

Yes

Yes

Testad et al. (2010), Norway [51]b

Cluster RCT

Nursing home

Nurses

Restraint use

The use of restraint use

N/A

N/A

Yes

Yes

Testad et al. (2016), Norway [52]

Cluster RCT

Nursing home

Nurses

Restraint use

The use of restraint use

15/83 (18.1%)

10/114 (8.8%)

Yes

Yes

  1. N/A not available
  2. aNumbers based on the extracted results used for the meta-analyses
  3. bData for meta-analyses not available
  4. cData was not measured at patient level