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Table 2 2-day education program for COSMOS ambassadors, physicians and nursing home managers

From: COSMOS—improving the quality of life in nursing home patients: protocol for an effectiveness-implementation cluster randomized clinical hybrid trial

  Themes
Day 1  
 08:30 Registration, welcome and introduction of participants and nursing homes (NH)
 09:00 The multicomponent concept of COSMOS, introduction and plan for teaching, education and follow-up of patients, relatives, NH staff including managers
 09:45 Module 1: Assessment and treatment of pain
Pain physiology; pain behaviour in people with dementia; stepwise protocol of treatment pain
 10:30 Break
 10:45 Efficacy of treating pain on neuropsychiatric symptoms in people with dementia
 11:15 Practical exercises in the use of MOBID-2 Pain Scale; introduction of the manual and demonstration material for the cluster/NH unit
 12.15 Lunch
 13.00 Module 2: Organization of activities
What is the evidence base for different types of activities
 13:45 How to assess the efficacy of activities?
 14:30 Break
 14:45 The patient’s individual plan
 15:30 Practical exercises in identification of the resources in my NH; introduction of the manual and demonstration material for the cluster/NH unit
 16:15 Feedback and evaluation of the day
 16:30 Take home message
Day 2  
 08:30 Welcome and coffee
 08:45 Module 3: Medication review
Polypharmacy in elderly people and NH patients with and without dementia
 09:30 Anticholinergic side effects; START and STOP criteria; www.interaksjoner.no
 10:15 Break
 10:30 Use of the medication review checklist and relevant patient tools
 11:15 Practical exercises of medication review by patient examples; introduction of the manual and demonstration material for the cluster/NH unit
 12:15 Lunch
 13:00 Module 4: Communication in form of advance care planning (ACP)
What do we know about ACP and communication in NH settings?
 13:45 How to assess the efficacy of ACP?
 14:30 Break
 14:45 Role play
 15:30 Practical exercises in identification of promoters and barriers to conduct ACP in my NH; introduction of the manual and demonstration material for the cluster/NH unit
 16.15 What are the next steps? Contact with patients and relatives, telephone hotline, information posters/pocket cards, flyers, contact with media, web-site and more.
 16:30 Program evaluation
 17:00 Take home message