Setting
This study was part of a larger research program examining modifiable contextual factors that influence implementation and improvement efforts in LTC homes in British Columbia, Alberta, and Manitoba, the Translating Research in Elder Care (TREC) program. TREC is a longitudinal research program comprised of many studies (including SCOPE). Its overall aim is to improve the quality of care and quality of life for LTC home residents and quality of work life for the staff who care for them [