Keywords

Given the complexity of care environments and the influence of contextual factors in implementation, pragmatic trials are needed; however, attention to study design and measurement is crucial as is assessment of implementation of complex interventions in the long-term care environment.This study, highlights the ways in which a negative trial may still be “successful” despite the absence of anticipated change in the primary outcome, underscoring the need to further explore what constitutes success in complex trials.Engagement and empowerment of care aides in leading quality improvement teams can result in tangible improvements in care provided to older adults in LTC.