Outcome measures from international older adult care home intervention research: a scoping review

Kelly, Sarah, Cowan, Andy, Akdur, Gizdem, Irvine, Lisa, Peryer, Guy ORCID: https://orcid.org/0000-0003-0425-6911, Welsh, Silje, Rand, Stacey, Lang, Iain A., Towers, Ann-Marie, Spilsbury, Karen, Killett, Anne ORCID: https://orcid.org/0000-0003-4080-8365, Gordon, Adam Lee, Hanratty, Barbara, Jones, Liz, Meyer, Julienne, Goodman, Claire and Burton, Jennifer Kirsty (2023) Outcome measures from international older adult care home intervention research: a scoping review. Age and Ageing, 52 (5). ISSN 0002-0729

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Background: Care homes are increasingly important settings for intervention research to enhance evidence-informed care. For such research to demonstrate effectiveness, it is essential that measures are appropriate for the population, setting and practice contexts.   Objective: To identify care home intervention studies and describe the resident outcome measures used.   Design: Scoping review   Methods: We reviewed international care home research published from 2015-August 2022. We searched MEDLINE, EMBASE, CINAHL, ASSIA. We included any intervention study conducted in a care home, reporting resident outcomes. We extracted resident outcome measures, organised these using the domains of an adapted framework and described their use.   Results: From 7,330 records screened, we included 396 datasets reported in 436 publications. These included 12,167 care homes and 836,842 residents, with an average of 80 residents per study. The studies evaluated 859 unique resident outcomes 2,030 times using 732 outcome measures. Outcomes were evaluated between 1-112 times, with 75.1% of outcomes evaluated only once. Outcome measures were used 1-120 times, with 68.4% of measures used only once. Only 14 measures were used ≥20 times. Functional status, mood & behaviour, and medications were the commonest outcome domains assessed. More than half of outcomes were assessed using scales, with a fifth using existing records or administrative data.   Conclusions: There is significant heterogeneity in the choice and assessment of outcomes for intervention research in care homes There is an urgent need to develop a consensus on useful and sensitive tools for care homes, working with residents, families and friends and staff.

Item Type: Article
Additional Information: Funding information: This research is funded by the National Institute for Health and Care Research (NIHR) Health Service Research and Delivery programme (HS&DR NIHR127234) and supported by the NIHR Applied Research Collaboration (ARC) East of England, South West Peninsula, Kent, Surrey and Sussex, Yorkshire and Humber, East Midlands and North East and North Cumbria. C.G., K.S. and A.L.G. are NIHR Senior Investigators. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. J.K.B. is supported by a Joint NHS Education for Scotland/Chief Scientist Office (NES/CSO) Postdoctoral Clinical Lectureship. The funder played no part in the conduct of this review.
Uncontrolled Keywords: care home,core outcome set,homes for the aged,long-term care,older people,outcome measures,ageing,geriatrics and gerontology ,/dk/atira/pure/subjectarea/asjc/1300/1302
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Institute for Volunteering Research
Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 20 Mar 2023 12:46
Last Modified: 19 Oct 2023 03:34
URI: https://ueaeprints.uea.ac.uk/id/eprint/91583
DOI: 10.1093/ageing/afad069


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