TY - JOUR
T1 - "There's No Place Like Home": A Scoping Review on the Impact of Homelike Residential Care Models on Resident-, Family-, and Staff-Related Outcomes
AU - Ausserhofer, Dietmar
AU - Deschodt, Mieke
AU - De Geest, Sabina
AU - van Achterberg, Theo
AU - Meyer, Gabriele
AU - Verbeek, Hilde
AU - Sjetne, Ingeborg Stromseng
AU - Malinowska-Lipien, Iwona
AU - Griffiths, Peter
AU - Schlueter, Wilfried
AU - Ellen, Moriah
AU - Engberg, Sandra
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Background: There is increasing emphasis on promoting "homelike" residential care models enabling care-dependent people to continue living in a self-determined manner. Yet, little is known about the outcomes of homelike residential care models. Purpose: We aimed to (1) identify homelike residential caremodels for older care-dependent people with and without dementia, and(2) explore the impact of these models on resident-, family-, and staff-related outcomes. Design and Methods: We applied a scoping review method and conducted a comprehensive literature search in PubMed, Embase, and CINAHL in May 2015. Results: We included 14 studies, reported in 21 articles. Studies were conducted between 1994 and 2014, most using a quasi-experimental design and comparing the Eden Alternative (n = 5), nondementia-specific small houses (eg Green House homes) (n = 2), and dementia-specific small houses (n = 7) with usual care in traditional nursing homes. The studies revealed evidence of benefit related to physical functioning of residents living in dementia-specific small houses and satisfaction with care of residents living in nondementia-specific small houses compared with those living in traditional nursing homes. We did not find other significant benefits related to physical and psychosocial outcomes of residents, or in family-and staff-related outcomes. Implications: The current evidence on homelike residential care models is limited. Comparative effectiveness research building on a clear theoretical framework and/or logic model and including a standardized set of resident-, family-, and staff-related outcomes, as well as cost evaluation, is needed to provide a stronger evidence base to justify the uptake of more homelike residential care models.
AB - Background: There is increasing emphasis on promoting "homelike" residential care models enabling care-dependent people to continue living in a self-determined manner. Yet, little is known about the outcomes of homelike residential care models. Purpose: We aimed to (1) identify homelike residential caremodels for older care-dependent people with and without dementia, and(2) explore the impact of these models on resident-, family-, and staff-related outcomes. Design and Methods: We applied a scoping review method and conducted a comprehensive literature search in PubMed, Embase, and CINAHL in May 2015. Results: We included 14 studies, reported in 21 articles. Studies were conducted between 1994 and 2014, most using a quasi-experimental design and comparing the Eden Alternative (n = 5), nondementia-specific small houses (eg Green House homes) (n = 2), and dementia-specific small houses (n = 7) with usual care in traditional nursing homes. The studies revealed evidence of benefit related to physical functioning of residents living in dementia-specific small houses and satisfaction with care of residents living in nondementia-specific small houses compared with those living in traditional nursing homes. We did not find other significant benefits related to physical and psychosocial outcomes of residents, or in family-and staff-related outcomes. Implications: The current evidence on homelike residential care models is limited. Comparative effectiveness research building on a clear theoretical framework and/or logic model and including a standardized set of resident-, family-, and staff-related outcomes, as well as cost evaluation, is needed to provide a stronger evidence base to justify the uptake of more homelike residential care models.
KW - Long-term care
KW - homelike
KW - small-scale
KW - residential facilities
KW - scoping review
U2 - 10.1016/j.jamda.2016.03.009
DO - 10.1016/j.jamda.2016.03.009
M3 - Article
SN - 1525-8610
VL - 17
SP - 685
EP - 693
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 8
ER -