Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (Shelter) study

Onder, Graziano and Carpenter, G. Iain and Finne-Soveri, Harriet and Ginden, Jacob and Henrard, Jean Claude and Frijters, Dinnus and Topinkova, Eva and Nikolaus, Thorsten and Tosato, Matteo and Landi, Francesco and Liperoti, Rosa and Bernabei, Roberto (2012) Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (Shelter) study. Bmc Health Services Research, 12 (5). ISSN 1472-6963. (The full text of this publication is not available from this repository)

The full text of this publication is not available from this repository. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1186/1472-6963-12-5

Abstract

Background Aims of the present study are the following: 1. to describe the rationale and methodology of the Services and Health for Elderly in Long TERm care (SHELTER) study, a project funded by the European Union, aimed at implementing the interRAI instrument for Long Term Care Facilities (interRAI LTCF) as a tool to assess and gather uniform information about nursing home (NH) residents across different health systems in European countries; 2. to present the results about the test-retest and inter-rater reliability of the interRAI LTCF instrument translated into the languages of participating countries; 3 to illustrate the characteristics of NH residents at study entry. Method A 12 months prospective cohort study was conducted in 57 NH in 7 EU countries (Czech Republic, England, Finland, France, Germany, Italy, The Netherlands) and 1 non EU country (Israel). Weighted kappa coefficients were used to evaluate the reliability of interRAI LTCF items. Results Mean age of 4156 residents entering the study was 83.4+/-9.4 years, 73% were female. ADL disability and cognitive impairment was observed in 81.3% and 68.0% of residents, respectively. Clinical complexity of residents was confirmed by a high prevalence of behavioral symptoms (27.5% of residents), falls (18.6%), pressure ulcers (10.4%), pain (36.0%) and urinary incontinence (73.5%). Overall, 197 of the 198 the items tested met or exceeded standard cut-offs for acceptable test-retest and inter-rater reliability after translation into the target languages. Conclusion The interRAI LTCF appears to be a reliable instrument. It enables the creation of databases that can be used to govern the provision of long-term care across different health systems in Europe to answer relevant resesearch and policy questions and to compare characteristics of NH residents across countries, languages and cultures.

Item Type: Article
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HM Sociology
R Medicine > RC Internal medicine > RC952 Geriatrics
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Paula Loader
Date Deposited: 27 Jan 2012 14:49
Last Modified: 22 Apr 2014 13:38
Resource URI: http://kar.kent.ac.uk/id/eprint/28634 (The current URI for this page, for reference purposes)
  • Depositors only (login required):