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

Kelly, Sarah, Cowan, Andy, Akdur, Gizdem, Irvine, Lisa, Peryer, Guy, Welsh, Silje, Rand, Stacey, Lang, Iain A, Towers, Ann-Marie, Spilsbury, Karen, and others. (2023) Outcome measures from international older adult care home intervention research: a scoping review. Age and Ageing, 52 (5). Article Number afad069. ISSN 0002-0729. (doi:10.1093/ageing/afad069) (KAR id:101391)

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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 to August 2022. We searched MEDLINE, EMBASE, CINAHL and 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 and 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
DOI/Identification number: 10.1093/ageing/afad069
Uncontrolled keywords: Homes For The Aged, Older People, Outcome Measures, Long-term Care, Care Home, Core Outcome Set, Humans, Aged, Homes for the Aged, Outcome Assessment, Health Care
Subjects: H Social Sciences
H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Funders: National Institute for Health Research (
SWORD Depositor: JISC Publications Router
Depositing User: JISC Publications Router
Date Deposited: 30 May 2023 14:14 UTC
Last Modified: 31 May 2023 10:44 UTC
Resource URI: (The current URI for this page, for reference purposes)
Peryer, Guy:
Rand, Stacey:
Killett, Anne:
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