The University of Southampton
University of Southampton Institutional Repository

'There's no place like home' - A scoping review on the impact of home-like residential care models on resident-, family- and staff-related outcomes

'There's no place like home' - A scoping review on the impact of home-like residential care models on resident-, family- and staff-related outcomes
'There's no place like home' - A scoping review on the impact of home-like residential care models on resident-, family- and staff-related outcomes
Background: There is increasing emphasis on promoting ‘home-like’ residential care models enabling care-dependent people to continue living in a self-determined manner. Yet, little is known about the outcomes of home-like residential care models.

Purpose: We aimed to (1) identify home-like residential care models 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), non-dementia specific small houses, e.g. 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 non-dementia-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 home-like 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 home-like residential care models.
long-term care, home-like, small-scale, residential facilities, scoping review
1525-8610
1-42
Ausserhofer, D.
7859ddf1-2b90-479a-8488-325eb0b8c7c6
Deschodt, M.
93d4bd17-e855-4d35-982c-2d002284c7d3
De Geest, S.
5cbd1de8-1e74-4754-a0e3-86e2c751f025
van Achterberg, T.
1b413585-49b3-4989-a1b6-7fb4d4bac453
Meyer, G.
e0518996-788e-4d33-959b-40af265ba5f3
Verbeek, H.
01d55cd2-a9e1-4504-a9cc-56b992bef796
Strømseng Sjetne, I.
66e3340e-d156-4800-8423-2d301c8f44de
Malinowska-Lipień, I.
db1697e0-3704-4c64-ab6f-afd56f245326
Griffiths, P.
ac7afec1-7d72-4b83-b016-3a43e245265b
Schlüter, W.
e1c6bb96-4084-49e9-b659-4c4a567e98ad
Ellen, M.
a2b82156-f550-4647-b0ee-e019b4cbca4d
Engberg, S.
edd31d22-306e-435e-9bba-97c6b1abb242
Ausserhofer, D.
7859ddf1-2b90-479a-8488-325eb0b8c7c6
Deschodt, M.
93d4bd17-e855-4d35-982c-2d002284c7d3
De Geest, S.
5cbd1de8-1e74-4754-a0e3-86e2c751f025
van Achterberg, T.
1b413585-49b3-4989-a1b6-7fb4d4bac453
Meyer, G.
e0518996-788e-4d33-959b-40af265ba5f3
Verbeek, H.
01d55cd2-a9e1-4504-a9cc-56b992bef796
Strømseng Sjetne, I.
66e3340e-d156-4800-8423-2d301c8f44de
Malinowska-Lipień, I.
db1697e0-3704-4c64-ab6f-afd56f245326
Griffiths, P.
ac7afec1-7d72-4b83-b016-3a43e245265b
Schlüter, W.
e1c6bb96-4084-49e9-b659-4c4a567e98ad
Ellen, M.
a2b82156-f550-4647-b0ee-e019b4cbca4d
Engberg, S.
edd31d22-306e-435e-9bba-97c6b1abb242

Ausserhofer, D., Deschodt, M., De Geest, S., van Achterberg, T., Meyer, G., Verbeek, H., Strømseng Sjetne, I., Malinowska-Lipień, I., Griffiths, P., Schlüter, W., Ellen, M. and Engberg, S. (2016) 'There's no place like home' - A scoping review on the impact of home-like residential care models on resident-, family- and staff-related outcomes. Journal of the American Medical Directors Association, 1-42. (In Press)

Record type: Article

Abstract

Background: There is increasing emphasis on promoting ‘home-like’ residential care models enabling care-dependent people to continue living in a self-determined manner. Yet, little is known about the outcomes of home-like residential care models.

Purpose: We aimed to (1) identify home-like residential care models 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), non-dementia specific small houses, e.g. 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 non-dementia-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 home-like 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 home-like residential care models.

Text
‘There’s no place like home’ - A scoping review on the impact of home-like residential care models on resident- family- and staff-related outcomes .docx - Other
Download (99kB)
Text
'There's no place like home' PUBLISHED.pdf - Version of Record
Download (359kB)

More information

Accepted/In Press date: 16 March 2016
Keywords: long-term care, home-like, small-scale, residential facilities, scoping review
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 390204
URI: http://eprints.soton.ac.uk/id/eprint/390204
ISSN: 1525-8610
PURE UUID: 8e850568-18f3-49a1-b0ac-c09e2f4b4d5f
ORCID for P. Griffiths: ORCID iD orcid.org/0000-0003-2439-2857

Catalogue record

Date deposited: 22 Mar 2016 13:44
Last modified: 06 Jun 2018 12:32

Export record

Contributors

Author: D. Ausserhofer
Author: M. Deschodt
Author: S. De Geest
Author: T. van Achterberg
Author: G. Meyer
Author: H. Verbeek
Author: I. Strømseng Sjetne
Author: I. Malinowska-Lipień
Author: P. Griffiths ORCID iD
Author: W. Schlüter
Author: M. Ellen
Author: S. Engberg

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×