Evaluations of Home Care Interventions for Frail Older Persons Using the interRAI Home Care Instrument: A Systematic Review of the Literature

Mello, Johanna De Almeida; Hermans, Koen; Audenhove, Chantal Van; Macq, Jean; Declercq, Anja

doi:10.1016/j.jamda.2014.11.007

Cited by 40 publications

(32 citation statements)

References 36 publications

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“…Set against these limitations, the interRAI offers many promising opportunities for regional, national and international comparative studies using the same standardised measures 5,9,18 . Moreover, within NZ, through the matching with NHI numbers, an enhanced range of medium‐term health outcomes (such as hospital visits, admission and re‐admissions, need for residential care, morbidity and mortality) can be investigated.…”

Section: Discussionmentioning

confidence: 99%

“…While the information gained is used primarily to inform person‐level decisions around care, opportunities exist to better understand older persons’ health and their health care needs within their own home setting. Internationally, there are numerous activities and population studies using the interRAI, 17–20 but, as yet, relatively little has been published in NZ. Critical to these investigations is an understanding of the interRAI‐HC population and the quality of the recorded data.…”

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confidence: 99%

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Comprehensive clinical assessment of home‐based older persons within New Zealand: an epidemiological profile of a national cross‐section

Schluter

Ahuriri‐Driscoll

Anderson

et al. 2016

Australian and New Zealand Journal of Public Health

116

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Objective: Since 2012, all community care recipients in New Zealand have undergone a standardised needs assessment using the Home Care International Residential Assessment Instrument (interRAI‐HC). This study describes the national interRAI‐HC population, assesses its data quality and evaluates its ability to be matched. Methods: The interRAI‐HC instrument elicits information on 236 questions over 20 domains; conducted by 1,800+ trained health professionals. Assessments between 1 July 2012 and 30 June 2014 are reported here. Stratified by age, demographic characteristics were compared to 2013 Census estimates and selected health profiles described. Deterministic matching to the Ministry of Health's mortality database was undertaken. Results: Overall, 51,232 interRAI‐HC assessments were conducted, with 47,714 (93.1%) research consent from 47,236 unique individuals; including 2,675 Māori and 1,609 Pacific people. Apart from height and weight, data validity and reliability were high. A 99.8% match to mortality data was achieved. Conclusions: The interRAI‐HC research database is large and ethnically diverse, with high consent rates. Its generally good psychometric properties and ability to be matched enhances its research utility. Implications: This national database provides a remarkable opportunity for researchers to better understand older persons’ health and health care, so as to better sustain older people in their own homes.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Comprehensive clinical assessment of home‐based older persons within New Zealand: an epidemiological profile of a national cross‐section

Schluter

Ahuriri‐Driscoll

Anderson

et al. 2016

Australian and New Zealand Journal of Public Health

116

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“…All adult instruments are built on a minimum set common set of common items, as well as specialised items relevant to particular contexts and patient groups, and are designed to track persons longitudinally over time and across multiple care settings. These instruments have been continuously improved and validated against other commonly used instruments for use in long-term care, acute and post-acute care, home care, mental health, palliative and community settings [16][17][18][19][20][21][22][23][24][25]. The item domains of these instruments have been shown to have good inter-rater reliability [16] and have been adopted internationally, including countries in North America, Europe, the Middle East, Australasia and East and South East Asia [26,27].…”

Section: Introductionmentioning

confidence: 99%

“…The interRAI home care (interRAI-HC) is probably the most well-researched and supported community-based multi-domain assessment globally [6]. Two recent systematic reviews of the interRAI Home Care instrument have shown that it can be supportive tool for quality care planning to identify problems and risk situations and can foster collaboration between healthcare professionals within and across care settings and improve communication between caregivers [17,24]. Together with case management, it has been shown to reduce hospital admissions, length of stay, and thus, reduce additional expenditure and associated costs [5,17,24] The Check-Up instrument was speci cally designed to address the needs and status of older persons living in the community including those receiving primary care services to inform individual care planning.…”

Section: Introductionmentioning

confidence: 99%

Establishing the criterion validity of the interRAI Check-Up Self-Report instrument

Geffen

Kelly

Morris

et al. 2020

Preprint

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Background: Low and middle-income countries have growing older populations and could benefit from the use of multi-domain geriatric assessments in overcoming the challenge of providing quality health services to older persons. This paper reports on the outcomes of a study carried out in Cape Town, South Africa on the validity of the interRAI Check-Up Self-Report instrument, a multi-domain assessment instrument designed to screen older persons in primary health settings. This is the first criterion validity study of the instrument. The instrument is designed to identify specific health problems and needs, including psychosocial or cognition problems and issues related to functional decline. The interRAI Check-Up Self-Report is designed to be compatible with the clinician administered instruments in the interRAI suite of assessments, but the validity of the instrument against clinician ratings has not yet been established. We therefore sought to establish whether community health workers, rather than trained healthcare professionals could reliably administer the self-report instrument to older persons.Methods: We evaluated the criterion validity of the self-report instrument through comparison to assessments completed by a clinician assessor. A total of 112 participants, aged 60 or older were recruited from 7 seniors clubs in Khayelitsha, Cape Town. Each participant was assessed by one of two previously untrained, non-healthcare personnel using the Check-Up Self-report version and again by a trained assessor using the clinician version of the interRAI Check-Up within 48 hours. Our analyses focused on the degree of agreement between the self-reported and clinician-rated versions of the Check-Up based on the simple or weighted kappa values for the two types of ratings. Binary variables used simple kappas, and ordinal variables with three or more levels were examined using weighted kappas with Fleiss-Cohen weights.Results: Based on Cohen’s Kappa values, we were able to establish that high levels of agreement existed between clinical assessors and lay interviewers, indicating that the instrument can be validly administered by community health workers without formal healthcare training. 13% of items had kappa values ranging between 0.10 and 0.39; 51% of items had kappa values between 0.4 and 0.69; and 36% of items had values of between 0.70 and 1.00Conclusion: Our findings indicate that there is potential for the Check-Up Self-Report instrument to be implemented in under-resourced health systems such as South Africa’s.

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“…Loneliness is also related to negative health outcomes such as poor health or illness , cognitive impairment , psychological distress , depression and anxiety . Older adults receiving home care are one vulnerable group especially exposed to several risk factors . Loneliness and the meaning of loneliness among older adults living at home but in need of home care are examined in this study.…”

Section: Introductionmentioning

confidence: 99%

“Homeless in life” – loneliness experienced as existential suffering by older adults living at home: a caring science perspective

Hemberg

Nyqvist

Näsman

2018

Scandinavian Caring Sciences

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Background Due to physical impairments and functional limitations, older adults receiving home care can be considered especially vulnerable to loneliness. To understand how society can provide support that enhances vulnerable individuals’ quality of life, it is important to explore loneliness and its underlying causes in older adults. Aims To contribute to a deeper understanding of caring science theory, the aim of this study was to use a caring science perspective to explore and understand experiences of suffering from loneliness in older adults receiving home care. The research questions are as follows: What phenomena are associated with the experience of suffering from loneliness in older adults receiving home care? How can this experience be understood? Methodology A hermeneutical approach was used. The material was collected through interviews with 17 older adults about their quality of life, including their experiences of loneliness. The texts were interpreted through latent content analysis. Findings The findings resulted in one main category and three subcategories. The main category was as follows: Being homeless in life–loneliness expressed and primarily stemming from existential suffering. The subcategories were as follows: Loss of communion with one's partner or other loved ones, Loss of meaningful social activities due to isolation and Loss of health due to frailty and vulnerability. All categories were described and implications for practice discussed. Conclusion This study contributes to an understanding of experiences of suffering from loneliness in older adults receiving home care, with relevance for the healthcare context as well as for what a community or society should focus on when addressing these important issues.

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Evaluations of Home Care Interventions for Frail Older Persons Using the interRAI Home Care Instrument: A Systematic Review of the Literature

Cited by 40 publications

References 36 publications

Comprehensive clinical assessment of home‐based older persons within New Zealand: an epidemiological profile of a national cross‐section

Comprehensive clinical assessment of home‐based older persons within New Zealand: an epidemiological profile of a national cross‐section

Establishing the criterion validity of the interRAI Check-Up Self-Report instrument

“Homeless in life” – loneliness experienced as existential suffering by older adults living at home: a caring science perspective

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