Guy Peryer
Contextual factors influencing complex intervention research processes in care homes: A systematic review and framework synthesis
Peryer, Guy; Kelly, Sarah; Blake, Jessica; Burton, Jennifer K.; Irvine, Lisa; Cowan, Andy; Akdur, Gizdem; Killett, Anne; Brand, Sarah L.; Musa, Massirfufulay Kpehe; Meyer, Julienne; Gordon, Adam L.; Goodman, Claire
Authors
Sarah Kelly
Jessica Blake
Jennifer K. Burton
Lisa Irvine
Andy Cowan
Gizdem Akdur
Anne Killett
Sarah L. Brand
Massirfufulay Kpehe Musa
Julienne Meyer
ADAM GORDON Adam.Gordon@nottingham.ac.uk
Professor of The Care of Older People
Claire Goodman
Abstract
Background: Care homes are complex settings to undertake intervention research. Barriers to research implementation processes can threaten studies' validity, reducing the value to residents, staff, researchers and funders. We aimed to (i) identify and categorise contextual factors that may mediate outcomes of complex intervention studies in care homes and (ii) provide recommendations to minimise the risk of expensive research implementation failures. Methods: We conducted a systematic review using a framework synthesis approach viewed through a complex adaptive systems lens. We searched: MEDLINE, Embase, CINAHL, ASSIA databases and grey literature. We sought process evaluations of care home complex interventions published in English. Narrative data were indexed under 28 context domains. We performed an inductive thematic analysis across the context domains. Results: We included 33 process evaluations conducted in high-income countries, published between 2005 and 2019. Framework synthesis identified barriers to implementation that were more common at the task and organisational level. Inductive thematic analysis identified (i) avoiding procedural drift and (ii) participatory action and learning as key priorities for research teams. Research team recommendations include advice for protocol design and care home engagement. Care home team recommendations focus on internal resources and team dynamics. Collaborative recommendations apply to care homes' individual context and the importance of maintaining positive working relationships. Discussion: Researchers planning and undertaking research with care homes need a sensitive appreciation of the complex care home context. Study implementation is most effective where an intervention is co-produced, with agreed purpose and adequate resources to incorporate within existing routines and care practices.
Citation
Peryer, G., Kelly, S., Blake, J., Burton, J. K., Irvine, L., Cowan, A., …Goodman, C. (2022). Contextual factors influencing complex intervention research processes in care homes: A systematic review and framework synthesis. Age and Ageing, 51(3), Article afac014. https://doi.org/10.1093/ageing/afac014
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 7, 2021 |
Online Publication Date | Mar 1, 2022 |
Publication Date | Mar 1, 2022 |
Deposit Date | Nov 15, 2021 |
Publicly Available Date | Mar 2, 2023 |
Journal | Age and Ageing |
Electronic ISSN | 0002-0729 |
Publisher | Oxford University Press |
Peer Reviewed | Peer Reviewed |
Volume | 51 |
Issue | 3 |
Article Number | afac014 |
DOI | https://doi.org/10.1093/ageing/afac014 |
Keywords | Geriatrics and Gerontology; Aging; General Medicine |
Public URL | https://nottingham-repository.worktribe.com/output/6724594 |
Publisher URL | https://academic.oup.com/ageing/article/51/3/afac014/6540144?login=false |
Files
Contextual factors influencing complex intervention research processes in care homes
(1.3 Mb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by-nc/4.0/
Contextual factors influencing complex intervention (appendix 4)
(649 Kb)
Spreadsheet
Contextual factors influencing complex intervention (appendix 3)
(355 Kb)
PDF
Contextual factors influencing complex intervention (appendix 2)
(268 Kb)
PDF
Contextual factors influencing complex intervention (Appendix 1)
(169 Kb)
PDF
You might also like
Developing the principles of chair based exercise for older people: a modified Delphi study
(2014)
Journal Article
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: discovery-access-systems@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search