| Title | A Systematic Review Evaluating the Use of the interRAI Home Care Instrument in Research for Older People |
| Publication Type | Journal Article |
| Year of Publication | 2019 |
| Authors | Salahudeen MSaji, Nishtala PS |
| Journal | Clinical Gerontologist |
| Volume | 42 |
| Issue | 5 |
| Pagination | 463-484 |
| Date Published | Oct-Dec |
| ISBN Number | 1545-2301 (Electronic)<br/>0731-7115 (Linking) |
| Accession Number | 29543580 |
| Keywords | Aged, Aged, 80 and over, Caregivers/*psychology, Cognition/physiology, Cross-Sectional Studies, Female, Geriatric Assessment, Geriatric Assessment/*methods/statistics & numerical data, home care, Home Care Services/*organization & administration, Hospitalization/statistics & numerical data, Humans, InterRAI, interRAI instrument, Longitudinal Studies, Male, Minimum data set, Mortality/trends, Older people, Outcome Assessment, Health Care, Prospective Studies, Quality of Life, Retrospective Studies, Risk Assessment |
| Abstract | Objective: To summarize studies that used the international Resident Assessment home care instrument (interRAI HC) to examine study outcomes for older people. Methods: A comprehensive systematic search was performed to identify relevant studies, using five databases from 1990 until October 2016. The Cochrane Risk-Bias assessment tool and Newcastle-Ottawa Scale was used to assess the quality of RCTs and non-RCTs, respectively. Results: Based on the full-text analysis, 40 studies met the inclusion criteria out of 506 total records. The review included 6 RCTs, 2 quasi-experimental, 17 prospective and retrospective studies, 13 cross-sectional and 2 longitudinal studies. A series of interventions and/or applications were identified from this review that employed the use of interRAI HC instrument: (a) in health services, (b) as a new integrated care model and for implementing machine learning algorithm, (c) as a comprehensive geriatric assessment tool, (d) in case management, (e) for care planning and screening, (f) in drug therapy assessment, (g) to assess caregiver burden, and (h) for various risk assessments. Studies that employed the interRAI HC instrument reported an array of health-outcome measures mostly related to functional, cognition, hospitalization and mortality. Conclusions: Application of the interRAI HC tool varied markedly across all studies, and the outcomes measures were heterogeneous. Future research directions are discussed. Clinical Implications: The results from this study facilitate the use of interRAI HC as a tool to measure an intervention's effect that leads to improvements in specific geriatric-related health outcome measures emphasizes on functional status and quality of life and ascertain its utility as a quality indicator for the care of older individuals. |
| DOI | 10.1080/07317115.2018.1447525 |
| Link |
