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Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (SHELTER) study

Open access
the SHELTER project, Onder, Graziano, Carpenter, Iain, Finne-Soveri, Harriet, Gindin, Jacob, Frijters, Dinnus, Henrard, Jean Claude, Nikolaus, Thorsten, Topinkova, Eva, Tosato, Matteo, Liperoti, Rosa, Landi, Francesco, Bernabei, Roberto·2012·BMC Health Services Research

Abstract

BACKGROUND: Aims of the present study are the following: 1. to describe the rationale and methodology of the Services and Health for Elderly in Long TERm care (SHELTER) study, a project funded by the European Union, aimed at implementing the interRAI instrument for Long Term Care Facilities (interRAI LTCF) as a tool to assess and gather uniform information about nursing home (NH) residents across different health systems in European countries; 2. to present the results about the test-retest and inter-rater reliability of the interRAI LTCF instrument translated into the languages of participating countries; 3 to illustrate the characteristics of NH residents at study entry. METHODS: A 12 months prospective cohort study was conducted in 57 NH in 7 EU countries (Czech Republic, England, Finland, France, Germany, Italy, The Netherlands) and 1 non EU country (Israel). Weighted kappa coefficients were used to evaluate the reliability of interRAI LTCF items. RESULTS: Mean age of 4156 residents entering the study was 83.4 ± 9.4 years, 73% were female. ADL disability and cognitive impairment was observed in 81.3% and 68.0% of residents, respectively. Clinical complexity of residents was confirmed by a high prevalence of behavioral symptoms (27.5% of residents), falls (18.6%), pressure ulcers (10.4%), pain (36.0%) and urinary incontinence (73.5%). Overall, 197 of the 198 the items tested met or exceeded standard cut-offs for acceptable test-retest and inter-rater reliability after translation into the target languages. CONCLUSION: The interRAI LTCF appears to be a reliable instrument. It enables the creation of databases that can be used to govern the provision of long-term care across different health systems in Europe, to answer relevant research and policy questions and to compare characteristics of NH residents across countries, languages and cultures.

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Metadata

Authors
the SHELTER project, Onder, G., Carpenter, I., Finne-Soveri, H., Gindin, J., Frijters, D., Henrard, J. C., Nikolaus, T., Topinkova, E., Tosato, M., Liperoti, R., Landi, F., & Bernabei, R.
Venue
BMC Health Services Research
Published
2012-01-09
Volume
12
Issue
1
Pages
5-5
ISSN
1472-6963 (ISSN-L)
OpenAlex
W2147969015
Cited by
320
References
33
FWCI
37.32
Type
journal article
Language
en
Open access
gold

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the SHELTER project, Onder, G., Carpenter, I., Finne-Soveri, H., Gindin, J., Frijters, D., Henrard, J. C., Nikolaus, T., Topinkova, E., Tosato, M., Liperoti, R., Landi, F., & Bernabei, R. (2012). Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (SHELTER) study. BMC Health Services Research. https://doi.org/10.1186/1472-6963-12-5

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