Research, recruitment and observational data collection in care homes: lessons from the PACE study
- PMID: 31412910
- PMCID: PMC6694478
- DOI: 10.1186/s13104-019-4543-2
Research, recruitment and observational data collection in care homes: lessons from the PACE study
Abstract
Objective: Care homes are a common place of death for older adults, especially those with complex health needs or dementia. Representative, internationally comparable data on care home facilities and their residents is needed to monitor health and wellbeing in this population. Identification and collection of data from care homes can be challenging and often underreported. This paper draws on the experiences of the PACE study, a cross sectional mortality follow back study conducted in six European countries.
Results: Multiple challenges were encountered in creating a sampling framework and contacting, recruiting and retaining care homes in the PACE study. Recruiting a randomly identified, representative cohort from a stratified sampling framework was problematic, as was engaging with care homes to ensure high response rates. Variation in the funding of care homes across the six countries involved in the study may explain the additional challenges encountered in England. Awareness of the challenges encountered in England in implementing an international study in care homes can inform the design and implementation of future studies within care homes. Further discussion is needed to determine the barriers and facilitators to conducting research in care homes, and how this is shaped by the focus of the study.
Keywords: Care home; Epidemiology; Long term care facility; Nursing home; Observational study; Palliative care.
Conflict of interest statement
The authors declare that they have no competing interests.
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References
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- Broad JB, Gott M, Kim H, Boyd M, Chen H, Connolly MJ. Where do people die? An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available statistics. Int J Public Health. 2013;58(2):257–267. doi: 10.1007/s00038-012-0394-5. - DOI - PubMed
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- Luff R, Ferreira Z, Meyer J. 'Care Homes' methods review 8. London: NIHR School for Social Care Research; 2011.
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