“Research happens a lot in other settings—so why not here?” A qualitative interview study of stakeholders’ views about advance planning for care home residents’ research participation

IF 6 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Brittany Nocivelli, Fiona Wood, Kerenza Hood, Carolyn Wallace, Victoria Shepherd
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Abstract

Background Underrepresentation of care home residents in research has resulted in a poorer evidence base for health care in care homes. Fewer opportunities to take part in research, as well as assumptions made by others about their interest or wishes, creates challenges for residents’ inclusion in research. Early discussions about research preferences and wishes may be beneficial. This qualitative study aimed to explore stakeholders’ views about how care home residents can be supported to communicate their wishes about research participation. Method Semi-structured interviews were conducted with 25 stakeholders: care home residents (n = 5), relatives (n = 5), care home staff (n = 5), other health and social care professionals who work with care homes (n = 6), and care home researchers (n = 4). Interviews were conducted virtually or face-to-face and data were analysed using thematic analysis. Results Views about resident research participation, the barriers and facilitators to their inclusion, and the role of advance research planning were iteratively organized into three themes: (i) We’re of no value to research; (ii) Research is difficult; and (iii) Advance research planning: good in theory, challenging in practice. Subthemes were also identified, and findings were discussed with a Patient and Public Involvement group for additional reflections. Conclusions Stakeholders identified a number of barriers to including care home residents in research, including knowing their preferences about research. The development of interventions to facilitate communication that can be adapted to individuals’ requirements are needed to support discussions and decision-making with care home residents about wishes and preferences for future research participation.
"研究在其他环境中经常发生,为什么这里没有?一项定性访谈研究,探讨利益相关者对养老院居民参与研究的预先规划的看法
背景 护理院住户在研究中的代表性不足,导致护理院医疗保健的证据基础较差。参与研究的机会较少,以及他人对其兴趣或意愿的假设,都为将院友纳入研究带来了挑战。及早讨论研究偏好和意愿可能会有所裨益。本定性研究旨在探讨利益相关者对如何支持护理院住户表达其参与研究意愿的看法。研究方法 对 25 名利益相关者进行了半结构化访谈,包括:护理院居民(5 人)、亲属(5 人)、护理院员工(5 人)、与护理院合作的其他医疗和社会护理专业人员(6 人)以及护理院研究人员(4 人)。访谈以虚拟或面对面的方式进行,采用主题分析法对数据进行分析。结果 关于居民参与研究的观点、纳入居民的障碍和促进因素以及预先研究规划的作用被反复整理成三个主题:(i) 我们对研究没有价值;(ii) 研究很难;(iii) 预先研究规划:理论上很好,实践中很难。此外,还确定了次主题,并与患者和公众参与小组讨论了研究结果,以便进行更多反思。结论 利益相关者指出了让护理院居民参与研究的一些障碍,包括了解他们对研究的偏好。有必要开发可适应个人需求的干预措施来促进沟通,以支持与护理院居民就未来参与研究的愿望和偏好进行讨论和决策。
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来源期刊
Age and ageing
Age and ageing 医学-老年医学
CiteScore
9.20
自引率
6.00%
发文量
796
审稿时长
4-8 weeks
期刊介绍: Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.
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