This latter element of the study was evaluated to understand the process of PIR in care home research. PIR activity was undertaken in both the management of the study and throughout the process of undertaking the study. Barchester Staff Handbook Serial Resident Interviewsĭata collection included: serial resident interviews (n 84) with 58 residents, resident notes reviews (n 133), care home staff interviews (n 53), primary care staff interviews (n 57), one-off relative interviews (n 3) and stakeholder interviews (n 12) care home and primary care staff interviews were either conducted one-to-one or in focus groups (n 8). Residents in each setting were followed for a year to record any changes in their health, treatment and service use. Phase one entailed a systematic review of the literature on the effectiveness of health-care interventions in care homes14 complemented by a national survey of care home managers about their experiences of integrated working.15 Phase two was an in-depth case study in three sites that compared three different approaches to integrated working in six care homes. The APPROACH (Analysis and Perspectives of integrated working in PRimary care Organisations And Care Homes) study aimed to collect and synthesize evidence about working between primary health-care and care home providers and develop a typology of integrated working to inform future service development and research in these settings. There is evidence to suggest that peer support and facilitated discussions can improve PIR engagement within a study and provide rich data.9 Building upon the PIR work previously undertaken by some of the study team,9 this paper presents one way in which PIR has been integrated into the design and delivery of a multisite research study based in care homes and considers reported benefits alongside the support required to achieve engagement.įour dimensions of user involvement are used to describe the processes adopted in the study, with respect to the context, methods, roles and outcomes.13. This can also ensure that vulnerable older people who participate in research have a positive experience that reinforces the value of their views. Researcher support for PIR involvement was resource intensive. Six PIR members participated: all had prior personal or work experience in care homes.īenefits of PIR work were resident engagement that minimized distress and made best use of limited research resources. Barchester Staff Handbook Serial Resident Interviews.
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