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A Systematic Review Evaluating the Use of the interRAI Home Care Instrument in Research for Older People

Salahudeen, MS ORCID: 0000-0001-9131-7465 and Nishtala, PS 2018 , 'A Systematic Review Evaluating the Use of the interRAI Home Care Instrument in Research for Older People' , Clinical gerontologist , pp. 1-22 , doi:

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Objective: To summarize studies that used the international Resident Assessment home careinstrument (interRAI HC) to examine study outcomes for older people.Methods: A comprehensive systematic search was performed to identify relevant studies, usingfive databases from 1990 until October 2016. The Cochrane Risk-Bias assessment tool andNewcastle-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 totalrecords. The review included 6 RCTs, 2 quasi-experimental, 17 prospective and retrospectivestudies, 13 cross-sectional and 2 longitudinal studies. A series of interventions and/or applicationswere identified from this review that employed the use of interRAI HC instrument: (a) in healthservices, (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 andscreening, (f) in drug therapy assessment, (g) to assess caregiver burden, and (h) for various riskassessments. Studies that employed the interRAI HC instrument reported an array of healthoutcomemeasures mostly related to functional, cognition, hospitalization and mortality.Conclusions: Application of the interRAI HC tool varied markedly across all studies, and theoutcomes measures were heterogeneous. Future research directions are discussed.Clinical Implications: The results from this study facilitate the use of interRAI HC as a tool tomeasure an intervention's effect that leads to improvements in specific geriatric-related healthoutcome measures emphasizes on functional status and quality of life and ascertain its utility as aquality indicator for the care of older individuals.

Item Type: Article
Authors/Creators:Salahudeen, MS and Nishtala, PS
Keywords: Geriatric assessment, home care, interRAI, interRAI instrument, minimum data set, older people
Journal or Publication Title: Clinical gerontologist
Publisher: Haworth Press
ISSN: 0731-7115
DOI / ID Number:
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Copyright 2018 Taylor & Francis Group, LLC

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