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Table 2 Study summary characteristics

From: Effective approaches to public involvement in care home research: a systematic review and narrative synthesis

Study author

Country

Study type and topic

Type of PPIa (PPI terminology used by authors)

Characteristics of care homes (n = care homes involved)

PPI members and stakeholders

Characteristics of PPI members and stakeholders (n = PPI stakeholders involved)

Aubrecht et al. [25]

Canada

USA

Commentary on the lived experiences of disabled adults living in long-term care homes

Partnership (co-researchers, co-authors)

Residential long-term care (n = 3)

Disabled residents and policy decision-makers

Female residents between 28 and 48 years with physical disabilities (cerebral palsy, multiple sclerosis, muscular dystrophy) (n = 3)

Brown et al. [26]

UK

Critical reflections to develop recommendations to optimise effective PPI in research

Partnership (community representatives)

Care home (n = not specified)

Older members of the public

Community representatives of White British ethnicity (1 female was 74 years and 2 males were 56 and 84 years) (n = 3)

Burns et al. [27]

UK

Case studyb exploring how participatory organisational research amplifies the voices of older people

Partnership (co-produced)

Care home (n = 8)

Residents, relatives, friends, care assistants, nurses, care managers, care homeowners and community stakeholders

5 residents, all aged 85 and over and 4 relatives of residents living in care homes) (n = 9)

Chamberlain et al. [28]

Canada

Priority setting methods to engage citizens and stakeholders to improve the quality of care and life in long-term care settings

Consultation (team members, citizen engagement)

Long-term care home (nursing home, personal care homes) (n = 97)

Voices Of Individuals, family and friend Caregivers Educating uS (VOICES)

Residents, future residents, family/friend caregivers, decision-makers and long-term care owner-operators

9 VOICES members, 1 direct care provider, 1 provincial ministry of health representative, 2 long-term care owner-operators, 4 provincial health authority representatives, and 2 provincial association representatives (n = 19)

Charles et al. [29]

Canada

Case studyb of an intervention development to measure resident care requirements in the nursing home

Placation (research transfer agents)

Long-term care home (nursing home) (n = 1)

Long-term care facility owners, operators, care providers and facility staff

Not specified

Eisenstein et al. [30]

USA

Process evaluation focused on older people and their caregivers’ experiences within research

Partnership (Sages)

Skilled nursing facility (a short-term, long-term care and dementia care facility) (n = 1)

Bureau of Sages

Community representatives, researchers, healthcare professionals

4 Lieberman community members, 5 stay-at-home members, 6 researchers/healthcare professionals (n = 15)

Elliott et al. [31]

Canada

Commentary on the development of COVID-19 research aims with older adults

Partnership

Community-dwelling

Assisted living accommodation (n = not specified)

Seniors helping as research partners (SHARP)

Community-dwelling older adults and family caregivers who provide support to older adults

SHARP members, the majority of White British ethnicity, all aged over 65 years (12 females and 6 males) (n = 18)

Evans et al. [32]

UK

Evaluation on the role of older people in research to improve the standards of care and quality of life for care home residents

Partnership (community researchers and evaluators)

Care homes (n = 10)

Partnerships for older people project (POPPs)

Older people, Representatives from Gloucestershire Primary Care Trust, Gloucestershire County Council and Gloucester Older Persons’ Assembly

Community representatives (n = 4)

Froggatt et al. [33]

UK

Evaluation of the integration between primary health and care home service provision

Partnership

Care homes (n = 6)

Individuals with prior experience engaging with care home staff and residents

Not specified

Goodman et al. [34]

UK

Longitudinal mixed-methods study exploring the experiences of living and dying of older people living in care homes

Partnership (co-researchers, critical friend)

Care homes (n = 3)

Public Involvement in Research Group (PIRg)

Family/friend caregivers

PIRg members (n = 4)

Griffiths et al. [35]

UK

Clinical service evaluation focused on maintaining and improving mouth care for care home residents

Partnership (cooperation, co-production)

Care homes (n = 2)

Care home nurses, care workers, managers and specialist colleagues with experience in dentistry, behaviour and systematic reviews

Care home staff (n = 8)

Hewitt et al. [36]

Guyana

Process evaluation of an intervention development to improve the diet, health and quality of life in a residential home

Consultation (focus group discussions and informal conversations)

Non-profit residential home (n = 1)

Residents, domestic staff, residential home management and community stakeholders

Residents of African descent, between 73 and 99 years. (10 females and 4 males) (n = 14)

Hoffman et al. [37]

USA

Intervention development to facilitate shared decision-making for older adults and their families

Partnership (co-production, codesign, stakeholder advisory panel)

Aging resource centre (n = 1)

Stakeholder advisory panel

Older adults, caregivers, occupational specialists

Members of the stakeholder advisory panel (2 older adults, 2 family caregivers, 2 decision scientists, 4 informaticians, 3 geriatric psychiatrists and 3 memory care specialists) (n = 16)

An additional 12 older adults and caregivers involved at later stages in the project

Johannessen et al. [38]

Norway

Mixed-methods study of an intervention development to improve quality and safety in nursing homes

Placation (co-researchers, future users)

Nursing homes (n = 2)

Nurse counsellors, PPI representatives, patient ombudsman and managers of nursing homes and home care

Co-researchers (n = 7)

Killett et al. [39]

UK

Organisational factors associated with mistreatment of older people in care homes

Consultation and Placation (peer researchers, key informants)

Residential care home (n = 8)

Residents, family caregivers and older people with personal experience of care homes

Not specified

Logan et al. [40]

UK

Multicentre, cluster randomised controlled trial of an intervention development to prevent falls in older people in care homes

Partnership (co-design, hub-and-spoke approach)

Care homes (n = 10)

Hub PPI member: Former caregiver for a care home resident

Spoke PPI members: care home manager, family caregiver, patient representative and associated stakeholders

1 Hub PPI member

4 Spoke PPI members: retired care home manager (female), retired medic (male), carer for a relative with dementia (male), patient research ambassador and a lay chairperson for NIHR (female) (n = 5)

Mann et al. [41] (Findings and direct quotes from Chamberlain et al. 2020)

Canada

Reflections on utilising priority setting methods to engage citizens and stakeholders to improve the quality of care and life in long-term care settings

Consultation (team members, citizen engagement)

Long-term care home (nursing home, personal care homes) (n = 97)

Voices Of Individuals, family and friend Caregivers Educating uS (VOICES)

Residents, future residents, family/friend caregivers, decision-makers and long-term care owner-operators

VOICES members: 1 direct care provider, 1 provincial ministry of health representative, 2 long-term care owner-operators, 4 provincial health authority representatives, and 2 provincial association representatives (n = 9)

Oude et al. [42]

Netherlands

Context mapping study exploring the impact of losing items and assistive devices in nursing homes

Placation (expert, co-design)

Nursing homes (n = 2)

Nursing home workforce

Participants’ average number of years active in the workforce 21 years (12 females, mean age = 47 years) (n = 13)

Scheffelaar et al. [43]

Netherlands

Case studyb evaluating the quality-of-care relationships between service users and care professionals in long-term care

Partnership (co-researcher, co-author)

Long-term care facilities (n = 3; older adults, mental health, and intellectual disability teams)

Co-researchers: residents

Stakeholders: representatives of care providers and branch organisations, nationwide client council organisations, staff from care organisations and health insurers

Co-researchers who were physically frail (3 females and 2 males) (n = 5)

Shura et al. [44]

USA

Participatory action research to promote change in the culture of long-term care facilities

Placation (co-researcher, experts)

Continuing care retirement community (n = 4 units; assisted living, nursing home and 2 specialised memory support)

Research groups: residents, family caregivers and care home staff

7 research groups (2 assisted living units and 5 nursing home units). Each research group had 4–7 residents, 1–2 family members and 1–3 staff (n = 75)

Smith et al. [45]

UK

Retrospective reflections on engaging care home managers and older adults in research

Partnership (research/study advisory group)

Care homes (Study 1 = 6 homes and Study 2 = 34 homes)

Research advisory group: care home managers, representatives from local authorities, PPI representatives, and the Care Quality Commission

Care home managers (n = 30)

Stocker et al. [46]

UK

Reflections on the impact of PPI in care home research

Consultation (PPI partners)

Care home (n = 1)

University-supported Care Home Interest Group (CHIG)

Health-care professionals, care home staff, local authority staff, clinical governance/research support roles

Workshop 1: 7 CHIG members

Workshop 2: 4 CHIG members (n = 8)

Stockigt et al. [47]

Germany

Evaluating the stakeholder experience of an intervention development for the use of soft physical touch to enhance wellbeing of elderly patients

Consultation (stakeholder involvement)

Nursing home (n = 1)

Patients with chronic pain, nurses, experts of therapies using physical touch, and staff of the Institute of Social Medicine of the Charité and the Centre for Quality in Care

Stakeholders (n = 18)

Walsh et al. [48]

UK

Mixed-methods study of an intervention development targeting antipsychotic prescribing for nursing home residents with dementia

Consultation (advisory groups)

Nursing home (multisite study)

Residents living with dementia, health and social care professionals, family caregivers, advocacy groups and academics

Advisory group members = 4 residents (2 females, 2 males) and 2 female family caregivers (n = 6)

Walshe et al. [49]

UK

Four-stage process of an Intervention development to utilise Namaste Care in the nursing home setting

Partnership (PPI representatives, co-design)

Nursing home (n = not specified)

Nursing care home staff (includes managers, nurses, care assistants, activity coordinators or volunteers), family members/carers and PPI representatives

18 staff, 1 volunteer and 5 PPI members (n = 24)

Willis et al. [50]

UK

Reflections of the co-production of research promoting LGBT inclusion in care homes for older people

Partnership (co-production, community advisors)

Residential Care homes (n = 6)

Community advisors: LGBT volunteers and ally from the local community

Community advisors aged 35–65 years of variable ethnic backgrounds, White British, Jewish, British-Asian and Bangladeshi. There were 2 Lesbian, 3 Gay, 1 Queer and 1 Transgender volunteer (n = 8)

Woelders et al. [51]

Netherlands

Participatory action research care home engaging elderly care residents in research via dialogue approaches

Partnership

Residential Care home (n = 1)

Residents, professional team leaders and spiritual counsellors (facilitators)

2 males facilitators aged 25 and 50 years

10 residents aged between 67 and 95 years (2 males and 8 females) with physical impairments including immobility, hearing and visual problems and loss of memory (n = 12)

  1. CHIG Care Home Interest Group, LGBT lesbian, gay, bisexual, and transgender, NIHR National Institute for Health Research, PIRg Public Involvement in Research Group, POPPs partnerships for older people project, PPI patient and public involvement, SHARP seniors helping as research partners, UK United Kingdom, USA The United States of America, VOICES voices of individuals, family and friend caregivers educating us
  2. aThe type of PPI stakeholder involvement was categorised using the typology outlined by Sherry Arnstein in the Ladder of Citizen Participation [52]
  3. bCase study: an in-depth exploration of issues central to a particular decision-making process [24]