Research in the retirement village community-The problems of recruiting a representative cohort of residents in Auckland, New Zealand.
aging in place
housing for the elderly
patient selection
selection bias
Journal
Australasian journal on ageing
ISSN: 1741-6612
Titre abrégé: Australas J Ageing
Pays: Australia
ID NLM: 9808874
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
revised:
22
10
2020
received:
14
05
2020
accepted:
26
10
2020
pubmed:
18
2
2021
medline:
25
6
2021
entrez:
17
2
2021
Statut:
ppublish
Résumé
Retirement villages are semi-closed communities, access usually being gained via village managers. This paper explores issues recruiting a representative resident cohort, as background to a study of residents, to acquire sociodemographic, health and disability data and trial an intervention designed to improve outcomes. We planned approaching all Auckland/Waitematā District villages and, via managers, contacting residents ('letter-drop'; 'door-knocks'). In 'small' villages (n ≤ 60 units), we planned contacting all residents, randomly selecting in 'larger' villages. We excluded those with doubtful or absent legal capacity. We approached managers of 53 of 65 villages. Thirty-four permitted recruitment. Some prohibited 'letter-drops' and/or 'door-knocks'. Hence, we recruited volunteers (23 villages) via meetings, posters, newsletters and word-of-mouth, that is representative sampling obtained from 11/34 villages. We recruited 578 residents (median age = 82 years; 420 = female; 217:361 sampled:volunteers), finding differences in baseline parameters of sampled vs. volunteers. Due to organisational/managers' policy, and national legislation restrictions, our sample does not represent our intended population well. Researchers should investigate alternative data sources, for example electoral rolls and censuses.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
177-183Subventions
Organisme : New Zealand National Science Challenge Ageing Well
ID : UOOX1508
Organisme : New Zealand National Science Challenge Ageing Well
ID : 12815/1
Organisme : New Zealand National Science Challenge Ageing Well
ID : SUB1301
Organisme : Waitemata District Health Board
Informations de copyright
© 2021 AJA Inc.
Références
Broad JB, Boyd M, Kerse N, et al. Residential aged care in Auckland, New Zealand 1988-2008: do real trends over time match predictions? Age Ageing. 2011;40(4):487-494.
Ministry of Social Development. The New Zealand Positive Ageing Strategy. Wellington Office for Senior Citizens; 2001.
Boyd M, Broad JB, Kerse N, et al. Twenty-year trends in dependency in residential aged care in Auckland, New Zealand: a descriptive study. Journal of the American Medical Directors Association. 2011;12(7):535-540.
Statistic New Zealand. New Zealand's 65+ Population: A statistical volume. Wellington, New Zealand. 2007.
LaSalle LJ.New Zealand Retirement Village Database (NZRVD) November 2017. Whitepaper. February 2018.
Simpson M, Cheney G. Marketization, participation, and communication within New Zealand retirement villages: a critical-rhetorical and discursive analysis. Discourse & Communication. 2007;1(2):191-222.
Hu X, Xia B, Buys L, Skitmore M. Availability of services in registered retirement villages in Queensland, Australia: a content analysis. Australas J Ageing. 2017;36(4):308-312.
Bekhet AK, Zauszniewski JA, Nakhla WE. Reasons for relocation to retirement communities. a qualitative study. West J Nurs Res. 2009;31(4):462-479.
Neilson AC. Retirement Villages Survey. Wellington: Retirement Commission; 2006.
Jenkins KR, Pienta AM, Horgas AL. Activity and health-related quality of life in continuing care retirement communities. Research on Aging. 2002;24(1):124-149.
Kingston P, Bernard M, Biggs S, Nettleton H. Assessing the health impact of age-specific housing. Health Soc Care Community. 2001;9(4):228-234.
Gardner IL, Browning C, Kendig H. Accommodation options in later life: retirement village or community living? Australasian Journal on Ageing. 2005;24(4):188-195.
Bhandal P, Siew L, Broad JB, Boyd M. Feasibility Study to describe the dependency levels of people living in retirement villages in Auckland, New Zealand. West J Nurs Res. 2012;31(4):462-479.
Connolly M, Broad J, Boyd M, et al. The 'Big Five'. Hypothesis generation: a multidisciplinary intervention package reduces disease-specific hospitalisations from long-term care: a post hoc analysis of the ARCHUS cluster-randomised controlled trial. Age Ageing. 2016;45(3):415-420.
Boyd M, Armstrong D, Parker J, et al. Do gerontology nurse specialists make a difference in hospitalization of long-term care residents? Results of a randomized comparison trial. J Am Geriatr Soc. 2014;62(10):1962-1967.
Peri K, Broad JB, Hikaka J, et al. Study protocol: older people in retirement villages. A survey and randomized trial of a multi-disciplinary intervention designed to avoid adverse outcomes. BMC Geriatrics. 2020. https://doi.org/10.1186/s12877-020-01640-6
Mioshi E, Dawson K, Mitchell J, Arnold R, Hodges JR. The Addenbrooke's Cognitive Examination Revised (ACE-R): a brief cognitive test battery for dementia screening. International Journal Geriatric Psychiatry. 2006;21(11):1078-1085.
Hirdes JP, Ljunggren G, Morris JN, et al. Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system. BMC Health Serv Res. 2008;8:277. https://doi:10.1186/1472-6963-8-277
Connolly MJ, Broad JB, Bish T, et al. Reducing emergency presentations from long-term care: a before-and-after study of a multidisciplinary team intervention. Maturitas. 2018;117:45-50.
Grant BC. Retirement villages: more than enclaves for the aged. Activities, Adaptation & Aging. 2007;31(2):37-55.
Lord SR, Castell S, Corcoran J, et al. The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: a randomized, controlled trial. J Am Geriatr Soc. 2003;51(12):1685-1692.
Lee CY, George J, Elliott RA, Stewart K. Prevalence of medication-related risk factors among retirement village residents: a cross-sectional survey. Age Ageing. 2010;39(5):581-587.
Wagner M, Kuppler M, Rietz C, et al. Non-response in surveys of very old people. Eur J Ageing. 2019;16(1):131-132. https://doi.org/10.1007/s10433-018-0489-9
Duckham RL, Tait JL, Nowson CA, et al. Strategies and challenges associated with recruiting retirement village communities and residents into a group exercise intervention. BMC Med Res Methodol. 2018;18(1):173.
Loosekoot E, Theresa Z. Retirement villages: Hospitals or hospitality operations - management attributes and traits. Journal of Hospitality and Management. 2018;34.
Buys L. Life in a retirement village: Implications for contact with the community and village friends. Gerontology. 2001;47:55-59.
Faulkner D.Linkages among housing assistance, residential (re)location, and use of community health and social care by old-old adults [electronic resource]: shelter and non-shelter implications for housing policy development : final report/authored by Debbie Faulkner, Kate Bennett for the Australian Housing and Urban Research Institute, Southern Research Centre. Bennett KA, Australian H, Urban Research I, editors. Melbourne: Australian Housing and Urban Research Institute, Southern Research Centre; 2002.
Bohle P, Rawlings-Way O, Finn J, Ang J, Kennedy DJ. Housing choice in retirement: community versus separation. Housing Studies. 2014;29(1):108-127.
Care Quality Commission. Key lines of enquiry, prompts and ratings characteristics for healthcare services. Care Quality Commission 2018.
NHS. ENRICH Enabling Research in Care Homes. National Institute for Health Research.2018;NIHR.
National Ethical Standards for Health and Disability Research and Quality Improvement. New Zealand National Ethics Advisory Committee. Kāhui Matatika o te Motu. 2019. https://neac.health.govt.nz/national-ethical-standards-health-and-disability-research-and-quality-improvement.