Interventions to Increase Thriving Amongst Older People in Care Homes and Factors Contributing to Their Thriving Experience-A Scoping Review.
Ann-Sofie Silvennoinen, Harriet Finne-Soveri, Lisbeth Fagerström
PMID 40009725WHAT IT FOUND
Thriving in care homes was associated with residents' attitude to living there, quality of care, meaningful activity, environment and neuropsychiatric symptoms such as depression and aggression.
Only two intervention studies were found, so this does not show that thriving programmes work.
Key findings
01This scoping review included 17 studies and found only two studies reporting interventions for care home residents.
02Five factors were reported as contributing to thriving: the resident's attitude towards living in a care home, the quality of care and caregivers, activities and interactions with others, qualities of the physical environment and health.
03An included intervention study found statistically significant effects on experiences of thriving and the person-centredness of the environment, but these effects were significant for male residents and not for female residents.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The search terms focused on thriving, so studies using well-being or quality-of-life terms may have been missed. Only English papers were included, and most studies came from Scandinavia, so the findings may not apply elsewhere. The review did not appraise the quality of the included studies. Only two intervention studies were found, one small and qualitative and one with effects only for male residents, so the evidence does not show that thriving programmes work. Most factor findings are associations from observational or qualitative studies, not proof that changing one factor will improve thriving.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that care home thriving programmes are proven. Only two intervention studies were found; one was a small qualitative study of 15 older people, and the other reported effects only for male residents, not female residents. The review did not appraise study quality.