Managing Faecal INcontinence in people with advanced dementia resident in care homes (FINCH) study: a realist synthesis of

C Goodman, C Norton, M Bushwell, B Russell, D Harari, R Harowood, Brenda Roe, J Rycroft Malone, V M Drennan, M Fader, M Maden, K Cummings, F Bunn

Research output: Book/ReportProject report

Abstract

Introduction Faecal incontinence (FI) is the involuntary loss of liquid or solid stool that is a social or hygienic problem. The prevalence of FI in residents of care homes is high, but it is not an inevitable consequence of old age or dementia. There is good evidence on risk factors, but few studies provide evidence about effective interventions. There is a need to understand how, why, and in what circumstances particular programmes to reduce and manage FI are effective (or not) for people with dementia. The purpose of this review is to identify which (elements of the) interventions could potentially be effective, and examine the barriers and facilitators to the acceptability, uptake and implementation of interventions designed to address FI in people with dementia who are resident in care homes. Methods and analysis A realist synthesis approach to review the evidence will be used which will include studies on continence, person-centred care, implementation research in care homes, workforce and research on care home culture. An iterative four-stage approach is planned. Phase 1: development of an initial programme theory or theories that will be ‘tested’ through a first scoping of the literature and consultation with five stakeholder groups (care home providers, user representatives, academics and practice educators, clinicians with a special interest in FI and continence specialists). Phase 2: a systematic search and analysis of published and unpublished evidence to test and develop the programme theories identified in phase 1. Phase 3: validation of programme theory/ies with a purposive sample of participants from phase 1. Ethics and dissemination The overall protocol does not require ethical review. The University research ethics committee will review interviews conducted as part of phase 1 and 3. The final fourth phase will synthesise and develop recommendations for practice and develop testable hypotheses for further research.
Original languageEnglish
PublisherNIHR/HTA
Publication statusPublished - 24 Jun 2016

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Fecal Incontinence
Home Care Services
Dementia
Ethical Review
Research
Group Homes
Program Development
Research Ethics Committees
Ethics
Referral and Consultation
Interviews

Cite this

Goodman, C., Norton, C., Bushwell, M., Russell, B., Harari, D., Harowood, R., ... Bunn, F. (2016). Managing Faecal INcontinence in people with advanced dementia resident in care homes (FINCH) study: a realist synthesis of. NIHR/HTA.
Goodman, C ; Norton, C ; Bushwell, M ; Russell, B ; Harari, D ; Harowood, R ; Roe, Brenda ; Rycroft Malone, J ; Drennan, V M ; Fader, M ; Maden, M ; Cummings, K ; Bunn, F. / Managing Faecal INcontinence in people with advanced dementia resident in care homes (FINCH) study: a realist synthesis of. NIHR/HTA, 2016.
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abstract = "Introduction Faecal incontinence (FI) is the involuntary loss of liquid or solid stool that is a social or hygienic problem. The prevalence of FI in residents of care homes is high, but it is not an inevitable consequence of old age or dementia. There is good evidence on risk factors, but few studies provide evidence about effective interventions. There is a need to understand how, why, and in what circumstances particular programmes to reduce and manage FI are effective (or not) for people with dementia. The purpose of this review is to identify which (elements of the) interventions could potentially be effective, and examine the barriers and facilitators to the acceptability, uptake and implementation of interventions designed to address FI in people with dementia who are resident in care homes. Methods and analysis A realist synthesis approach to review the evidence will be used which will include studies on continence, person-centred care, implementation research in care homes, workforce and research on care home culture. An iterative four-stage approach is planned. Phase 1: development of an initial programme theory or theories that will be ‘tested’ through a first scoping of the literature and consultation with five stakeholder groups (care home providers, user representatives, academics and practice educators, clinicians with a special interest in FI and continence specialists). Phase 2: a systematic search and analysis of published and unpublished evidence to test and develop the programme theories identified in phase 1. Phase 3: validation of programme theory/ies with a purposive sample of participants from phase 1. Ethics and dissemination The overall protocol does not require ethical review. The University research ethics committee will review interviews conducted as part of phase 1 and 3. The final fourth phase will synthesise and develop recommendations for practice and develop testable hypotheses for further research.",
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Goodman, C, Norton, C, Bushwell, M, Russell, B, Harari, D, Harowood, R, Roe, B, Rycroft Malone, J, Drennan, VM, Fader, M, Maden, M, Cummings, K & Bunn, F 2016, Managing Faecal INcontinence in people with advanced dementia resident in care homes (FINCH) study: a realist synthesis of. NIHR/HTA.

Managing Faecal INcontinence in people with advanced dementia resident in care homes (FINCH) study: a realist synthesis of. / Goodman, C; Norton, C; Bushwell, M; Russell, B; Harari, D; Harowood, R; Roe, Brenda; Rycroft Malone, J; Drennan, V M; Fader, M; Maden, M; Cummings, K; Bunn, F.

NIHR/HTA, 2016.

Research output: Book/ReportProject report

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AU - Goodman, C

AU - Norton, C

AU - Bushwell, M

AU - Russell, B

AU - Harari, D

AU - Harowood, R

AU - Roe, Brenda

AU - Rycroft Malone, J

AU - Drennan, V M

AU - Fader, M

AU - Maden, M

AU - Cummings, K

AU - Bunn, F

PY - 2016/6/24

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N2 - Introduction Faecal incontinence (FI) is the involuntary loss of liquid or solid stool that is a social or hygienic problem. The prevalence of FI in residents of care homes is high, but it is not an inevitable consequence of old age or dementia. There is good evidence on risk factors, but few studies provide evidence about effective interventions. There is a need to understand how, why, and in what circumstances particular programmes to reduce and manage FI are effective (or not) for people with dementia. The purpose of this review is to identify which (elements of the) interventions could potentially be effective, and examine the barriers and facilitators to the acceptability, uptake and implementation of interventions designed to address FI in people with dementia who are resident in care homes. Methods and analysis A realist synthesis approach to review the evidence will be used which will include studies on continence, person-centred care, implementation research in care homes, workforce and research on care home culture. An iterative four-stage approach is planned. Phase 1: development of an initial programme theory or theories that will be ‘tested’ through a first scoping of the literature and consultation with five stakeholder groups (care home providers, user representatives, academics and practice educators, clinicians with a special interest in FI and continence specialists). Phase 2: a systematic search and analysis of published and unpublished evidence to test and develop the programme theories identified in phase 1. Phase 3: validation of programme theory/ies with a purposive sample of participants from phase 1. Ethics and dissemination The overall protocol does not require ethical review. The University research ethics committee will review interviews conducted as part of phase 1 and 3. The final fourth phase will synthesise and develop recommendations for practice and develop testable hypotheses for further research.

AB - Introduction Faecal incontinence (FI) is the involuntary loss of liquid or solid stool that is a social or hygienic problem. The prevalence of FI in residents of care homes is high, but it is not an inevitable consequence of old age or dementia. There is good evidence on risk factors, but few studies provide evidence about effective interventions. There is a need to understand how, why, and in what circumstances particular programmes to reduce and manage FI are effective (or not) for people with dementia. The purpose of this review is to identify which (elements of the) interventions could potentially be effective, and examine the barriers and facilitators to the acceptability, uptake and implementation of interventions designed to address FI in people with dementia who are resident in care homes. Methods and analysis A realist synthesis approach to review the evidence will be used which will include studies on continence, person-centred care, implementation research in care homes, workforce and research on care home culture. An iterative four-stage approach is planned. Phase 1: development of an initial programme theory or theories that will be ‘tested’ through a first scoping of the literature and consultation with five stakeholder groups (care home providers, user representatives, academics and practice educators, clinicians with a special interest in FI and continence specialists). Phase 2: a systematic search and analysis of published and unpublished evidence to test and develop the programme theories identified in phase 1. Phase 3: validation of programme theory/ies with a purposive sample of participants from phase 1. Ethics and dissemination The overall protocol does not require ethical review. The University research ethics committee will review interviews conducted as part of phase 1 and 3. The final fourth phase will synthesise and develop recommendations for practice and develop testable hypotheses for further research.

M3 - Project report

BT - Managing Faecal INcontinence in people with advanced dementia resident in care homes (FINCH) study: a realist synthesis of

PB - NIHR/HTA

ER -

Goodman C, Norton C, Bushwell M, Russell B, Harari D, Harowood R et al. Managing Faecal INcontinence in people with advanced dementia resident in care homes (FINCH) study: a realist synthesis of. NIHR/HTA, 2016.