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Evaluation of the Test Phase of the “Program GIFT in Residence”: Results from a Pilot Participatory Action Research

Published online by Cambridge University Press:  26 December 2024

Marie-Chantal Falardeau Open the ORCID record for Marie-Chantal Falardeau [Opens in a new window] ,
Marie Beaulieu Open the ORCID record for Marie Beaulieu [Opens in a new window] ,
Hélène Carbonneau  and
Mélanie Levasseur
Marie-Chantal Falardeau*
Affiliation:
School of Social Work, Université de Sherbrooke and Research Center on Aging, Sherbrooke, Canada
Marie Beaulieu
Affiliation:
School of Social Work, Université de Sherbrooke and Research Center on Aging, Sherbrooke, Canada
Hélène Carbonneau
Affiliation:
Leisure, Culture and Tourism Department, Université du Quebec à Trois-Rivières, Trois-Rivières, Canada
Mélanie Levasseur
Affiliation:
School of Rehabilitation, Université de Sherbrooke and Research Center on Aging, Sherbrooke, Canada
*
Corresponding author: Marie-Chantal Falardeau, School of Social Work, Université de Sherbrooke and Research Center on Aging, 2500 boul. de l’Université, Sherbrooke, Quebec, Canada J1K 2R1 ([email protected])
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Abstract

Despite the negative effects on older adults, resident-to-resident aggression (RRA) remains a complex and understudied problem. Few interventions exist that address this issue by promoting goodwill. Using the intervention mapping approach, the evaluation of the test phase of the pilot Program GIFT in private seniors’ residences (PSRs) (Quebec, Canada) was conducted through qualitative interviews with 25 residents, 21 staff members, and 4 managers. The results indicate that the program achieved its objectives of promoting goodwill, although the strategies to manage RRA and intervention tools were more difficult to integrate into the PSRs’ culture. Obstacles and facilitators were reported. Recommendations were identified to enhance the program’s content, promote it more effectively, and ensure long-term sustainability. This research is the first endeavour to develop, test, and evaluate the test phase of a pilot program co-created with residents, staff members and managers of PSRs, aiming simultaneously at promoting goodwill and countering RRA.

Résumé

Résumé

Malgré ses conséquences pour les personnes aînées, la maltraitance entre résidents demeure un problème complexe et peu étudié. Peu d’intervention aborde ce problème en promouvant la bienveillance. Utilisant l’intervention mapping, l’évaluation de la phase test du Programme BIEN en résidence (Québec, Canada) a été réalisée par des entretiens qualitatifs avec 25 résidents, 21 membres du personnel et 4 gestionnaires. Les résultats indiquent que le programme a atteint ses objectifs de promotion de la bienveillance, bien que les stratégies de gestion et les interventions en situation de maltraitance aient été plus difficiles à intégrer dans la culture des résidences privées pour aînés. Des obstacles et des facilitateurs ont été rapportés. Des recommandations ont été identifiées pour améliorer le contenu du programme, le promouvoir plus efficacement et assurer une implantation optimale. Cette recherche est la première à développer, tester et évaluer la phase test d’un programme cocréé avec des résidents, membres du personnel et gestionnaires de RPA, visant simultanément à promouvoir la bienveillance et à lutter contre la maltraitance entre résidents.

Keywords

programgoodwillresident-to-resident aggressionprivate seniors’ residenceparticipatory action researchintervention mappingprogrammebienveillancemaltraitance entre résidentsrésidence privée pour aînésrecherche-actionrecherche participative
Type
Article
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , First View , pp. 1 - 11
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Copyright
© Canadian Association on Gerontology 2024

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References

Aner, K. (2016). Discussion paper on participation and participatory methods in gerontology. Zeitschrift für Gerontologie und Geriatrie, 49(Suppl 2), S153–S157. https://doi.org/10.1007/s00391-016-1098-xCrossRefGoogle ScholarPubMed
Bartholomew Eldredge, L. K. B., Markham, C. M., Ruiter, R. A., Fernández, M. E., Kok, G., & Parcel, G. S. (2016). Planning health promotion programs: An intervention mapping approach (4th ed.). John Wiley & Sons Inc.Google Scholar
Beaulieu, M., & Leboeuf, R. (2019). Synthesis Research Report. To improve the quality of community living in private residences: Establish the needs to counter resident-to-resident mistreatment and promote the concept of ‘living well together’. Research Chair on Mistreatment of Older Adults and Chartwell retirement residences. Retrieved from https://maltraitancedesaines.com/wp-content/uploads/2019/11/2019_Rapport-Synthese_ANG_V4.pdfGoogle Scholar
Beaulieu, M., Carbonneau, H., Levasseur, M. and Falardeau, M-C (2021). Promoting goodwill and countering intolerance among residents in independent living facilities. Needs study with a view to developing a program. Research review report. https://maltraitancedesaines.com/wp-content/uploads/2021/11/Beaulieu-et-al.-2021-Rapport_obj1_e%CC%81tude_besoins_EN.pdfGoogle Scholar
Beaulieu, M., Carbonneau, H., Levasseur, M. and Falardeau, M-C (2022). Élaboration et mise à l’essai du Programme BIEN en résidence. Rapport de recherche synthèse (French only). https://maltraitancedesaines.com/wp-content/uploads/2022/10/Rapport-synthese-2-Elaboration-et-mise-a-lessai-du-Programme-Bien.pdfGoogle Scholar
Benbow, B. (2016). Environmental interventions to mitigate resident-to-resident aggression. Canadian Nursing Home, 27(2), 4–11.Google Scholar
Blair, T., & Minkler, M. (2009). Participatory action research with older adults: Key principles in practice. The Gerontologist, 49(5), 651–662. https://doi.org/10.1093/geront/gnp049CrossRefGoogle ScholarPubMed
Botngård, A., Eide, A. H., Mosqueda, L., & Malmedal, W. (2020). Resident-to-resident aggression in Norwegian nursing homes: A cross-sectional exploratory study. BMC Geriatrics, 20(1), 222. https://doi.org/10.1186/s12877-020-01623-7CrossRefGoogle ScholarPubMed
Canadian Mortgage & Housing Corporation (CMHC). (2020, June 11). Results from the 2020 seniors housing survey. https://www.cmhc-schl.gc.ca/en/blog/2020-housing-observer/results-2020-seniors-housing-surveyGoogle Scholar
Caspi, E. (2015). Aggressive behaviors between residents with dementia in an assisted living residence. Dementia, 14(4), 538–546. https://doi.org/10.1177/1471301213502588CrossRefGoogle Scholar
Castle, N. (2012). Resident-to-resident abuse in nursing homes as reported by nurse aides. Journal of Elder Abuse and Neglect, 24(4), 340–356. https://doi.org/10.1080/08946566.2012.661685CrossRefGoogle ScholarPubMed
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design. Choosing among five approaches (4th ed.). Sage.Google Scholar
Cummings, T. G., & Worley, C. G. (2014). Organization development and change (10th ed.). South-Western Cengage Learning.Google Scholar
Ellis, J., Teresi, J. A., Ramirez, M., Silver, S., Boratgis, G., Kong, J., Eimicke, J. P., Sukha, G., Lachs, M S., & Pillemer, K. A. (2014). Managing resident-to-resident elder mistreatment in nursing homes: The SEARCH approach. The Journal of Continuing Education in Nursing, 45(3), 112–121. https://doi.org/10.3928/00220124-20140223-01CrossRefGoogle ScholarPubMed
Falardeau, M-C, Beaulieu, M., Carbonneau, H., Levasseur, M., & Belley, R. (2021). Maltraitance entre résidents en temps de pandémie: Effets dans les résidences pour aînés privées au Québec, Canadian Journal on Aging/La Revue canadienne du vieillissement, 40(4), 619– 627. https://doi.org/10.1017/S0714980821000428CrossRefGoogle Scholar
Falardeau, M-C, Beaulieu, M., Carbonneau, H., & Levasseur, M. (2022). Resident-to-resident aggression in private seniors’ residences. Journal of Gerontopsychology and Geriatric Psychiatry, 36(3), 135–149. https://doi.org/10.1024/1662-9647/a000296Google Scholar
Goodridge, D., Heal-Salahub, J., PausJenssen, E., James, G., & Lidington, J. (2017). Peer bullying in seniors’ subsidised apartment communities in Saskatoon, Canada: Participatory research. Health and Social Care in the Community, 25(4), 1439–1447. https://doi.org/10.1111/hsc.12444CrossRefGoogle ScholarPubMed
Government of Quebec. (2010). Governmental action plan to counter mistreatment of older adults 2010–2015. Ministère Famille et des Aînés. https://cnpea.ca/images/plan_action_maltraitance_en.pdfGoogle Scholar
Government of Quebec. (2016). Guide de référence pour contrer la maltraitance envers les personnes aînées (2e ed.) (French only). Ministère de la Santé et des Services sociaux. https://publications.msss.gouv.qc.ca/msss/document-000047/Google Scholar
Government of Quebec. (2017a). Act to combat maltreatment of seniors and other persons of full age in vulnerable situations. Compilation of Québec Laws and Regulations (CQLR), Chapter L-6.3. http://legisquebec.gouv.qc.ca/en/showdoc/cs/L-6.3Google Scholar
Government of Quebec. (2017b). Governmental Action Plan to Counter Mistreatment of Older Adults 2017–2022. Ministère de la Famille – Secrétariat Aux Aînés. https://numerique.banq.qc.ca/patrimoine/details/52327/3761023Google Scholar
Government of Quebec. (2021). Act respecting health services and social services. Compilation of Québec Laws and Regulations (CQLR), Chapter S-4.2. http://legisquebec.gouv.qc.ca/en/showdoc/Google Scholar
Government of Quebec. (2022). Governmental action plan to counter mistreatment of older adults 2022–2027: Recognizing and acting together (French only). Ministère de la Santé et des Services sociaux. https://publications.msss.gouv.qc.ca/msss/fichiers/2022/22-830-44W.pdfGoogle Scholar
Jain, B., Willoughby, M., Winbolt, M., Lo Giudice, D., & Ibrahim, J. (2018). Stakeholder perceptions on resident-to-resident aggression: Implications for prevention. Australian Health Review, 42(6), 680–688. https://doi.org/10.1071/AH17282CrossRefGoogle ScholarPubMed
Kim, S. C., Berry, B., & Young, L. (2019). Aggressive behavior risk assessment tool for long-term care (ABRAT-L): Validation study. Geriatric Nursing, 40(3), 284–289. https://doi.org/10.1016/j.gerinurse.2018.11.006CrossRefGoogle ScholarPubMed
Lachs, M. S., Teresi, J. A., Ramirez, M., van Haitsma, K., Silver, S., Eimicke, J. P., Boratgis, G., Sukha, G., Kong, J., Besas, A. M., Luna, M. R., & Pillemer, K. A. (2016). The prevalence of resident-to-resident elder mistreatment in nursing homes. Annals of Internal Medicine, 165(4), 229–236. https://doi.org/10.7326/M15-1209CrossRefGoogle ScholarPubMed
Leboeuf, R., Falardeau, M-C, & Beaulieu, M. (2022). Habitation collective: Maltraitance, intimidation ou intolérance entre aînés? Gérontologie et Société, 44(169), 49–53. https://doi.org/10.3917/gs1.169.0049CrossRefGoogle Scholar
Madsen, K., Franses, L., Ayenew, E., & Behnke, K. (2020, March 30). Seniors anti-bullying toolkit. https://source.sheridancollege.ca/cgi/viewcontent.cgi?article=1001&context=centres_elder_seniors_anti-bullying_toolkitGoogle Scholar
McDonald, L., Hitzig, S. L., Pillemer, K. A., Lachs, M. S., Beaulieu, M., Brownell, P., Burnes, D., Caspi, E., Du Mont, J., Gadsby, R., Goergen, T., Gutman, G., Hirst, S. P., Holmes, C., Khattak, S., Lowenstein, A., Mirza, R. M., McNeill, S., Moorhouse, A. … Thomas, C. (2015a). Developing a research agenda on resident-to-resident aggression: Recommendations from a consensus conference. Journal of Elder Abuse and Neglect, 27(2), 146–167. https://doi.org/10.1080/08946566.2014.995869CrossRefGoogle ScholarPubMed
McDonald, L., Sheppard, C., Hitzig, S. L., Spalter, T., Mathur, A., & Mukhi, J. S. (2015b). Resident-to-resident abuse: A scoping review. Canadian Journal on Aging, 34(2), 215–236. https://doi.org/10.1017/S0714980815000094CrossRefGoogle ScholarPubMed
Paillé, P., & Mucchielli, A. (2021). L’analyse par questionnement analytique. In Paillé, P., & Mucchielli, A. (Eds.), L’analyse qualitative en sciences humaines et sociales (pp. 146–158). Armand Colin.Google Scholar
Pillemer, K., Chen, E. K., Van Haitsma, K. S., Teresi, J., Ramirez, M., Silver, S., Sukha, G., & Lachs, M. S. (2012). Resident-to-resident aggression in nursing homes: Results from a qualitative event reconstruction study. The Gerontologist, 52(1), 24–33. https://doi.org/10.1093/geront/gnr107CrossRefGoogle ScholarPubMed
Statistics Canada. (2023, March 29). Census profile, 2021 census of population. https://www12.statcan.gc.ca/census-recensement/2021/dp-pd/prof/index.cfm?Lang=EGoogle Scholar
Strom, R. D., & Strom, P. S. (2017). Grandparent education for assisted living facilities. Educational Gerontology, 43(1), 11–20. https://doi.org/10.1080/03601277.2016.1231518CrossRefGoogle Scholar
Teresi, J. A., Ramirez, M., Ellis, J., Silver, S., Boratgis, G., Kong, J., Eimicke, J. P., Pillemer, K., & Lachs, M. S. (2013). A staff intervention targeting resident-to-resident elder mistreatment (R-REM) in long-term care increased staff knowledge, recognition and reporting: Results from a cluster randomized trial. International Journal of Nursing Studies, 50(5), 644–656. https://doi.org/10.1016/j.ijnurstu.2012.10.010CrossRefGoogle ScholarPubMed
Theurer, K., Wister, A., Sixsmith, A., Chaudhury, H., & Lovegreen, L. (2014). The development and evaluation of mutual support groups in long-term care homes. Journal of Applied Gerontology, 33(4), 387–415. https://doi.org/10.1177/0733464812446866CrossRefGoogle ScholarPubMed
Trompetter, H., Scholte, R., & Westerhof, G. (2011). Resident-to-resident relational aggression and subjective well-being in assisted living facilities. Aging and Mental Health, 15(1), 59–67. https://doi.org/10.1080/13607863.2010.501059CrossRefGoogle ScholarPubMed
Wagner, F. A., Van Sluytman, L. G., Ofahengaue Vakalahi, H. F., & Wosu, C. N. (2018). Qualitative research in gerontology and geriatrics. In García-Peña, C., Gutiérrez-Robledo, L. M., & Pérez-Zepeda, M. U. (Eds.). Aging Research-Methodological Issues (2nd ed., pp. 73–81). Springer.CrossRefGoogle Scholar
Winningham, R. G., & Pike, N. L. (2007). A cognitive intervention to enhance institutionalized older adults’ social support networks and decrease loneliness. Aging & Mental Health, 11(6), 716–721. https://doi.org/10.1080/13607860701366228CrossRefGoogle ScholarPubMed
World Health Organization (WHO). (2023a). Abuse of older people. https://www.who.int/health-topics/abuse-of-older-people#tab=tab_1Google Scholar
World Health Organization (WHO). (2023b). Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-healthGoogle Scholar