title: "There's No Place Like Home": A Scoping Review on the Impact of Homelike Residential Care Models on Resident-, Family-, and Staff-Related Outcomes.
abstract: There is increasing emphasis on promoting "homelike" residential care models enabling care-dependent people to continue living in a self-determined manner. Yet, little is known about the outcomes of homelike residential care models.
  
  
  
  We aimed to (1) identify homelike residential care models for older care-dependent people with and without dementia, and (2) explore the impact of these models on resident-, family-, and staff-related outcomes.
  
  
  
  We applied a scoping review method and conducted a comprehensive literature search in PubMed, Embase, and CINAHL in May 2015.
  
  
  
  We included 14 studies, reported in 21 articles. Studies were conducted between 1994 and 2014, most using a quasi-experimental design and comparing the Eden Alternative (n = 5), nondementia-specific small houses (eg Green House homes) (n = 2), and dementia-specific small houses (n = 7) with usual care in traditional nursing homes. The studies revealed evidence of benefit related to physical functioning of residents living in dementia-specific small houses and satisfaction with care of residents living in nondementia-specific small houses compared with those living in traditional nursing homes. We did not find other significant benefits related to physical and psychosocial outcomes of residents, or in family- and staff-related outcomes.
  
  
  
  The current evidence on homelike residential care models is limited. Comparative-effectiveness research building on a clear theoretical framework and/or logic model and including a standardized set of resident-, family-, and staff-related outcomes, as well as cost evaluation, is needed to provide a stronger evidence base to justify the uptake of more homelike residential care models.
authors.affiliation: College of Health-Care Professions Claudiana, Bozen, Italy; Institute of Nursing Science, University of Basel, Basel, Switzerland. Electronic address: dietmar.ausserhofer@unibas.ch.
authors.forename: Dietmar
authors.initials: D
authors.lastname: Ausserhofer
authors.affiliation: KU Leuven, Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Leuven, Belgium.
authors.forename: Mieke
authors.initials: M
authors.lastname: Deschodt
authors.affiliation: Institute of Nursing Science, University of Basel, Basel, Switzerland; KU Leuven, Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Leuven, Belgium.
authors.forename: Sabina
authors.initials: S
authors.lastname: De Geest
authors.affiliation: KU Leuven, Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Leuven, Belgium.
authors.forename: Theo
authors.initials: T
authors.lastname: van Achterberg
authors.affiliation: Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Meyer
authors.affiliation: Maastricht University, CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Maastricht, Netherlands.
authors.forename: Hilde
authors.initials: H
authors.lastname: Verbeek
authors.affiliation: The Knowledge Centre in Norwegian Institute of Public Health, Oslo, Norway.
authors.forename: Ingeborg Strømseng
authors.initials: IS
authors.lastname: Sjetne
authors.affiliation: Jagiellonian University, Krakow, Poland.
authors.forename: Iwona
authors.initials: I
authors.lastname: Malinowska-Lipień
authors.affiliation: National Institute of Health Research Collaboration for Leadership in Applied Health Research and Care (Wessex), University of Southampton, Southampton, United Kingdom.
authors.forename: Peter
authors.initials: P
authors.lastname: Griffiths
authors.affiliation: European Association for Directors and Providers of Long-Term Care Services for the Elderly, Berlin, Germany.
authors.forename: Wilfried
authors.initials: W
authors.lastname: Schlüter
authors.affiliation: Jerusalem College of Technology, Jerusalem, Israel; The Gertner Institute for Epidemiology and Health Policy Research, Tel Aviv, Israel; McMaster University, Ontario, Hamilton, Canada.
authors.forename: Moriah
authors.initials: M
authors.lastname: Ellen
authors.affiliation: Institute of Nursing Science, University of Basel, Basel, Switzerland; School of Nursing, University of Pittsburgh, Pittsburgh, PA.
authors.forename: Sandra
authors.initials: S
authors.lastname: Engberg
mesh_terms: D005190:Family / Q000523:psychology*; D006699:Home Care Services; D006801:Humans; D008134:Long-Term Care; D009740:Nursing Staff / Q000523:psychology*; D017060:Patient Satisfaction
keywords: Long-term care; homelike; residential facilities; scoping review; small-scale