Developing a Research Agenda on Resident-to-Resident Aggression: Recommendations from a Consensus Conference

McDonald et al. (2015) full text summary PDF

For which topic were research priorities identified?

resident-to-resident aggression

In which location was the research priority setting conducted?

North America - USA

Why was it conducted at all?

Resident-to-resident aggression (RRA) is a growing phenomenon that causes harm to residents living in long-term care facilities. Despite the growing numbers of older adults requiring longterm care in Canada and elsewhere, RRA is an under-studied issue, with only a handful of studies dedicated to the topic. Given the probability that the occurrence of RRA will increase with the aging population, along with the increased recognition of the impact RRA holds for residents and their families, efforts were undertaken to organize a meeting to address RRA, the first of its kind in north America.

What was the objective?

to develop a research agenda on resident-to resident aggression in long-term care facilities by an expert panel of researchers and practitioners

What was the outcome?

a list of 5 research topics

How long did the research prioritization take?

1 day

Which methods were used to identify research priorities?


How were the priorities for research identified exactly?

Step 1: literature review. Step 2: Delphi round 1: survey presenting 13 potential research priorities generated from scoping review, participants were asked to select five research priorities from list and to rank them. Step 3: Delphi round 2: workshop with consensus building: small group discussions of round 1 voting, participants were asked to select top 5, group discussion on final results

Which stakeholders took part?

Researchers and practitioners. Delphi round 1: 27 participants. Delphi round 2: 23 participants.

How were stakeholders recruited?

A heterogeneous set of participants were targeted for invitation to serve on the expert panel, which included professionals with specific expertise on RRA, elder neglect and mistreatment, dementia, and/or health services research related to long-term care. Also, authors of relevant publications were recruited, making contacts with those who had first hand relationships with the issue, and by contacting members of the existing network who met the listed criteria above (i.e., persons from the elder neglect and mistreatment field, dementia, etc.).

Were stakeholders actively involved or did they just participate?

Stakeholders were mere participants of the research prioritization process; they were not actively involved in the process.