Journal article
A scoping review of interventions for older adults transitioning from hospital to home
Journal of the American Geriatrics Society (JAGS), Vol.69(10), pp.2950-2962
10/2021
DOI: 10.1111/jgs.17323
PMCID: PMC8497409
PMID: 34145906
Abstract
Background/Objectives Older adults are at high risk for adverse outcomes as they transition from hospital to home. Transitional care interventions primarily focus on care coordination and medication management and may miss key components. The objective of this study is to examine the current scope of hospital-to-home transitional care interventions that impact health-related outcomes and to examine other key components including engagement by older adults and their caregivers.
Design Scoping review.
Methods Eligible articles focused on hospital transition to home intervention, measured primary outcomes posthospitalization, used randomized controlled trial designs, and included primarily adults aged 60 years and older. Articles included in this review were reviewed in full and all data were extracted that related to study objective, setting, population, sample, intervention, primary and secondary outcomes, and main results.
Results Five hundred sixty-seven records were identified by title. Forty-four articles were deemed eligible and included. Most common transitional care intervention components were care continuity and coordination, medication management, symptom recognition, and self-management. Few studies reported a focus on caregiver needs or goals. Common modes of intervention delivery included by phone, in person while the patient was hospitalized, and in person in the community following hospital discharge. The most common outcomes were readmission and mortality.
Conclusion To improve outcomes beyond healthcare utilization, a paradigm shift is required in the design and study of care transition interventions. Future interventions should explore methods or novel interventions for caregiver engagement; leverage an interdisciplinary team or care coordination hub with engagement from underrepresented specialties such as social work and occupational therapy; and examine opportunities for interventions designed specifically to address older adult and caregiver-reported needs and their well-being.
Details
- Title: Subtitle
- A scoping review of interventions for older adults transitioning from hospital to home
- Creators
- Daniel Liebzeit - University of IowaRachel Rutkowski - University of Wisconsin–MadisonAlicia Arbaje - Johns Hopkins UniversityBeth Fields - University of Wisconsin–MadisonNicole E. Werner - University of Wisconsin–Madison
- Resource Type
- Journal article
- Publication Details
- Journal of the American Geriatrics Society (JAGS), Vol.69(10), pp.2950-2962
- Publisher
- Wiley
- DOI
- 10.1111/jgs.17323
- PMID
- 34145906
- PMCID
- PMC8497409
- ISSN
- 0002-8614
- eISSN
- 1532-5415
- Number of pages
- 13
- Grant note
- 1UL1TR002373; KL2TR002374 / University of Wisconsin-Madison Clinical and Translational Science Award (CTSA) program through the National Institutes of Health National Center for Advancing Translational Sciences (NCATS) R03 AG062848 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) OAA Advanced Fellowship in Geriatrics (William S. Middleton Memorial Veterans Hospital, Madison, WI)
- Language
- English
- Date published
- 10/2021
- Academic Unit
- Nursing
- Record Identifier
- 9984370645702771
Metrics
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