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The effectiveness of transition interventions to support older patients from hospital to home : a systematic scoping review

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O’Donnell, Renee, Savaglio, Melissa, Skouteris, Helen, Banaszak-Holl, Jane, Moranl, Chris, Morris, Heather, Vicary, Dave and Ayton, Darshini (2021) The effectiveness of transition interventions to support older patients from hospital to home : a systematic scoping review. Journal of Applied Gerontology, 40 (11). pp. 1628-1636. doi:10.1177/0733464820968712 ISSN 0733-4648.

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Official URL: http://dx.doi.org/10.1177/0733464820968712

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Abstract

Background:
Interventions supporting older adults’ transition from hospital to home can address geriatric needs. Yet this evidence base is fragmented. This review describes transitional interventions that provide pre- and post-discharge support for older adults and evaluates their implementation and effectiveness in improving health and well-being.

Method:
Articles were included if they examined the extent to which transitional interventions were effective in improving health and well-being outcomes and reducing hospital readmission rates among older adults.

Results:
Twenty studies met the inclusion criteria. Four types of interventions were identified: education-based (10/20); goal-oriented (4/20); exercise (4/20); and social support interventions (2/20). Education and goal-oriented interventions were effective in improving health and well-being outcomes. The impact of interventions on mitigating hospital readmissions was inconclusive. Only five studies examined implementation.

Discussion:
Older adults transitioning from hospital to home would benefit from tailored education and goal-oriented interventions that promote their capacity for self-care.

Item Type: Journal Article
Divisions: Faculty of Social Sciences > Warwick Business School
Journal or Publication Title: Journal of Applied Gerontology
Publisher: Sage Publications Ltd.
ISSN: 0733-4648
Official Date: 1 November 2021
Dates:
DateEvent
1 November 2021Published
6 November 2020Available
4 October 2020Accepted
9 June 2020Submitted
Volume: 40
Number: 11
Page Range: pp. 1628-1636
DOI: 10.1177/0733464820968712
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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