A scoping review of interventions for older adults transitioning from hospital to home Article Swipe
YOU?
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· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/jgs.17323
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.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/jgs.17323
- OA Status
- green
- Cited By
- 80
- References
- 73
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3172840081
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3172840081Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/jgs.17323Digital Object Identifier
- Title
-
A scoping review of interventions for older adults transitioning from hospital to homeWork title
- Type
-
reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
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2021-06-19Full publication date if available
- Authors
-
Daniel Liebzeit, Rachel A. Rutkowski, Alicia I. Arbaje, Beth Fields, Nicole E. WernerList of authors in order
- Landing page
-
https://doi.org/10.1111/jgs.17323Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/8497409Direct OA link when available
- Concepts
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Medicine, Transitional care, Psychological intervention, Intervention (counseling), Health care, Focus group, Randomized controlled trial, Population, Nursing, Family medicine, Gerontology, Marketing, Economic growth, Economics, Environmental health, Surgery, BusinessTop concepts (fields/topics) attached by OpenAlex
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80Total citation count in OpenAlex
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2025: 25, 2024: 27, 2023: 17, 2022: 10, 2021: 1Per-year citation counts (last 5 years)
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73Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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