The Effectiveness of Transition Interventions to Support Older Patients From Hospital to Home: A Systematic Scoping Review. (November 2021)

• Record Type: Journal Article
• Authors: O'Donnell, Renee; Savaglio, Melissa; Skouteris, Helen; Banaszak-Holl, Jane; Moranl, Chris; Morris, Heather; Vicary, Dave; Ayton, Darshini
• Is Part Of: Journal of applied gerontology. Volume 40:Number 11(2021)
• Page Start: 1628
• Page End: 1636
• Publication Date: 2021-11
• Subjects: transition -- interventions -- hospitalizations -- health -- well-being; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/0733464820968712
• Languages: English
• ISSNs: 0733-4648

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.