Changes in older adults’ impairment, activity, participation and wellbeing as measured by the AusTOMs following participation in a Transition Care Program

Smith, Haley N.; Fields, Sally M.

doi:10.1111/1440-1630.12667

Cited by 6 publications

(9 citation statements)

References 31 publications

(63 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar outcomes of interventions designed to increase patient participation in transitional care were found in the studies by Chen et al (2018) and Lenaghan (2019). Smith and Fields (2020) found that participants engaged in an interdisciplinary care-transitions program post-hospitalization maintained and/or improved levels of participation restriction and distress/well-being. Finally, in a study examining correlations of patient activation and clinical factors, those with higher activation scores experienced less difficulty with function, fewer problems with sleep and pain, and lower depression and anxiety scores ( Schmaderer et al, 2016 ).…”

Section: Resultsmentioning

confidence: 96%

“…The majority of studies examining interventions intended to partner the healthcare professional and patient in a mutual, agreed-upon goal setting and coaching session, were implemented by nurses and limited to the pre-discharge time period ( Bull et al, 2000 ; Chen et al., 2018 ; Coleman et al, 2004 ; Jangland et al, 2012 ; Lenaghan, 2019 ). Coleman et al (2004) , Lenaghan (2019) and Chen et al (2018) implemented programs that expanded care settings and two programs were solely focused on the time period following hospital discharge with interventions delivered by physicians and occupational and physical therapists ( Noel et al, 2020 ; Smith & Fields, 2020 ). Finally, the study by Kvale et al (2016) was conducted in the ambulatory setting by a Master's degree-prepared mental health professional.…”

Section: Resultsmentioning

confidence: 99%

“…Higher perceived care involvement was associated with systolic blood pressure control ( Arnetz et al, 2010 ). Two studies examined patient participation and physical functioning ( Chen et al, 2018 ; Smith & Fields, 2020 ). A patient-centered self-management empowerment intervention (PCSEMI) was associated with higher ADL at 3-months post-discharge ( Chen et al, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

“…A patient-centered self-management empowerment intervention (PCSEMI) was associated with higher ADL at 3-months post-discharge ( Chen et al, 2018 ). Likewise, an interdisciplinary care-transition program focused on physical functionality in the home following hospital discharge led to statistical and clinical improvements in patient impairment, activity limitation, and participation restriction ( Smith & Fields, 2020 ). Finally, comorbidity was measured as a primary clinical outcome in one study ( Lenaghan, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

“…Studies also ranged in disciplinary perspective. Six of the studies were conducted by nursing (Bull et al, 2000;Chen et al, 2018;Jangland et al, 2012;Lenaghan, 2019;Schmaderer et al, 2016;Ulin et al, 2016), followed by four by medicine (Coleman et al, 2004;Epstein-Lubow et al, 2014;Kvale et al, 2016;Noel et al, 2020) and the remaining two were implemented by occupational and physical therapy (Arnetz et al, 2010;Smith & Fields, 2020). The theoretical framework differed between studies.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Perceived Self-Efficacy, Confidence, and Skill Among Factors of Adult Patient Participation in Transitional Care: A Systematic Review of Quantitative Studies

2022

View full text Add to dashboard Cite

Introduction An advancing healthcare system in which patients are often required to self-manage care needs across countless settings and clinicians is increasing focus on participation in care. Mismanagement of care during already risky care-transitions further increases adverse care outcomes. Understanding factors of patient participation in transitional care in an adult population can help guide ways to reduce this burden. Methods A systematic review of the literature guided by the PRISMA method was conducted to identify factors of patient participation in transitional care. Quantitative studies in which patient participation was measured as an outcome variable and related statistics reported, and data were collected from an adult sample, were included. Two authors independently reviewed, critiqued, and synthesized the articles, and later categorized study variables according to identified trends. Results Twelve studies across international and multidisciplinary backgrounds were identified. Across studies, efforts were largely based on understanding or improving patient self-management of care during transitions. The majority of studies were experimental and care interventions grounded in patient and healthcare team partnerships, delivered beyond the hospital setting. An array of measures was used to quantify patient participation. Factors of patient participation in transitional care included higher perceived levels of self-efficacy, confidence, and skills to participate in care. Conclusion The results of this study suggest patient participation in transitional care is largely based on perceptions of self-efficacy, confidence, and skill. Patient-centric transitional care interventions targeting these factors and delivered beyond the hospital setting may improve care outcomes. Implications and direction for further studies includes conceptual clarity, the study of a broader-reaching patient population demographic, and use of multidisciplinary interventions. Outcome variables should remain focused on patient perception of care involvement and participation and expanded to include variables such as functional abilities and social determinants of health.

show abstract

Section: Resultsmentioning

confidence: 96%