Engagement of Older Adults in out-of-Home Occupations: Transitioning from Hospital to Home

Athan,; Bissett, Michelle; Boland, Niamh; Owen, Kirk; Jm, Collins

doi:10.1080/02703181.2021.1986194

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…This raises some concerns about the recreation and leisure activities that those with home goals only can or do undertake if they have less interaction with their community. In a small sample study, Athan, Bissett [17] found TCP clients may be influenced by and reliant on family members, friends, or community services to assist to engage the person in communitybased activities. Perhaps the provision of education regarding their potential influence on older adults' leisure goals to family members, friends or community-based services by TCP clinicians may assist to improve community interaction for this cohort of older adults.…”

Section: Discussionmentioning

confidence: 99%

Differences in Clients Who Develop Home-Based or Community-Based Goals in a Transition Care Program: A Retrospective Cohort Study

2023

Int J Geriatr Gerontol

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The Transition Care Program (TCP) is a post-hospitalization rehabilitation program for older Australian adults. Consumers may develop home-based or community-based program goals. The objective of this study was to understand the differences between consumer cohorts who develop home-based goals only and those who develop at least one community-based goal. This single-site retrospective cohort study reviewed a local data set of consumers who accessed the TCP from 1/7/2014-31/12/2019. Goals were classified as either home-based or community-based and data was compared between these groups. Logistic regression models were used to determine predictors of nominating a community goal. Of the total TCP episodes, 1051 (99.3%) had goals and 694 (66%) had at least one community goal while the remaining made home goals only. The MBI score change (p<0.001), MBI score on TCP entry and exit (p<0.001), number of goals nominated (p<0.001) and discharge destination to an aged care facility (p<0.001) of patients in both groups were significantly different. Logistic regression indicated that age (p=0.029), number of goals nominated (p<0.001), and MBI on admission to TCP (p<0.001) were significant goal-type predictors. Older adults who develop community-based goals have a higher functional measure score upon admission and discharge from TCP. However those who develop home-based goals only have a larger change in functional outcome measure during TCP. Further research is warranted to investigate if setting community-based goals with all older adults will further improve outcomes for those who are more likely to set home-based goals only.

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Section: Discussionmentioning

confidence: 99%

Differences in Clients Who Develop Home-Based or Community-Based Goals in a Transition Care Program: A Retrospective Cohort Study

2023

Int J Geriatr Gerontol

View full text Add to dashboard Cite

show abstract

Engagement of Older Adults in out-of-Home Occupations: Transitioning from Hospital to Home

Cited by 1 publication

References 23 publications

Differences in Clients Who Develop Home-Based or Community-Based Goals in a Transition Care Program: A Retrospective Cohort Study

Differences in Clients Who Develop Home-Based or Community-Based Goals in a Transition Care Program: A Retrospective Cohort Study

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