Web-Based, Pictograph-Formatted Discharge Instructions for Low-Literacy Older Adults After Hip Replacement Surgery: Findings of End-User Evaluation of the Website

Abstract

A pictograph-formatted approach may provide effective strategies to promote understanding of lengthy, complex action-based discharge instructions in rehabilitation facilities.

Inclusion of Older Adults in Digital Health Technologies to Support Hospital-to-Home Transitions: Secondary Analysis of a Rapid Review and Equity-Informed Recommendations

“…Multimedia Appendix 1 shows the distribution of studies based on location. In addition, of 34 studies, 1 (n=1, 3%) study used qualitative methodology [ 111 ], 1 (n=1, 3%) study was a report [ 98 ], and another used a case study design (n=1, 3%) [ 81 ]. A total of 9% (n=3) of studies used a mixed methods methodology [ 3 , 87 , 96 ], whereas the remaining studies (28/34, 82%) used a quantitative methodological approach.…”

“…Multimedia Appendix 2 [ 3 , 83 - 94 , 100 - 103 , 105 - 108 , 110 , 111 ] summarizes the breadth of the methodological characteristics, aims of the studies, and a brief description of the digital interventions in detail. Briefly, web-based, tablet, and mobile app tools are the most common means of delivering digital interventions [ 3 , 83 - 94 , 100 - 103 , 105 - 108 , 110 , 111 ]. Electronic health records and databases [ 79 , 81 , 95 , 97 , 98 , 102 , 104 ] have been widely used for digital innovation.…”

“…The focus of digital health interventions varied. For example, some were related to medication reconciliation [ 79 , 81 , 97 , 104 ], whereas others aimed at providing education (eg, about rehabilitative exercises), internet-based care, and resources [ 83 , 86 , 89 , 92 , 94 , 96 , 100 , 104 - 106 , 111 ] and improved communication and care coordination with older adults’ care providers [ 3 , 82 , 91 , 104 , 108 ]. A total of 2 interventions aimed to improve communication processes among health care providers regarding discharge processes and care plans [ 93 , 109 ].…”

“…A total of 7 studies did not report on their targeted age but instead referred to geriatric patients [ 81 , 83 , 101 , 102 , 109 , 110 ] or “elders” [ 98 ]. Multimedia Appendix 3 [ 3 , 83 - 94 , 100 - 103 , 105 - 108 , 110 , 111 ] outlines the targeted populations of the included studies. It is worth noting that none of these studies specifically set out to include an analysis of heterogeneous groups of patients.…”

“…There was heterogeneity in the mean age of the participants included in the studies. The mean of age included older adult participants ranged from 65 to 69 years [ 83 , 99 , 105 , 111 ], 70 to 74 years [ 3 , 80 , 84 , 85 , 89 , 94 , 101 , 106 , 108 ], and 75 to 79 years [ 82 , 87 , 92 , 97 , 101 ] to 80 to 84 [ 86 , 88 , 90 - 93 , 96 , 104 , 107 , 109 , 110 ]. Only 2 studies had a mean age of ≥85 years [ 79 , 109 ].…”