Key result
Education and goal-oriented transitional interventions improved health and well-being outcomes for older adults, though their impact on hospital readmissions was inconclusive across 20 studies.
Why the study?
Interventions supporting older adults transitioning from hospital to home can address geriatric needs, but the evidence base is fragmented.
Do transitional interventions improve health and well-being and reduce hospital readmissions in older adults transitioning from hospital to home?
Systematic Review
Do transitional interventions improve health and well-being and reduce hospital readmissions in older adults transitioning from hospital to home?
Tailored education and goal-oriented interventions during hospital-to-home transitions can improve health and well-being in older adults, though their effect on readmissions remains unclear.
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.
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O’Donnell et al. (2020) conducted a systematic review in Older adults transitioning from hospital to home. Transitional interventions (education-based, goal-oriented, exercise, and social support) was evaluated on Health and well-being outcomes and hospital readmission rates. Education and goal-oriented transitional interventions improved health and well-being outcomes for older adults, though their impact on hospital readmissions was inconclusive across 20 studies.
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