Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol
Background: Stroke is a major life-altering event and the leading cause of death and disability in Canada. Most older adults who have suffered a stroke will return home and require ongoing rehabilitation in the community. Transitioning from hospital to home is reportedly very stressful and challengi...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-03-01
|
| Series: | Journal of Comorbidity |
| Online Access: | https://doi.org/10.1177/2235042X19828241 |
| _version_ | 1818846420724088832 |
|---|---|
| author | Maureen Markle-Reid Ruta Valaitis Amy Bartholomew Kathryn Fisher Rebecca Fleck Jenny Ploeg Jennifer Salerno Lehana Thabane |
| author_facet | Maureen Markle-Reid Ruta Valaitis Amy Bartholomew Kathryn Fisher Rebecca Fleck Jenny Ploeg Jennifer Salerno Lehana Thabane |
| author_sort | Maureen Markle-Reid |
| collection | DOAJ |
| description | Background: Stroke is a major life-altering event and the leading cause of death and disability in Canada. Most older adults who have suffered a stroke will return home and require ongoing rehabilitation in the community. Transitioning from hospital to home is reportedly very stressful and challenging, particularly if stroke survivors have multiple chronic conditions. New interventions are needed to improve the quality of transitions from hospital to home for this vulnerable population. Objectives: The primary objective of this study is to examine the feasibility of implementing a new 6-month transitional care intervention supported by a web-based app. The secondary objective is to explore its preliminary effects. Design: A single arm, pre/post, pragmatic feasibility study of 20–40 participants in Ontario, Canada. Participants will be community-dwelling older adults (≥55 years) with a confirmed stroke diagnosis, ≥2 co-morbid conditions, and referred to a hospital-based outpatient stroke rehabilitation centre. The 6-month transitional care intervention will be delivered by an interprofessional (IP) team and involve care coordination/system navigation, self-management education and support, home visits, telephone contacts, IP team meetings and a web-based app. Primary evaluation of the intervention will be based on feasibility outcomes (e.g. acceptability, fidelity). Preliminary intervention effects will be based on 6-month changes in health outcomes, patient experience, provider experience and cost. Conclusions: Information on the feasibility and preliminary effects of this newly-developed intervention will be used to optimize the design and methods for a future pragmatic trial to test the effectiveness and implementation of the intervention in other contexts and settings. |
| first_indexed | 2024-12-19T05:45:16Z |
| format | Article |
| id | doaj.art-b4fa322761b4416599e08c25c4e07a3f |
| institution | Directory Open Access Journal |
| issn | 2235-042X |
| language | English |
| last_indexed | 2024-12-19T05:45:16Z |
| publishDate | 2019-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Comorbidity |
| spelling | doaj.art-b4fa322761b4416599e08c25c4e07a3f2022-12-21T20:33:52ZengSAGE PublishingJournal of Comorbidity2235-042X2019-03-01910.1177/2235042X19828241Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocolMaureen Markle-Reid0Ruta Valaitis1Amy Bartholomew2Kathryn Fisher3Rebecca Fleck4Jenny Ploeg5Jennifer Salerno6Lehana Thabane7 McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada Regional Rehabilitation Outpatient Services, Hamilton Health Sciences, Hamilton, Ontario, Canada Department of Health, Aging and Society, McMaster University, Hamilton, Ontario, Canada Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, CanadaBackground: Stroke is a major life-altering event and the leading cause of death and disability in Canada. Most older adults who have suffered a stroke will return home and require ongoing rehabilitation in the community. Transitioning from hospital to home is reportedly very stressful and challenging, particularly if stroke survivors have multiple chronic conditions. New interventions are needed to improve the quality of transitions from hospital to home for this vulnerable population. Objectives: The primary objective of this study is to examine the feasibility of implementing a new 6-month transitional care intervention supported by a web-based app. The secondary objective is to explore its preliminary effects. Design: A single arm, pre/post, pragmatic feasibility study of 20–40 participants in Ontario, Canada. Participants will be community-dwelling older adults (≥55 years) with a confirmed stroke diagnosis, ≥2 co-morbid conditions, and referred to a hospital-based outpatient stroke rehabilitation centre. The 6-month transitional care intervention will be delivered by an interprofessional (IP) team and involve care coordination/system navigation, self-management education and support, home visits, telephone contacts, IP team meetings and a web-based app. Primary evaluation of the intervention will be based on feasibility outcomes (e.g. acceptability, fidelity). Preliminary intervention effects will be based on 6-month changes in health outcomes, patient experience, provider experience and cost. Conclusions: Information on the feasibility and preliminary effects of this newly-developed intervention will be used to optimize the design and methods for a future pragmatic trial to test the effectiveness and implementation of the intervention in other contexts and settings.https://doi.org/10.1177/2235042X19828241 |
| spellingShingle | Maureen Markle-Reid Ruta Valaitis Amy Bartholomew Kathryn Fisher Rebecca Fleck Jenny Ploeg Jennifer Salerno Lehana Thabane Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol Journal of Comorbidity |
| title | Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol |
| title_full | Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol |
| title_fullStr | Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol |
| title_full_unstemmed | Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol |
| title_short | Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol |
| title_sort | feasibility and preliminary effects of an integrated hospital to home transitional care intervention for older adults with stroke and multimorbidity a study protocol |
| url | https://doi.org/10.1177/2235042X19828241 |
| work_keys_str_mv | AT maureenmarklereid feasibilityandpreliminaryeffectsofanintegratedhospitaltohometransitionalcareinterventionforolderadultswithstrokeandmultimorbidityastudyprotocol AT rutavalaitis feasibilityandpreliminaryeffectsofanintegratedhospitaltohometransitionalcareinterventionforolderadultswithstrokeandmultimorbidityastudyprotocol AT amybartholomew feasibilityandpreliminaryeffectsofanintegratedhospitaltohometransitionalcareinterventionforolderadultswithstrokeandmultimorbidityastudyprotocol AT kathrynfisher feasibilityandpreliminaryeffectsofanintegratedhospitaltohometransitionalcareinterventionforolderadultswithstrokeandmultimorbidityastudyprotocol AT rebeccafleck feasibilityandpreliminaryeffectsofanintegratedhospitaltohometransitionalcareinterventionforolderadultswithstrokeandmultimorbidityastudyprotocol AT jennyploeg feasibilityandpreliminaryeffectsofanintegratedhospitaltohometransitionalcareinterventionforolderadultswithstrokeandmultimorbidityastudyprotocol AT jennifersalerno feasibilityandpreliminaryeffectsofanintegratedhospitaltohometransitionalcareinterventionforolderadultswithstrokeandmultimorbidityastudyprotocol AT lehanathabane feasibilityandpreliminaryeffectsofanintegratedhospitaltohometransitionalcareinterventionforolderadultswithstrokeandmultimorbidityastudyprotocol |