Evidence map›Paper›PMID 27913561›Full record

ArticleBMJ open2016

HOspitals and patients WoRking in Unity (HOW R U?): protocol for a prospective feasibility study of telephone peer support to improve older patients' quality of life after emergency department discharge.

Judy A Lowthian, Alyse Lennox, Andrea Curtis, Jeremy Dale, Colette Browning, De Villiers Smit, Gillian Wilson, Debra O'Brien, Cate Rosewarne, Lee Boyd and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Judy A LowthianSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Alyse LennoxSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Andrea CurtisSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Jeremy DaleWarwick Medical School, University of Warwick, Coventry, UK.
Colette BrowningRDNS Institute, RDNS, Melbourne, Victoria, Australia.
De Villiers SmitEmergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.
Gillian WilsonVolunteer Services, Alfred Health, Melbourne, Victoria, Australia.
Debra O'BrienEmergency Department, Cabrini Health, Malvern, Victoria, Australia.
Cate RosewarneVolunteer Services, Cabrini Health, Malvern, Victoria, Australia.
Lee BoydNursing Services, Cabrini Institute, Cabrini Health, Malvern, Victoria, Australia.
Cath GarnerDepartment of Mission and Strategy, Cabrini Health, Malvern, Victoria,  .
Peter CameronSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOlder people presenting to an emergency department (ED) have a higher likelihood of social isolation, loneliness and depression; which are all associated with negative health outcomes and increased health service use, including higher rates of ED attendance. The HOW R U? study aims to ascertain the feasibility and acceptability of a postdischarge telephone support programme for older ED patients following discharge. The intervention, which aims to improve quality of life, will be delivered by hospital-based volunteers. METHODS AND ANALYSIS: A multicentre prospective uncontrolled feasibility study will enrol 50 community-dwelling patients aged ≥70 years with symptoms of loneliness or depression who are discharged home within 72 hours from the ED or acute medical ward. Participants will receive weekly supportive telephone calls over a 3-month period from a volunteer-peer. Feasibility will be assessed in terms of recruitment, acceptability of the intervention to participants and level of retention in the programme. Changes in level of loneliness (UCLA-3 item Loneliness Scale), mood (Geriatric Depression Scale-5 item) and health-related quality of life (EQ-5D-5L and EQ-VAS) will also be measured postintervention (3 months). ETHICS AND DISSEMINATION: Research ethics and governance committee approval has been granted for this study by each participating centre (reference: 432/15 and 12-09-11-15). Study findings will inform the design and conduct of a future multicentre randomised controlled trial of a postdischarge volunteer-peer telephone support programme to improve social isolation, loneliness or depressive symptoms in older patients. Results will be disseminated through peer-reviewed journal publication, and conference and seminar presentation. TRIAL REGISTRATION NUMBER: ACTRN12615000715572, Pre-results.

Indexed as

Patient DischargeSocial SupportAgedAged, 80 and overDepressionEmergency Service, HospitalFeasibility StudiesFemaleFrail ElderlyHumansLonelinessMalePeer GroupProspective StudiesQuality of LifeResearch Designfeasibility studyprotocolsocial isolationtelephone-supportvolunteer-peer

Identifiers

PMID27913561
PMCPMC5168602

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.