Evidence map›Paper›PMID 30055597›Full record

Trial reportBMC health services research2018

Development of a complex intervention aimed at reducing the risk of readmission of elderly patients discharged from the emergency department using the intervention mapping protocol.

Louise Moeldrup Nielsen, Thomas Maribo, Hans Kirkegaard, Kirsten Shultz Petersen, Lisa Gregersen Oestergaard

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
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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

5 authors.

Louise Moeldrup NielsenDepartment of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Aarhus, Denmark. lmn@via.dk.ORCID 0000-0002-3362-6275
Thomas MariboDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Hans KirkegaardResearch Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark.
Kirsten Shultz PetersenDepartment of Health Science and Technolog, Aalborg University, Aalborg, Denmark.
Lisa Gregersen OestergaardDepartment of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimitations in performing daily activities and a incoherent discharge are risk factors for readmission of elderly patients after discharge from the emergency department. This paper describes the development and design of a complex intervention whose aim was to reduce the risk of readmission of elderly patients discharged from the emergency department.

methodsThe intervention was described using the Intervention Mapping approach. In step 1, a needs assessment was conducted to analyse causes of readmission. In steps 2 and 3, expected improvements in terms of intervention outcomes, performance objectives and change objectives were specified and linked to selected theory- and evidence-based methods. In step 4, the specific intervention components were developed; and in step 5, an implementation plan was described. Finally, in step 6, a plan for evaluating the effectiveness of the intervention was described. The intervention was informed by input from a literature search, informal interviews and an expert steering group.

resultsA three-phased theory- and evidence-based intervention was developed. The intervention consisted of 1) assessment of performance of daily activities, 2) defining a rehabilitation plan and 3) a follow-up home visit the day after discharge with focus on enhancing the patients' performance of daily activities.

conclusionThe intervention mapping protocol was found to be a useful method to describe and systemize this theory- and evidence-based intervention.

Indexed as

Activities of Daily LivingAgedClinical ProtocolsDenmarkEmergency Service, HospitalFemaleHealth Plan ImplementationHumansMaleOccupational TherapyPatient DischargePatient ReadmissionPilot ProjectsRisk FactorsAcute careADLEmergency departmentFunctioningICFInterventionOccupational therapy

Identifiers

PMID30055597
PMCPMC6064169

What OpenQuestion holds

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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.