Evidence map›Paper›PMID 32363165›Full record

ArticleJournal of comorbidity

An integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A feasibility study.

Maureen Markle-Reid, Ruta Valaitis, Amy Bartholomew, Kathryn Fisher, Rebecca Fleck, Jenny Ploeg, Jennifer Salerno

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05185271 (Adopting Dyad-focused Strategy Training to Stroke Survivors and Their Caregivers), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% of its field
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.

NCT05185271 nacompletednot on this map

Adopting Dyad-focused Strategy Training to Stroke Survivors and Their Caregivers: Intervention Development and a Feasibility Study

TypeinterventionalSponsorTaipei Medical UniversityRan2021 to 2023Enrolled16ConditionsStrokeArmsDyad-focused strategy training
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
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  4. Smart Healthcare-Enabled Information-Motivation-Behavioral Skills Model for Stroke Multimorbidity Rehabilitation: A Transitional Care Study.Medical science monitor : international medical journal of experimental and clinical research · 2026
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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

7 authors at 3 institutions in 1 country.

Maureen Markle-ReidSchool of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-4019-7077
Ruta ValaitisSchool of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Amy BartholomewAging, Community and Health Research Unit, School of Nursing, McMaster University, Hamilton, Ontario, Canada.
Kathryn FisherSchool of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Rebecca FleckRegional Rehabilitation Program, Hamilton Health Sciences, Hamilton, Ontario, Canada.
Jenny PloegSchool of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0001-8168-8449
Jennifer SalernoAging, Community and Health Research Unit, School of Nursing, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0001-7282-5579
McMaster University · CAHamilton Health Sciences · CAImpact · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is the leading cause of death and adult disability in Canada. Eighty percent of older adults (≥65 years) who have suffered a stroke will return to their homes, and 60% will require ongoing rehabilitation. The transition between hospital and home is often fragmented, leading to adverse health outcomes, hospital readmissions, and increased health-care costs. This study examined the feasibility of a 6-month integrated transitional care stroke intervention (TCSI), and explored its effects on health outcomes, patient and provider experience, and cost in 30 community-living older adults (≥55 years) with stroke and multimorbidity (≥2 chronic conditions) using outpatient stroke rehabilitation services.

methodsThe TCSI is a 6-month intervention delivered by an interprofessional (IP) team (occupational therapist, physiotherapist, speech language pathologist, registered nurse, social worker). It involved care coordination, home visiting, and IP case conferences, supported by a web-based application. A qualitative descriptive approach was used to explore the feasibility of implementing the intervention. A prospective one-group pretest/posttest was used to evaluate the effects of the intervention on health outcomes and use and costs of health services, from baseline to 6 months.

resultsParticipants had an average of eight comorbid conditions. The intervention was feasible and acceptable to both older adults and providers. From baseline to 6 months, there was no statistically significant difference in health outcomes. However, there was a significant reduction in the total per person use and costs of health services.

conclusionsThis study established the feasibility of conducting a larger randomized controlled trial of this intervention.

Indexed as

community livingintegrated caremobile appsOlder adultsstroke rehabilitationtransitional care

Identifiers

PMID32363165
PMCPMC7177995
OpenAlexW3020275749

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.