Evidence map›Paper›PMID 33472414›Full record

ArticleClinical rehabilitation2021

"Just tell me in a simple way": A qualitative study on opportunities to improve the transition from acute hospital care to home from the perspectives of patients with traumatic brain injury, families, and providers.

Tolu O Oyesanya, Callan Loflin, Gabrielle Harris, Janet Prvu Bettger

Registry-linked trialAbstract read
In one paragraph

Article in Clinical rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06867081 (Effectiveness of a Customized Digital Platform to Increase Coordination of Care and Uptake of Evidence-based Practices), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

NCT06867081 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effectiveness of a Customized Digital Platform to Increase Coordination of Care and Uptake of Evidence-based Practices: a Protocol for a Stepped-wedge Cluster Randomized Trial in Quebec

TypeinterventionalSponsorCentre for Interdisciplinary Research in Rehabilitation of Greater MontrealRan2025 to 2029Enrolled962ConditionsAquired Brain Injury, Traumatic Brain Injuries, Stroke, Cardiovascular DiseasesArmsThe intervention will be the BRILLIANT Platform, an online platform which provides five Modules aimed at increasing coordination of care and direct rehabilitation time
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  6. Review
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  9. Observational
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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

4 authors.

Tolu O OyesanyaSchool of Nursing, Duke University, Durham, NC, USA.ORCID https://orcid.org/0000-0001-8821-4510
Callan LoflinSchool of Nursing, Duke University, Durham, NC, USA.
Gabrielle HarrisSchool of Nursing, Duke University, Durham, NC, USA.
Janet Prvu BettgerSchool of Nursing, Duke University, Durham, NC, USA.

Funding

Research Project 3U54MD012530 · NIMHD · DUKE UNIVERSITY · PI JOHNSON, KIMBERLY S. · 2017 to 2022
$8.8M
Enhancing the Transition from Hospital to Home for Patients with Traumatic Brain Injury and FamiliesR03HD101055 · NICHD · DUKE UNIVERSITY · PI OYESANYA, TOLU O. · 2020 to 2021
$327k
NICHD NIH HHS R03 HD101055NIMHD NIH HHS U54 MD012530
6 · The paper itself

Abstract

objectiveThe purpose of this study was to identify areas to improve the transition from acute hospital care to home for patients with traumatic brain injury and their families.

designQualitative, descriptive.

settingLevel I trauma centered located in the Southeastern United States. SUBJECTS: A total of 36 participants (12 patients with traumatic brain injury, 8 family caregivers, 16 providers). MAIN MEASURES: We conducted 55 semi-structured interviews with participants and used conventional content analysis to analyze the data.

resultsFindings showed patients, families, and providers recommend three areas for improvement in the transition home from acute hospital care, described in three themes. Theme 1 was "improving patient and family education," with the following sub-themes: (a) TBI-related information and (b) discharge preparation. Theme 2 was "additional provider guidance," with the following sub-themes: (a) communication about patient's recovery timeline and (b) recovery roadmap development. Theme 3 was "increasing systems-level support," with the following sub-themes: (a) scheduling follow-up appointments, (b) using a patient navigator, (c) creating a provider follow-up structure, (d) linking pre-discharge care with post-discharge resources, and (e) addressing social issues.

conclusionsThese findings delineate multiple areas where patients and families need additional support and education during the transition from acute hospital care to home in ways that are currently not being addressed. Findings may be used to improve education and support from providers and health systems given to patients with traumatic brain injury and families and to inform development and testing of transitional care interventions from acute hospital care to home.

Indexed as

Brain Injuries, TraumaticAdultCaregiversCommunicationFemaleHumansMaleMiddle AgedPatient DischargePatient Education as TopicPatient NavigationTransitional CareTrauma Centersattitude of health personnelattitude to healthBrain injuriestransitional caretraumatic

Identifiers

PMID33472414
PMCPMC9129889

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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.