Evidence map›Paper›PMID 35587874›Full record

ReviewJMIR aging2022

Recommendations for the Design and Delivery of Transitions-Focused Digital Health Interventions: Rapid Review.

Hardeep Singh, Terence Tang, Carolyn Steele Gray, Kristina Kokorelias, Rachel Thombs, Donna Plett, Matthew Heffernan, Carlotta M Jarach, Alana Armas, Susan Law and 5 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in JMIR aging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Exploring Patient and Caregiver Work and Continuity of Care During Hospital-to-Home Transitions of Care in the Canadian Context.Health expectations : an international journal of public participation in health care and health policy · 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

15 authors.

Hardeep SinghDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-7429-5580
Terence TangInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.ORCID https://orcid.org/0000-0002-1735-7298
Carolyn Steele GrayCollaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-2146-0001
Kristina KokoreliasSt. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-1277-472X
Rachel ThombsCollaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-3915-2234
Donna PlettInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.ORCID https://orcid.org/0000-0001-8457-7218
Matthew HeffernanRehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-7270-2069
Carlotta M JarachDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID https://orcid.org/0000-0002-9963-1624
Alana ArmasMarch of Dimes Canada, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-7664-3294
Susan LawInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.ORCID https://orcid.org/0000-0001-5196-2267
Heather V CunninghamGerstein Science Information Centre, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-1033-5157
Jason Xin NieInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.ORCID https://orcid.org/0000-0002-9359-3938
Moriah E EllenInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-7127-7283
Kednapa ThavornClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID https://orcid.org/0000-0003-4738-8447
Michelle LA NelsonMarch of Dimes Canada, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-2002-0298

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults experience a high risk of adverse events during hospital-to-home transitions. Implementation barriers have prevented widespread clinical uptake of the various digital health technologies that aim to support hospital-to-home transitions.

objectiveTo guide the development of a digital health intervention to support transitions from hospital to home (the Digital Bridge intervention), the specific objectives of this review were to describe the various roles and functions of health care providers supporting hospital-to-home transitions for older adults, allowing future technologies to be more targeted to support their work; describe the types of digital health interventions used to facilitate the transition from hospital to home for older adults and elucidate how these interventions support the roles and functions of providers; describe the lessons learned from the design and implementation of these interventions; and identify opportunities to improve the fit between technology and provider functions within the Digital Bridge intervention and other transition-focused digital health interventions.

methodsThis 2-phase rapid review involved a selective review of providers' roles and their functions during hospital-to-home transitions (phase 1) and a structured literature review on digital health interventions used to support older adults' hospital-to-home transitions (phase 2). During the analysis, the technology functions identified in phase 2 were linked to the provider roles and functions identified in phase 1.

resultsIn phase 1, various provider roles were identified that facilitated hospital-to-home transitions, including navigation-specific roles and the roles of nurses and physicians. The key transition functions performed by providers were related to the 3 categories of continuity of care (ie, informational, management, and relational continuity). Phase 2, included articles (n=142) that reported digital health interventions targeting various medical conditions or groups. Most digital health interventions supported management continuity (eg, follow-up, assessment, and monitoring of patients' status after hospital discharge), whereas informational and relational continuity were the least supported. The lessons learned from the interventions were categorized into technology- and research-related challenges and opportunities and informed several recommendations to guide the design of transition-focused digital health interventions.

conclusionsThis review highlights the need for Digital Bridge and other digital health interventions to align the design and delivery of digital health interventions with provider functions, design and test interventions with older adults, and examine multilevel outcomes. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1136/bmjopen-2020-045596.

Indexed as

agedhealthmedical informaticsmobile phonetransitions

Identifiers

PMID35587874
PMCPMC9164100

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.