ArticleHealth expectations : an international journal of public participation in health care and health policy2022
A qualitative formative evaluation of a patient facing intervention to improve care transitions for older people moving from hospital to home.
Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Experiences with hospital-to-home transitions: perspectives from patients, family members and healthcare professionals. A systematic review and meta-synthesis of qualitative studies.Disability and rehabilitation · 2025Pooled it
- Transitional care programs for older adults moving from hospital to home in Canada: A systematic review of text and opinion.PloS one · 2024Pooled it
- Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial.BMJ quality & safety · 2025Trial
- Exploring the implementation of a data trust committee: a qualitative evaluation of processes and practices.Research involvement and engagement · 2025Article
- The Documentation Used by the Nurses During the Transition From the Hospital to the Community Setting: A Scoping Review.Nursing open · 2025Article
- Provider Perspectives, Barriers, and Improvement Strategies for Hospital Discharge Support Programs: A Focus Group Interview Study in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Participation in medication safety of older-adult patients with chronic disease during the transition from hospital to home: a descriptive qualitative study.BMC geriatrics · 2024Article
- Article
- Unpacking the Cinderella black box of complex intervention development through the Partners at Care Transitions (PACT) programme of research.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- A qualitative formative evaluation of a patient facing intervention to improve care transitions for older people moving from hospital to home.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Improving the safety and experience of transitions from hospital to home: a cluster randomised controlled feasibility trial of the 'Your Care Needs You' intervention versus usual care.Pilot and feasibility studies · 2022Article
- Experiences From Older Patients Regarding Their Transition From the Acute Hospital to Their Home: A Phenomenological Study.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe Partners at Care Transitions (PACTs) intervention was developed to support older people's involvement in hospital to improve outcomes at home. A booklet, question card, record sheet, induction leaflet, and patient-friendly discharge letter support patients to be more involved in their health and wellbeing, medications, activities of daily living and post-discharge care. We aimed to assess intervention acceptability, identify implementation tools, and further develop the intervention.
methodsThis was a qualitative formative evaluation involving three wards from one hospital. We recruited 25 patients aged 75 years and older. Ward staff supported intervention delivery. Data were collected in wards and patients' homes, through semi-structured interviews, observation, and documentary analysis. Data were analysed inductively and iteratively with findings sorted according to the research aims.
resultsPatients and staff felt there was a need for, and understood the purpose of, the PACT intervention. Most patients read the booklet but other components were variably used. Implementation challenges included time, awareness, and balancing intervention benefits against risks. Changes to the intervention and implementation included clarifying the booklet's messages, simplifying the discharge letter to reduce staff burden, and using prompts and handouts to promote awareness.
conclusionThe PACT intervention offers a promising new way to improve care transitions for older people by supporting patient involvement in their care. After further development of the intervention and implementation package, it will undergo further testing. PATIENT OR PUBLIC CONTRIBUTION: This study regularly consulted a panel representing the local patient community, who supported the development of this intervention and its implementation.
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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.