Evidence map›Paper›PMID 36064518›Full record

ArticlePatient education and counseling2022

Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians.

Ranran Z Mi, Gwen C Jacobsohn, Jiaxi Wu, Manish N Shah, Courtney M C Jones, Thomas V Caprio, Jeremy T Cushman, Michael Lohmeier, Amy J H Kind, Dhavan V Shah

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In one paragraph

Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Ranran Z MiSchool of Communication, Media and Journalism, Kean University, Union, NJ, USA. Electronic address: rmi@kean.edu.
Gwen C JacobsohnBerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Jiaxi WuCollege of Communication, Boston University, Boston, MA, USA.
Manish N ShahBerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA; Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA; Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Courtney M C JonesDepartment of Emergency Medicine, University of Rochester Medical Center, Rochester, NY, USA; Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA.
Thomas V CaprioDivision of Geriatrics, Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA.
Jeremy T CushmanDepartment of Emergency Medicine, University of Rochester Medical Center, Rochester, NY, USA; Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA.
Michael LohmeierBerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Amy J H KindDivision of Geriatrics and Gerontology, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA; William S. Middleton Veterans Affairs Geriatrics Research, Education, and Clinical Center, Madison, WI, USA.
Dhavan V ShahSchool of Journalism and Mass Communication, University of Wisconsin-Madison, Madison, WI, USA; Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Paramedic-coached ED Care Transitions to Help Older Adults Maintain their HealthR01AG050504 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI SHAH, MANISH N · 2015 to 2019
$2.9M
Mentoring and Research in Patient-Oriented Geriatric Emergency CareK24AG054560 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI SHAH, MANISH N · 2017 to 2021
$955k
NCATS NIH HHS UL1 TR002373NIA NIH HHS K24 AG054560NIA NIH HHS R01 AG050504
6 · The paper itself

Abstract

objectiveMotivating older adults to follow up with an outpatient clinician after discharge from emergency departments (ED) is beneficial yet challenging. We aimed to answer whether psychological needs for motivation and discrete emotions observed by care transition coaches would predict this behavioral outcome.

methodsCommunity-dwelling older adults following ED discharge were recruited from three EDs in two U.S. states. We examined home visit notes documented by coaches (N = 725). Retrospective chart reviews of medical records tracked participants' health care utilization for 30 days.

resultsObserved knowledge-based competence predicted higher likelihood of outpatient follow-up within 30 days, while observed sadness predicted a lower likelihood of follow-up within seven days following discharge. Moreover, participants who demonstrated happiness were marginally more likely to have an in-person follow-up within seven days, and those who demonstrated knowledge-based competence were more likely to have an electronic follow-up within 30 days.

conclusionsKnowledge-based competence and emotions, as observed and documented in coach notes, can predict older adults' subsequent outpatient follow-up following their ED-discharge. PRACTICE IMPLICATIONS: Intervention programs might encourage coaches to check knowledge-based competence and to observe emotions in addition to delivering the content. Coaches could also customize strategies for patients with different recommended timeframes of follow-up.

Indexed as

MentoringPatient DischargeAgedEmergency Service, HospitalEmotionsHumansOutpatientsRetrospective StudiesUnited StatesCare transition interventionCoach notesCompetenceEmotionMotivationOlder adultsOutpatient follow-up

Identifiers

PMID36064518
PMCPMC11967282

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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.