Evidence map›Paper›PMID 37905200›Full record

ArticleClinical interventions in aging2023

Short-Term, Community-Based, Slow-Stream Rehabilitation Program for Older Adults Transitioning from Hospital to Home: A Mixed Methods Program Evaluation.

Vanina Dal Bello-Haas, Sharon Kaasalainen, Melody Maximos, Olivia Virag, Sirirat Seng-Iad, Alyssa Te, Matthew Bui

Abstract read
In one paragraph

Article in Clinical interventions in aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
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.

Vanina Dal Bello-HaasSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-4066-156X
Sharon KaasalainenSchool of Nursing, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-2175-6037
Melody MaximosCBI Health, Nepean, Ontario, Canada.ORCID 0000-0003-0647-0217
Olivia ViragDepartment of Family Medicine, David Braley Health Sciences Centre, Hamilton, Ontario, Canada.ORCID 0009-0003-0194-6105
Sirirat Seng-IadSirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0009-0008-7187-3593
Alyssa TeCredit Valley Hospital, Trillium Health Partners, Mississauga, Ontario, Canada.
Matthew BuiMcMaster Children's Hospital, Hamilton Health Sciences, Hamilton, Ontario, Canada.ORCID 0009-0007-0933-9114

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Shortened hospital stays have shifted the burden of care for older adults to community, informal (ie, family, caregiver) and formal post-acute care and services, highlighting the need for effective post-hospital stay services and programs. As there is a dearth of information related to community-based, slow-stream rehabilitation program models for older adults transitioning from hospital to home in the Canadian context, the paper describes a mixed methods evaluation of such a program. Materials and Methods: A mixed methods program evaluation, with process- and outcome-related elements, included 1) review and analysis of program documents; 2) observations to examine fidelity. Observation data were coded and summarized using descriptive statistics. Coded information and data were compared to document review data; 3) quantitative assessment of pre-post changes in physical, social, and psychological outcome measure and instrument scores using descriptive statistics, paired Results: Observational data indicated alignment with the program document information overall. Statistically and clinically significant positive trends in improvement for physical outcome measure scores were observed (6-minute Walk Test, Life Space Assessment, Short Physical Performance Battery, Rapid Assessment of Physical Activity). Participants and family caregivers identified several positives and benefits of the program, ie, improvement in physical, social and mental well-being, decreased caregiver burden; and areas for improvement ie, need for more information about the program prior to enrollment and individualization, several of which aligned with the observation and quantitative data. Discussion/Conclusion: This mixed methods program evaluation provided a detailed description of a community-based, slow-stream rehabilitation program for older adults who are transitioning to home post-hospital stay and its participants. Evidence of program fidelity, acceptability, and positive trends in improvement in physical outcome measure scores were found. Information about program strengths and areas for improvement can be used by stakeholders to inform program refinement and enhancement.

Indexed as

Hospital to Home TransitionRiversAgedCanadaCaregiversHospitalsHumansProgram Evaluationcommunity-based programhospital-to-home transitionmixed methodsolder adultsprogram evaluationslow-stream rehabilitation

Identifiers

PMID37905200
PMCPMC10613420

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Registered trials

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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.