Evidence map›Paper›PMID 41225585›Full record

ArticleBMC health services research2025

The design and development of a home-based rehabilitation programme for those recovering after an episode of delirium.

Alison J Bingham, Abigail Laverick, Kirstie Chandler, Shruti Raghuraman, Victoria A Goodwin, Sarah Morgan-Trimmer, Lesley Collier, Rowan H Harwood, Obioha C Ukoumunne, Rachael Litherland and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2025. 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. Article
  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

16 authors.

Alison J BinghamFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK. a.j.bingham@exeter.ac.uk.ORCID http://orcid.org/0009-0004-3305-8724
Abigail LaverickFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Kirstie ChandlerFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Shruti RaghuramanFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Victoria A GoodwinFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Sarah Morgan-TrimmerFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Lesley CollierFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Rowan H HarwoodSchool of Health Sciences, University of Nottingham, Queens Medical Centre, Nottingham, UK.
Obioha C UkoumunneNIHR Applied Research Collaboration South West Peninsula, University of Exeter, Exeter, UK.
Rachael LitherlandInnovations in Dementia, Exeter, UK.
Elizabeth GoodwinFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Alasdair M J MacLullichGeriatric Medicine, Edinburgh Delirium Research Group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Jinpil UmFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Sarah J RichardsonAGE Research Group, NIHR Newcastle Biomedical Research Centre, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Linda ClareFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Louise AllanFaculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.

Funding

National Institute of Health and Care Research NIHR202338
6 · The paper itself

Abstract

backgroundDelirium, closely linked to increasing age and frailty, is a growing concern in the aging population, yet there is little understanding about how to support recovery for individuals and their carers. This paper details the design and development of RecoverED, a home-based rehabilitation intervention for delirium recovery.

methodsA realist-informed approach was used to develop a programme theory and logic model for RecoverED. A rapid realist review had identified strategies for delirium recovery, followed by interviews with stakeholders (older adults, carers, and professionals), and an expert panel discussion. The intervention was then developed based on the refined programme theory of what had worked to improve recovery from delirium, for whom, and in what context.

resultsThe RecoverED intervention, described using the TIDieR checklist, was a complex, multicomponent, 12 week home-based programme delivered by a multidisciplinary team in up to 10 sessions. The intervention comprised cognitive, physical, and psychosocial components. An intervention manual and training programme had been developed to support delivery teams.

conclusionThe RecoverED intervention was being evaluated in a multi-centre feasibility trial with a qualitative process evaluation. This paper describes theory-based rehabilitation interventions for long-term delirium recovery. Further research through a randomised controlled trial is needed to assess its effectiveness and cost-effectiveness before broader implementation.

Indexed as

DeliriumHome Care ServicesAgedFemaleHumansInterviews as TopicProgram DevelopmentComplex interventionDeliriumFrailtyIntervention developmentRecoveryRehabilitation

Identifiers

PMID41225585
PMCPMC12613552

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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.