Evidence map›Paper›PMID 41582802›Full record

SynthesisJournal of clinical nursing2026

Patient Engagement Interventions to Improve Medication Management of Older Patients Across Transitions of Care: A Mixed Methods Systematic Review.

Kelly Ottosen, Stephanie Garratt, Kerry Hwang, Grace Marconi, Pauline Wong, Gillian Kilby, Maneesh Prasad, Caitlin Deery, Elizabeth Manias

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Kelly OttosenMonash Nursing and Midwifery, Monash University, Clayton, Australia.ORCID 0000-0001-5600-456X
Stephanie GarrattMonash Nursing and Midwifery, Monash University, Clayton, Australia.ORCID 0000-0001-5884-858X
Kerry HwangMonash Nursing and Midwifery, Monash University, Clayton, Australia.
Grace MarconiMonash Nursing and Midwifery, Monash University, Clayton, Australia.
Pauline WongMonash Nursing and Midwifery, Monash University, Clayton, Australia.
Gillian KilbyMonash Health, Clayton, Australia.
Maneesh PrasadMonash Nursing and Midwifery, Monash University, Clayton, Australia.
Caitlin DeeryMonash Nursing and Midwifery, Monash University, Clayton, Australia.ORCID 0009-0003-5849-0102
Elizabeth ManiasMonash Nursing and Midwifery, Monash University, Clayton, Australia.ORCID 0000-0002-3747-0087

Funding

National Health and Medical Research Council 2025864
6 · The paper itself

Abstract

aimsIdentify and describe patient engagement interventions used to improve medication management in older adults during transitions of care.

designA mixed-methods systematic review.

methodsA comprehensive search of all study designs was conducted. Studies were categorised using the ladder of patient and family engagement, a framework that positions engagement from low (passive) to high (active partnership) patient engagement. DATA SOURCES: Six databases were searched from inception to April 2024.

resultsThe search yielded 29 reports, with 25 classified as studies. Most interventions (n = 19, 76%) were low-level interventions that comprised informing patients in a passive manner. Interventions that facilitated high-level engagement (n = 6, 24%) where patients were integrated in the decision-making process were associated with consistently improved patient and healthcare long-term outcomes.

conclusionsWhile low and high-level engagement interventions were associated with significantly decreased hospital readmission rates, high-level interventions consistently demonstrated positive patient outcomes. Interventions supporting older adults beyond discharge achieved meaningful and lasting patient and healthcare outcomes for older adults. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Findings provide clinical reference for designing engagement interventions, highlighting long-term benefits of partnership-based approaches and continuity beyond discharge. IMPACT: Engagement in medication management during transitions of care varied significantly. High-level engagement was consistently linked to improved patient and healthcare outcomes but was often resource intensive. This review identifies the need to design balanced interventions that align with the preferences of older adults and real-world contextual healthcare settings. REPORTING

methodPRISMA guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. PROTOCOL REGISTRATION: PROSPERO (registration number CRD42024557385).

Indexed as

Medication Therapy ManagementPatient ParticipationAdherence InterventionsAgedAged, 80 and overHumans

Identifiers

PMID41582802
PMCPMC13156535

What OpenQuestion holds

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LicenceCC BY
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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.