Abstract
Background: Limitations in performing daily activities and a incoherent discharge are risk factors for readmission of elderly patients after discharge from the emergency department. This paper describes the development and design of a complex intervention whose aim was to reduce the risk of readmission of elderly patients discharged from the emergency department. Methods: The intervention was described using the Intervention Mapping approach. In step 1, a needs assessment was conducted to analyse causes of readmission. In steps 2 and 3, expected improvements in terms of intervention outcomes, performance objectives and change objectives were specified and linked to selected theory- and evidence-based methods. In step 4, the specific intervention components were developed; and in step 5, an implementation plan was described. Finally, in step 6, a plan for evaluating the effectiveness of the intervention was described. The intervention was informed by input from a literature search, informal interviews and an expert steering group. Results: A three-phased theory- and evidence-based intervention was developed. The intervention consisted of 1) assessment of performance of daily activities, 2) defining a rehabilitation plan and 3) a follow-up home visit the day after discharge with focus on enhancing the patients' performance of daily activities. Conclusion: The intervention mapping protocol was found to be a useful method to describe and systemize this theory- and evidence-based intervention.
Original language | English |
---|---|
Article number | 588 |
Journal | BMC Health Services Research |
Volume | 18 |
Issue number | 1 |
Number of pages | 11 |
ISSN | 1472-6963 |
DOIs | |
Publication status | Published - 28 Jul 2018 |
Keywords
- Activities of Daily Living
- Aged
- Clinical Protocols
- Denmark
- Emergency Service, Hospital/statistics & numerical data
- Female
- Health Plan Implementation
- Humans
- Male
- Occupational Therapy/methods
- Patient Discharge/statistics & numerical data
- Patient Readmission/statistics & numerical data
- Pilot Projects
- Risk Factors
Fingerprint
Dive into the research topics of 'Development of a complex intervention aimed at reducing the risk of readmission of elderly patients discharged from the emergency department using the intervention mapping protocol'. Together they form a unique fingerprint.Datasets
-
Additional file 2: of Development of a complex intervention aimed at reducing the risk of readmission of elderly patients discharged from the emergency department using the intervention mapping protocol
Petersen, K. S. (Creator), Nielsen, L. M. (Creator), Kirkegaard, H. (Creator), Oestergaard, L. G. (Creator) & Maribo, T. (Creator), Figshare, 29 Jul 2018
DOI: 10.6084/m9.figshare.6874976.v1, https://doi.org/10.6084%2Fm9.figshare.6874976.v1
Dataset
-
Additional file 1: of Development of a complex intervention aimed at reducing the risk of readmission of elderly patients discharged from the emergency department using the intervention mapping protocol
Petersen, K. S. (Creator), Maribo, T. (Creator), Oestergaard, L. G. (Creator), Kirkegaard, H. (Creator) & Nielsen, L. M. (Creator), Figshare, 2018
DOI: 10.6084/m9.figshare.6874970.v1, https://doi.org/10.6084%2Fm9.figshare.6874970.v1
Dataset
-
Development of a complex intervention aimed at reducing the risk of readmission of elderly patients discharged from the emergency department using the intervention mapping protocol
Nielsen, L. M. (Creator), Maribo, T. (Creator), Kirkegaard, H. (Creator), Petersen, K. S. (Creator) & Oestergaard, L. G. (Creator), Figshare, 2018
DOI: 10.6084/m9.figshare.c.4181213, https://figshare.com/collections/Development_of_a_complex_intervention_aimed_at_reducing_the_risk_of_readmission_of_elderly_patients_discharged_from_the_emergency_department_using_the_intervention_mapping_protocol/4181213
Dataset