Consumer and health professional reflections and feedback on the Help After Leaving hospiTal delirium rehabilitation programme.

IF 7.4 2区医学 Q1 GERIATRICS & GERONTOLOGY

Age and ageing Pub Date : 2026-09-04 DOI:10.1093/ageing/afag269

Yonas Tesfaye, Courtney R Davis, Melissa J Hull, Danielle Greaves, Clare Haylock, Sally Johns, Alice Bourke, Tobias Loetscher, Amanda Hutchinson, Stephanie Wong, Ashleigh E Smith, Lisa Kalisch Ellett, Aileen Collier, Monica Cations, Kate E Laver, Hannah A D Keage

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引用次数: 0

Abstract

Background: Delirium in late life is associated with long-term adverse clinical outcomes. There is no standard rehabilitation pathway following hospitalisation for individuals who experienced delirium. Through co-production we have been developing Help After Leaving HospiTal (HALT), a multicomponent, tailored and scalable intervention designed to prevent cognitive decline in individuals without dementia following in-hospital delirium. This study aimed to gather feedback on the HALT programme's structure, content, resources and engagement strategies prior to pilot testing from individuals who have treated, cared for or experienced delirium.

Methods: A descriptive qualitative study was undertaken with health professionals (n = 12) and consumers (n = 4). Five in-person workshops were held in August and September 2025. A semi-structured workshop guide was used to elicit participant reflections and feedback. Audio-recorded data were transcribed verbatim, coded using NVivo and analysed using thematic analysis.

Results: Five themes were generated: (i) personalisation and enhanced support; (ii) beyond involvement, supporting support persons is essential; (iii) be a trusted partner; (iv) overcoming barriers to optimise engagement and (v) comprehensive content and easy to read materials.

Conclusion: Feedback has been used to shape the HALT programme prior to pilot testing by increasing the flexibility of module delivery methods, incorporating information for support persons, ensuring strong linkages with hospitals and overcoming barriers to optimise engagement to ensure the programme meets the needs of its intended users. These insights may also be leveraged by others working on delirium rehabilitation programmes.

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消费者和健康专业人士对出院后帮助谵妄康复计划的反思和反馈。

背景：老年谵妄与长期不良临床结果相关。谵妄患者住院后没有标准的康复途径。通过合作生产，我们一直在开发出院后帮助（HALT），这是一种多组件、量身定制和可扩展的干预措施，旨在预防住院谵妄后无痴呆个体的认知能力下降。这项研究的目的是在试点测试之前，从治疗、照顾或经历过谵妄的个人那里收集关于HALT项目结构、内容、资源和参与策略的反馈。方法：对卫生专业人员（n = 12）和消费者（n = 4）进行描述性定性研究。在2025年8月和9月举办了五次面对面的讲习班。一份半结构化的研讨会指南被用来引起与会者的思考和反馈。录音数据逐字转录，使用NVivo编码，并使用专题分析进行分析。结果：产生了五个主题：(i)个性化和增强支持；除了参与之外，支助支助人员也是必不可少的；（iii）成为值得信赖的合作伙伴；（iv）克服障碍，优化参与度；(v)内容全面，易于阅读。结论：在试点测试之前，通过增加模块交付方法的灵活性、纳入为支助人员提供的信息、确保与医院的紧密联系以及克服障碍以优化参与，利用反馈来制定HALT方案，以确保方案满足其预期用户的需求。这些见解也可能被其他从事谵妄康复计划的人所利用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Age and ageing 医学-老年医学

CiteScore

9.20

自引率

6.00%

发文量

796

审稿时长

4-8 weeks

期刊介绍： Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.