Enhancing care transitions intervention with peer support to improve outcomes among older adults with co-occurring clinical depression: a pilot study.

IF 1.2 Q4 HEALTH POLICY & SERVICES

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-10-01 Epub Date: 2021-09-01 DOI:10.1080/01621424.2021.1967249

Kyaien O Conner, Amber M Gum, Lawrence Schonfeld, Kristin Kosyluk, Erica Anderson, Jamie Baker-Douglan, Jason Beckstead, Hongdao Meng, Charlotte Brown, Charles F Reynolds

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引用次数: 3

Abstract

The Care Transitions Intervention (CTI) is an evidence-based intervention aimed at supporting the transition from hospital back to the community for patients to ultimately reduce preventable re-hospitalization. In a pilot randomized controlled trial, we examined the preliminary effectiveness of an Enhanced Care Transitions Intervention (ECTI), CTI with the addition of peer support, for a racially/ethnically diverse sample of older adults (age 60+) with co-morbid major depression. We observed a significant decline in health-related quality of life (HRQOL) after being discharged from the hospital among those who received CTI. Additionally, those who received ECTI either maintained HRQOL scores, or, saw improvement in HRQOL scores. Findings suggest the Enhanced Care Transitions Intervention can maintain or improve HRQOL and reduce disparities for older participants from diverse racial/ethnic backgrounds with clinical depression.

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通过同伴支持加强护理过渡干预以改善老年伴发临床抑郁症患者的预后:一项试点研究

护理过渡干预(CTI)是一项基于证据的干预措施，旨在支持患者从医院回到社区的过渡，最终减少可预防的再住院。在一项随机对照试验中，我们检查了增强护理过渡干预(ECTI)的初步有效性，CTI加上同伴支持，用于不同种族/民族的老年人(60岁以上)共病重度抑郁症样本。我们观察到接受CTI治疗的患者出院后健康相关生活质量(HRQOL)显著下降。此外，接受ECTI治疗的患者要么维持HRQOL评分，要么HRQOL评分有所改善。研究结果表明，增强护理过渡干预可以维持或改善临床抑郁症不同种族/民族背景的老年参与者的HRQOL，并减少差异。

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

HOME HEALTH CARE SERVICES QUARTERLY HEALTH POLICY & SERVICES-

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： Home Health Care Services Quarterly continues to publish important research on the cutting edge of home care and alternatives to long-term institutional care for the elderly, disabled, and other population groups that use in-home health care and other community services. The journal is aimed toward service providers and health care specialists involved with health care financing, evaluation of services, organization of services, and public policy issues.