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

Louise Moeldrup Nielsen, Thomas Maribo, Hans Kirkegaard, Lisa Gregersen Oestergaard

Research output: Contribution to journalJournal articleResearchpeer-review

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 languageEnglish
JournalBMC Health Services Research
Volume18
Issue number1
Pages (from-to)588
Number of pages11
ISSN1472-6963
DOIs
Publication statusPublished - 28 Jul 2018

Keywords

  • occupational therapy

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