Improving Transitional Care for Older Adults: Results of a Patient-Centred Quality Improvement Intervention

McCusker, Jane; Beauchamp, Sylvie; Lambert, Sylvie; Yaffe, Mark; Meguerditchian, Ari Nareg; John, Beverley-Tracey; Bourbonnais, Marie-Pierre; Fung, Shek; de Raad, Manon; Belzile, Eric

doi:10.1017/s0714980823000247

Cited by 1 publication

(2 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of 235 older adults in our previous study consenting to follow-up [ 32 ], 75 were not reachable by telephone due to numbers no longer in service, patients having died, calls not answered or messages not returned. Fig 1 summarizes the outcome of successful contact of 160 individuals.…”

Section: Resultsmentioning

confidence: 99%

“…Our study population was obtained from a cohort of 235 patients 65+ years old previously enrolled in a study our team conducted on individuals admitted for physical health problems to either of two acute care hospitals prior to the COVID-19 pandemic [ 32 ]. On discharge they were invited to consent to be contacted again for possible participation in other research projects.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Self-care interventions to assist family physicians with mental health care of older patients during the COVID-19 pandemic: Feasibility, acceptability, and outcomes of a pilot randomized controlled trial

Yaffe,

McCusker,

Lambert

et al. 2024

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Background The COVID-19 pandemic has required family physicians to rapidly address increasing mental health problems with limited resources. Vulnerable home-based seniors with chronic physical conditions and commonly undermanaged symptoms of anxiety and depression were recruited in this pilot study to compare two brief self-care intervention strategies for the management of symptoms of depression and/or anxiety. Methods We conducted a pilot RCT to compare two tele-health strategies to address mental health symptoms either with 1) validated CBT self-care tools plus up to three telephone calls from a trained lay coach vs. 2) the CBT self-guided tools alone. The interventions were abbreviated from those previously trialed by our team, to enable their completion in 2 months. Objectives were to assess the feasibility of delivering the interventions during a pandemic (recruitment and retention); and assess the comparative acceptability of the interventions across the two groups (satisfaction and tool use); and estimate preliminary comparative effectiveness of the interventions on severity of depression and anxiety symptoms. Because we were interested in whether the interventions were acceptable to a wide range of older adults, no mental health screening for eligibility was performed. Results 90 eligible patients were randomized. 93% of study completers consulted the self-care tools and 84% of those in the coached arm received at least some coaching support. Satisfaction scores were high among participants in both groups. No difference in depression and anxiety outcomes between the coached and non-coached participants was observed, but coaching was found to have a significant effect on participants’ use and perceived helpfulness of the tools. Conclusion Both interventions were feasible and acceptable to patients. Trained lay coaching increased patients’ engagement with the tools. Self-care tools offer a low cost and acceptable remote activity that can be targeted to those with immediate needs. While effectiveness results were inconclusive, this may be due to the lack of eligibility screening for mental health symptoms, abbreviated toolkit, and fewer coaching sessions than those used in our previous effective interventions. Trial registration ClinicalTrials.gov Identifier: NCT0460937.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%