Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/6642
Title: Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support : a randomised controlled trial
Authors: Wong, FKY 
Chow, SKY 
Chan, TMF
Tam, SKF
Keywords: Transitional discharge support
Hospital readmissions
Home visits
Telephone calls
Older people
Issue Date: Jan-2014
Publisher: Oxford University Press
Source: Age and ageing, Jan. 2014, v. 43, no. 1, p. 91-97 How to cite?
Journal: Age and ageing 
Abstract: Background: home visits and telephone calls are two often used approaches in transitional care but their differential effects are unknown.
Objective: to examine the overall effects of a transitional care programme for discharged medical patients and the differential effects of telephone calls only.
Design: randomised controlled trial.
Setting: a regional hospital in Hong Kong.
Participants: patients discharged from medical units fitting the inclusion criteria (n = 610) were randomly assigned to: control (‘control’, n = 210), home visits with calls (‘home’, n = 196) and calls only (‘call’, n = 204).
Intervention: the home groups received alternative home visits and calls and the call groups calls only for 4 weeks. The control group received two placebo calls. The nurse case manager was supported by nursing students in delivering the interventions.
Results: the home visit group (after 4 weeks 10.7%, after 12 weeks 21.4%) and the call group (11.8, 20.6%) had lower readmission rates than the control group (17.6, 25.7%). Significance differences were detected in intention-to-treat (ITT) analysis for the home and intervention group (home and call combined) at 4 weeks. In the per-protocol analysis (PPA) results, significant differences were found in all groups at 4 weeks. There was significant improvement in quality of life, self-efficacy and satisfaction in both ITT and PPA for the study groups.
Conclusions: this study has found that bundled interventions involving both home visits and calls are more effective in reducing readmissions. Many of the transitional care programmes use all-qualified nurses, and this study reveals that a mixed skills model seems to bring about positive effects as well.
URI: http://hdl.handle.net/10397/6642
ISSN: 0002-0729
EISSN: 1468-2834
DOI: 10.1093/ageing/aft123
Rights: © The Author 2013. Published by Oxford University Press on behalf of the British Geriatrics Society.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
The following article Wong, F. K. Y., Chow, S. K. Y., Chan, T. M. F., & Tam, S. K. F. (2014). Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support: A randomised controlled trial. Age and Ageing, 43(1), 91-97 is available at http://dx.doi.org/10.1093/ageing/aft123
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