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Pilot Process Evaluation of the Supporting Older Adults at Risk Model: A RE-AIM Approach
Summary
The Supporting Older Adults at Risk (SOAR) Model improved hospital discharge efficiency and patient outcomes. Further work is needed to enhance its reach and adoption for sustained success.
Area of Science:
- Gerontology
- Healthcare Management
- Public Health
Background:
- Transitional care models face implementation and sustainability challenges in hospitals.
- The UK's Discharge to Assess (D2A) Model offers a potential solution but requires contextual adaptation.
- The Supporting Older Adults at Risk (SOAR) Model was developed to address these issues in a U.S. setting.
Purpose of the Study:
- To conduct a process evaluation of the SOAR Model using the RE-AIM Framework.
- To assess the Reach, Effectiveness, Adoption, Implementation, and Maintenance of the SOAR Model.
- To identify facilitators and barriers to the SOAR Model's practical application.
Main Methods:
- Process evaluation utilizing the RE-AIM Framework.
- Inclusion of 40 patients completing all SOAR Model components.
- Data collection on patient demographics, hospital outcomes, and fidelity measures.
Main Results:
- SOAR Model achieved a Reach of 21% among eligible patients (average age 80, 53% female, 64% Black/AA).
- Significant improvements observed in early discharge, timely home visits, in-house pharmacy use, reduced hospital stay, ED visits, and readmissions.
- High fidelity (≥75%) achieved for 21/26 Implementation and 16/24 Adoption measures.
Conclusions:
- The SOAR Model demonstrates effectiveness in improving transitional care for older adults.
- Implementation and adoption show promise, though COVID-19 impacted maintenance.
- Future efforts should prioritize enhancing the model's reach and adoption for broader impact.
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