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Transitional Care Interventions in Improving Patient and Caregiver Outcomes After Discharge: A Scoping Review
Giulia Marini1, Jessica Longhini2, Elisa Ambrosi2
1Department of Human Sciences, University of Verona, 37129 Verona, Italy.
Healthcare (Basel, Switzerland)
|February 13, 2025
Summary
Transitional care interventions involving caregivers significantly improve patient outcomes and reduce caregiver burden. This systematic review highlights the effectiveness of involving family caregivers in post-hospital care transitions.
Area of Science:
- Healthcare Management
- Patient Care
- Caregiver Support
Background:
- Caregivers are crucial in healthcare transitions, impacting post-hospital care quality.
- Caregiver preparedness is essential for effective transitional care.
- Integrating caregiver roles into transitional care design is needed.
Purpose of the Study:
- To systematically map evidence on transitional care interventions' effectiveness.
- To assess the impact of caregiver involvement on patient and caregiver outcomes.
Main Methods:
- Systematic review following PRISMA-ScR guidelines.
- Searched Scopus, WoS, and PubMed (Jan-Feb 2024).
- Included randomized controlled trials (RCTs) of inpatient transitional care interventions targeting caregivers or dyads with post-discharge follow-up.
Main Results:
- Included 51 RCTs on transitional care interventions and caregiver roles.
- Interventions showed heterogeneity but common components: needs assessment, information, support, training, monitoring.
- Caregiver involvement improved dyad outcomes post-discharge.
Conclusions:
- Caregivers play a vital role in hospital-to-home transitions.
- Transitional care interventions enhance patient quality of life and function.
- These interventions reduce caregiver burden and depression, addressing a literature gap.
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