HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study

Publication Date:
2018-06-15
Publisher:
BMJ Publishing
Electronic ISSN:
2044-6055
Topics:
Medicine
Keywords:
Open access, Health services research
Published by:
http://group.bmj.com/
_version_ 1836398971123138561
autor Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
beschreibung Objectives To ascertain the feasibility and acceptability of the HOW R U? programme, a novel volunteer-peer postdischarge support programme for older patients after discharge from the emergency department (ED). Design A multicentre prospective mixed-methods feasibility study. Setting Two tertiary hospital EDs in metropolitan Melbourne, Australia. Participants A convenience sample of 39 discharged ED patients aged 70 years or over, with symptoms of social isolation, loneliness and/or depression. Intervention The HOW R U? intervention comprised weekly social support telephone calls delivered by volunteer peers for 3 months following ED discharge. Primary and secondary outcome measures The primary outcomes were feasibility of study processes, intervention acceptability to participants and retention in the programme. Secondary outcomes were changes in loneliness level (UCLA-3—3-item Loneliness Scale), mood (5-item Geriatric Depression Scale) and health-related quality of life (EQ-5D-5L and EQ-VAS) postintervention. Results Recruitment was feasible, with 30% of eligible patients successfully recruited. Seventeen volunteer peers provided telephone support to patient participants, in addition to their usual hospital volunteer role. HOW R U? was well received, with 87% retention in the patient group, and no attrition in the volunteer group. The median age of patients was 84 years, 64% were female, and 82% lived alone. Sixty-eight per cent of patients experienced reductions in depressive symptoms, and 53% experiencing reduced feelings of loneliness, and these differences were statistically significant Patient feedback was positive and volunteers reported great satisfaction with their new role. Conclusion HOW R U? was feasible in terms of recruitment and retention and was acceptable to both patients and volunteers. The overall results support the potential for further research in this area and provide data to support the design of a definitive trial to confirm the observed effects. Trial registration number ANZCTRN12615000715572; Results.
citation_standardnr 6283218
datenlieferant ipn_articles
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feed_publisher BMJ Publishing
feed_publisher_url http://group.bmj.com/
insertion_date 2018-06-15
journaleissn 2044-6055
publikationsjahr_anzeige 2018
publikationsjahr_facette 2018
publikationsjahr_intervall 7984:2015-2019
publikationsjahr_sort 2018
publisher BMJ Publishing
quelle BMJ Open
relation http://bmjopen.bmj.com/cgi/content/short/8/6/e020321?rss=1
schlagwort Open access, Health services research
search_space articles
shingle_author_1 Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
shingle_author_2 Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
shingle_author_3 Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
shingle_author_4 Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
shingle_catch_all_1 HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
Open access, Health services research
Objectives To ascertain the feasibility and acceptability of the HOW R U? programme, a novel volunteer-peer postdischarge support programme for older patients after discharge from the emergency department (ED). Design A multicentre prospective mixed-methods feasibility study. Setting Two tertiary hospital EDs in metropolitan Melbourne, Australia. Participants A convenience sample of 39 discharged ED patients aged 70 years or over, with symptoms of social isolation, loneliness and/or depression. Intervention The HOW R U? intervention comprised weekly social support telephone calls delivered by volunteer peers for 3 months following ED discharge. Primary and secondary outcome measures The primary outcomes were feasibility of study processes, intervention acceptability to participants and retention in the programme. Secondary outcomes were changes in loneliness level (UCLA-3—3-item Loneliness Scale), mood (5-item Geriatric Depression Scale) and health-related quality of life (EQ-5D-5L and EQ-VAS) postintervention. Results Recruitment was feasible, with 30% of eligible patients successfully recruited. Seventeen volunteer peers provided telephone support to patient participants, in addition to their usual hospital volunteer role. HOW R U? was well received, with 87% retention in the patient group, and no attrition in the volunteer group. The median age of patients was 84 years, 64% were female, and 82% lived alone. Sixty-eight per cent of patients experienced reductions in depressive symptoms, and 53% experiencing reduced feelings of loneliness, and these differences were statistically significant Patient feedback was positive and volunteers reported great satisfaction with their new role. Conclusion HOW R U? was feasible in terms of recruitment and retention and was acceptable to both patients and volunteers. The overall results support the potential for further research in this area and provide data to support the design of a definitive trial to confirm the observed effects. Trial registration number ANZCTRN12615000715572; Results.
Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
BMJ Publishing
2044-6055
20446055
shingle_catch_all_2 HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
Open access, Health services research
Objectives To ascertain the feasibility and acceptability of the HOW R U? programme, a novel volunteer-peer postdischarge support programme for older patients after discharge from the emergency department (ED). Design A multicentre prospective mixed-methods feasibility study. Setting Two tertiary hospital EDs in metropolitan Melbourne, Australia. Participants A convenience sample of 39 discharged ED patients aged 70 years or over, with symptoms of social isolation, loneliness and/or depression. Intervention The HOW R U? intervention comprised weekly social support telephone calls delivered by volunteer peers for 3 months following ED discharge. Primary and secondary outcome measures The primary outcomes were feasibility of study processes, intervention acceptability to participants and retention in the programme. Secondary outcomes were changes in loneliness level (UCLA-3—3-item Loneliness Scale), mood (5-item Geriatric Depression Scale) and health-related quality of life (EQ-5D-5L and EQ-VAS) postintervention. Results Recruitment was feasible, with 30% of eligible patients successfully recruited. Seventeen volunteer peers provided telephone support to patient participants, in addition to their usual hospital volunteer role. HOW R U? was well received, with 87% retention in the patient group, and no attrition in the volunteer group. The median age of patients was 84 years, 64% were female, and 82% lived alone. Sixty-eight per cent of patients experienced reductions in depressive symptoms, and 53% experiencing reduced feelings of loneliness, and these differences were statistically significant Patient feedback was positive and volunteers reported great satisfaction with their new role. Conclusion HOW R U? was feasible in terms of recruitment and retention and was acceptable to both patients and volunteers. The overall results support the potential for further research in this area and provide data to support the design of a definitive trial to confirm the observed effects. Trial registration number ANZCTRN12615000715572; Results.
Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
BMJ Publishing
2044-6055
20446055
shingle_catch_all_3 HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
Open access, Health services research
Objectives To ascertain the feasibility and acceptability of the HOW R U? programme, a novel volunteer-peer postdischarge support programme for older patients after discharge from the emergency department (ED). Design A multicentre prospective mixed-methods feasibility study. Setting Two tertiary hospital EDs in metropolitan Melbourne, Australia. Participants A convenience sample of 39 discharged ED patients aged 70 years or over, with symptoms of social isolation, loneliness and/or depression. Intervention The HOW R U? intervention comprised weekly social support telephone calls delivered by volunteer peers for 3 months following ED discharge. Primary and secondary outcome measures The primary outcomes were feasibility of study processes, intervention acceptability to participants and retention in the programme. Secondary outcomes were changes in loneliness level (UCLA-3—3-item Loneliness Scale), mood (5-item Geriatric Depression Scale) and health-related quality of life (EQ-5D-5L and EQ-VAS) postintervention. Results Recruitment was feasible, with 30% of eligible patients successfully recruited. Seventeen volunteer peers provided telephone support to patient participants, in addition to their usual hospital volunteer role. HOW R U? was well received, with 87% retention in the patient group, and no attrition in the volunteer group. The median age of patients was 84 years, 64% were female, and 82% lived alone. Sixty-eight per cent of patients experienced reductions in depressive symptoms, and 53% experiencing reduced feelings of loneliness, and these differences were statistically significant Patient feedback was positive and volunteers reported great satisfaction with their new role. Conclusion HOW R U? was feasible in terms of recruitment and retention and was acceptable to both patients and volunteers. The overall results support the potential for further research in this area and provide data to support the design of a definitive trial to confirm the observed effects. Trial registration number ANZCTRN12615000715572; Results.
Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
BMJ Publishing
2044-6055
20446055
shingle_catch_all_4 HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
Open access, Health services research
Objectives To ascertain the feasibility and acceptability of the HOW R U? programme, a novel volunteer-peer postdischarge support programme for older patients after discharge from the emergency department (ED). Design A multicentre prospective mixed-methods feasibility study. Setting Two tertiary hospital EDs in metropolitan Melbourne, Australia. Participants A convenience sample of 39 discharged ED patients aged 70 years or over, with symptoms of social isolation, loneliness and/or depression. Intervention The HOW R U? intervention comprised weekly social support telephone calls delivered by volunteer peers for 3 months following ED discharge. Primary and secondary outcome measures The primary outcomes were feasibility of study processes, intervention acceptability to participants and retention in the programme. Secondary outcomes were changes in loneliness level (UCLA-3—3-item Loneliness Scale), mood (5-item Geriatric Depression Scale) and health-related quality of life (EQ-5D-5L and EQ-VAS) postintervention. Results Recruitment was feasible, with 30% of eligible patients successfully recruited. Seventeen volunteer peers provided telephone support to patient participants, in addition to their usual hospital volunteer role. HOW R U? was well received, with 87% retention in the patient group, and no attrition in the volunteer group. The median age of patients was 84 years, 64% were female, and 82% lived alone. Sixty-eight per cent of patients experienced reductions in depressive symptoms, and 53% experiencing reduced feelings of loneliness, and these differences were statistically significant Patient feedback was positive and volunteers reported great satisfaction with their new role. Conclusion HOW R U? was feasible in terms of recruitment and retention and was acceptable to both patients and volunteers. The overall results support the potential for further research in this area and provide data to support the design of a definitive trial to confirm the observed effects. Trial registration number ANZCTRN12615000715572; Results.
Lowthian, J. A., Lennox, A., Curtis, A., Wilson, G., Rosewarne, C., Smit, D. V., OBrien, D., Browning, C. J., Boyd, L., Smith, C., Cameron, P., Dale, J.
BMJ Publishing
2044-6055
20446055
shingle_title_1 HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
shingle_title_2 HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
shingle_title_3 HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
shingle_title_4 HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
timestamp 2025-06-30T23:35:33.410Z
titel HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
titel_suche HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients quality of life after emergency department discharge in Melbourne, Australia--a multicentre prospective feasibility study
topic WW-YZ
uid ipn_articles_6283218