» Articles » PMID: 38434712

Examining the Role of Third Sector Organization Volunteers in Facilitating Hospital-to-Home Transitions for Older Adults - a Collective Case Study

Overview
Publisher Ubiquity Press
Date 2024 Mar 4
PMID 38434712
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: With increasing attention to models of transitional support delivered through multisectoral approaches, third-sector organizations (TSOs) have supported community reintegration and independent living post-hospitalization. This study aimed to identify the core elements of these types of programs, the facilitators, and barriers to service implementation and to understand the perspectives of providers and recipients of their experiences with the programs.

Methods And Analysis: A collective case study collected data from two UK-based 'Home from Hospital' programs. An inductive thematic analysis generated rich descriptions of each program, and analytical activities generated insights across the cases.

Results: Programs provided a range of personalized support for older adults and addressed many post-discharge needs, including well-being assessments, support for instrumental activities of daily living, psychosocial support, and other individualized services directed by the needs and preferences of the service user. Results suggest that these programs can act as a 'safety net' and promote independent living. Skilled volunteers can positively impact older adults' experience returning home.

Conclusions: When the programs under study are considered in tandem with existing evidence, it facilitates a discussion of how TSO services could be made available more widely to support older adults in their transition experiences.

References
1.
Gruneir A, Fung K, Fischer H, Bronskill S, Panjwani D, Bell C . Care setting and 30-day hospital readmissions among older adults: a population-based cohort study. CMAJ. 2018; 190(38):E1124-E1133. PMC: 6157496. DOI: 10.1503/cmaj.180290. View

2.
Lo S, Chau J, Choi K, Wong R, Kwan J, Iu I . Health Professional- and Volunteer-partnered Self-management Support (COMBO-KEY) to Promote Self-efficacy and Self-management Behaviors in People with Stroke: A Randomized Controlled Trial. Ann Behav Med. 2023; 57(10):866-876. PMC: 10498819. DOI: 10.1093/abm/kaad028. View

3.
Arbaje A, Wolff J, Yu Q, Powe N, Anderson G, Boult C . Postdischarge environmental and socioeconomic factors and the likelihood of early hospital readmission among community-dwelling Medicare beneficiaries. Gerontologist. 2008; 48(4):495-504. DOI: 10.1093/geront/48.4.495. View

4.
Sezgin D, OCaoimh R, ODonovan M, Salem M, Kennelly S, Samaniego L . Defining the characteristics of intermediate care models including transitional care: an international Delphi study. Aging Clin Exp Res. 2020; 32(11):2399-2410. DOI: 10.1007/s40520-020-01579-z. View

5.
Luger E, Dorner T, Haider S, Kapan A, Lackinger C, Schindler K . Effects of a Home-Based and Volunteer-Administered Physical Training, Nutritional, and Social Support Program on Malnutrition and Frailty in Older Persons: A Randomized Controlled Trial. J Am Med Dir Assoc. 2016; 17(7):671.e9-671.e16. DOI: 10.1016/j.jamda.2016.04.018. View