hospitalized discharge older patients.
Conditions
Interventions
Intervention 1: Intervention group: Care Transition Intervention (CTI). Intervention 2: Control group: Receives routine care after discharge.
Sponsors
University of social welfare and rehabilitation sciences
Eligibility
Sex/Gender
All
Age
65 Years to 85 Years
Inclusion criteria
Inclusion criteria: 65-85 years old admitted in all wards of hospital excepted ICU patients was not high risk based on MAPLe algorithm speak with persian language
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional, clinical and quality of life indicator. Timepoint: At the beginning of the study, at home visit, at the time of phone call, 30 days after the intervention began. Method of measurement: based on Minmum Data Set -Home Care indicators. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain assessment. Timepoint: During initial assessment, home visit and phone calls. Method of measurement: Using the Pain Tool, from MDS-HC.;Cognition assessment. Timepoint: During the initial evaluation and final evaluation. Method of measurement: Using the Cognition Tool, from MDS-HC. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMaryam Chehrehgosha
University of social welfare and rehabilitation sciences
Outcome results
None listed