Enhancing care transitions intervention with peer support to improve outcomes among older adults with co-occurring clinical depression: a pilot study.

EVALUATION of medical care; AFFINITY groups; PILOT projects; LENGTH of stay in hospitals; STATISTICS; SOCIAL support; HUMAN research subjects; ANALYSIS of variance; HEALTH services accessibility; RESEARCH evaluation; SELF-evaluation; EFFECT sizes (Statistics); RACE; SOCIAL stigma; HEALTH status indicators; HEALTH outcome assessment; PATIENT readmissions; RANDOMIZED controlled trials; INFORMED consent (Medical law); SOCIOECONOMIC factors; MATHEMATICAL variables; PSYCHOLOGICAL tests; MENTAL depression; QUESTIONNAIRES; AGING; SCALE analysis (Psychology); HOSPITAL care; QUALITY of life; DESCRIPTIVE statistics; CHI-squared test; RESEARCH funding; STATISTICAL sampling; ETHNIC groups; BRIEF Symptom Inventory; DATA analysis software; DATA analysis; STATISTICAL correlation; OLD age

The Care Transitions Intervention (CTI) is an evidence-based intervention aimed at supporting the transition from hospital back to the community for patients to ultimately reduce preventable re-hospitalization. In a pilot randomized controlled trial, we examined the preliminary effectiveness of an Enhanced Care Transitions Intervention (ECTI), CTI with the addition of peer support, for a racially/ethnically diverse sample of older adults (age 60+) with co-morbid major depression. We observed a significant decline in health-related quality of life (HRQOL) after being discharged from the hospital among those who received CTI. Additionally, those who received ECTI either maintained HRQOL scores, or, saw improvement in HRQOL scores. Findings suggest the Enhanced Care Transitions Intervention can maintain or improve HRQOL and reduce disparities for older participants from diverse racial/ethnic backgrounds with clinical depression. [ABSTRACT FROM AUTHOR]

Copyright of Home Health Care Services Quarterly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)