Helping seniors plan for posthospital discharge needs before a hospitalization occurs: Results from the randomized control trial of planyourlifespan.org

Lee A. Lindquist*, Vanessa Ramirez-Zohfeld, Priya D. Sunkara, Chris Forcucci, Dianne S. Campbell, Phyllis Mitzen, Jody D. Ciolino, Gayle Kricke, Anne Seltzer, Ana V. Ramirez, Kenzie A. Cameron

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: Hospitalized seniors are frequently too sick to make informed decisions about their postdischarge care. Subsequently, loved ones often make support choices (eg, skilled nursing facility placement, caregivers) at discharge. We sought to advance the timeline for postacute care decisions to before a hospitalization occurs. OBJECTIVE: Investigate the effect of PlanYourLifespan.org (PYL) on knowledge of posthospital discharge options. DESIGN: Multisite randomized controlled trial. SETTING/PATIENTS: Nonhospitalized adults, aged ≥65 years, living in urban, suburban, and rural areas of Texas, Illinois, and Indiana. INTERVENTION: PYL is a national, publicly available tool that provides education on posthospital therapy choices and local home-based resources. MEASUREMENTS: Participants completed an in-person baseline survey, followed by exposure to intervention or attention control (AC) websites, then 1-month and 3-month telephone surveys. The primary knowledge outcome was measured with 6 items (possible 0-6 points) pertaining to hospital discharge needs. RESULTS: Among 385 participants randomized, mean age was 71.9 years (standard deviation 5.6) and 79.5% of participants were female. At 1 month, the intervention group had a 0.6 point change (standard deviation = 1.6) versus the AC group who had a −0.1 point change in knowledge score. Linear mixed modeling results suggest sex, health literacy level, level of education, income, and history of high blood pressure/kidney disease were significant predictors of knowledge over time. Controlling for these variables, treatment effect remained significant (P < 0.0001). CONCLUSION: Seniors who used PYL demonstrated an increased understanding of posthospitalization and home services compared to the control group.

Original languageEnglish (US)
Pages (from-to)911-917
Number of pages7
JournalJournal of hospital medicine
Volume12
Issue number11
DOIs
StatePublished - Nov 2017

Fingerprint

Subacute Care
Hospitalization
Skilled Nursing Facilities
Health Literacy
Education
Control Groups
Kidney Diseases
Telephone
Caregivers
Randomized Controlled Trials
Hypertension
Therapeutics
Surveys and Questionnaires
TimeLine

ASJC Scopus subject areas

  • Leadership and Management
  • Internal Medicine
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

Cite this

Lindquist, Lee A. ; Ramirez-Zohfeld, Vanessa ; Sunkara, Priya D. ; Forcucci, Chris ; Campbell, Dianne S. ; Mitzen, Phyllis ; Ciolino, Jody D. ; Kricke, Gayle ; Seltzer, Anne ; Ramirez, Ana V. ; Cameron, Kenzie A. / Helping seniors plan for posthospital discharge needs before a hospitalization occurs : Results from the randomized control trial of planyourlifespan.org. In: Journal of hospital medicine. 2017 ; Vol. 12, No. 11. pp. 911-917.
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abstract = "BACKGROUND: Hospitalized seniors are frequently too sick to make informed decisions about their postdischarge care. Subsequently, loved ones often make support choices (eg, skilled nursing facility placement, caregivers) at discharge. We sought to advance the timeline for postacute care decisions to before a hospitalization occurs. OBJECTIVE: Investigate the effect of PlanYourLifespan.org (PYL) on knowledge of posthospital discharge options. DESIGN: Multisite randomized controlled trial. SETTING/PATIENTS: Nonhospitalized adults, aged ≥65 years, living in urban, suburban, and rural areas of Texas, Illinois, and Indiana. INTERVENTION: PYL is a national, publicly available tool that provides education on posthospital therapy choices and local home-based resources. MEASUREMENTS: Participants completed an in-person baseline survey, followed by exposure to intervention or attention control (AC) websites, then 1-month and 3-month telephone surveys. The primary knowledge outcome was measured with 6 items (possible 0-6 points) pertaining to hospital discharge needs. RESULTS: Among 385 participants randomized, mean age was 71.9 years (standard deviation 5.6) and 79.5{\%} of participants were female. At 1 month, the intervention group had a 0.6 point change (standard deviation = 1.6) versus the AC group who had a −0.1 point change in knowledge score. Linear mixed modeling results suggest sex, health literacy level, level of education, income, and history of high blood pressure/kidney disease were significant predictors of knowledge over time. Controlling for these variables, treatment effect remained significant (P < 0.0001). CONCLUSION: Seniors who used PYL demonstrated an increased understanding of posthospitalization and home services compared to the control group.",
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Helping seniors plan for posthospital discharge needs before a hospitalization occurs : Results from the randomized control trial of planyourlifespan.org. / Lindquist, Lee A.; Ramirez-Zohfeld, Vanessa; Sunkara, Priya D.; Forcucci, Chris; Campbell, Dianne S.; Mitzen, Phyllis; Ciolino, Jody D.; Kricke, Gayle; Seltzer, Anne; Ramirez, Ana V.; Cameron, Kenzie A.

In: Journal of hospital medicine, Vol. 12, No. 11, 11.2017, p. 911-917.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Helping seniors plan for posthospital discharge needs before a hospitalization occurs

T2 - Results from the randomized control trial of planyourlifespan.org

AU - Lindquist, Lee A.

AU - Ramirez-Zohfeld, Vanessa

AU - Sunkara, Priya D.

AU - Forcucci, Chris

AU - Campbell, Dianne S.

AU - Mitzen, Phyllis

AU - Ciolino, Jody D.

AU - Kricke, Gayle

AU - Seltzer, Anne

AU - Ramirez, Ana V.

AU - Cameron, Kenzie A.

PY - 2017/11

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N2 - BACKGROUND: Hospitalized seniors are frequently too sick to make informed decisions about their postdischarge care. Subsequently, loved ones often make support choices (eg, skilled nursing facility placement, caregivers) at discharge. We sought to advance the timeline for postacute care decisions to before a hospitalization occurs. OBJECTIVE: Investigate the effect of PlanYourLifespan.org (PYL) on knowledge of posthospital discharge options. DESIGN: Multisite randomized controlled trial. SETTING/PATIENTS: Nonhospitalized adults, aged ≥65 years, living in urban, suburban, and rural areas of Texas, Illinois, and Indiana. INTERVENTION: PYL is a national, publicly available tool that provides education on posthospital therapy choices and local home-based resources. MEASUREMENTS: Participants completed an in-person baseline survey, followed by exposure to intervention or attention control (AC) websites, then 1-month and 3-month telephone surveys. The primary knowledge outcome was measured with 6 items (possible 0-6 points) pertaining to hospital discharge needs. RESULTS: Among 385 participants randomized, mean age was 71.9 years (standard deviation 5.6) and 79.5% of participants were female. At 1 month, the intervention group had a 0.6 point change (standard deviation = 1.6) versus the AC group who had a −0.1 point change in knowledge score. Linear mixed modeling results suggest sex, health literacy level, level of education, income, and history of high blood pressure/kidney disease were significant predictors of knowledge over time. Controlling for these variables, treatment effect remained significant (P < 0.0001). CONCLUSION: Seniors who used PYL demonstrated an increased understanding of posthospitalization and home services compared to the control group.

AB - BACKGROUND: Hospitalized seniors are frequently too sick to make informed decisions about their postdischarge care. Subsequently, loved ones often make support choices (eg, skilled nursing facility placement, caregivers) at discharge. We sought to advance the timeline for postacute care decisions to before a hospitalization occurs. OBJECTIVE: Investigate the effect of PlanYourLifespan.org (PYL) on knowledge of posthospital discharge options. DESIGN: Multisite randomized controlled trial. SETTING/PATIENTS: Nonhospitalized adults, aged ≥65 years, living in urban, suburban, and rural areas of Texas, Illinois, and Indiana. INTERVENTION: PYL is a national, publicly available tool that provides education on posthospital therapy choices and local home-based resources. MEASUREMENTS: Participants completed an in-person baseline survey, followed by exposure to intervention or attention control (AC) websites, then 1-month and 3-month telephone surveys. The primary knowledge outcome was measured with 6 items (possible 0-6 points) pertaining to hospital discharge needs. RESULTS: Among 385 participants randomized, mean age was 71.9 years (standard deviation 5.6) and 79.5% of participants were female. At 1 month, the intervention group had a 0.6 point change (standard deviation = 1.6) versus the AC group who had a −0.1 point change in knowledge score. Linear mixed modeling results suggest sex, health literacy level, level of education, income, and history of high blood pressure/kidney disease were significant predictors of knowledge over time. Controlling for these variables, treatment effect remained significant (P < 0.0001). CONCLUSION: Seniors who used PYL demonstrated an increased understanding of posthospitalization and home services compared to the control group.

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