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Table 2 Determinants, methods and practical applications used to realize change objective in elderly patients with activity limitations discharge from the emergency department

From: Development of a complex intervention aimed at reducing the risk of readmission of elderly patients discharged from the emergency department using the intervention mapping protocol

Determinanta Methodsb Practical applications/Strategiesc
Performance skills Assessment OT and PT at the ED use performance-based tests to assess the patients ability to perform daily activities
Information OT at the ED gives oral and written information about test result
Tailoring OT at the ED match the further intervention to the patients need of rehabilitation
Acquisitional approach Skills training with the OT after discharge using graduated daily activities until the goal of activity is achieved
Restorative approach Skills training with the OT after discharge using graduated daily activities until the goal of body function is achieved
Adaptive approach OT from primary care teach alternative or compensatory strategies and teach in use of assistive devises after discharge
Coping ability Feedback OT gives the patient information regarding the extent to which they accomplish learning and performance
Knowledge about access to rehabilitation Information The patient receive oral and written information about opportunities from the OT at the ED
Consulting OT from the ED advise the patient about opportunities
Lack of experience in relation to new situation Direct experience The patient performs daily activities both at the ED and at the home visit the day after discharge
Inappropriate design of the home Adaptive approach The OT from the ED advices on minor home modification at the home visit the day after discharge
Lack of information between hospital and primary care Information OT uses results from the tests in the patients rehabilitation plan
Intergroup contact Telephone meetings between OT/PT’s at the ED and form primary care to coordinated discharge and further rehabilitation
Waiting time for rehabilitation Change visitation process The project leader conducts meetings with chief of rehabilitation from primary care
Start training immediately after discharge The OT from the ED conducts home visit with training the day after discharge
  1. aDeterminants identified in the needs assessment step 1
  2. bMethods identified in the literature that could influence change in the determinants
  3. cPractical applications/strategies describes how the method practically could be delivered
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BMC Health Services Research

ISSN: 1472-6963

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