Table 1 Summary Table of Intervention

Transition type

Acute to home

[19,20,21, 23, 24, 26, 27, 29, 30, 32,33,34]

Method of contact

Inpatient

[19,20,21,22, 24,25,26,27, 29, 31, 33,34,35]

Phone call

[19,20,21,22,23,24, 28,29,30, 32,33,34,35]

Family meetings

[35]

Rehab to home

[28, 31]

Home visit

[20, 21, 23,24,25, 27, 28, 30,31,32,33,34,35]

Acute / Rehab to home

[25]

Outpatient visit

[26, 27, 29]

Unclear

[22, 24, 35]

Group session

[19, 23, 26]

Hospital initiated; community based

[19,20,21,22, 24,25,26,27, 29, 31, 33,34,35]

Information website

[30]

Information letter

[29]

Community based

[23, 28, 30, 32]

Telephone access to facilitator / team

[24, 33, 34]

Patient

[19,20,21,22,23,24, 27,28,29,30, 34, 35]

Patient and caregiver/spouse

[25, 26, 31,32,33]

Instant messaging platform

[20, 22]

Nurse

[19, 23, 29, 32, 34, 35]

Social worker

[28, 30, 31]

Length of intervention

4 weeks

[23, 27, 33, 35]

Multidisciplinary team

[20,21,22, 24, 26, 33]

6 weeks

[19, 26, 34]

2 months

[24]

Family support officer

[25]

3 months

[20, 21, 28,29,30]

Motivational therapist

[27]

5 months

[31]

Post-acute co-ordinator

[29]

6 months

[22, 32]

9 months

[25]

Physician

[29]

Key strategy

[19,20,21,22,23,24,25,26, 28,29,30,31,32,33,34,35]

[19, 23, 27, 30, 35]

[19, 23, 27, 28, 32]

[19,20,21,22, 24, 28,29,30, 33,34,35]

[25, 27, 28, 30,31,32,33,34,35]

[28,29,30, 34]

[20, 22, 24, 26, 33, 34]

[25, 26, 28,29,30,31,32,33,34]

[20, 24, 29, 30, 33]

[20, 25, 28,29,30, 33,34,35]

[23, 26]