Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians

Affiliations

¹ School of Communication, Media and Journalism, Kean University, Union, NJ, USA. Electronic address: rmi@kean.edu.
² BerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
³ College of Communication, Boston University, Boston, MA, USA.
⁴ BerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA; Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA; Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
⁵ Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY, USA; Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA.
⁶ Division of Geriatrics, Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA.
⁷ Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA; William S. Middleton Veterans Affairs Geriatrics Research, Education, and Clinical Center, Madison, WI, USA.
⁸ School of Journalism and Mass Communication, University of Wisconsin-Madison, Madison, WI, USA; Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, USA.

PMID: 36064518
PMCID: PMC11967282
DOI: 10.1016/j.pec.2022.08.013

Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians

Ranran Z Mi et al. Patient Educ Couns. 2022 Dec.

. 2022 Dec;105(12):3446-3452.

doi: 10.1016/j.pec.2022.08.013. Epub 2022 Aug 24.

Authors

Affiliations

¹ School of Communication, Media and Journalism, Kean University, Union, NJ, USA. Electronic address: rmi@kean.edu.
² BerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
³ College of Communication, Boston University, Boston, MA, USA.
⁴ BerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA; Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA; Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
⁵ Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY, USA; Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA.
⁶ Division of Geriatrics, Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA.
⁷ Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA; William S. Middleton Veterans Affairs Geriatrics Research, Education, and Clinical Center, Madison, WI, USA.
⁸ School of Journalism and Mass Communication, University of Wisconsin-Madison, Madison, WI, USA; Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, USA.

PMID: 36064518
PMCID: PMC11967282
DOI: 10.1016/j.pec.2022.08.013

Abstract

Objective: Motivating older adults to follow up with an outpatient clinician after discharge from emergency departments (ED) is beneficial yet challenging. We aimed to answer whether psychological needs for motivation and discrete emotions observed by care transition coaches would predict this behavioral outcome.

Methods: Community-dwelling older adults following ED discharge were recruited from three EDs in two U.S. states. We examined home visit notes documented by coaches (N = 725). Retrospective chart reviews of medical records tracked participants' health care utilization for 30 days.

Results: Observed knowledge-based competence predicted higher likelihood of outpatient follow-up within 30 days, while observed sadness predicted a lower likelihood of follow-up within seven days following discharge. Moreover, participants who demonstrated happiness were marginally more likely to have an in-person follow-up within seven days, and those who demonstrated knowledge-based competence were more likely to have an electronic follow-up within 30 days.

Conclusions: Knowledge-based competence and emotions, as observed and documented in coach notes, can predict older adults' subsequent outpatient follow-up following their ED-discharge.

Practice implications: Intervention programs might encourage coaches to check knowledge-based competence and to observe emotions in addition to delivering the content. Coaches could also customize strategies for patients with different recommended timeframes of follow-up.

Keywords: Care transition intervention; Coach notes; Competence; Emotion; Motivation; Older adults; Outpatient follow-up.

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Conflict of interest statement

Declaration of competing interest All authors have no conflicts of interest to disclose.

References

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Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians

Affiliations

Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources