How digital health solutions align with the roles and functions that support hospital to home transitions for older adults: a rapid review study protocol

• Main Authors: Michelle L A Nelson, Moriah Ellen, Terence Tang, Rachel Thombs, Alana Armas, Susan Law, Carolyn Steele Gray, Heather V Cunningham, Jasvinei Sritharan, Jason X Nie, Donna Plett, Carlotta Micaela Jarach
• Format: Article
• Language: English
• Published: BMJ Publishing Group 2021-02-01
• Series: BMJ Open
• Online Access: https://bmjopen.bmj.com/content/11/2/e045596.full

Introduction Older adults may experience challenges during the hospital to home transitions that could be mitigated by digital health solutions. However, to promote adoption in practice and realise benefits, there is a need to specify how digital health solutions contribute to hospital to home transitions, particularly pertinent in this era of social distancing. This rapid review will: (1) elucidate the various roles and functions that have been developed to support hospital to home transitions of care, (2) identify existing digital health solutions that support hospital to home transitions of care, (3) identify gaps and new opportunities where digital health solutions can support these roles and functions and (4) create recommendations that will inform the design and structure of future digital health interventions that support hospital to home transitions for older adults (eg, the pre-trial results of the Digital Bridge intervention; ClinicalTrials.gov Identifier: NCT04287192).Methods and analysis A two-phase rapid review will be conducted to meet identified aims. In phase 1, a selective literature review will be used to generate a conceptual map of the roles and functions of individuals that support hospital to home transitions for older adults. In phase 2, a search on MEDLINE, EMBASE and CINAHL will identify literature on digital health solutions that support hospital to home transitions. The ways in which digital health solutions can support the roles and functions that facilitate these transitions will then be mapped in the analysis and generation of findings.Ethics and dissemination This protocol is a review of the literature and does not involve human subjects, and therefore, does not require ethics approval. This review will permit the identification of gaps and new opportunities for digital processes and platforms that enable care transitions and can help inform the design and implementation of future digital health interventions. Review findings will be disseminated through publications and presentations to key stakeholders.