{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:05Z","timestamp":1787797145970,"version":"build-2784847793"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>During the hospital\u2010to\u2010home transition, people with limb loss and their caregivers can face several practical, physical, social and psychological challenges. These challenges are amplified by gaps in transitional care support, ultimately leading to readmissions and increased healthcare costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This co\u2010design research project aimed to help bridge the gap between hospital to home by working collaboratively with 10 healthcare providers, 14 people with limb loss, and 15 caregivers to (a) understand the transition from hospital to home and identify gaps in transitional care; and (b) co\u2010construct a resource that aimed to bridge these gaps and better facilitate this transitionary process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Underpinned and informed by experience\u2010based co\u2010design, ethnographic observation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918 months) and semi\u2010structured interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200949) were used to gather and understand service\u2010users, healthcare providers, and caregivers' experiences of the transition and identify support gaps. Three working groups were then formed to co\u2010design a resource to address support gaps.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four gaps in transitional support were identified: information support, communication support, emotional and social support, and care continuity. Recommendations for addressing these gaps were developed with people with limb loss and their caregivers and disseminated to staff members within the rehabilitation centre. A co\u2010designed educational booklet was then created that aimed to address all four support gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overall, this study aims to guide future researchers and limb centre rehabilitation teams in addressing gaps in transitional care by centralising the voices of service\u2010users and caregivers, ensuring that they shape the development of evidence\u2010based strategies for meaningful and sustainable change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Public Contribution<\/jats:title>\n                    <jats:p>Health care workers, people with limb loss, and their caregivers were actively involved throughout the study, contributing to both its design and development. Their insights played a central role in identifying support gaps, refining study priorities, and\u00a0developing actionable recommendations. In addition, they participated in co\u2010design workshops where they collaboratively co\u2010created the educational resource to ensure it was relevant, accessible, and responsive to their lived experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70825","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T06:57:41Z","timestamp":1787036261000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bridging the Gap: Developing a Co\u2010Designed Resource to Support the Hospital\u2010to\u2010Home Transition Following Limb Loss"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2487-7698","authenticated-orcid":false,"given":"Ciara","family":"Everard","sequence":"first","affiliation":[{"name":"School of Medicine Trinity College Dublin Dublin Ireland"},{"name":"Institute of Sport University of Chichester Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa C.","family":"Day","sequence":"additional","affiliation":[{"name":"Institute of Sport University of Chichester Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Wadey","sequence":"additional","affiliation":[{"name":"Faculty of Sport, Technology, and Health Sciences St. Mary's University London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberley","family":"Humphrey","sequence":"additional","affiliation":[{"name":"Institute of Sport University of Chichester Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732320925794"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijotn.2022.100958"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2018.1467502"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280410001708869"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijotn.2024.101103"},{"key":"e_1_2_11_7_1","unstructured":"NHS England.Amputee Rehabilitation and Prosthetics Services for People of All Ages With Limb Loss and Limb Difference. NHS England 6 May2025 accessed April 4 2026 https:\/\/www.england.nhs.uk\/publication\/amputee-rehabilitation-and-prosthetics-services-for-people-of-all-ages-with-limb-loss-and-limb-difference\/."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732320933272"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychsport.2017.11.005"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.1882009"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2026.2669995"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.09.017"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2301477"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.2752\/175630615X14212498964312"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70040"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1108\/IJPSM-07-2015-0125"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047329"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2016-001117"},{"key":"e_1_2_11_19_1","unstructured":"The King's Fund.2012. 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