{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:56:09Z","timestamp":1791741369958,"version":"4.3.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Temmy Latner Centre for Palliative Care\u2019s Golda Fine Award"},{"name":"University of Toronto\u2019s Department of Family and Community Medicine Cass Family Grant for Catalyzing Change"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hospital-to-home transitions in palliative care are fraught with challenges. To assess transitions researchers have used patient reported outcome measures and qualitative data to give unique insights into a phenomenon. Few measures examine care setting transitions in palliative care, yet domains identified in other populations are likely relevant for patients receiving palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Gain insight into how patients experience three domains, discharge readiness, transition quality, and discharge-coping, during hospital-to-home transitions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Longitudinal, convergent parallel mixed methods study design with two data collection visits: in-hospital before and 3\u20134\u2009weeks after discharge. Participants completed scales assessing discharge readiness, transition quality, and post discharge-coping. A qualitative interview was conducted at both visits. Data were analyzed separately and integrated using a merged transformative methodology, allowing us to compare and contrast the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and participants:<\/jats:title>\n                    <jats:p>Study was set in two tertiary hospitals in Toronto, Canada. Adult inpatients ( n\u2009=\u200925) and their caregivers ( n\u2009=\u200914) were eligible if they received a palliative care consultation and transitioned to home-based palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Results were organized aligning with the scales; finding low discharge readiness (5.8; IQR: 1.9), moderate transition quality (66.7; IQR: 33.33), and poor discharge-coping (5.0; IQR: 2.6), respectively. Positive transitions involved feeling well supported, managing medications, feeling well, and having healthcare needs met. Challenges in transitions were feeling unwell, confusion over medications, unclear healthcare responsibilities, and emotional distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We identified aspects of these three domains that may be targeted to improve transitions through intervention development. Identified discrepancies between the data types should be considered for future research exploration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163211023682","type":"journal-article","created":{"date-parts":[[2021,9,2]],"date-time":"2021-09-02T06:31:12Z","timestamp":1630564272000},"page":"1590-1601","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Examining the course of transitions from hospital to home-based palliative care: A mixed methods study"],"prefix":"10.1177","volume":"35","author":[{"given":"Stephanie","family":"Saunders","sequence":"first","affiliation":[{"name":"Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne E","family":"Weiss","sequence":"additional","affiliation":[{"name":"Marquette University College of Nursing, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Meaney","sequence":"additional","affiliation":[{"name":"Department of Family & Community Medicine, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tieghan","family":"Killackey","sequence":"additional","affiliation":[{"name":"Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaymie","family":"Varenbut","sequence":"additional","affiliation":[{"name":"Temmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Lovrics","sequence":"additional","affiliation":[{"name":"Temmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Ernecoff","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy T","family":"Hsu","sequence":"additional","affiliation":[{"name":"Bruy\u00e8re Research Institute, Ottawa, ON, Canada"},{"name":"Ottawa Hospital Research Institute, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Stern","sequence":"additional","affiliation":[{"name":"Patient Advocate, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramona","family":"Mahtani","sequence":"additional","affiliation":[{"name":"Department of Family & Community Medicine, University of Toronto, Toronto, ON, Canada"},{"name":"Temmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Wentlandt","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, University Health Network, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarina R","family":"Isenberg","sequence":"additional","affiliation":[{"name":"Department of Family & Community Medicine, University of Toronto, Toronto, ON, Canada"},{"name":"Bruy\u00e8re Research Institute, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,9,2]]},"reference":[{"issue":"6","key":"bibr1-02692163211023682","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1002\/jhm.510","volume":"4","author":"Snow V","year":"2009","journal-title":"J Hosp Med"},{"key":"bibr2-02692163211023682","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51186.x"},{"key":"bibr3-02692163211023682","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S36797"},{"key":"bibr4-02692163211023682","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0041"},{"key":"bibr5-02692163211023682","volume-title":"Committee on the crossing the quality chasm: next steps toward a new health care system","author":"Adams K","year":"2004"},{"key":"bibr6-02692163211023682","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0197312"},{"key":"bibr7-02692163211023682","unstructured":"CIHI. 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