Evaluating Treatment Burden in Patients with Complex Needs Receiving a Transition of Care Intervention: A Rapid Qualitative Analysis.
Elizabeth Bowen, Nina Ali, Amanda J Anderson and 2 others
PMID 41015909WHAT IT FOUND
Most recently hospitalized patients with complex needs reported minimal treatment burden, aided by family support and provider communication.
Nurse-led outreach calls were appreciated for reminders and reassurance, but did not resolve deeper issues like insurance gaps or lack of home help.
Key findings
01The majority of participants reported minimal treatment burden in the domains assessed.
02Nurse-led outreach calls were generally well-received by patients, providing reassurance and useful information.
03For participants with substantial burden, many aspects were beyond the scope of the intervention, such as long wait times or needing more intensive support.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The sample was small (22 participants) and not randomly selected, introducing potential selection bias. Data relied on self-report without verification against medical records. The study was conducted in a single primary care organization in one city, limiting generalizability. The design cannot determine if the intervention directly caused changes in treatment burden. Most participants reported minimal burden, which may not reflect the experience of patients with higher needs or less support.
Declared interests
No specific conflicts of interest or funding sources were detailed in the provided text.
The easy way to misread this
Do not conclude that nurse-led outreach calls significantly reduce treatment burden for complex patients. The study was qualitative and did not measure changes in burden attributable to the calls, and the authors noted that many burdens were beyond the scope of this brief intervention.