RNSystematic ReviewJournal of clinical nursing2026

Patient Engagement Interventions to Improve Medication Management of Older Patients Across Transitions of Care: A Mixed Methods Systematic Review.

Kelly Ottosen, Stephanie Garratt, Kerry Hwang and 6 others

PMID 41582802

WHAT IT FOUND

Medication support interventions for older adults during transitions of care reduced readmissions in pooled trials, but most interventions only informed patients rather than involving them as partners.

Key findings

01Pooled analyses showed statistically significant reductions in hospital readmissions for level one interventions (OR 0.84, 95% CI [0.73–0.97]), level two interventions (OR 0.56, 95% CI [0.41–0.77]), and level four interventions (OR 0.52, 95% CI [0.32–0.85]).

02No included intervention reached level five, where older adults are full and active partners in decision-making.

03Patients described ineffective communication, rushed discharge, technical language and conflicting information as barriers to engaging with medication management.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Studies were included regardless of their quality or risk of bias scores. Only English-language reports were included. Hospital readmission was measured at different time points across studies. Patient outcomes such as satisfaction and medication adherence were not measured consistently across studies. Most interventions were multimodal, so the effect of individual components cannot be isolated. Many studies did not report enough detail about patients' cultural, socioeconomic or health literacy backgrounds.

Declared interests

This work was supported by a National Health and Medical Research Council Investigator Grant. The sponsor had no role in the design, methods, data extraction, data synthesis, or preparation of the manuscript. The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that medication reconciliation alone reduced readmissions. Many included interventions were multimodal and used different components, including patient education, medication reconciliation or review, use of specialist nurse or healthcare professional, health records or medication support tools, shared decision-making, care transitions and discharge planning, and follow-up home visits or telephone calls, so the contribution of any single component cannot be separated.

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