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Table 1 Matrix of performance objectives, change objectives and determinants in elderly patients with limitations in the ability to perform daily activities

From: Development of a complex intervention aimed at reducing the risk of readmission of elderly patients discharged from the emergency department using the intervention mapping protocol

Time/setting

Performance objectives, patients related

Internal determinants

  

Performance skills

Coping ability

Lack of knowledge about access to rehabilitation

Lack of experience in relation to current situation

 Day 0/ At the ED

Decide to participate in assessment of activity limitations

  

Receive relevant information about the assessment

Recognize that the ability to perform activities have changed due to illness

 Day 0/ At the ED

Participate in performance-based assessment

Agree to be assessed in relation to perform activities

  

Experience possible change in performance of daily activities

 Day 0/ At the ED

Decide to participate in further rehabilitation

Agree to participate

 

Achieve and consider information about opportunities for further rehabilitation

Recognize that the ability to perform daily activities have changed

 Day 1 and after/ Patient home

Perform the training

Train to perform activities in a different way

Train motor and process skills

Train in how to ask for assistance and/or help

Consider information about possible strategies

  

Time/setting

Performance objectives, staff related

External determinants

 

Lack of information between hospital and primary care

Waiting time for rehabilitation after discharge

Inappropriate design of the patient’s home

 

 Day 0/ At the ED

Inform primary care about patient being discharged and plans for further rehabilitation

OT prescribe rehabilitation plan

OT at the ED contacts therapists from primary care

Fast referral of the patient

  

 Day 0/ At the ED

Change visitation procedure for patients referral

 

Make directly contact to therapists from primary care

  

 Day 1/ Patient home

Access accessibility in the patients home

  

Screen the patients home in relation to safety risk when performing daily activities

 

 Day 1/ Patient home

Make minor necessary changes in patients home

  

Remove carpets

Arrange furniture

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