Overview of the Supporting Patient Activation in Transition to Home (sPATH) intervention
| The sPATH intervention | |||
| Point in time | Days 2–3 | Day 7 | Days 14, 21 and 28 |
| Setting | Postdischarge telephone call | Postdischarge encounter, face to face | Three postdischarge telephone calls |
| Activity areas | Medication management care plan/follow-up symptoms/signs healthcare contacts | ||
| 1. Bridge the transition to home by administrating acute problems 2. Book the postdischarge encounter | 1. Motivational interviewing to enhance patients’ self-management knowledge, motivation and skills, that is, patients’ ability to manage medications, symptoms to watch for and how to respond, follow-up on care plans and healthcare contacts. | 1. Continued coaching through motivational interviewing to improve self-management knowledge, confidence and skills 2. Answer any remaining medication questions | |