| Interventions |
Exercise arm
TIDieR item 1: (brief name: provide the name or a phrase that describes the intervention): CIRACT service. TIDieR item 2: (why: describe any rationale, theory or goal of the elements essential to the intervention): CIRACT service aims to facilitate seamless care for patients on discharge from hospital and prevent avoidable hospital readmissions. TIDieR item 3: (what (materials): describe any physical or informational materials used in the intervention, including those provided to participants or used in intervention delivery or in training of intervention providers): none specified. TIDieR item 4: (what (procedures): describe each of the procedures, activities or processes (or a combination) used in the intervention, including any enabling or support activities): following randomisation, the CIRACT service undertook a comprehensive assessment of the participant's ability to perform certain tasks and formed a rehabilitation plan. While in hospital participants were treated daily and the duration of rehabilitation they received depended on their needs. During the participant's hospital stay, the team liaised with the participant and their carer(s) to visit the participant's home to assess and provide recommendations for equipment and make adaptations or modifications (or both) as required. In more complex cases, the CIRACT team took the participant out of the hospital for a home visit prior to discharge. Following discharge, the CIRACT team visited the participant at home to assess the level of rehabilitation required, further follow‐up visits as deemed necessary and appropriate referral to additional community services. TIDieR item 5: (who provided: for each category of intervention provider (e.g. psychologist, nursing assistant), describe their expertise, background and any specific training given): the CIRACT service consisted of a senior occupational therapist (transition coach), senior physiotherapist and assistant practitioner linked directly to a social services practitioner. TIDieR item 6: (how: describe the modes of delivery (such as face‐to‐face or by some other mechanism, such as Internet or telephone) of the intervention and whether it was provided individually or in a group): as item 4. TIDieR item 7: (where: describe the type(s) of location(s) where the intervention occurred, including any necessary infrastructure or relevant features): general medical elderly care wards. TIDieR item 8: (when and how much: describe the number of times the intervention was delivered and over what period of time including the number of sessions, their schedule, and their duration, intensity or dose): after randomisation (first 36 hours of hospitalisation), participants were treated daily if appropriate. Duration of rehabilitation based on their needs. TIDieR item 9: (tailoring: if the intervention was planned to be personalised, titrated or adapted, then describe what, why, when and how): as item 4 and 8. TIDieR item 10: (modifications: if the intervention was modified during the course of the study, describe the changes (what, why, when and how)): not specified. TIDieR item 11: (how well (planned): if intervention adherence or fidelity was assessed, describe how and by whom, and if any strategies were used to maintain or improve fidelity, describe them): not specified. TIDieR item 12: (how well (actual): if intervention adherence or fidelity was assessed, describe the extent to which the intervention was delivered as planned): there were 15 protocol deviations in the CIRACT group.
Control arm
TIDieR item 1: usual care (THB‐Rehab). TIDieR item 2: ward therapy teams – senior OT and senior PT weekdays only. Provided assessment and recommendations for rehabilitation. Referred to community‐based services and rehabilitation on discharge. TIDieR item 3: not specified. TIDieR item 4: the standard THB‐Rehab service was on weekdays only. The service referred the participants to the appropriate community‐based services for provision of equipment at home, personal care and ongoing rehabilitation where appropriate at discharge. Once discharged from hospital, the participant had no direct contact with the THB‐Rehab service but where referred, continued further rehabilitation with community services. TIDieR item 5: the standard THB‐Rehab service was provided by the ward therapy teams (usually a senior OT and a senior physiotherapist). TIDieR item 6: as item 4. TIDieR item 7: general medical elderly care wards. TIDieR item 8: 5 days per week. TIDieR item 9: as item 4. TIDieR item 10: not specified. TIDieR item 11: not specified. TIDieR item 12: there were 8 protocol deviations in the THB‐Rehab group.
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