• Lee A Lindquist, Vanessa Ramirez-Zohfeld, Priya D Sunkara, Chris Forcucci, Dianne S Campbell, Phyllis Mitzen, Jody D Ciolino, Gayle Kricke, Anne Seltzer, Ana V Ramirez, and Kenzie A Cameron.
• Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. LAL425@northwestern.edu.
• J Hosp Med. 2017 Nov 1; 12 (11): 911917911-917.

ObjectiveInvestigate the effect of PlanYourLifespan.org (PYL) on knowledge of posthospital discharge options.DesignMultisite randomized controlled trial.Setting/PatientsNonhospitalized adults, aged =65 years, living in urban, suburban, and rural areas of Texas, Illinois, and Indiana.InterventionPYL is a national, publicly available tool that provides education on posthospital therapy choices and local home-based resources.MeasurementsParticipants completed an in-person baseline survey, followed by exposure to intervention or attention control (AC) websites, then 1-month and 3-month telephone surveys. The primary knowledge outcome was measured with 6 items (possible 0-6 points) pertaining to hospital discharge needs.ResultsAmong 385 participants randomized, mean age was 71.9 years (standard deviation 5.6) and 79.5% of participants were female. At 1 month, the intervention group had a 0.6 point change (standard deviation = 1.6) versus the AC group who had a -0.1 point change in knowledge score. Linear mixed modeling results suggest sex, health literacy level, level of education, income, and history of high blood pressure/kidney disease were significant predictors of knowledge over time. Controlling for these variables, treatment effect remained significant (P < 0.0001).ConclusionsSeniors who used PYL demonstrated an increased understanding of posthospitalization and home services compared to the control group.© 2017 Society of Hospital Medicine

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