Conclusion
weakness
This modified TCI consisting of a discharge transportation, home visit, cross-sectorial video conference and seven-day telephone showed no evidence of effect. We do not know whether this was caused by implementation failure, weakness in the study design, lack of intervention effect or uncontrollable factors in the primary healthcare. The real-life implementation of this TCI was challenging and it seem crucial to be adherent the Medical Research Council’s recommendations and to evaluate the delivery of intervention components to assess the true effect of TCIs.