A Randomized Controlled Trial Using the Health TAPESTRY Approach to Care for Older Adults

NCT02283723 | Completed

• 1 other identifier: 14-726
• Study Type: interventional
• Target: 316
• Locations: 1 country
• Sites: 2

Brief Summary

Health TAPESTRY is a delayed intervention pragmatic randomized control trial promoting interprofessional team collaboration, facilitating connection to the community through system navigation and trained community volunteers, enhancing communication and improving care through the use of technology to better understand and assist older adult patients in achieving their health goals and to enable them to have optimal aging.

Conditions

Aging

Keywords

older adults, goal attainment, optimal aging

Outcome Measures

Primary Outcomes (1)

• Progress attaining health goals

  The participant will identify up to 5 areas of health that will serve as the basis for Goal Attainment Scale(GAS) measurement and will assign subjective weights using a scale of 1 to 9 (higher scores indicating greater importance). An indicator for each goal is selected and used to indicate progress in meeting the goal. The expected outcomes for each problem area will be identified. These outcomes will be standardized and as descriptive, objective and observable as possible. The indicators will be applied to the intervention group and control group in the same manner. Participants will be followed up at the end of 6 months by an independent and blinded assessor for the purpose of study comparison to evaluate the patient's level of goal attainment for each priority problem area that has a goal attainment scale constructed for it although participants in the intervention group may have follow occur more frequently as the information about goals is transmitted to the health care team

  12 months

Secondary Outcomes (12)

• Quality of life measures (2 tools)

  12 months

• Self-efficacy Scale

  12 months

• Optimal aging

  12 months

• Duke Social Support Index

  12 months

• Comprehensiveness

  12 months

Other Outcomes (3)

• Patients' Satisfaction with Volunteers

  12 months

• Team Functioning

  12 months

• Volunteers' Self-efficacy

  12 months

Study Arms (2)

Patient Group 1

EXPERIMENTAL

This patient group will begin receiving the Health TAPESTRY intervention from time zero.

Other: Health TAPESTRY Intervention

Patient Group 2

ACTIVE COMPARATOR

Using a step-wedge approach, this patient group will receive the intervention after a six month waiting period where they will be used as a comparable group. In the first six months, they will receive usual care.

Other: Usual care

Interventions

Health TAPESTRY Intervention OTHER

The patient will receive in-home visits from trained volunteers to assess overall health and wellness and discover any health goals patient might have. This information will be electronically communicated back to interprofessional healthcare team and used to create informed care plan, link to relevant community services and allow the patient to age optimally.

Patient Group 1

Usual care OTHER

While waiting for the Health TAPESTRY intervention, the control group will receive usual care from their healthcare providers.

Patient Group 2

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Any community-dwelling patient of McMaster Family Health Team over the age of 70

You may not qualify if:

• Patient is palliative or receiving end-of-life care
• Patient is deceased
• Has explicitly stated that they do not want to be part of a research project
• Patient resides in long-term care
• Patient has indicated that they do not want to receive a home visit from trained community volunteers.
• Patient or family member does not speak English
• Patient will be out of the country for more than 50% of trial duration

Sponsors & Collaborators

• McMaster University: lead
• Health Canada: collaborator

Study Sites (2)

McMaster Family Practice

Hamilton, Ontario, Canada

Location

Stonechurch Family Health Centre

Hamilton, Ontario, Canada

Location

Related Publications (4)

• Gaber J, Oliver D, Valaitis R, Cleghorn L, Lamarche L, Avilla E, Parascandalo F, Price D, Dolovich L. Experiences of integrating community volunteers as extensions of the primary care team to help support older adults at home: a qualitative study. BMC Fam Pract. 2020 May 16;21(1):92. doi: 10.1186/s12875-020-01165-2.

  PMID: 32416718 DERIVED

• Valaitis R, Cleghorn L, Dolovich L, Agarwal G, Gaber J, Mangin D, Oliver D, Parascandalo F, Ploeg J, Risdon C. Examining Interprofessional teams structures and processes in the implementation of a primary care intervention (Health TAPESTRY) for older adults using normalization process theory. BMC Fam Pract. 2020 Apr 15;21(1):63. doi: 10.1186/s12875-020-01131-y.

  PMID: 32295524 DERIVED

• Dolovich L, Oliver D, Lamarche L, Thabane L, Valaitis R, Agarwal G, Carr T, Foster G, Griffith L, Javadi D, Kastner M, Mangin D, Papaioannou A, Ploeg J, Raina P, Richardson J, Risdon C, Santaguida P, Straus S, Price D. Combining volunteers and primary care teamwork to support health goals and needs of older adults: a pragmatic randomized controlled trial. CMAJ. 2019 May 6;191(18):E491-E500. doi: 10.1503/cmaj.181173.

  PMID: 31061074 DERIVED

• Dolovich L, Oliver D, Lamarche L, Agarwal G, Carr T, Chan D, Cleghorn L, Griffith L, Javadi D, Kastner M, Longaphy J, Mangin D, Papaioannou A, Ploeg J, Raina P, Richardson J, Risdon C, Santaguida PL, Straus S, Thabane L, Valaitis R, Price D. A protocol for a pragmatic randomized controlled trial using the Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) platform approach to promote person-focused primary healthcare for older adults. Implement Sci. 2016 Apr 5;11:49. doi: 10.1186/s13012-016-0407-5.

  PMID: 27044360 DERIVED

Study Officials

• David Price, MD

  McMaster University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 3, 2014
• First Posted: November 5, 2014
• Study Start: December 1, 2014
• Primary Completion: November 1, 2016
• Study Completion: November 1, 2016
• Last Updated: January 3, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share

Locations

CA (2)