NCT03397836

Brief Summary

The Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) is a community-based program led by primary care teams, that creates connections between trained community volunteers, interprofessional health care teams, novel technology and community engagement through improved system navigation. The overall vision is to help people stay healthier for longer in the places where they live.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
599

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2018

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 12, 2017

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 12, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

March 15, 2018

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 29, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 29, 2020

Completed
Last Updated

June 10, 2021

Status Verified

November 1, 2020

Enrollment Period

2.6 years

First QC Date

December 12, 2017

Last Update Submit

June 9, 2021

Conditions

Aging

Keywords

Older adultsOptimal agingPrimary health careRandomized control trialIntegrated careHealth care volunteersinterdisciplinary health care teamsImplementationHealth services researchPatient centered care

Outcome Measures

Primary Outcomes (2)

  • Change in Hospitalizations

    Number of hospitalizations in the past 6 months.

    Change of number of hospitalizations from baseline to 6 months

  • Change in Physical activity

    Physical activity will be measured by the Short version of the International Physical Activity Questionnaire. Respondents indicate how many days in the past seven days and for how many minutes they have engaged in vigorous and moderate intensity activity and walking activity. Scores are calculated by multiplying the days by the number of minutes on one day, by the metabolic equivalent of task (8.0,4.0 and 3.3 for vigorous, moderate, walking activity respectively). Minimum score is of the scale is zero, with higher scores representing higher levels of physical activity.

    Change in physical activity from baseline measurement to 6 months

Secondary Outcomes (13)

  • Emergency department and urgent care visits

    Baseline, 6 months

  • Falls

    Baseline, 6 months

  • Hours sitting

    Baseline, 6 months

  • Patient enablement

    Baseline, 6 months

  • Quality of life

    Baseline, 6 months

  • +8 more secondary outcomes

Other Outcomes (7)

  • Best and worst parts of intervention

    12 months

  • Recommend to others

    6-months post intervention (patients), 12-months (healthcare providers)

  • Satisfaction with volunteer

    6 months

  • +4 more other outcomes

Study Arms (2)

Health TAPESTRY Intervention

EXPERIMENTAL

This patient group will begin receiving the TAPESTRY interventions from time zero

Other: Health TAPESTRY Intervention

Usual Care

ACTIVE COMPARATOR

This patient group will receive the intervention after a 6 month waiting period. In the first 6 months they will receive usual care and they will be used as a comparison group.

Other: Usual Care

Interventions

Health TAPESTRY InterventionOTHER

The patient will receive in-home visits from trained volunteers who will collect information electronically using a tablet computer. The volunteers will collect information about the client's health goals, health risks, and needs using a specifically designed application (TAP-App). Once the data is gathered, it is summarized into a report (TAP-report) which is securely and electronically sent to the health care clinic (TAP huddle). The team can leverage clinic supports and/or community supports as they deem appropriate to help clients reach their health goals and address any needs and risks which were reported during the volunteer visits.

Health TAPESTRY Intervention
Usual CareOTHER

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

Usual Care

Eligibility Criteria

Age70 Years+
Sexall
Healthy VolunteersYes
Age GroupsOlder Adult (65+)

You may qualify if:

  • Be 70 years of age or older
  • Rostered to a participating family physician

You may not qualify if:

  • They are expected to die within 12 months
  • They live in a long-term care facility
  • They (or their caregiver) are unable to speak and understand English
  • They have other conditions or circumstances that means the patient is unable to engage with the volunteers or complete the TAP-App (e.g., severe dementia)
  • They are out of the country for more than 6 months or otherwise unavailable for the intervention and assessments
  • Participated in Health TAPESTRY phase I implementation (for Hamilton site)
  • A Health TAPESTRY site must have the commitment and capacity to implement and sustain the full Health TAPESTRY Program (all four parts). As such, the following success factors are essential:
  • A strong Lead Organization with a clearly identified Health TAPESTRY Practice Model Champion from primary care;
  • Visible and influential primary care partner in governance and implementation;
  • Team-based use of an electronic system for documentation;
  • Primary care team available to provide core of implementation;
  • Available Information Technology capacity and commitment to integrate with TAP-App (minimum HL7 document transfer capability) and kindred PHR within 6-9 months of program start date;
  • Volunteer infrastructure that can recruit, train, sustain, and coordinate/schedule volunteers, and ensure volunteers have access to the digital health tools needed to fulfill role;
  • Existing partnerships with local community services;
  • Capacity for local program management either through existing staff or with the addition of new staff;
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Family Medicine

Hamilton, Ontario, L8P 1H6, Canada

Location

Related Publications (4)

  • Mangin D, Lamarche L, Oliver D, Blackhouse G, Bomze S, Borhan S, Carr T, Clark R, Datta J, Dolovich L, Gaber J, Forsyth P, Howard M, Marentette-Brown S, Risdon C, Talat S, Tarride JE, Thabane L, Valaitis R, Price D. Health TAPESTRY Ontario: A Multi-Site Randomized Controlled Trial Testing Implementation and Reproducibility. Ann Fam Med. 2023 Mar-Apr;21(2):132-142. doi: 10.1370/afm.2944.

    PMID: 36973055DERIVED

  • Lamarche L, Clark RE, Parascandalo F, Mangin D. The implementation and validation of the NoMAD during a complex primary care intervention. BMC Med Res Methodol. 2022 Jun 19;22(1):175. doi: 10.1186/s12874-022-01655-0.

    PMID: 35718763DERIVED

  • Gaber J, Datta J, Clark R, Lamarche L, Parascandalo F, Di Pelino S, Forsyth P, Oliver D, Mangin D, Price D. Understanding how context and culture in six communities can shape implementation of a complex intervention: a comparative case study. BMC Health Serv Res. 2022 Feb 17;22(1):221. doi: 10.1186/s12913-022-07615-0.

    PMID: 35177040DERIVED

  • Mangin D, Lamarche L, Oliver D, Bomze S, Borhan S, Browne T, Carr T, Datta J, Dolovich L, Howard M, Marentette-Brown S, Risdon C, Talat S, Tarride JE, Thabane L, Valaitis R, Price D. Health TAPESTRY Ontario: protocol for a randomized controlled trial to test reproducibility and implementation. Trials. 2020 Aug 14;21(1):714. doi: 10.1186/s13063-020-04600-y.

    PMID: 32795381DERIVED

Related Links

Study Officials

  • Dee Mangin, MBChB,DPH,FR

    McMaster University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 12, 2017

First Posted

January 12, 2018

Study Start

March 15, 2018

Primary Completion

October 29, 2020

Study Completion

October 29, 2020

Last Updated

June 10, 2021

Record last verified: 2020-11

Locations

CA(1)