Projects

The Health TAPESTRY approach has been taken-up by partners throughout the country, using the approach in a wide variety of projects and with varied populations. Each project applies the elements of Health TAPESTRY in ways that make the most sense for their community, yet common threads and collaborations weave these diverse projects together.

 

Bringing Health TAPESTRY to multiple provinces allows us to evaluate how different primary health care teams, health care systems, and community organizations, working with different populations of people, can impact results. We continue to broaden the range of places where we are helping people. Below is a list of projects to date. We have also worked with many partners across the country.

 

  • Health TAPESTRY Pragmatic RCT for Older Adults, Hamilton, Ontario – This  pragmatic randomized controlled trial (RCT) explored all facets of the Health TAPESTRY approach with adults over the age of 70. This included implementing and testing the four elements of Health TAPESTRY (interprofessional health care teams, volunteers, technology, and community engagement) and the elements’ roles in impacting optimal aging. See the protocol here.

 

  • AccessHealth, Montreal, Quebec – This project took the Health TAPESTRY approach and focused on South Asian and Middle Eastern newcomers to Canada living with chronic illness. This work added to e-learning aspects of the volunteer training program and developed multilingual health education tools and resources.

 

  • Enhanced & Integrated Pathways to Wellness Program, Sturgeon Lake First Nation, Saskatchewan – The project worked with an entire First Nation community (reaching 267 of 268 households) to discuss what matters most to them about the health of their community and integrating Western and Indigenous approaches to health. While initially intended to focus on diabetes, the results of the community survey led to a broader focus on chronic disease management, including lifestyle issues.

 

  • Healthy Aging Group Education Series (Healthy AGES), Hamilton, Ontario – Based on information that came from clients in the Health TAPESTRY  Pragmatic RCT for Older Adults, health needs and goals were identified in several areas, including physical activity, nutrition, and advanced care planning. The Healthy Aging Group Education Series was developed by the clinical and research team in Hamilton as a four-session group education-based intervention to address these areas.

 

  • Health-Related Outcome Measures, Hamilton, Ontario and beyond – This project brought together experts in research and evaluation (using the Delphi method) to identify a core criteria set of what is needed in a health-related outcome measure to be used in primary care.

 

  • Health TAPESTRY-HC-DM (Health Connectors for Diabetes Management), Hamilton, Ontario – This feasibility RCT used the Health TAPESTRY approach with clients with diabetes and hypertension to improve self-management of their chronic conditions. In the study, volunteer “Health Connectors” reached out to clients weekly for four months to provide motivation, educational materials, and connections to relevant community resources. On the online “Healthy Lifestyle App,” clients could both provide health information to their health care team and learn more about their own health.

 

  • Home Visits to Vancouver’s Elders (Home-ViVE) with Health TAPESTRY, Vancouver, BC – This project used the Health TAPESTRY approach to focus on housebound frail elderly and their goals of care, with the client’s caregivers taking the place of the “volunteer.” The project worked to integrate eHealth technologies into the care pathway to improve communication between clients, caregivers, and health care providers.

 

  • Integrated Care Pathways for Depression, Anxiety, and Mild Cognitive Impairment (MCI), Toronto & Hamilton, Ontario – This collaboration between CAMH and the McMaster Department of Family Medicine will examine the impacts of an evidence-based, collaborative Integrated Care Pathway on depression, anxiety, and MCI in adults aged 60-65.

 

  • Community Ward project, KW4 Health Link, Kitchener-Waterloo-Wellesley-Wilmot-Woolwich, Ontario – This existing project traditionally used paper-based mental health screening surveys in the home. During the TAP collaboration, they sought to streamline the data collection process through electronic data collection on the TAP-App. As in other Health TAPESTRY projects, the results were summarized into a report and uploaded into the patients’ electronic medical records.

 

  • RCT of Electronic Tools for Home-based Self-care in Elderly Heart Failure Patients for Readmission Reduction (RETHINC-HF), Sudbury, Ontario – Working with patients who have had heart failure and were recently discharged from the hospital, this project will pair community volunteers with nurses doing in-home follow-ups, working to extend the care initiated by the nursing team through innovative eHealth technologies and volunteer support.

 

  • Health TAPESTRY with BETTER Prevention Services (TAP-BPS), Alberta and Newfoundland & Labrador – An intervention for 40- to 65-year-olds living with chronic illness, in which Prevention Practitioners visit patients in their homes. This project integrates eHealth technologies, such as the custom-designed BETTER App and kindredPHR, The study aims to streamline communication channels to improve chronic disease screening and prevention.

 

  • Targeting, Referring, Intervening to Promote Healthy Aging (TRIAGE), Hamilton, Ontario –Working with a subset of clients in the Health TAPESTRY Delayed Pragmatic RCT who were considered “pre-frail” based on the outcome measures, this intervention sought to reduce frailty in older adults in a multi-method approach. This included components of nutrition, physical activity, medication management, and psychosocial support.

 

  • Team Approach to Polypharmacy Evaluation and Reduction (TAPER), Hamilton, Ontario – Using a subset of clients in the Health TAPESTRY Pragmatic RCT who were found to be taking five or more medications, this project tested a process to identify and reduce the negative effects associated with taking multiple medications in older adults, using specialized clinical knowledge of the associated clinic’s pharmacy team and purpose-built eHealth technology.

 

  • Usability of EU-GENIE, Hamilton, Ontario – This study worked with complex clients to test the usability of EU-GENIE, an online social network analysis and community resource mapping tool that was originally developed in the UK. This tool was adapted with local resources from Information Hamilton, and is now known locally as GENIE.

 

  • Windsor Essex Community TAPESTRY, Windsor-Essex, Ontario –  In partnership with the Hospice of Windsor-Essex, this demonstration project seeks to introduce a new citizen-led, community-wide care model: a compassionate community care model. Integration of kindredPHR and a refined TAP-App will allow the routine collection of outcomes.
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