Aging Clinical Trial
Official title:
Health Teams Advancing Patient Experience: Strengthening Quality (TAPESTRY): A Randomized Controlled Trial Using the Health TAPESTRY Approach to Care for Older Adults
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.
The overarching aim of the integrated multicomponent Health TAPESTRY approach is to promote
optimal aging. Optimal aging within the Health TAPESTRY program means supporting people to
move through life with good health in the best possible way: Being Alive Well. Health
TAPESTRY is a health and social care approach that centres on meeting a person's health goals
with the support of technology, trained community volunteers, an interprofessional team,
system navigation, and better links between primary care and community organizations. The
Health TAPESTRY intervention takes a complex, multilevel approach to integration, from both
system level and individual level perspectives. The Health TAPESTRY program will provide
processes and tools to activate and support individuals to access and use the broad range of
available primary health care, social and community services to achieve their personal health
goals and strategies to better integrate care at the system level. More specifically Health
TAPESTRY will promote optimal aging:
- through intentional, proactive conversations about a person's life, health and care
goals within the primary healthcare setting;
- through improved connections between inter-professional primary care teams, community
service providers and informal caregivers;
- by training volunteers to serve as a link between the primary care team and a person in
their home;
- by using technology from the home to link directly with the primary health care team
which includes
- the tablet-based Health TAPESTRY app for volunteers to use;
- the Personal Health Record (PHR) and
- innovative resources (i.e. Optimal Aging Portal).
It is anticipated that together these will enable transformation of how primary healthcare
and interprofessional teams provide care to older adults in a manner that provides value for
resources used and meets needs and goals of older adults.
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