Evidence map›Paper›PMID 32795381›Full record

ArticleTrials2020

Health TAPESTRY Ontario: protocol for a randomized controlled trial to test reproducibility and implementation.

Dee Mangin, Larkin Lamarche, Doug Oliver, Sivan Bomze, Sayem Borhan, Tracy Browne, Tracey Carr, Julie Datta, Lisa Dolovich, Michelle Howard and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03397836 (Health TAPESTRY Ontario), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03397836 nacompletednot on this map

Health TAPESTRY Ontario: A Randomized Controlled Trial

TypeinterventionalSponsorMcMaster UniversityRan2018 to 2020Enrolled599ConditionsAgingArmsHealth TAPESTRY Intervention, Usual Care
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Dee ManginDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 5th floor, Hamilton, ON, L8P 1H6, Canada. mangind@mcmaster.ca.ORCID http://orcid.org/0000-0003-2149-9376
Larkin LamarcheDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 5th floor, Hamilton, ON, L8P 1H6, Canada.
Doug OliverDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 3rd floor, Hamilton, ON, L8P 1H6, Canada.
Sivan BomzeCanadian Red Cross, 5700 Cancross Court, Mississauga, ON, L5R 3E9, Canada.
Sayem BorhanDepartment of Family Medicine, and Department of Health Research Methods, Evidence and Impact McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Tracy BrowneCanadian Red Cross, 1460 Fairburn Street, Sudbury, ON, P3A 1N7, Canada.
Tracey CarrDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 6th floor, Hamilton, ON, L8P 1H6, Canada.
Julie DattaDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 6th floor, Hamilton, ON, L8P 1H6, Canada.
Lisa DolovichDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 5th floor, Hamilton, ON, L8P 1H6, Canada.
Michelle HowardDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 5th floor, Hamilton, ON, L8P 1H6, Canada.
Sarah Marentette-BrownCanadian Red Cross, 5700 Cancross Court, Mississauga, ON, L5R 3E9, Canada.
Cathy RisdonDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 6th floor, Hamilton, ON, L8P 1H6, Canada.
Samina TalatCanadian Red Cross, 5700 Cancross Court, Mississauga, ON, L5R 3E9, Canada.
Jean-Eric TarrideDepartment of Health Research Methods, Evidence and Impact, McMaster University, Programs for Assessment of Technologies in Health and Center for Health Economics and Policy Analysis, CRL 227, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence and Impact, McMaster University, Programs for Assessment of Technologist in Health, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Ruta ValaitisSchool of Nursing, McMaster University, Health Sciences Centre, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
David PriceDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, 6th floor, Hamilton, ON, L8P 1H6, Canada.

Funding

Ontario Ministry of Health and Long-Term Care NA
6 · The paper itself

Abstract

backgroundHealth TAPESTRY (Health Teams Advancing Patient Experience: STRengthening qualitY) aims to help people stay healthier for longer where they live by providing person-focused care through the integration of four key program components: (1) trained volunteers who visit clients in their homes, (2) an interprofessional primary health care team, (3) use of technology to collect and share information, and (4) improved connections to community health and social services. The initial randomized controlled trial of Health TAPESTRY found promising results in terms of health care use and patient outcomes, indicating a shift from reactive to preventive care. The trial was based on one clinical academic center, thus limiting generalizability. The study objectives are (1) to test reproducibility of the established effectiveness of Health TAPESTRY on physical activity and hospitalizations, (2) to test the feasibility of, and understand the contributing factors to, the implementation of Health TAPESTRY in six diverse communities across Ontario, Canada, and (3) to determine the value for money of implementing Health TAPESTRY.

methodsThis planned study is a pragmatic parallel randomized controlled trial with a delayed intervention for control participants at 6 months. This trial will simultaneously assess effectiveness and implementation in a real-world setting (type II hybrid) in six diverse communities across Ontario. Participants 70 years of age and older will be randomized into the Health TAPESTRY intervention or the control group (usual care). Intervention clients will receive an individualized plan of care from an interprofessional care team. The plan will be based on a client's goals and current health risks identified through volunteer visits. The study's outcomes are mapped onto the RE-AIM framework, with levels of physical activity and number of hospitalizations as the co-primary outcomes. The main analysis will be a comparison at 6 months. DISCUSSION: It is important to evaluate the effectiveness and implementation of Health TAPESTRY in multiple communities prior to scaling or widespread adoption.

trial registrationClinicalTrials.gov NCT03397836 . Registered on 12 January 2018.

Indexed as

Health Plan ImplementationHome Care ServicesPatient-Centered CareVolunteersHumansOntarioPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicReproducibility of ResultsResearch DesignHealth care volunteersImplementationIntegrated careInterdisciplinary health care teamsOlder adultsPrimary health careRandomized controlled trial

Identifiers

PMID32795381
PMCPMC7427958

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.