Evidence map›Paper›PMID 36973055›Full record

Trial reportAnnals of family medicine

Health TAPESTRY Ontario: A Multi-Site Randomized Controlled Trial Testing Implementation and Reproducibility.

Dee Mangin, Larkin Lamarche, Doug Oliver, Gord Blackhouse, Sivan Bomze, Sayem Borhan, Tracey Carr, Rebecca Clark, Julie Datta, Lisa Dolovich and 10 more

Open access · diamondAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
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

20 authors at 3 institutions in 1 country.

Dee ManginDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.) mangind@mcmaster.ca.
Larkin LamarcheDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Doug OliverDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Gord BlackhouseDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario (G. B., S.Borham, L. T.).
Sivan BomzeDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Sayem BorhanDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario (G. B., S.Borham, L. T.).
Tracey CarrDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Rebecca ClarkDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Julie DattaDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Lisa DolovichDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Jessica GaberDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Pamela ForsythDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Michelle HowardDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Sarah Marentette-BrownCanadian Red Cross, Mississauga, Ontario, Canada (S. Bomze, S. M. B., S. T.).
Cathy RisdonDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
Samina TalatCanadian Red Cross, Mississauga, Ontario, Canada (S. Bomze, S. M. B., S. T.).
Jean-Éric TarrideCentre for Health Economics and Policy Analysis, McMaster University, Hamilton, Canada (J. E. T.).
Lehana ThabaneDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario (G. B., S.Borham, L. T.).
Ruta ValaitisSchool of Nursing, McMaster University, Hamilton, Ontario, Canada (R. V.).
David PriceDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada (D. M., L. L., D. O., S. B., T. C., R. C., J. D., L. D., J. G., P. F., M. H., C. R., D. P.).
McMaster University · CACanadian Red Cross Society · CAImpact · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHealth Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) is a complex primary care program aimed at assisting older adults to stay healthier for longer. This study evaluated the feasibility of implementation across multiple sites, and the reproducibility of the effects found in the previous randomized controlled trial.

methodsThis was a pragmatic, unblinded, 6-month parallel group randomized controlled trial. Participants were randomized (intervention or control) using a computer-generated system. Eligible patients, aged 70 years and older, were rostered to 1 of 6 participating interprofessional primary care practices (urban and rural). In total, 599 (301 intervention, 298 control) patients were recruited from March 2018 through August 2019. Intervention participants received a home visit from volunteers to collect information on physical and mental health, and social context. An interprofessional care team created and implemented a plan of care. The primary outcomes were physical activity and number of hospitalizations.

resultsBased on the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework, Health TAPESTRY had widespread reach and adoption. In the intention-to-treat analysis (257 intervention, 255 control), there were no statistically significant between-group differences for hospitalizations (incidence rate ratio = 0.79; 95% CI, 0.48-1.30;

conclusionsWe found Health TAPESTRY was successfully implemented for patients in diverse primary care practices; however, implementation did not reproduce the effect on hospitalizations and physical activity found in the initial randomized controlled trial.

Indexed as

Health StatusQuality of LifeAgedAged, 80 and overHumansOntarioReproducibility of Resultsagedhealth plan implementationmultimorbidityprimary health carerandomized controlled trial

Identifiers

PMID36973055
PMCPMC10042555
OpenAlexW4360991815

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.