Evidence map›Paper›PMID 41580744›Full record

ArticleBMC health services research2026

Use of implementation science methods to design Wellness Hub, a responsive program to address long-term care and retirement homes' challenges during the COVID-19 pandemic.

Christine Fahim, Keelia Quinn de Launay, Vanessa Bach, Jessica Firman, Claire R Gapare, Vincenza Gruppuso, Ayaat T Hassan, Ana Mrazovac, Temi Odunuga, Nimitha Paul and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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

16 authors.

Christine FahimKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada. christine.fahim@unityhealth.to.
Keelia Quinn de LaunayKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Vanessa BachKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Jessica FirmanKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Claire R GapareKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Vincenza GruppusoKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Ayaat T HassanKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Ana MrazovacKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Temi OdunugaKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Nimitha PaulKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Lisa StriflerKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Alyson TakaokaKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Elikem TogoKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Hui Juan Chelsea GaoKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Jamie M BoydKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.
Sharon E StrausKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, Toronto, ON, M5B 1T8, Canada.

Funding

Canadian Immunization Research Network SH18.ON45PHAC COVID-19 Immunity Task Force 2021-HQ-000143
6 · The paper itself

Abstract

backgroundLong-term care and retirement homes (LTCH/RH) faced systemic challenges that were exacerbated by the COVID-19 pandemic. Homes faced three major challenges over the course of the pandemic: implementing infection prevention and control (IPAC) practices, facilitating COVID-19 vaccine uptake and confidence, and addressing staff well-being and burnout. This manuscript describes the use of implementation science methods to design an evidence-based, theoretically-rooted program titled the Wellness Hub to support LTCH and RH to navigate real-time COVID-19 challenges.

methodsChallenges facing homes were categorized to theoretical constructs using the Theoretical Domains Framework (TDF) and the Consolidated Framework for Implementation Research (CFIR). Implementation mapping was used to identify strategies to mitigate barriers and leverage facilitators at the individual level using the SELECT tool (rooted in Michie’s Behaviour Change Wheel) and at the organizational level using the CFIR-Expert Recommendations for Implementing Change (ERIC) matching tool. A multidisciplinary project team and steering committee reviewed the results and contextualized identified strategies to design the Wellness Hub Program components.

resultsTwelve TDF domains and 18 CFIR constructs were identified as barriers and/or facilitators to implementation of IPAC protocols, COVID-19 vaccine uptake, and staff well-being programs. Via the SELECT tool, we identified 14 implementation strategies to target individual-level change. An additional four strategies for organizational and systems-level implementation change were identified via the CFIR-ERIC mapping tool. The resulting Wellness Hub Program included: town halls, implementation coaches, promotion for LTCH/RH wellness days, creation of infographics and educational resources (including an open-access resource repository), a weekly newsletter summarizing LTCH/RH directives, a vaccine champions program and e-learning course, modelled change, an IPAC-self-assessment tool, seed funding, vaccine incentives, access to off-site COVID-19 testing, monthly community of practice meetings and use of opinion leaders.

conclusionUse of implementation science methods facilitated the design of a responsive support program to address LTCH and RH’s real-time, evolving COVID-19 challenges. STUDY REGISTRATION: https://osf.io/hkfae .

Indexed as

COVID-19Homes for the AgedImplementation ScienceLong-Term CareNursing HomesPandemicsHumansInfection ControlSARS-CoV-2COVID-19Implementation mappingImplementation practiceImplementation scienceIntegrated knowledge translationLong-term careReal-world problemsTheoretical frameworks

Identifiers

PMID41580744
PMCPMC12910846

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.