Protocol for a program of research from the Aging, Community and Health Research Unit
Background: The goal of the Aging, Community and Health Research Unit (ACHRU) is to promote optimal aging at home for older adults with multimorbidity (≥2 chronic conditions) and to support their family/friend caregivers. This protocol paper reports the rationale and plan for this patient-oriented,...
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doaj-369ed464dae343718d0984cd2a1020392020-11-25T03:55:07ZengSAGE PublishingJournal of Comorbidity2235-042X2018-07-01810.1177/2235042X18789508Protocol for a program of research from the Aging, Community and Health Research UnitMaureen Markle-Reid0Jenny Ploeg1Ruta Valaitis2Wendy Duggleby3Kathryn Fisher4Kimberly Fraser5Rebecca Ganann6Lauren E Griffith7Andrea Gruneir8Carrie McAiney9Allison Williams10 McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada Department of Health, Aging and Society, McMaster University, Hamilton, Ontario, Canada McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada Program for Interprofessional Practice, Education and Research, McMaster University, Hamilton, Ontario, Canada School of Geography and Earth Sciences, McMaster University, Hamilton, Ontario, CanadaBackground: The goal of the Aging, Community and Health Research Unit (ACHRU) is to promote optimal aging at home for older adults with multimorbidity (≥2 chronic conditions) and to support their family/friend caregivers. This protocol paper reports the rationale and plan for this patient-oriented, cross-jurisdictional research program. Objectives: The objectives of the ACHRU research program are (i) to codesign integrated and person-centered interventions with older adults, family/friend caregivers, and providers; (ii) to examine the feasibility of newly designed interventions; (iii) to determine the intervention effectiveness on Triple Aim outcomes: health, patient/caregiver experience, and cost; (iv) to examine intervention context and implementation barriers and facilitators; (v) to use diverse integrated knowledge translation (IKT) strategies to engage knowledge users to support scalability and sustainability of effective interventions; and (vi) to build patient-oriented research capacity. Design: The research program was informed by the Knowledge-to-Action Framework and the Complexity Model. Six individual studies were conceptualized as integrated pieces of work. The results of the three initial descriptive studies will inform and be followed by three pragmatic randomized controlled trials. IKT and capacity building activities will be embedded in all six studies and tailored to the unique focus of each study. Conclusions: This research program will inform the development of effective and scalable person-centered interventions that are sustainable through interagency and intersectoral partnerships with community-based agencies, policy makers, and other health and social service agencies. Implementation of these interventions has the potential to transform health-care services and systems and improve the quality of life for older adults with multimorbidity and their caregivers. Trial registration: NCT02428387 (study 4), NCT02158741 (study 5), and NCT02209285 (study 6).https://doi.org/10.1177/2235042X18789508 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Maureen Markle-Reid Jenny Ploeg Ruta Valaitis Wendy Duggleby Kathryn Fisher Kimberly Fraser Rebecca Ganann Lauren E Griffith Andrea Gruneir Carrie McAiney Allison Williams |
spellingShingle |
Maureen Markle-Reid Jenny Ploeg Ruta Valaitis Wendy Duggleby Kathryn Fisher Kimberly Fraser Rebecca Ganann Lauren E Griffith Andrea Gruneir Carrie McAiney Allison Williams Protocol for a program of research from the Aging, Community and Health Research Unit Journal of Comorbidity |
author_facet |
Maureen Markle-Reid Jenny Ploeg Ruta Valaitis Wendy Duggleby Kathryn Fisher Kimberly Fraser Rebecca Ganann Lauren E Griffith Andrea Gruneir Carrie McAiney Allison Williams |
author_sort |
Maureen Markle-Reid |
title |
Protocol for a program of research from the Aging, Community and Health Research Unit |
title_short |
Protocol for a program of research from the Aging, Community and Health Research Unit |
title_full |
Protocol for a program of research from the Aging, Community and Health Research Unit |
title_fullStr |
Protocol for a program of research from the Aging, Community and Health Research Unit |
title_full_unstemmed |
Protocol for a program of research from the Aging, Community and Health Research Unit |
title_sort |
protocol for a program of research from the aging, community and health research unit |
publisher |
SAGE Publishing |
series |
Journal of Comorbidity |
issn |
2235-042X |
publishDate |
2018-07-01 |
description |
Background: The goal of the Aging, Community and Health Research Unit (ACHRU) is to promote optimal aging at home for older adults with multimorbidity (≥2 chronic conditions) and to support their family/friend caregivers. This protocol paper reports the rationale and plan for this patient-oriented, cross-jurisdictional research program. Objectives: The objectives of the ACHRU research program are (i) to codesign integrated and person-centered interventions with older adults, family/friend caregivers, and providers; (ii) to examine the feasibility of newly designed interventions; (iii) to determine the intervention effectiveness on Triple Aim outcomes: health, patient/caregiver experience, and cost; (iv) to examine intervention context and implementation barriers and facilitators; (v) to use diverse integrated knowledge translation (IKT) strategies to engage knowledge users to support scalability and sustainability of effective interventions; and (vi) to build patient-oriented research capacity. Design: The research program was informed by the Knowledge-to-Action Framework and the Complexity Model. Six individual studies were conceptualized as integrated pieces of work. The results of the three initial descriptive studies will inform and be followed by three pragmatic randomized controlled trials. IKT and capacity building activities will be embedded in all six studies and tailored to the unique focus of each study. Conclusions: This research program will inform the development of effective and scalable person-centered interventions that are sustainable through interagency and intersectoral partnerships with community-based agencies, policy makers, and other health and social service agencies. Implementation of these interventions has the potential to transform health-care services and systems and improve the quality of life for older adults with multimorbidity and their caregivers. Trial registration: NCT02428387 (study 4), NCT02158741 (study 5), and NCT02209285 (study 6). |
url |
https://doi.org/10.1177/2235042X18789508 |
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