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Perceptions of older adults in Ontario, Canada on the implementation and impact of a primary care programme, Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY): a descriptive qualitative study
  1. Jenny Ploeg1,
  2. Ruta Kristina Valaitis1,
  3. Laura Cleghorn2,
  4. Marie-Lee Yous1,
  5. Jessica Gaber3,
  6. Gina Agarwal2,
  7. Monika Kastner4,5,
  8. Dee Mangin2,
  9. Doug Oliver2,
  10. Fiona Parascandalo2,
  11. Cathy Risdon2,
  12. Lisa Dolovich6
  1. 1 School of Nursing, McMaster University, Hamilton, Ontario, Canada
  2. 2 Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
  3. 3 Department of Family Medicine, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada
  4. 4 Research and Innovation, North York General Hospital, Toronto, Ontario, Canada
  5. 5 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
  6. 6 Department of Family Medicine, McMaster University/McMaster Innovation Park, Hamilton, Ontario, Canada
  1. Correspondence to Dr Jenny Ploeg; ploegj{at}


Objectives The aim of the study was to explore the perceptions of older adults on the implementation and impact of Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY), a multicomponent primary care programme that seeks to improve care coordination for individuals through health-related goal-setting supported by trained lay volunteers who are an extension of an interprofessional team, and the use of technology to support communication among the team.

Design This study used a qualitative descriptive design.

Setting The setting for this study was two primary care practice sites located in a large urban area in Ontario, Canada.

Participants The sample consisted of community-dwelling older adults aged 70 years and older. Participants were recruited from a convenience sample obtained from 360 clients who participated in the 12-month Health TAPESTRY randomised controlled trial.

Methods Semistructured interviews were conducted with 32 older adults either face-to-face or by telephone. Interviews were transcribed verbatim. Data were analysed using a constant comparative approach to develop themes.

Results Older adults’ perceptions about the Health TAPESTRY programme included (1) the lack of a clear purpose and understanding of how information was shared among providers, (2) mixed positive and negative perceptions of goal-setting and provider follow-up after inhome visits by volunteers, (3) positive impacts such as satisfaction with the primary care team, and (4) the potential for the programme to become a regular programme and applied to other communities and groups.

Conclusions Older adults living in the community may benefit from greater primary care support provided through enhanced team-based approaches. Programmes such as Health TAPESTRY facilitate opportunities for older adults to work with primary care providers to meet their self-identified needs. By exploring perceptions of clients, primary care programmes can be further refined and expanded for various populations.

  • older adults
  • primary care
  • interprofessional teams
  • goal-setting
  • qualitative research

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  • Contributors RKV conceptualised and led the study. LC, FP and JG collected the data. RKV and LC conducted the initial analysis, and subsequent analysis with FP and JG. JP and M-LY wrote the initial drafts of the paper. GA, DM, DO, CR, JG, LD and MK contributed to validating the analysis, and reviewed and contributed to drafts. All authors read and approved the final manuscript.

  • Funding This research was funded by a Health Canada Federal Innovations grant (grant no. 6817-06-2013/5570001), the Ministry of Health and Long-term Care of Ontario (grant no. 06547 for INSPIRE-PHC), the Labarge Optimal Aging Initiative, and the McMaster Family Health Organization.

  • Competing interests None declared.

  • Ethics approval Ethics approval was obtained from the Hamilton Integrated Research Ethics Board (Project #14–726). Each participant provided written informed consent prior to being interviewed. Participants received a $25 CAD gift card as a token of appreciation.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement The data for this research consist of interview transcripts. We are unable to make raw data publicly available in order to respect the confidentiality of participants.

  • Patient consent for publication Obtained.

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