Table 4

Themes and sample participant quotes for impact, sustainability and scalability

CategoryThemes
Perceived impactSmall or no difference in the lives of clients.
“I guess [Health TAPESTRY] just makes me more and more aware, I think, of what I am doing. I didn’t make any particular or specific changes to the way I live or eat or do anything.” (R-172)
“I don’t think there’s anything that TAPESTRY said or did that made any changes that I can see, no.” (R-30)
Satisfaction with the primary care team and healthcare system.
“…I am happy that I did join with TAPESTRY, because it really speeded up my [care]– and hopefully this second problem what I have here with that hand, if that can be speeded up somehow to get the results, then I am happy with the practice of TAPESTRY.” (R-106)
“Well, I’m pretty sure that whatever connection you had with the clinic did promote a few points in my favour. And even my pharmacist, he even got word from the clinic that things were changing for my prescriptions. So, they were acting on the advice that you gave them.” (R-250)
“…I would also find that there are areas that the doctor can’t possibly cover and TAPESTRY is certainly making an attempt to cover all facets of the healthcare system, particularly through the Healthy Aging Series.” (R-146)
Change in health behaviours or ways of thinking.
“…I wasn’t walking before that. I wouldn’t walk farther than my nose. But now I’ve started walking, and even as I say, some days when I don’t feel it, now I say, go do it.” (R-129)
“…the TAPESTRY program improved my knowledge of what my own health was about and it helped me to be more prepared…going into a doctor’s appointment or whoever I am talking with…to be able to discuss and understand what I have to do to improve.” (R-75)
Sustainability and scalabilityThe programme ‘could and should be a regular program’.
“It should be [Health TAPESTRY should be a regular program]…because they always say an ounce of prevention in healthcare, and you know what, if you can catch things before they become too serious, or identify possible health outcomes through your interviews and through regular monitoring, then that would be really desirable, especially for the elderly.” (R-114)
“Well, you’ve got a good location here because, first of all, you’ve got the doctors with all the information and you’ve got places to hold these [Healthy Aging] seminars.” (R-99)
The programme may be relevant for different communities and populations.
“…it should be a program that’s offered to a much wider scope of people… or even healthy people that are healthy at the moment.” (R-146)
“I think that [Health TAPESTRY] could apply to people much younger who are confined to their homes.” (R-95)
Barriers to maintaining the programme exist.
“I don’t know how much publicity you have been able to use, but I think if everybody involved are aware of your services and there are things that you could bring to the table, I’m sure they wouldn’t resist that. But my feeling is that…Maybe not enough people know about it.” (R-29)
“…I think systematically it’s [Health TAPESTRY] not sustainable because that’s not how the system works…every time there’s this big initiative to push toward prevention, it’s with an eye on saving money, but then that cost usually does mean that some other program that’s really needed is just not going to get funded…if you can’t measure the dollars, you lose a lot of the buy-in.” (R-1)
“Barriers would probably be people to work in the program. For example, the number of doctors and nurses, to have enough staff to continue the program.” (R-75)
  • Health TAPESTRY, Health Teams Advancing Patient Experience: Strengthening Quality.