SE Research Centre

How can we use routinely collected assessment data to health system reform? Using the 2017-2018 interRAI Home Care (HC) assessment data (n=162,523), this study groups home care clients by service needs to generate six unique groups - each with a comprehensive profile that represents the dominant medical, functional, cognitive, and psychosocial care needs. These comprehensive clinical profiles support a future-focused, evidence-informed, and community-engaged approach to research and practice in… Show more

How can we use routinely collected assessment data to health system reform? Using the 2017-2018 interRAI Home Care (HC) assessment data (n=162,523), this study groups home care clients by service needs to generate six unique groups - each with a comprehensive profile that represents the dominant medical, functional, cognitive, and psychosocial care needs. These comprehensive clinical profiles support a future-focused, evidence-informed, and community-engaged approach to research and practice in integrated home-based health and social care - aka. 'life care'. Show less

How are we working to expand health system capacity for mental health support, care and treatment in home and community settings across Canada? This CIHR-funded research takes evidence-based approaches to mental health conversations in home and community care, which is critical to counteracting the dual stigmas of ageism and negative attitudes towards mental health that often impede help-seeking behaviours and system integration. With involvement from 1,200+ aging Canadians from every province… Show more

How are we working to expand health system capacity for mental health support, care and treatment in home and community settings across Canada? This CIHR-funded research takes evidence-based approaches to mental health conversations in home and community care, which is critical to counteracting the dual stigmas of ageism and negative attitudes towards mental health that often impede help-seeking behaviours and system integration. With involvement from 1,200+ aging Canadians from every province and territory who have participated in this work to date, 15 collaborating home and community care organizations across Ontario, British Columbia and Nova Scotia, 25 expert-by-experience members of our project Working Group for their time and valuable guidance, and our team of investigators and researchers for their skill in facilitating this work. Show less

How can we use clinical assessment data and administrative billing records to support person-centred care? Using the Resource Utilization Groups III/Home Care (RUG III/HC) case-mix system, this study groups clients in hospital-to-home transitional care according to characteristics that may inform future care planning, costs, and resource allocation in transitional care programs.

What are some opportunities for more person-centred care planning at the point-of-care in home care? Using the 'My Positive Health' tool developed in the Netherlands as a framework, this study asked an expert panel (n=25) of researchers, health care providers, older adults and caregivers to map out elements of the interRAI home care assessment via a modified eDelphi method. Findings support the integration of comprehensive assessment and dialogue-based care planning tools.

The Reflection Room® is a participatory arts-based storytelling initiative to support moving away from death-avoiding and towards death-discussing. We developed, implemented, and evaluated The Reflection Room® by installing a Reflection Room in 25 sites across Canada. We found that The Reflection Room® increased comfort in thinking and talking about dying and death, as well as the likelihood of engaging in advance care planning (ACP).

What is 'life care'? The 'long-term life care at home' model was developed with aims to sustainably meet the needs of community-dwelling older adults to live, age and receive care at home. This protocol for the 'long-term life care at home' model shows a 2-year project that will carry out across 3 phases using a mixed methods study design to determine the model feasibility for future application in Canada.

What does person- and family-centred goal-setting look like for older adults in home care? Through solution-focused semi-structured key informant interviews with older adult home care clients and their family/ friend caregivers, this study found 4 themes to practicing person- and family-centred goal setting.

The Geriatric Care Assessment Practices (G-CAP) survey is a 33-question, online, self-report tool developed to support geriatric care assessment practices of interdisciplinary home care providers. This study pilot tested the use of the G-CAP survey at a single home care agency in Ontario, Canada, and shows potential for the survey to inform improvements to integrated care planning.