Aging, Community and Health Research Group (ACHRU)

McMaster University

Funded by
OSSU

Study 9

Community Assets Supporting Transitions (CAST) - A pragmatic effectiveness-implementation trial to evaluate a hospital-to-home transitional care intervention compared to usual care for older adults with multiple chronic conditions and depressive symptoms

COMPLETED STUDY

The aim of the Community Assets Supporting Transitions (CAST) study was to determine the effects, implementation and costs of a hospital-to-home support program for older adults with depressive symptoms and multiple chronic conditions. Core components of the program included home visits, telephone follow-up, and nurse-led care coordination. The researchers worked side-by-side with patients, caregivers and providers from three communities in Ontario to tailor the intervention to each community. The three partner sites/communities were Sudbury, Burlington and Hamilton.

The overall goal of the intervention was to improve health outcomes for older adults with depression and multiple health problems who are transitioning from hospital-to-home care by improving patients’ self-management ability, supporting families and caregivers, and building capacity for primary care and other health and non-health related providers to collaborate in delivering home and community services to these patients.

Funder: Ontario SPOR Support Unit (OSSU)

Funding was provided by the Ontario SPOR SUPPORT Unit, which is supported by the Canadian Institutes of Health Research and the Province of Ontario.

Additional funding support was provided by the Labarge Foundation

 

Infographic

Editorial in Journal of the American Geriatrics Society

Publication in Special patient-oriented research supplement in the Canadian Medical Association Journal (CMAJ)

Publication in BMC Geriatrics

Research Summary

McMaster Health Forum Citizen Brief: Engaging Older Adults with Complex Health and Social Needs, and Their Caregivers to Improve Hospital-to-home Transitions in Ontario

McMaster Health Forum Top Ten Insights 2-part webinar on how to improve hospital-to-home transitions for older adults with complex health and social needs:

Older Adults with Complex Health and Social Needs Click here to view the recording

Insights from the COVID-19 Response Click here to view the recording

  • Maureen Markle-Reid
    Professor and Canada Research Chair in Person Centred Interventions for Older Adults with Multimorbidity and their Caregivers
    McMaster University School of Nursing
    Scientific Co-Lead, MIRA/Collaborative for Health and Aging (OSSU SPOR Research Centre)
  • Carrie McAiney
    Associate Professor, Schlegel Research Chair in Dementia
    University of Waterloo
    School of Public Health and Health Systems
  • Ruta Valaitis
  • Rebecca Ganann
  • Jenny Ploeg
  • John Cairney
  • Kathryn Fisher
  • Amiram Gafni
  • Alain P. Gauthier
  • Gail Heald-Taylor
  • Bill Johnson
  • Nick Kates
  • John Lavis
  • Janet McElhaney
  • Lawrence Ogden
  • David Price
  • Patricia Reid
  • Lehana Thabane
  • Diana Urajnik
  • Isabelle Vedel
  • Wayne Warry
  • Cheryl Williams
  • Patricia Wilson
  • Amy Bartholomew
  • Kristina Chang
  • Carly Whitmore

Publications and Activities relating to this study:

Newly Released: McMaster Health Forum Citizen Brief

Researchers from the Aging, Community and Health Research Unit (ACHRU) collaborated with the McMaster Health Forum on a citizen brief and citizen panel entitled: ‘Engaging Older Adults with Complex Health and Social Needs, and Their Caregivers to Improve Hospital-to-home Transitions in Ontario’.

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ACHRU Research Featured in Special CMAJ Supplement

We’re pleased to have our research featured in a special patient-oriented research supplement in the Canadian Medical Association Journal (CMAJ) being released today.

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New Research Summary: Evaluating a New Hospital-to-Home Care Program for Older Adults with Depressive Symptoms

Researchers are studying the application and costs of a promising new program for older adults, with multiple chronic conditions (MCC) and depressive symptoms that aims to improve overall health and reduce hospitalization.

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