Aging, Community and Health Research Group (ACHRU)

McMaster University

Funded by
OSSU

core 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 depression

The aim of the Community Assets Supporting Transitions (CAST) study is to determine the effects and costs of a hospital-to-home support program for older adults with depression and multiple chronic conditions. Core components of the program will include home visits, telephone follow-up, and nurse-led care coordination. The researchers are working 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 include Health Sciences North (Sudbury), Joseph Brant Hospital (Burlington) and Hamilton Health Sciences (Hamilton).

The overall goal of the intervention is 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)

Additional funding support is being provided by the Labarge Foundation

 

Infographic

Publication in Journal of the American Geriatrics Society

  • Maureen Markle-Reid
    Associate Professor
    McMaster University School of Nursing
    Department of Health Research Methods, Evidence, and Impact (HEI)
  • Carrie McAiney
    Associate Professor
    McMaster University
    Department of Psychiatry & Behavioural Neurosciences
  • David Price
  • Ruta Valaitis
  • Jenny Ploeg
  • Kathryn Fisher
  • Nick Kates
  • John Lavis
  • John Cairney
  • Lehana Thabane
  • Amiram Gafni
  • Isabelle Vedel
  • Wayne Warry
  • Eva Neufeld
  • Bill Johnson
  • Gail Heald-Taylor
  • Lawrence Ogden
  • Patricia Wilson
  • Janet McElhaney
  • Patricia Reid
  • Cheryl Williams
  • Morgan Slater
  • Rebecca Ganann
  • Kristina Chang

Publications and Activities relating to this study:

Rebecca Ganann Receives Respected Postdoctoral Fellow Leadership Award

We are very proud to announce Rebecca Ganann, is a recipient of the 2017 FHS Research Plenary Postdoctoral Fellow Leadership Award.

Read More

Meet our Postdoctoral Fellow Rebecca Ganann

Rebecca Ganann is inspired to involve patients and the public in research and she will have the opportunity to do just that during her Postdoctoral fellowship at the ACHRU.

Read More

ACHRU Names an Additional Co-Scientific Director

Dr. Ruta Valaitis is the ACHRU’s newest Co-Scientific Director. She is pleased to join Drs. Maureen Markle-Reid and Jenny Ploeg in leading the research program they founded in 2013.

Read More