Research
Combining volunteers and primary care teamwork to support health goals and needs of older adults: a pragmatic randomized controlled trial
Lisa Dolovich, Doug Oliver, Larkin Lamarche, Lehana Thabane, Ruta Valaitis, Gina Agarwal, Tracey Carr, Gary Foster, Lauren Griffith, Dena Javadi, Monika Kastner, Dee Mangin, Alexandra Papaioannou, Jenny Ploeg, Parminder Raina, Julie Richardson, Cathy Risdon, Pasqualina Santaguida, Sharon Straus and David Price
CMAJ May 06, 2019 191 (18) E491-E500; DOI: https://doi.org/10.1503/cmaj.181173
Lisa Dolovich
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PharmD MScDoug Oliver
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MDLarkin Lamarche
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDLehana Thabane
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDRuta Valaitis
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDGina Agarwal
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MBBS PhDTracey Carr
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MBA RNGary Foster
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDLauren Griffith
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDDena Javadi
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MSPHMonika Kastner
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDDee Mangin
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MBChBAlexandra Papaioannou
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MDJenny Ploeg
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDParminder Raina
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDJulie Richardson
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDCathy Risdon
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MDPasqualina Santaguida
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
PhDSharon Straus
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MD MScDavid Price
Departments of Family Medicine (Dolovich, Oliver, Lamarche, Agarwal, Carr, Javadi, Mangin, Risdon, Price), Medicine (Papaioannou), and Health Research Methods, Evidence and Impact (Thabane, Foster, Griffith, Raina, Santaguida, Papaioannou), McMaster Institute for Research on Aging (Raina), Schools of Rehabilitation Science (Richardson) and of Nursing (Valaitis, Ploeg), McMaster University; Hamilton Health Sciences (Price), Hamilton, Ont.; Leslie Dan Faculty of Pharmacy (Dolovich); University of Toronto; Institute of Health Policy, Management and Evaluation (Kastner), Dalla Lana School of Public Health, University of Toronto; Li Ka Shing Knowledge Institute of St. Michael’s Hospital (Straus), Toronto, Ont.
MDOnline appendices
- Appendix 1: Further information about randomization
- Appendix 2: Table describing to whom clinical actions were directed
- Appendix 3: Table describing the effect of the Health TAPESTRY approach on health care resource utilization
- Appendix 4: Table describing selected alerts generated from volunteer populated reports