oliver d, avilla e, nair k, longaphy j, gill s, dolovich l, on behalf of the tapestry team
DESCRIPTION
Engaging volunteers to help older adults stay healthy at home: The development of the TAPESTRY volunteer program. Oliver D, Avilla E, Nair K, Longaphy J, Gill S, Dolovich L, on behalf of the TAPESTRY team. WHAT IS TAPESTRY?. TAPESTRY OVERVIEW. - PowerPoint PPT PresentationTRANSCRIPT
Engaging volunteers to help older adults stay healthy at home: The development of the TAPESTRY volunteer program
Oliver D, Avilla E, Nair K, Longaphy J, Gill S, Dolovich L, on behalf of the TAPESTRY team
TAPESTRY OVERVIEW
• A Health Canada funded initiative with additional support by the Government of Ontario (MOHLTC), LaBarge Optimal Aging Initiative, and McMaster Family Health Organization
» Duration of funding is 3 years
• Funding awarded to the Faculty of Health Science, McMaster University
» Project is coordinated through the DFM» Project team reports to Dr. John Kelton (Dean, FHS) and
Dr. David Price
• Co-Leads on the project:» Dr. Lisa Dolovich (PharmD), Dr. Doug Oliver (MD), Dr.
David Price (MD)
New Ideas
• Training Volunteers to serve as a linkage to the primary care team.
– Relationships will form in the home– Volunteers will add eyes and ears on the ground
• Using Technology from the home to link directly with the primary care team
– iPads with TAPESTRY APP for volunteers to use– Introduction of MyOscar (PHR)– Innovative resources (ie; Optimal Aging Portal)
TAPESTRY Intervention
Patients
Trained Volunteers
Information Technology
System Navigation & Community Engagement
Inter-professional
Teams
• Young Canadians (15 to 24 years old) consistently volunteer more than any other age group:– Younger Canadians volunteer rate: 58%– Pre-retirees (55 to 64 years old) volunteer rate: 41%– Older adult (≥65 years old) volunteer rate: 36%
• Older adult volunteers devote more hours than younger volunteers – Average of 223 hours each year versus 130 hours each year
Volunteering: 2010 Statistics Canada
Key motivating factor in their decision to volunteer
To make a contribution to the community93% of volunteer respondents
Statistics Canada, Canada Survey of Giving, Volunteering and Participating, 2010 http://www.statcan.gc.ca/pub/89-649-x/89-649-x2011001-eng.htm accesed May 20, 2012 1:55 pm
• Coordinated by Volunteer Coordinator & Research Team– Recruitment
• From already existing volunteer organizations• Application, Screening, Interview• Police Check• Immunization Record• Proof of Drivers Licence
– Training (3 days)• Communication skills iPad Training• Home visit safety Understanding the Tools• Confidentiality and Privacy Use of the TAP APP• Cultural Sensitivity Test of Proficiency (OSCE
day)
Volunteer Recruitment & Training
Trained Community VolunteersVolunteers will travel to the patient’s home in pairs
• Novice (student) volunteer + experienced volunteer (peer)
1. Provide a social connection
2. Gather information• Related to goals, function, social connectivity, nutrition, fitness
3. Share information• Related to MyOSCAR, The Optimal Aging Portal and other community resources
4. Provide a Longitudinal Connection with Patients• For social support, follow up with self identified goals, and information sharing
with the clinical team
Volunteers – Novice• University students
– Surprised by the diversity of patients/clients.
– Open to suggestions from experienced partner
– Some felt less comfortable, but more secure with experienced volunteer
– Helpful to observe the communication style of experienced volunteers.
Volunteers – Experienced• Older adults >3 yrs vol. exp.
– When visits smooth or easy, questioned if they did something wrong
– Shares more insight into client’s emotions and current struggles
– Shares key points with novice volunteer:• Eg; Turn off cell
Volunteer Cross-Generational Experience
Client Feedback about Volunteer Visits
• Enjoyed seeing volunteers, led to self-reflection
• “…you go along in your life… you know things just happen…But the thing it [volunteer visit] did for me, made me stop and think…maybe this will apply to me and it’s changed my thinking”
• “They didn’t make you feel threatened in any way…and asked a lot of questions.”
• “I really felt they were doing something they were enjoying as well which made me feel comfortable… their approach was [by] the book, really trying to find answers and I appreciated that.”
Client Feedback about Volunteer Visits
HCP Feedback about Volunteer Visits
• Surprised how much information the patient has told the volunteers about their medical history, impressed with how much volunteers are able to gather
• Volunteer recruitment for RCT (Sept 2014)– Shalom Village– > 50 volunteers recruited– Online training August 2014
• Volunteer enrichment program– Bimonthly– 2 programs delivered; well-received (advanced
directives, elder abuse)
Next Steps