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Oliver D, Avilla E, Nair K, Longaphy J, Gill S, Dolovich L, on behalf of the TAPESTRY team PowerPoint Presentation
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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.

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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
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
          • Projectis 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)
goal of tapestry
Goal of TAPESTRY

To improve the health of

older adults in Canada

new ideas
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)
volunteering 2010 statistics canada
Volunteering: 2010 Statistics Canada

Key motivating factor in their decision to volunteer

To make a contribution to the community

93% of volunteer respondents

  • 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

Statistics Canada, Canada Survey of Giving, Volunteering and Participating, 2010 http://www.statcan.gc.ca/pub/89-649-x/89-649-x2011001-eng.htmaccesed May 20, 2012 1:55 pm

volunteer recruitment training
Volunteer Recruitment & Training
  • 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)
trained community volunteers
Trained Community Volunteers

Volunteers will travel to the patient’s home in pairs

      • Novice (student) volunteer + experienced volunteer (peer)
  • Provide a social connection

2. Gather information

      • Related to goals, function, social connectivity, nutrition, fitness
  • Share information
    • Related to MyOSCAR, The Optimal Aging Portal and other community resources
  • Provide a Longitudinal Connection with Patients
    • For social support, follow up with self identified goals, and information sharing with the clinical team
slide13

Volunteer Cross-Generational Experience

Volunteers – Experienced

  • Older adults >3 yrsvol. 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

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 communicationstyle of experiencedvolunteers.
client feedback about volunteer visits
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”
client feedback about volunteer visits1
Client Feedback about Volunteer Visits
  • “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.”
hcp 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
next steps
Next Steps
  • 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)
take home points
Take home points
  • Potential for health volunteers in primary care
  • Novel, interactive, on-line training strategies
  • Encouraging younger volunteers to get more engaged in their communities
  • Exploring the cross-generational relationships formed through TAPESTRY volunteer pairings