Home care clients are a large group of medically complex older adults with poor access to effective chronic disease management and have high rates of emergency department utilization. This is a qualitative sub-study of the DIVERT-CARE Trial to determine if a person-centered model of supportive cardio-respiratory disease management is superior to standard of care. This study will explore experiences from the primary person involved in chronic disease management in the home and staff experiences in implementing the components of DIVERT-CARE.
The objectives of this study are to better understand how home care clients/caregivers use the cardio-respiratory management components of DIVERT-CARE and their experiences participating in chronic disease self-management. We will also explore the perspectives of the staff delivering the intervention components to better understand how DIVERT-CARE can be implemented in separate regions of Canada with an aim to refine the intervention and maximize uptake potential.
A qualitative multiple case study design will be conducted, with each of the three sites encompassing a case. A constructivist approach will best illicit unique insights on the intervention, which will include context, process, and implementation so that we can understand the facilitators and barriers behind the implementation and experience of using the intervention. Data collection will be comprised of a combination of client/caregiver interviews, focus groups with health care professionals delivering the intervention, key informant interviews, and a document review of implementation processes.
This is a multi-provincial collaboration.
Andrew P. Costa, PhD | McMaster University
Darly Dash, MSc | McMaster University
Connie Schumacher, RN, PhD | McMaster University, HNHB LHIN
Graham Campbell, MA | McMaster University