RT Journal Article SR Electronic T1 Health TAPESTRY Ontario: A Multi-Site Randomized Controlled Trial Testing Implementation and Reproducibility JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 132 OP 142 DO 10.1370/afm.2944 VO 21 IS 2 A1 Dee Mangin A1 Larkin Lamarche A1 Doug Oliver A1 Gord Blackhouse A1 Sivan Bomze A1 Sayem Borhan A1 Tracey Carr A1 Rebecca Clark A1 Julie Datta A1 Lisa Dolovich A1 Jessica Gaber A1 Pamela Forsyth A1 Michelle Howard A1 Sarah Marentette-Brown A1 Cathy Risdon A1 Samina Talat A1 Jean-Éric Tarride A1 Lehana Thabane A1 Ruta Valaitis A1 David Price YR 2023 UL http://www.annfammed.org/content/21/2/132.abstract AB PURPOSE Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) is a complex primary care program aimed at assisting older adults to stay healthier for longer. This study evaluated the feasibility of implementation across multiple sites, and the reproducibility of the effects found in the previous randomized controlled trial.METHODS This was a pragmatic, unblinded, 6-month parallel group randomized controlled trial. Participants were randomized (intervention or control) using a computer-generated system. Eligible patients, aged 70 years and older, were rostered to 1 of 6 participating interprofessional primary care practices (urban and rural). In total, 599 (301 intervention, 298 control) patients were recruited from March 2018 through August 2019. Intervention participants received a home visit from volunteers to collect information on physical and mental health, and social context. An interprofessional care team created and implemented a plan of care. The primary outcomes were physical activity and number of hospitalizations.RESULTS Based on the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework, Health TAPESTRY had widespread reach and adoption. In the intention-to-treat analysis (257 intervention, 255 control), there were no statistically significant between-group differences for hospitalizations (incidence rate ratio = 0.79; 95% CI, 0.48-1.30; P = .35) or total physical activity (mean difference = −0.26; 95% CI, −1.18 to 0.67; P = .58). There were 37 non-study related serious adverse events (19 intervention, 18 control).CONCLUSIONS We found Health TAPESTRY was successfully implemented for patients in diverse primary care practices; however, implementation did not reproduce the effect on hospitalizations and physical activity found in the initial randomized controlled trial.