Background: A systematic review (SR) was conducted to evaluate the comparative effectiveness of geriatrician-led models of care, and an integrated knowledge translation (iKT) approach facilitated SR relevance. Activities to engage knowledge users (KUs) in the SR were evaluated for perceived level of engagement.Study Design and Setting: KUs included patients, caregivers, geriatricians, and policymakers from three Canadian provinces. Activities included 1) modified Delphi to select outcomes; 2) cross-sectional survey to select outcome measures, and 3) in-person meeting to discuss SR findings. KU engagement was assessed using the Patient Engagement Evaluation Tool (PEET) after the second and third activities. KUs rated the extent of successful engagement using a 7-point Likert scale ranging from ''no extent'' to ''very large extent.'' Results: In total, 15 KUs completed the PEET: eight geriatricians, four policymakers, two patients, and one caregiver. Median engagement scores across all activities (median range: 6.00-6.50) indicated that KUs felt engaged. Differences were observed for activity type; perceived engagement at in-person meeting resulted in higher meta-criteria scores for trust (P 5 0.005), legitimacy (P 5 0.003), fairness (P 5 0.013), and competency (P 5 0.035) compared with online activities.Conclusions: KUs can be engaged meaningfully in SR processes. Their perceived engagement was higher for in-person than for online activities. Ó 2019 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/).
Objective: The objective of this review is to assess the effectiveness of programs that offer individualized, multifactorial support to community-dwelling older people with ongoing health and social care needs and to report how these programs affect quality of life and health system outcomes. Introduction: As people age, they often have multiple chronic conditions and functional impairment, and as a result, they need support to live well. Nursing homes and other residential facilities provide care for people with such needs; however, they can be expensive and older people generally prefer to remain at home, in their community. There is growing interest in programs that offer individualized, multifactorial support in the community for people with complex health and social care needs. Inclusion criteria: This review will focus on the effectiveness of programs that offer individualized, multifactorial support in the community for people over the age of 60 who are identified as having ongoing health and social care needs. The review will assess quality of life and health system outcomes, such as hospital admission. Methods: This review will be conducted in accordance with the JBI methodology for systematic reviews of effectiveness. Ten databases will be searched for published and unpublished studies. Titles, abstracts, and full-text studies will be screened by 2 or more independent reviewers and assessed for methodological validity using the standard JBI critical assessment tools. Relevant data will be extracted using the JBI data extraction tools. The data will then be synthesized and reported using measures of evidence certainty. Review registration: PROSPERO CRD42022324061
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This chapter highlights Saskatoon, the largest city in the province of Saskatchewan that is nestled on the meandering South Saskatchewan River and is considered to have many natural features that make it an attractive place to call home. The chapter describes warm, long summer days, green, clean spaces, and a variety of social and cultural events that contribute to active living, social engagement, and community participation. It also talks about the safe and friendly neighbourhoods of Saskatoon that offers a variety of housing options, excellent educational opportunities, public and accessible transit services, accessible buildings and services, and a range of health and community services. The chapter elaborates that winter poses challenges for all residents, especially older adults who face safety issues related to icy and cold conditions that result in reduced opportunities for social connectedness. It looks at the 2016 Canadian Census that lists the population of 295,095 residents, of which 10.9 percent are indigenous people.
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