Co-designing action-oriented mental health conversations between care providers and ageing Canadians in the community: a participatory mixed-methods study protocol
Introduction The mental health of ageing Canadians is a growing concern, particularly post-pandemic. Older adults face systemic ageism and mental health stigma as pervasive barriers to seeking needed mental health support, care and treatment within health and social care systems. These barriers are...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-01-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/1/e079653.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823856440364761088 |
|---|---|
| author | Carrie McAiney Paul Holyoke Heather McNeil Justine L Giosa Elizabeth Kalles Nelly D Oelke Katie Aubrecht Olinda Habib Perez |
| author_facet | Carrie McAiney Paul Holyoke Heather McNeil Justine L Giosa Elizabeth Kalles Nelly D Oelke Katie Aubrecht Olinda Habib Perez |
| author_sort | Carrie McAiney |
| collection | DOAJ |
| description | Introduction The mental health of ageing Canadians is a growing concern, particularly post-pandemic. Older adults face systemic ageism and mental health stigma as pervasive barriers to seeking needed mental health support, care and treatment within health and social care systems. These barriers are exacerbated when service providers focus on physical healthcare needs or lack the skills and confidence to talk about and/or address mental health during routine visits. This study aims to co-design and test an evidence-based approach to mental health conversations at the point-of-care in home and community settings with older adults, family and friend caregivers and health and social care providers that could facilitate help-seeking activities and care access.Methods and analysis A participatory mixed-methods study design will be applied, guided by a Working Group of experts-by-experience (n=30). Phase 1 engages ageing Canadians in four online workshops (n=60) and a national survey (n=1000) to adapt an evidence-based visual model of mental health for use with older adults in home and community care. Phase 2 includes six co-design workshops with community providers (n=90) in rural and urban sites across three Canadian provinces to co-design tools, resources and processes for enabling the use of the adapted model as a conversation guide. Phase 3 involves pilot and feasibility testing the co-designed conversations with older adult clients of providers from Phase 2 (n=180).Ethics and dissemination Phases 1 and 2 of this study have received ethics clearance at the University of Waterloo (ORE #44187), University of British Columbia (#H22-02306) and St. Francis Xavier University (#26075). While an overview of Phase 3 is included, details will rely on Phase 2 outcomes. Knowledge mobilisation activities will include peer-reviewed publications, conference presentations, webinars, newsletters, infographics and policy briefs. Interested audiences may include community organisations, policy and decision-makers and health and social care providers. |
| format | Article |
| id | doaj-art-881a674b35974efdb294d853d3be440c |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-881a674b35974efdb294d853d3be440c2025-02-12T09:05:09ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-079653Co-designing action-oriented mental health conversations between care providers and ageing Canadians in the community: a participatory mixed-methods study protocolCarrie McAiney0Paul Holyoke1Heather McNeil2Justine L Giosa3Elizabeth Kalles4Nelly D Oelke5Katie Aubrecht6Olinda Habib Perez7School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, CanadaSE Research Centre, Saint Elizabeth Health Care, Markham, Ontario, CanadaSE Research Centre, Saint Elizabeth Health Care, Markham, Ontario, CanadaSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, CanadaSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, CanadaSchool of Nursing, University of British Columbia Okanagan, Kelowna, British Columbia, CanadaDepartment of Sociology, St. Francis Xavier University, Antigonish, Nova Scotia, CanadaSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, CanadaIntroduction The mental health of ageing Canadians is a growing concern, particularly post-pandemic. Older adults face systemic ageism and mental health stigma as pervasive barriers to seeking needed mental health support, care and treatment within health and social care systems. These barriers are exacerbated when service providers focus on physical healthcare needs or lack the skills and confidence to talk about and/or address mental health during routine visits. This study aims to co-design and test an evidence-based approach to mental health conversations at the point-of-care in home and community settings with older adults, family and friend caregivers and health and social care providers that could facilitate help-seeking activities and care access.Methods and analysis A participatory mixed-methods study design will be applied, guided by a Working Group of experts-by-experience (n=30). Phase 1 engages ageing Canadians in four online workshops (n=60) and a national survey (n=1000) to adapt an evidence-based visual model of mental health for use with older adults in home and community care. Phase 2 includes six co-design workshops with community providers (n=90) in rural and urban sites across three Canadian provinces to co-design tools, resources and processes for enabling the use of the adapted model as a conversation guide. Phase 3 involves pilot and feasibility testing the co-designed conversations with older adult clients of providers from Phase 2 (n=180).Ethics and dissemination Phases 1 and 2 of this study have received ethics clearance at the University of Waterloo (ORE #44187), University of British Columbia (#H22-02306) and St. Francis Xavier University (#26075). While an overview of Phase 3 is included, details will rely on Phase 2 outcomes. Knowledge mobilisation activities will include peer-reviewed publications, conference presentations, webinars, newsletters, infographics and policy briefs. Interested audiences may include community organisations, policy and decision-makers and health and social care providers.https://bmjopen.bmj.com/content/14/1/e079653.full |
| spellingShingle | Carrie McAiney Paul Holyoke Heather McNeil Justine L Giosa Elizabeth Kalles Nelly D Oelke Katie Aubrecht Olinda Habib Perez Co-designing action-oriented mental health conversations between care providers and ageing Canadians in the community: a participatory mixed-methods study protocol BMJ Open |
| title | Co-designing action-oriented mental health conversations between care providers and ageing Canadians in the community: a participatory mixed-methods study protocol |
| title_full | Co-designing action-oriented mental health conversations between care providers and ageing Canadians in the community: a participatory mixed-methods study protocol |
| title_fullStr | Co-designing action-oriented mental health conversations between care providers and ageing Canadians in the community: a participatory mixed-methods study protocol |
| title_full_unstemmed | Co-designing action-oriented mental health conversations between care providers and ageing Canadians in the community: a participatory mixed-methods study protocol |
| title_short | Co-designing action-oriented mental health conversations between care providers and ageing Canadians in the community: a participatory mixed-methods study protocol |
| title_sort | co designing action oriented mental health conversations between care providers and ageing canadians in the community a participatory mixed methods study protocol |
| url | https://bmjopen.bmj.com/content/14/1/e079653.full |
| work_keys_str_mv | AT carriemcainey codesigningactionorientedmentalhealthconversationsbetweencareprovidersandageingcanadiansinthecommunityaparticipatorymixedmethodsstudyprotocol AT paulholyoke codesigningactionorientedmentalhealthconversationsbetweencareprovidersandageingcanadiansinthecommunityaparticipatorymixedmethodsstudyprotocol AT heathermcneil codesigningactionorientedmentalhealthconversationsbetweencareprovidersandageingcanadiansinthecommunityaparticipatorymixedmethodsstudyprotocol AT justinelgiosa codesigningactionorientedmentalhealthconversationsbetweencareprovidersandageingcanadiansinthecommunityaparticipatorymixedmethodsstudyprotocol AT elizabethkalles codesigningactionorientedmentalhealthconversationsbetweencareprovidersandageingcanadiansinthecommunityaparticipatorymixedmethodsstudyprotocol AT nellydoelke codesigningactionorientedmentalhealthconversationsbetweencareprovidersandageingcanadiansinthecommunityaparticipatorymixedmethodsstudyprotocol AT katieaubrecht codesigningactionorientedmentalhealthconversationsbetweencareprovidersandageingcanadiansinthecommunityaparticipatorymixedmethodsstudyprotocol AT olindahabibperez codesigningactionorientedmentalhealthconversationsbetweencareprovidersandageingcanadiansinthecommunityaparticipatorymixedmethodsstudyprotocol |