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Development of Health TAPESTRY

An eight-pronged approach was used to develop the Health TAPESTRY platform:

  1. Including components supported by literature evidence of effectiveness 
    e.g., integrating volunteers into health care (e.g., the Cardiovascular Health Awareness Program);
  2. Grounding the approach in theoretical models: Chronic Care Model, Behavior Change, Diffusion of Innovation;
  3. Running developmental evaluation;
  4. Following participatory-based methods;
  5. Formally investigating sustainability and scalability;
  6. Using iterative pilot testing and evaluating implementation;
  7. Conducting a pragmatic RCT to evaluate the effectiveness and cost effectiveness in older adults (analysis underway); and
  8. Implementing adapted approaches in different sites and contexts.