Dr. John Puxty is a Geriatrician, an Associate Professor and Chair of the Division of Geriatric Medicine at Queen’s University, the Chair of the Southeastern Ontario Regional Geriatric Program, Director of the Centre for Studies in Aging and Health and Chair of the Seniors Health Knowledge Network. John has a primary interest in promoting healthy aging and effective care for seniors with a research interest in aging, chronic disease, knowledge mobilization and information technology.
Using a Realist Approach to Understand the Implementation of Age-friendly Communities in Ontario
There are currently 84+ Age-Friendly community (AFC) initiatives in Ontario, which span a wide range of geographies, densities of, and proportions of elderly residents in their populations. All had to find their own ways to engage their communities, mobilize collaboration and resources to develop and implement highly customized AFC Action Plans that respond to local priorities. The Ontario AFC Outreach Program reviewed AFCs in Ontario using an exploratory multiple-case study design with a critical realist approach. 68 Interviews with 59 distinct AFC initiatives were conducted. Qualitative content analysis of the interview transcripts identified context, mechanism, and outcome factors (CMOs) associated with planning and implementation, from which configurations of these were derived.
This presentation will:
- describe the benefit of a realist evaluation approach
- summarize the contexts, mechanisms and outcomes that contribute to local AFC planning, implementation and sustainability
- explore how understanding these complex factors can help communities deliberately and successfully strengthen AFC planning and implementation efforts