In 1999, the government announced Ontario’s Strategy for Alzheimer Disease and Related Dementias (ADRD). The Strategy was the first comprehensive strategy on Alzheimer Disease in Canada with a total of $68.4 million invested between 1999 and 2004.  The Strategy included ten specific but related initiatives aimed at improving the quality of life of people with ADRD and their caregivers in Ontario.  The initiatives involved:
  • education for health care providers, caregivers and the public;

  • service enhancements and expansion; and

  • research activities and knowledge exchange.

The Strategy was a joint initiative between the Ministry of Health and Long-Term Care and the Ontario Seniors’ Secretariat, part of the Ministry of Citizenship and Immigration.

The Evaluation of Ontario’s Strategy for Alzheimer Disease and Related Dementias Final Report 2005, Carrie A. McAiney, PhD, Evaluation Consultant

Overall Evaluation

 
Methodology Employed Evaluation Report(s)
  • Interviews with key stakeholder associations / organizations – Phase I and II
  • The interviews focused on the impact of the Alzheimer Strategy, strengths, weaknesses, etc.
 

 

Initiative 1: Staff Education and Training

 
Component Methodology Employed Evaluation Report(s)
Putting the P.I.E.C.E.S. Together Learning Initiative
  • Pre, immediate post and post questionnaires (confidence questions, feedback on sessions, how knowledge will be used)
 
  • Survey of LTC homes (feedback on the P.I.E.C.E.S. Initiative and the PRC Role)
 
  • Interviews with LTC homes that had success and limited success with P.I.E.C.E.S.
Enhancing Care in Adult Day Programs
  • Pre and post questionnaires re: ECP
  • Focus groups with ADP staff and clients/family members
U-First! Program
  • Pre, immediate post and follow-up questionnaires (confidence questions, feedback on sessions, how knowledge will be used)
Enabler Program
  • Pre, immediate post and follow-up questionnaires (confidence questions, feedback on sessions, how knowledge will be used)
Community P.I.E.C.E.S.
  • Pre, immediate post and follow-up questionnaires (confidence questions, feedback on sessions, how knowledge will be used)
Reimbursement for Education
  • Feedback obtained after completion of course re: how knowledge will be used
* Evaluation conducted by aestima Research, not the Alzheimer Strategy Evaluator.
 

Initiative 2: Physician Training

 
Component Methodology Employed Evaluation Report(s)
Opinion Leader Program
  • Pre questionnaire and 3 follow-up questionnaires (knowledge, dementia practices, mentoring relationship, opinion leader activities)
  • Questionnaires to obtain feedback on workshops
  • Opinion Leader and mentor logs
  • Survey of physicians who were identified as being influenced by Opinion Leaders
 
 
 
 
 
 
 
 
 
 
   
Peer Presenter Program
  • Questionnaires to obtain feedback on workshop
  • Peer Presenter didactic sessions – questionnaire to obtain feedback on session
  • Peer Presenter interactive sessions – pre, immediate post and follow-up questionnaires (understanding of topic area, feedback on session, how knowledge used)
Family Medicine Preceptor Program
  • Questionnaires to obtain feedback on workshops
ACP Initiative
  • Pre, immediate post and follow-up questionnaires (familiarity with ACP issues, confidence questions, feedback on sessions)
Curriculum
  • Summary of activities undertaken by the Curriculum Advisory Committee
 
 

Initiative 3: Increase in Public Awareness, Information and Education

 
Methodology Employed Evaluation Report(s)
  • Collection of units of service data
 
   
  • Survey of PECs; survey of PECs and Alzheimer Chapter Executive Directors
  • Questionnaire to obtain feedback on educational activities
* Note: Final reports on the individual components of the Initiative #3 evaluation have been shared with the PECs and the Alzheimer Chapters.
 
 

Initiative 4: Planning for Appropriate, Safe and Secure Environments

 
Methodology Employed Evaluation Report(s)
  • Focus group with selected conference participants
 

 

Initiative 5: Respite Services for Caregivers

 
Methodology Employed Evaluation Report(s)
  • Survey of Adult Day Programs that received funding
 
 

Initiative 6: Research on Caregiver Needs

 
Methodology Employed Evaluation Report(s)
  • Research undertaken on caregiver needs (literature review, survey, focus groups)
  • Research Reports *
  • Review of scope of activities undertaken
* Reports prepared by Dr. Bryan Smale and Dr. Sherry Dupuis
 
 

Initiative 7: Advance Directives on Care Choices

 
Component Methodology Employed Evaluation Report(s)
Physician Opinion Leader Conferences
  • Feedback on sessions
ACP Resource Teams & Activities
  • Pre and post questionnaires for Resource Team members
  • Pre, immediate post and follow-up questionnaires for public education session participants
  • Pre and immediate post questionnaires for service provider education session participants
LTC Administrators
  • Pre and immediate post questionnaires
 
 

Initiative 8: Psychogeriatric Consulting Resources

 
Methodology Employed Evaluation Report(s)
  • Collection of units of service data
 
 
   
  • Survey of LTC homes (feedback on the  P.I.E.C.E.S. Initiative and the PRC Role)
  • Telephone interviews to obtain feedback on case-based activities
  • Questionnaire to obtain feedback on topic-specific educational activities
  • Questionnaires to obtain feedback from PRCs, PRC sponsoring/partner agencies, and Geriatric Mental Health Outreach Teams
* Note: Final reports on the individual components of the Initiative #8 evaluation have been shared with the PRCs and their sponsoring and partner agencies.
 
 

Initiative 9A: Dementia Networks

 
Methodology Employed Evaluation Report(s)
  • Questionnaire to obtain feedback on regional sessions conducted about Dementia Networks
  • Interviews and questionnaires to obtain feedback on Dementia Networks
 
 

Initiative 9B: Research Coalition

 
Methodology Employed Evaluation Report(s)
  • Compilation of information on Research Coalition members
  • Summary of activities undertaken by Research Coalition
 
 

 

Initiative 9C: Specialized Geriatric Services

 
Methodology Employed Evaluation Report(s)
  • Summary of recommendations by expert panel
* Report prepared by the Initiative #9C Consultants, not the Alzheimer Strategy Evaluator
 

 

Initiative 10: Intergenerational Volunteer Initiative

 
Methodology Employed Evaluation Report(s)
  • Summary of activities undertaken and the evaluation of these activities
  • Comment on Consultant’s report
* Evaluation conducted by the Initiative Consultant, not the Alzheimer Strategy Evaluator.
** Booklet developed by the Older Adults Centres Association of Ontario, United Generations of Ontario, and the Alzheimer Society of Ontario.