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Technology and health care for the elderly medical research studies

Focus on strategic priorities that have significant social impact.

CAT 2013-47

Improving Outcomes for Frail Seniors: Impact of ASILA Program for Long-Term Staff

The Applied Simulated and Integrated Learning Approach (ASILA) program was designed with input from seniors and other knowledge users (e.g. families, patient advocates, resident councils, educators) and then pilot tested for effectiveness with a convenience sample. Necessary refinements were made and the program was then delivered over the course of three days in two nursing homes.

Research Results

Publications, presentations and webinars

About the Project

The ASILA program includes three evidence-informed simulated case scenarios addressing current deficits in care for frail seniors; each module including a Comprehensive Geriatric Assessment (CGA) and the use of appropriate assessment tools and documentation, care planning and reporting systems.

Initial knowledge scores were measured by means of a questionnaire, then re-assessed immediately after the ASILA program. Focus group interviews were also conducted with staff upon completion of the intervention. Three months after the program was delivered, staff was asked to complete the questionnaires again to assess knowledge retention and practice. Additionally, clinical data was obtained from residents in the care of the participating staff to assess pre- and post-program differences.

These pilot findings indicate that the ASILA program could be a successful approach to support nursing home staff to improve resident assessment, care and documentation.

Project Team

Principal Investigators:

Veronique Boscart, PhD, MEd, MScN, RN -- Conestoga College Institute of Technology and Advanced Learning

George Heckman, MD, MSc, FRCP(C) -- University of Waterloo


John Hirdes, PhD -- University of Waterloo

Knowledge Users and Partners:

Josie d'Avernas, MSc -- Research Institute for Aging

Marlene Raasok, BScPharm, MHSA -- Conestoga College

David Sawatzky

James Schlegel

Project Contact: Veronique Boscart --

CAT 2013-47

Key words: training; frailty; minimum data set; long-term care; residents