Table 3. Final consensus results by factor and participant group.
| Delphi Factor | Care Partners | Healthcare Stakeholders | ||||
|---|---|---|---|---|---|---|
| % of scores ≥ 8 | IQR† | Consensus Level | % of scores ≥ 8 | IQR† | Consensus Level | |
| Micro—Biological | ||||||
| Keeping physically active | 70.8% | 3 | Moderate | 76.7% | 1 | Moderate |
| Being continent (with or without the use of continence aids) | 75.0% | 0.3 | Moderate | 16.7% | 1 | Low |
| Micro–Psychological | ||||||
| Not having significant behavioural or mental health disorders | 79.2% | 1.5 | Moderate | 73.3% | 1 | Moderate |
| Thinking of oneself as healthy | 54.2% | 1 | Low | 6.7% | 1 | Low |
| Maintaining a positive attitude, having a high self-esteem and/or sense of personal identity | 75.0% | 1.8 | Moderate | 23.3% | 1 | Low |
| Keeping mentally active | 92.0% | 2 | High | 46.7% | 1 | Low |
| Micro—Other | ||||||
| Being someone who prepares and plans for the future (e.g., participates in health promotion activities, plans financially for the future, develops new skills) | 75.0% | 0.3 | Moderate | 20.0% | 1 | Low |
| Having enough money to afford to stay successfully in the community | 84.0% | 2 | High | 70.0% | 1 | Moderate |
| Mezzo–Social Network | ||||||
| Having strong relationships and links with family, friends, and the community | 88.0% | 2 | High | 90.9% | 1 | High |
| Mezzo–Home and Neighbourhood Structure | ||||||
| Living in a safe home environment (e.g., with enough safety aids and equipment) | 84.0% | 2 | High | 86.7% | 0 | Very High |
| Having a home layout that is appropriate (e.g., the absence of stairs) | 79.2% | 1 | Moderate | 53.3% | 1 | Low |
| Mezzo–Social Services | ||||||
| Having accessible and affordable community-based services (e.g., adult education, recreation and support programs) | 70.8% | 2 | Moderate | 13.3% | 1 | Low |
| Having a resource (e.g., information call centre) that helps people make informed choices about health care services that are available to them | 45.8% | 1.3 | Low | 20.0% | 1 | Low |
| Having public transportation that is affordable, reliable and accessible | 66.7% | 3 | Moderate | 20.0% | 0 | Low |
| Having formal healthcare providers (e.g., physicians, home care workers) who are aware of community-based services | 83.3% | 1.5 | High | 76.7% | 0 | Moderate |
| Having training & education programs for informal caregivers | 58.3% | 1.5 | Low | 13.3% | 0 | Low |
| Having programs that help people to cope with mental health challenges (e.g., anxiety, depression, loneliness)* | 91.7% | 2 | High | 56.7% | 1 | Low |
| Having programs that provide support to complete household chores (e.g., shoveling, mowing grass, completing minor household repairs) and other daily tasks (e.g., banking, grocery shopping)* | 75.0% | 1.3 | Moderate | 60.0% | 1 | Moderate |
| Mezzo–Medical Services | ||||||
| Having coordinated care between all types of formal health care providers (e.g., physicians, home care workers, social workers). | 95.8% | 0.5 | High | 80.6% | 2 | High |
| Having physicians who provide house-calls & home visits | 58.3% | 1 | Low | 10.0% | 1 | Low |
| Having medical professionals (e.g., nurse practitioners, pharmacists) who regularly check the # and type of medications people are taking | 79.2% | 2 | Moderate | 23.3% | 0 | Low |
| Having good communication between informal & formal caregivers | 75.0% | 1.3 | Moderate | 76.7% | 0 | Moderate |
| Ensuring that people have adequate access to important allied and medical services (e.g., glasses, dental care, affordable medications, physiotherapy)* | 79.2% | 1.5 | Moderate | 56.7% | 1 | Low |
| Macro–Policy and Societal | ||||||
| Having access to affordable housing | 91.7% | 2 | High | 63.3% | 1 | Moderate |
| Having policies that allow people to reside in the community with an acceptable level of risk | 37.5% | 2.3 | Low | 66.7% | 1 | Moderate |
| Having access to funds that help people purchase assistive technology (e.g., motorized wheelchairs) and/or to modify their home (e.g., put in a wheelchair ramp). | 100.0% | 1.5 | High | 13.3% | 0 | Low |
| Ensuring that community-based alternatives to nursing home use (e.g., supportive housing in Manitoba, lodge and supportive living in Alberta) are affordable* | 83.3% | 2 | High | 76.7% | 0 | Moderate |
† IQR–Interquartile Range is the difference between the 75th and 25th quartile of rating.
* Additional Factor added based on participant feedback after Delphi Round 1.
Note: Bolded results identify factors that both participant groups reached consensus on.