{
  "abstract": "Introduction Brain and heart conditions are among the leading causes of illness and mortality in Canada. Heart failure is one of the fastest-growing cardiovascular conditions globally, with more than 100 000 Canadians diagnosed each year. Individuals with heart failure are at significantly increased risk of mental health challenges such as depression, anxiety and stress. However, healthcare services often remain siloed, treating physical and mental health separately. This complicates care for individuals with multiple chronic conditions. This multiyear study will adapt, test and accelerate changes to regional care delivery models in Eastern Ontario to optimise brain-heart health and generate knowledge to support the spread and scale of effective interventions that address community needs and priorities. We aim to: (1) identify resource gaps by mapping available services; (2) document strengths and challenges in care delivery; and (3) co-design, pilot test and evaluate an intervention developed based on the priority gap area(s) identified through objectives (1) and (2).Methods and analysis This community-based participatory action research study is led by a research coalition of patient and caregiver partners, care providers and leadership staff from two Ontario Health Teams. In Year 1, we will conduct asset mapping and community consultations with individuals living with heart failure, caregivers, care providers and service organisations to identify care gaps, strengths and opportunities for improvement around modifiable behavioural risk factors and brain-heart health. A scoping review will identify evidence-based strategies to address care gaps and inform the co-design of an intervention focused on supporting individuals with brain-heart interconnected conditions. In Year 2, we will co-design an intervention with community partners for implementation with clinical test sites. Year 3 will involve pilot testing the intervention and conducting outcome and process evaluations. This will inform future spread and scale of the intervention to other brain-heart conditions and new jurisdictions.Ethics and dissemination The study is approved by the Bruyère Health Research Ethics Board (M16-24-016). Findings will be disseminated through peer-reviewed publications, conference presentations and knowledge mobilisation activities such as social media, community events and local media outreach, as well as through dedicated engagement with Ontario Health partners and the Brain-Heart Interconnectome Network via retreats and collaborative forums.",
  "authors": [
    {
      "affiliations": [
        "Bruyère Health Research Institute, Ottawa, Ontario, Canada"
      ],
      "name": "Sarisha Philip"
    },
    {
      "affiliations": [
        "Bruyère Health Research Institute, Ottawa, Ontario, Canada",
        "University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Simone Dahrouge"
    },
    {
      "affiliations": [
        "University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Rebecca L Valade"
    },
    {
      "affiliations": [
        "Bruyère Health Research Institute, Ottawa, Ontario, Canada"
      ],
      "name": "Eunice Hammond"
    },
    {
      "affiliations": [
        "Bruyère Health Research Institute, Ottawa, Ontario, Canada"
      ],
      "name": "Alexis Aomreore"
    },
    {
      "affiliations": [
        "University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Marjan Hosseini"
    },
    {
      "affiliations": [
        "Bruyère Health Research Institute, Ottawa, Ontario, Canada",
        "University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Douglas Archibald"
    },
    {
      "affiliations": [
        "Faculty of Medicine, McGill University, Montreal, Quebec, Canada"
      ],
      "name": "Khajadour Bandk"
    },
    {
      "affiliations": [
        "Centre de Santé de l’Estrie, Cornwall, Ontario, Canada"
      ],
      "name": "Paulo Antunes"
    },
    {
      "affiliations": [
        "Archipel Ontario Health Team, Vanier, Ontario, Canada"
      ],
      "name": "Joël Assaouré"
    },
    {
      "affiliations": [
        "Archipel Ontario Health Team, Vanier, Ontario, Canada"
      ],
      "name": "Pierre Benoit"
    },
    {
      "affiliations": [
        "Great River Ontario Health Team, Cornwall, Ontario, Canada"
      ],
      "name": "Diane Plourde"
    },
    {
      "affiliations": [
        "University of Ottawa, Ottawa, Ontario, Canada",
        "Montfort Hospital, Ottawa, Ontario, Canada",
        "Orleans Cardiopulmonary Group, Orléans, Ontario, Canada"
      ],
      "name": "Roland Sabbagh"
    },
    {
      "affiliations": [
        "Archipel Ontario Health Team, Vanier, Ontario, Canada"
      ],
      "name": "Elie Skaff"
    },
    {
      "affiliations": [
        "Great River Ontario Health Team, Cornwall, Ontario, Canada"
      ],
      "name": "Joy Seguin"
    },
    {
      "affiliations": [
        "Montfort Renaissance, Ottawa, Ontario, Canada"
      ],
      "name": "Elizabeth Tanguay"
    },
    {
      "affiliations": [
        "Bruyère Health Research Institute, Ottawa, Ontario, Canada"
      ],
      "name": "Vivian Welch"
    },
    {
      "affiliations": [
        "University of Ottawa Heart Institute, Ottawa, Ontario, Canada"
      ],
      "name": "Peter Liu"
    },
    {
      "affiliations": [
        "Bruyère Health Research Institute, Ottawa, Ontario, Canada",
        "Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Krystal Kehoe MacLeod"
    }
  ],
  "title": "Optimising regional care delivery systems targeting adults with heart failure and mental health interconnected conditions: a participatory action research study protocol",
  "uid": "67d4da17-271d-5fbe-9c73-d507f0b58f7e"
}