{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:06:56Z","timestamp":1783404416293,"version":"3.54.6"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T00:00:00Z","timestamp":1741046400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005247","name":"University of British Columbia","doi-asserted-by":"publisher","award":["[F23-02838]"],"award-info":[{"award-number":["[F23-02838]"]}],"id":[{"id":"10.13039\/501100005247","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005247","name":"University of British Columbia","doi-asserted-by":"publisher","award":["[F23-04254]"],"award-info":[{"award-number":["[F23-04254]"]}],"id":[{"id":"10.13039\/501100005247","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Can. J. Aging"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The devastating impacts of the COVID-19 pandemic highlighted the missing voices of families and residents in long-term care (LTC) decision-making and policy processes. Family and resident councils constitute one method of raising these voices, but there is currently a gap in evidence of how to promote the effectiveness of these councils. We conducted five focus groups and two interviews with LTC home leaders, residents, family members, and advocates in British Columbia using a participatory approach integrating knowledge-users throughout the research process. Using a framework analysis, we found modifiable (communication, structure, recruitment\/engagement, council leadership, culture\/attitudes, and resources\/supports) and non-modifiable factors (medical complexity of residents and short lengths of stay) affecting council effectiveness. We discuss strategies implemented by knowledge-users to address modifiable effectiveness factors and construct a preliminary tool (a 35-question survey) that operationalizes and identifies areas that can increase council effectiveness in practice to ensure that their voices are heard in LTC decision making.<\/jats:p>","DOI":"10.1017\/s0714980825000029","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T04:19:11Z","timestamp":1741061951000},"page":"225-234","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Raise Your Voice: How to Increase the Effectiveness of Resident and Family Councils in Long-Term Care Homes"],"prefix":"10.1017","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5546-3104","authenticated-orcid":false,"given":"Sabina","family":"Staempfli","sequence":"first","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farinaz","family":"Havaei","sequence":"additional","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Dawson","sequence":"additional","affiliation":[{"name":"Independent Long-Term Care Councils Association of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5173-1175","authenticated-orcid":false,"given":"Sheila","family":"Novek","sequence":"additional","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Slater","sequence":"additional","affiliation":[{"name":"Vancouver Island Association of Family COuncils"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Kaulius","sequence":"additional","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amira","family":"Ahmed","sequence":"additional","affiliation":[{"name":"University of British Columbia Okanagan"},{"name":"Department of Radio and Television, Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,3,4]]},"reference":[{"key":"S0714980825000029_r24","doi-asserted-by":"publisher","DOI":"10.1177\/0733464809348002"},{"key":"S0714980825000029_r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2007.01.002"},{"key":"S0714980825000029_r25","unstructured":"Office of the Seniors Advocate. (2024). 2023\u20132024 annual report of the office of the seniors advocate. https:\/\/www.seniorsadvocatebc.ca\/app\/uploads\/sites\/4\/2024\/07\/OSA-Annual-Report-2023_24_FINAL.pdf"},{"key":"S0714980825000029_r18","doi-asserted-by":"publisher","DOI":"10.1007\/s11205-011-9843-4"},{"key":"S0714980825000029_r26","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"S0714980825000029_r19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2012.00665.x"},{"key":"S0714980825000029_r32","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917733847"},{"key":"S0714980825000029_r12","unstructured":"Ernst, & Young. (2020). BC Ministry of Health Long-term care COVID-19 Response Review. https:\/\/news.gov.bc.ca\/files\/1.25.2021_LTC_COVID-19_Response_Review.pdf"},{"key":"S0714980825000029_r2","doi-asserted-by":"publisher","DOI":"10.1177\/0733464820961257"},{"key":"S0714980825000029_r6","unstructured":"British Columbia Ministry of Health. (2023, February 22). Resident and Family Councils. https:\/\/www2.gov.bc.ca\/gov\/content\/health\/accessing-health-care\/home-community-care\/accountability\/family-and-resident-councils"},{"key":"S0714980825000029_r20","doi-asserted-by":"publisher","DOI":"10.1080\/08959420.2022.2138066"},{"key":"S0714980825000029_r13","doi-asserted-by":"publisher","DOI":"10.1139\/facets-2020-0056"},{"key":"S0714980825000029_r1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2006.00566.x"},{"key":"S0714980825000029_r4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0250999"},{"key":"S0714980825000029_r5","unstructured":"British Columbia Ministry of Health. (2022, November 3). Residents, family will have stronger voices in long-term care homes | BC Gov News. https:\/\/news.gov.bc.ca\/releases\/2022HLTH0214-001642"},{"key":"S0714980825000029_r30","doi-asserted-by":"publisher","DOI":"10.5770\/cgj.23.476"},{"key":"S0714980825000029_r3","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2021.07.018"},{"key":"S0714980825000029_r28","doi-asserted-by":"publisher","DOI":"10.1002\/chp.189"},{"key":"S0714980825000029_r27","unstructured":"Parry, D. , Salsberg, J. , & Macaulay, A. C. (2015, September 29). Guide to researcher and knowledge-user collaboration in health research. 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(2021). The Impact of COVID-19 on Long-Term Care in Canada: Focus on the First 6 Months. p1\u201334. Retrieved December 2023 from https:\/\/www.cihi.ca\/sites\/default\/files\/document\/impact-covid-19-long-term-care-canada-first-6-months-report-en.pdf"},{"key":"S0714980825000029_r31","doi-asserted-by":"publisher","DOI":"10.1108\/WWOP-11-2015-0029"},{"key":"S0714980825000029_r33","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"S0714980825000029_r11","doi-asserted-by":"publisher","DOI":"10.1177\/0733464820912365"}],"container-title":["Canadian Journal on Aging \/ La Revue canadienne du vieillissement"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0714980825000029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T08:42:53Z","timestamp":1768898573000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0714980825000029\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,4]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["S0714980825000029"],"URL":"https:\/\/doi.org\/10.1017\/s0714980825000029","relation":{},"ISSN":["0714-9808","1710-1107"],"issn-type":[{"value":"0714-9808","type":"print"},{"value":"1710-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,4]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of The Canadian Association on Gerontology","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}