“Fail-Fast” Implementation of The Happiness Programme in Canadian Long-Term Care

As Canada's population ages, Long-Term Care (LTC) homes face increasing pressure to deliver effective care amid staffing shortages and growing resident complexity. Technology-based recreational interventions may be promising tools to support resident well-being. We evaluated the implementation of The Happiness Programme, a light-projection-based recreational technology, using a "fail-fast" method. Training was provided and the program was integrated into routine care for 6 months. Data were collected through surveys, along with usage of metrics and tracking of resident engagement. Surveys showed that the technology was easy to use and especially useful for residents with limited mobility or lower cognitive function. Technical issues impeded consistent use. Our findings suggest that while The Happiness Programme offers value for specific subgroups of residents, its broader impact is contingent on strong infrastructure, staff capacity, and ongoing support. This study emphasizes the overall value in "failing fast" when evaluating innovations in a long-term care setting.

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Publication Details

Journal
Healthcare Management Forum
Published
2026-02-04
DOI
https://doi.org/10.1177/08404704251411454
Primary Topic
Geriatric Care and Nursing Homes
Type
article
Field-Weighted Citation Impact
0.00
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article

“Fail-Fast” Implementation of The Happiness Programme in Canadian Long-Term Care

Alyson Rowe, Niloofar Heidarinejad, Rebecca J. Seymour, Mackensey Bacon et al.
Healthcare Management Forum
Geriatric Care and Nursing Homes
article

“Fail-Fast” Implementation of The Happiness Programme in Canadian Long-Term Care

Alyson Rowe, Niloofar Heidarinejad, Rebecca J. Seymour, Mackensey Bacon, Jean-Eric Tarride, Deborah Fernandes, Mieke Ewens
article en

Abstract

As Canada's population ages, Long-Term Care (LTC) homes face increasing pressure to deliver effective care amid staffing shortages and growing resident complexity. Technology-based recreational interventions may be promising tools to support resident well-being. We evaluated the implementation of The Happiness Programme, a light-projection-based recreational technology, using a "fail-fast" method. Training was provided and the program was integrated into routine care for 6 months. Data were collected through surveys, along with usage of metrics and tracking of resident engagement. Surveys showed that the technology was easy to use and especially useful for residents with limited mobility or lower cognitive function. Technical issues impeded consistent use. Our findings suggest that while The Happiness Programme offers value for specific subgroups of residents, its broader impact is contingent on strong infrastructure, staff capacity, and ongoing support. This study emphasizes the overall value in "failing fast" when evaluating innovations in a long-term care setting.

Healthcare Management Forum
St. Joseph Health System (US), St. Joseph’s Healthcare Hamilton (CA), McMaster University (CA)
Industry, innovation and infrastructure
Openalex Percentile: Top 69%
Geriatric Care and Nursing Homes
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