A5082443415- Obesity and Health Practices
- Primary Care and Health Outcomes
- Health Promotion and Cardiovascular Prevention
- Health Policy Implementation Science
- Chronic Disease Management Strategies
- Clinical practice guidelines implementation
- Diabetes Management and Education
- Health Systems, Economic Evaluations, Quality of Life
- Bariatric Surgery and Outcomes
- Innovations in Medical Education
- Mobile Health and mHealth Applications
- Diabetes Treatment and Management
- Global Cancer Incidence and Screening
- Empathy and Medical Education
- Obesity, Physical Activity, Diet
- Health Sciences Research and Education
- Diet and metabolism studies
- Osteoarthritis Treatment and Mechanisms
- Meta-analysis and systematic reviews
- Migration, Health and Trauma
- Mental Health and Patient Involvement
- Digital Mental Health Interventions
- Lipoproteins and Cardiovascular Health
- Healthcare cost, quality, practices
- Electronic Health Records Systems
University of Alberta
2016-2025
Grey Nuns Community Hospital
2010-2024
Institute for Learning and Development
2021-2024
Covenant Health
2014-2024
Mount Royal University
2023
Day Family Medicine
2021
University of Missouri
2021
Alberta Hospital Edmonton
2021
Johnson University
2019
University of Lethbridge
2017-2019
KEY POINTS Obesity is a complex chronic disease in which abnormal or excess body fat (adiposity) impairs health, increases the risk of long-term medical complications and reduces lifespan.[1][1] Epidemiologic studies define obesity using mass index (BMI; weight/height2), can stratify
Primary care provides most of the evidence-based chronic disease prevention and screening services offered by healthcare system. However, there remains a gap between recommended preventive actual practice. This trial (the BETTER Trial) aimed to improve heart disease, diabetes, colorectal, breast cervical cancers, relevant lifestyle factors through practice facilitation intervention set in primary care. Pragmatic two-way factorial cluster RCT with Care Physicians' practices as unit allocation...
<b>Objective</b> To determine the quality of health recommendations and claims made on popular medical talk shows. <b>Design</b> Prospective observational study. <b>Setting</b> Mainstream television media. <b>Sources</b> Internationally syndicated shows that air daily (<i>The Dr Oz Show</i> <i>The Doctors</i>). <b>Interventions</b> Investigators randomly selected 40 episodes each Doctors</i> from early 2013 identified evaluated all program. A group experienced evidence reviewers...
For successful implementation of an innovation within a complex adaptive system, we need to understand the ways that processes and their contexts shape each other. To do this, explore work people make sense integrate it into workflow contextual elements impact implementation. Combining Normalization Process Theory (NPT) with Consolidated Framework for Implementation Research (CFIR) offers approach achieve this. NPT is process theory explains how changes in way think about use occurs, while...
Background Despite a doubling of osteoarthritis-targeted mobile health (mHealth) apps and high user interest demand for apps, their impact on patients, patient outcomes, providers has not met expectations. Most medical fail to retain users longer than 90 days, potential facilitating disease management, data sharing, patient-provider communication is untapped. An important, recurrent criticism app technology development low integration design. User ensures needs, desires, functional...
Abstract Background Sodium-glucose cotransporter-2 inhibitors (SGLT2i) and glucagon-like peptide-1 receptor agonists (GLP-1RA) have shown benefits in patients with diabetes cardiovascular disease (CVD), heart failure (HF), chronic kidney (CKD). Objective We assessed benchmark outcomes (Hemoglobin A1c, LDL-C, blood pressure), identified the prevalence of cardiorenal indications for SGLT2i GLP-1RA, compared prescribing rates GLP1-RA those without indications. Methods analyzed data from January...
Background: Liver cirrhosis carries high symptom burden and health care utilization. Palliative (PC) has demonstrated improvements in overall quality of life. Despite this, PC remains underutilized patients with chronic liver disease. As a step to bridge this gap, we developed cirrhosiscare.ca as an easy-to-access, evidence-, expert consensus-based online resource for providers. Methods: This short report describes the development practitioner ‘Symptom Management’ section...
Over 60% of people have overweight or obesity, but only a third report receiving counselling from primary care providers. We explored patients' perspectives on the role in obesity management and their experience with existing resources, view to develop an improved understanding this perspective, more effective strategies.Qualitative study employing semi-structured interviews thematic analysis, sample 28 patients cohort 255 living support weight large Primary Care Network family practices...
Objective To elicit perspectives of family physicians and patients with knee osteoarthritis (KOA) on KOA, its treatment/management the use a mobile health application (app) to help self-manage their KOA. Design A qualitative study using Cognitive Task Analysis for physician interviews peer-to-peer semistructured according Patient Community Engagement Research (PaCER) method. Setting Primary care practices patient researchers at an academic centre in Southern Alberta. Participants Intentional...
High-quality data are fundamental to healthcare research, future applications of artificial intelligence and advancing delivery outcomes through a learning health system. Although routinely collected administrative electronic medical record rich sources information, they have significant limitations. Through four example projects from the Physician Learning Program in Edmonton, Alberta, Canada, we illustrate barriers using conduct research engage clinical quality improvement. These include...
Linked electronic medical records and administrative data have the potential to support a learning health system data-driven quality improvement. However, completeness accuracy must first be assessed before their application. We evaluated processes, feasibility, limitations of linking for purpose improvement within five specialist diabetes clinics in Edmonton, Alberta, province known its robust infrastructure.We conducted retrospective cross-sectional analysis using record individuals ≥ 18...
Obesity is a pressing public health concern, which frequently presents in primary care. With the explosive obesity epidemic, there an urgent need to maximize effective management The 5As of Management™ (5As) are collection knowledge tools developed by Canadian Network. Low rates visits care suggest provider behaviour may be important variable. goal present study increase frequency and quality using Team (5AsT) intervention change behaviour. 5AsT trial theoretically informed, pragmatic...
Despite several clinical practice guidelines, there remains a considerable gap in prevention and management of obesity primary care. To address the need for changing provider behaviour, randomized controlled trial with convergent mixed method evaluation, 5As Team (5AsT) study, was conducted. As part 5AsT intervention, tool kit developed. This paper describes development process evaluation these tools. Tools were co-developed by multidisciplinary research team 5AsT, which included registered...
Summary Increasingly, research is directed at advancing methods to address obesity management in primary care. In this paper we describe the role of interdisciplinary collaboration, or lack thereof, patient weight within 12 teams a large care network A lberta, C anada. Qualitative data for present analysis were derived from 5As Team (5 AsT ) trial, mixed‐method randomized control trial 6‐month participatory, team‐based educational intervention aimed improving quality and quantity encounters...
The Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Family Practice (BETTER) trial demonstrated the effectiveness of an approach chronic disease prevention screening (CDPS) through a new skilled role 'prevention practitioner'(PP). PP has appointments with patients 40–65 years age that focus primary activities cancer (breast, colorectal, cervical), diabetes cardiovascular associated lifestyle factors. There are numerous occasionally conflicting evidence-based...
<h3>Background:</h3> The implementation of interventions to support practice change in primary care settings is complex. Pragmatic strategies, grounded empiric data, are needed navigate real-world challenges and unanticipated interactions with context that can impact outcomes. <h3>Objective:</h3> This article uses the example "5As Team" randomized control trial explore strategies promote knowledge transfer, capacity building, integration, their interaction within an interdisciplinary team....
Summary The 5As T eam study was designed to create, implement and evaluate a flexible intervention improve the quality quantity of weight management visits in primary care. objective this portion explore how care providers incorporate their practice. 5AsT is randomized controlled trial ( RCT ) on implementation 6‐month 5 A s Team operationalize obesity Data for qualitative presented here included semi‐structured interviews with 29 multidisciplinary team field notes sessions. Thematic...
The objectives of this paper are to describe the planned implementation and evaluation Building on Existing Tools Improve Chronic Disease Prevention Screening in Primary Care (BETTER 2) program which originated from BETTER trial. pragmatic trial, informed by Model, demonstrated effectiveness an approach (CDPS) involving use a new role, prevention practitioner. desired goals improved clinical outcomes, reduction burden chronic disease, sustainability health-care system through CDPS primary...
Abstract Background Despite opportunities for didactic education on obesity management, we still observe low rates of weight management visits in our primary care setting. This paper describes the co-creation by front-line interdisciplinary health providers and researchers 5As Team intervention to improve prevention care. Methods We describe theoretical foundations, design, core elements 5AsT intervention, process eliciting practitioners’ self-identified knowledge gaps inform curricula...
The 5As [Ask, Assess, Advise, Agree, Assist] of Obesity Management Team study was a randomized controlled trial an intervention that implemented and evaluated to help primary care providers improve clinical practice for obesity management. This paper presents health provider perspectives the impacts on individual team practices.This reports thematic network analysis qualitative data collected during study, which involved 24 chronic disease teams affiliated with family practices in Primary...