A5025020009- Remote Sensing and Land Use
- Advanced Computational Techniques and Applications
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Global Maternal and Child Health
- Primary Care and Health Outcomes
- Stroke Rehabilitation and Recovery
- Dementia and Cognitive Impairment Research
- Aging and Gerontology Research
- Geriatric Care and Nursing Homes
- Meta-analysis and systematic reviews
- Olfactory and Sensory Function Studies
- Healthcare cost, quality, practices
- Global Health and Surgery
- Child and Adolescent Health
- Global Public Health Policies and Epidemiology
- Empathy and Medical Education
- Traumatic Brain Injury Research
- Race, Genetics, and Society
- Statistical and Computational Modeling
- Human Resource Development and Performance Evaluation
- E-commerce and Technology Innovations
North York General Hospital
2017-2024
Sheridan College
2022
Jet Propulsion Laboratory
2017-2021
Institute of Electrical and Electronics Engineers
2017-2021
Canadian Standards Association
2020-2021
Pyramid Technical Consultants (United States)
2018
Health Innovations (United States)
2018
St. Michael's Hospital
2013-2018
University of Toronto
2013-2018
Women's College Hospital
2014-2018
This paper describes the findings of a pilot implementation project that explored potential virtual reality (VR) technology in recreational programming to support well-being older adults long-term care (LTC) homes.32 Adults four LTC homes participated where they viewed VR experiences popular locations Canada created especially for this project. Data are based on multiple viewing (n = 102) over two-week period.VR appeared be an effective distraction from pain participants. Participants study...
Practice guideline (PG) implementability refers to PG features that promote their use. While there are tools and resources implementability, none based on an evidence-informed multidisciplinary perspective. Our objectives were (i) create a comprehensive model of (ii) seek support for the from international community, (iii) map existing model, (iv) prioritize areas further investigation, (v) describe how can be used by developers, users, researchers. A mixed methods approach was used. Using...
Low- and middle-income countries (LMICs) are developing novel approaches to healthcare that may be relevant high-income (HICs). These include products, services, organizational processes, or policies improve access, cost, efficiency of healthcare. However, given the challenge replication, it is difficult identify innovations could successfully adapted settings. We present a set criteria for evaluating potential impact LMIC in HIC An initial framework was drafted based on literature review,...
The potential of clinical practice guidelines has not been realized due to inconsistent adoption in practice. Optimising intrinsic characteristics (e.g., its wording and format) that are associated with uptake (as perceived by their end users) may have potential. Using findings from a realist review on guideline consultation experts development, we designed conceptual version future tool called Guideline Implementability Tool (GUIDE-IT). will aim involve family physicians the development...
Abstract Background The impact of social frailty on older adults is profound including mortality risk, functional decline, falls, and disability. However, effective strategies that respond to the needs socially frail are lacking few studies have unpacked how determinants operate or interventions can be adapted during periods requiring distancing isolation such as COVID-19 pandemic. To address these gaps, we conducted a scoping review using JBI methodology identify best potential help (age...
Positive impacts of quality improvement initiatives on health care and services have not been substantial. Knowledge translation (KT) strategies (tools, products interventions) strive to facilitate the uptake knowledge thereby potential improve care, but there is little guidance how develop them. Existing KT or planning tools fall short in operationalizing all aspects practice activities conducted by users (researchers, clinicians, patients, decision-makers), most do consider their variable...
To document the reactions and experiences of older persons during COVID-19 pandemic, we have conducted a qualitative study 25 adults (50 years age older) throughout using serial interviewing methods. This analysis reports on data collected from first two rounds interviews - one in summer 2020 fall 2020. Our thematic found eight major themes: thoughts dangers how virus has changed daily life (including social life), health care COVID (being caregiver, losing loved one, seeking care), missing...
This scoping review focused on the existing scholarly literature exploring sensory interventions and immersive environments developed for, used by, older adults living with dementia. The purpose of is 1) to understand various that have been developed, used, provided data show how such are expected impact lives individuals dementia; 2) field moving forward. We chose map types interventions, outcomes measured, contexts their implementation. Our search was constrained references from 1990 1...
This manuscript describes the implementation of a Virtual Reality (VR) recreation program at long-term care sites across Ontario, Canada, using RE-AIM Framework to guide and its evaluation.We developed VR enhance lives residents, through 3 sequential phases. In Phase 1, we learned about resident staff needs focus groups, surveys observations. 2, 10 experiences, based on data from 1. 3, implemented experiences supporting manual measured their implementation, Framework.We found be highly (but...
Many health service delivery models are adapting services to meet rising demand and evolving burdens in low- middle-income countries. While innovative private sector provide potential benefits care delivery, the evidence base on characteristics impact of such approaches is limited. We have developed a performance measurement framework that provides credible (relevant aspects performance), feasible (available data), comparable (across different organizations) metrics can be obtained for...
Introduction In response to the burden of chronic disease among older adults, different self-management tools have been created optimise management. However, these seldom consider all aspects management are not usually developed specifically for seniors or sustained use and primarily focused on a single disease. We an eHealth application called ‘KeepWell’ that supports with complex care needs in their homes. It incorporates two more conditions from most prevalent high-burden diseases....
Abstract Objectives To evaluate the sustainability potential of Choosing Wisely (CW) to address unnecessary medical care at Ontario community hospitals. Data Sources/Study Setting hospitals and their affiliated family health teams (FHTs). Study Design A mixed‐methods study involving administration a validated survey CW implementation followed by participation in focus groups. Collection/Extraction Methods Survey data were collected using an Excel file with embedded, automated scoring system....
Abstract BackgroundEvidence shows that 30% of healthcare services are unnecessary and unlikely to benefit patients may even be harmful. Choosing Wisely (CW) is a physician-initiated, international campaign (with campaigns in at least 20 countries) aimed addressing medical care through the provision evidence-based resources clinical guidance. Our objectives were evaluate sustainability potential CW across four Ontario community hospitals affiliated family health teams (FHT). MethodsWe...
Background Scaling up innovative healthcare programs offers a means to improve access, quality, and health equity across multiple areas. Despite large numbers of promising projects, little is known about successful efforts scale up. This study examines trans-national scale, whereby program operates in two or more countries. Trans-national distinct measure that reflects opportunities replicate countries, thereby providing services broader populations. Methods Based on the Center for Health...