A5061128959- HIV/AIDS Research and Interventions
- HIV-related health complications and treatments
- HIV, Drug Use, Sexual Risk
- HIV Research and Treatment
- Public Health Policies and Education
- Mental Health and Patient Involvement
- COVID-19 Digital Contact Tracing
- Pneumocystis jirovecii pneumonia detection and treatment
- Maternal Mental Health During Pregnancy and Postpartum
- HIV/AIDS oral health manifestations
- Diabetes Management and Education
- Homelessness and Social Issues
- Mobile Health and mHealth Applications
- Data-Driven Disease Surveillance
- Focus Groups and Qualitative Methods
- Telemedicine and Telehealth Implementation
- Health Policy Implementation Science
- Social Media in Health Education
- Interdisciplinary Research and Collaboration
- Resilience and Mental Health
- Zoonotic diseases and public health
- Socioeconomic Development in MENA
- Healthcare Systems and Practices
- Family Caregiving in Mental Illness
- LGBTQ Health, Identity, and Policy
University of Toronto
2020-2025
Public Health Ontario
2021-2025
3M (United States)
2024
St. Michael's Hospital
2018-2020
Bridge University
2020
Johns Hopkins University
2020
Unity Health Toronto
2020
Health Solutions (Sweden)
2018
Ontario HIV Treatment Network
2014
Abstract Background Widespread digital transformation necessitates developing competencies for public health practice. Given work in 2024 to update Canada’s core competencies, there are opportunities consider competencies. In our previous research, we identified competency and training recommendations within the literature. this study, explored practitioners' experiences perspectives on adapting Canada. Methods Between November December 2023, conducted an interpretive description using four...
Community-based research in HIV Canada is a complex undertaking. Including peer researchers living with meaningfully intricate and costly. However, this inclusion guarantees results that translate to community action, policy-making, public awareness. HIV+ expedites the path from intervention. we must constantly review our support light of three implicit tasks performed by researchers: constant disclosure, emotional labor, advocating for meaningful participation. Our team offers four pillars...
HIV increasingly is experienced as a complex chronic illness where individuals are living longer with range of physical, cognitive, mental and social health-related challenges associated HIV, comorbidities aging, concept that may be termed 'disability'. Rehabilitation such physical therapy occupational can help address disability has the potential to improve quality life in people HIV. Hence, role for rehabilitation context aging emerging. Our aim was establish framework research priorities...
<title>Abstract</title> Background The opioid crisis is a major public health issue in Canada, with prairie provinces such as Saskatchewan experiencing particularly high rates of opioid-related harms. Factors contributing to this include an unstable drug supply, limited access harm reduction services, and structural challenges poverty housing instability. rise fentanyl has further exacerbated overdose risks, among people who use drugs. Harm programs, education naloxone distribution, have...
<sec> <title>BACKGROUND</title> The digital transformation of public health highlights the growing need for new competencies to tackle evolving and contemporary challenges. While some institutions schools worldwide have begun addressing this through various approaches, many in Canada yet do so. To support systematic competency curriculum development, we mapped explored existing (DPH) training programs, identifying common curricula content, approaches disciplinary perspectives. </sec>...
People aging with HIV can experience a variety of health challenges associated and multimorbidity, referred to as 'disability'. Our aim was characterize the disability examine relationships between dimensions among adults living HIV. We performed structural equation modeling analysis data from Canadian web-based HIV, Health Rehabilitation Survey. measured using Disability Questionnaire (HDQ), patient-reported outcome (69 items) that measures presence, severity episodic features across six...
Abstract Background Experiences of HIV stigma remain prevalent across Canada, causing significant stress and negatively affecting the health wellbeing people living with HIV. While studies have consistently demonstrated that impacts health, there has been limited research on mechanisms behind these effects. This study aims to identify which dimensions relationships self-rated examine by those types impact health. Methods We recruited 724 participants complete People Living Stigma Index in...
Abstract Background People living with HIV are longer, and can experience physical, mental social health challenges associated aging multimorbidity. Rehabilitation is well positioned to address disability maximize healthy aging. An international collaborative network, called the Canada-International Research Collaborative (CIHRRC), works guide this emerging field. In article, we report findings from CIHRRC’s aim identify research priorities in HIV, rehabilitation perspectives of people...
Since the beginning of HIV/AIDS epidemic, gay, bisexual, and other men who have sex with (gbMSM) been disproportionately impacted by health disparities. Research showed that resilience to is associated increased use relevant services, lower sexual risks, improved mental outcomes among racially ethnically diverse gbMSM. As subpopulation has historically longest, older gbMSM living inarguably exhibited most. The qualitative study described in this paper sought identify examine protective...
(1) Background: Although HIV has not diminished in importance Canada, the field of research remains small, and graduate students who decide to pursue careers within it feel isolated uncertain about their professional skills opportunities. Universities Without Walls (UWW) was created 2009 help redress these shortcomings. This paper presents a case study UWW, non-credit training program for emerging researchers Canada. In particular, we focus on possibilities experiential learning via online...
Background: Web or Internet-based surveys are increasingly popular in health survey research. However, the strengths and challenges of Web-based with people living human immunodeficiency virus (HIV) unclear. Objective: The aim this article is to describe our experience piloting a cross-sectional, Web-based, self-administered adults HIV using community-based participatory research approach. Methods: We piloted that investigated disability rehabilitation services use sample Canada. Community...
Objectives To describe the need for, and utility of, online community-based exercise (CBE) interventions with adults living HIV identify factors to consider in developing implementing an CBE intervention HIV. Design Qualitative descriptive study using web-based semistructured interviews. Participants We recruited representing at least one of five stakeholder groups experience and/or HIV: (1) HIV, (2) rehabilitation professionals, (3) fitness personnel, (4) educators eLearning (5)...
Introduction Our aim is to evaluate the implementation of an online telecoaching community-based exercise (CBE) intervention with goal reducing disability and enhancing physical activity health among adults living HIV. Methods analysis We will conduct a prospective longitudinal mixed-methods two-phased study pilot CBE ~30 (≥18 years) HIV who consider themselves safe participate in exercise. In phase (0–6 months), participants take part involving thrice weekly (aerobic, resistance, balance...
HIV-associated neurocognitive disorder (HAND) is common, but the lived experience of HAND not well-understood. In this descriptive qualitative study, we explored how adults with view, manage, and obtain support for cognitive difficulties. We interviewed 25 participants (20% female; median age = 51 years) who were diagnosed using neuropsychological assessment a clinical interview. Semistructured interviews, co-developed community members living HIV, focused on difficulties manifested...
Background: Human immunodeficiency virus (HIV) is increasingly considered a chronic illness. Rehabilitation can address some of the health challenges people living with HIV (PLWHIV); however, field emerging.
"U = U" is the principle that HIV untransmittable from people living with an undetectable viral-load. Wide-spread knowledge about U believed to produce public health benefit by reducing HIV-related stigma – promoting wellbeing for HIV. Therefore, we examined diffusion of respect social position sexual and gender minority men (SGMM). Participants were SGMM recruited 16 LGBTQ2S+ pride festivals across Canada. Social was measured using index assessing whether participants (a) trans, (b) a...
Objective: To examine the type and frequency of living strategies used by adults with HIV. Methods: We conducted a cross-sectional web-based survey that included 51 strategies: maintaining sense control, attitudes beliefs, blocking HIV out mind, social interaction. examined use compared proportion respondents who engaged in across 3 age-groups (<40 years, 40-49 ≥50 years). Results: Of 935 participants, majority were men (79%) most (≥60%) “most” or “all time” healthy lifestyle maintained...
The needs of people living with HIV (PLWH) who have access to antiretroviral therapy shifted from hospital community care; however, little is known about physiotherapy within community-based care. Our aim was understand strengths and challenges implementing an interprofessional day health program in Toronto, Ontario, Canada. We conducted a qualitative descriptive study using semi-structured interviews. Data were analyzed inductive content analysis. Fifteen PLWH 5 healthcare providers...
Cognitive impairment is a significant health issue for people aging with HIV/AIDS. challenges can include forgetfulness, trouble concentrating, and increasing struggles to learn new skills, all of which contribute poorer mental decreased quality life. Although there no specific drug therapy that reverse the brain impairment, group therapies may help HIV cognitive better cope their symptoms when combined usual medical treatment follow-up. This community-based study will involve peer-led focus...
HIV-Associated Neurocognitive Disorder (HAND) is an emergent public health issue in developed countries. Consequently, people living with HIV who experience HAND will increasingly require support from community-based service providers. The objective of our qualitative study was to identify barriers providers face addressing among HIV. Thirty-three 22 AIDS organizations across Ontario, Canada, were interviewed. Using thematic analysis, three types identified: (a) personal/professional, (b)...
HIV-associated neurocognitive disorders and other causes of challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience increasingly require social support mental services from community-based providers the sector.Thirty-three 22 AIDS service organizations across Ontario, Canada, were interviewed to determine strategies they used experiencing difficulties. Thematic analysis was conducted key themes...
Complementary and Alternative Medicine (CAM) is becoming a pillar in the rehabilitative efforts for many living with HIV/AIDS. A community-based research program called Living Well Lab (LWL) was established 2007, operating out of Friends For Life (FFL), non-profit wellness center Vancouver, Canada offering free CAM therapies to people Therapies range from naturopathy yoga. The LWL partnered academic community organizations evaluate use changes health quality life outcomes FFL's HIV+...
Introduction Online community-based exercise (CBE) is a digital health intervention and rehabilitation strategy that promotes among people living with HIV. Our aim was to describe the factors influencing initial implementation of pilot online CBE adults HIV using systems approach, as recommended by science specialists. Methods We piloted 6-month independent follow up, in partnership YMCA Toronto, Canada. recruited who identified themselves safe engage exercise. The phase included...
Our aim was to examine the utility of HIV Disability Questionnaire (HDQ), a patient-reported outcome measure for use in clinical practice from perspectives people living with (PLWH) and healthcare providers. We conducted qualitative descriptive study. Fifteen PLWH five providers participated an interview, which ten follow-up focus group discussion. The HDQ has value practice, including its role assessing disability, facilitating communication, tailoring treatments, guiding referrals....