A5007316691- Diabetes Management and Education
- Mobile Health and mHealth Applications
- Healthcare cost, quality, practices
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Hepatitis B Virus Studies
- Health Literacy and Information Accessibility
- Dialysis and Renal Disease Management
- Hepatitis Viruses Studies and Epidemiology
- Urologic and reproductive health conditions
- Chronic Kidney Disease and Diabetes
- Clinical practice guidelines implementation
- Head and Neck Surgical Oncology
- Genital Health and Disease
- Prostate Cancer Diagnosis and Treatment
- Vascular Malformations and Hemangiomas
- Intramuscular injections and effects
- Diabetic Foot Ulcer Assessment and Management
- Medication Adherence and Compliance
- Botulinum Toxin and Related Neurological Disorders
- COVID-19 epidemiological studies
- Viral gastroenteritis research and epidemiology
- Ethics in Clinical Research
- Liver Diseases and Immunity
University of Calgary
2018-2023
University College Hospital
2020
University College London
2020
The University of Sydney
2019
Background Supporting patients to self-manage their chronic kidney disease (CKD) has been identified as a research priority by with CKD and those who care for them. Self-management shown slow progression improve the quality of life individuals living disease. Previous work need person-centered, theory-informed, web-based tool self-management that can be individualized patient’s unique situation, priorities, preferences. We addressed this gap using an integrated knowledge translation method...
The Kidney Failure Risk Equation (KFRE) predicts risk of progression to kidney failure and is used guide clinical decisions for patients with chronic disease (CKD). KFRE was implemented access multidisciplinary care CKD in Alberta, Canada, based on their 2-year failure. We a mixed methods approach investigate patients' providers' perspectives experiences 1 year following implementation. conducted post-implementation interviews clinic providers low-risk who transitioned from general...
Electronic health (e-health) tools may support patients' self-management of chronic kidney disease. We aimed to identify preferences patients with disease, caregivers and care providers regarding content features for an e-health tool disease self-management.A patient-oriented research approach was taken, 6 patient partners (5 1 caregiver) involved in study design, data collection review results. Patients, clinicians from across Canada participated a 1-day consensus workshop June 2018. Using...
There is limited research of electronic tools for self-management patients with chronic kidney disease (CKD). We sought to evaluate participant engagement, perceived self-efficacy and website usage in a preliminary evaluation My Kidneys Health, patient-facing eHealth tool Canada.We conducted an explanatory sequential mixed-methods study adults CKD who were not on replacement therapy had access Health 8 weeks. Outcomes included acceptance (measured by the Technology Acceptance Model), Chronic...
The kidney failure risk equation (KFRE) provides an estimate of progression to failure, and may guide clinical care.We aimed describe patient, family, health care provider's perspectives the perceived benefits challenges using a risk-based approach delivery for patients with advanced chronic disease (CKD), refine implementation based on their input.We used qualitative methodology explore implementing (using KFRE) determine eligibility multidisciplinary CKD in Southern Alberta. We obtained...
Although numerous websites for patients with chronic kidney disease (CKD) are available, little is known about their content and quality.
Background: Risk prediction tools are used in a variety of clinical settings to guide patient care, although their use chronic kidney disease (CKD) care is limited. Objectives: To assess the association risk-based model CKD on satisfaction, outcomes, and cost. Design: Mixed-methods with pre-post design. Setting: We will mixed-methods design evaluate Kidney Failure Equation (KFRE) care. The KFRE be applied patients currently followed nephrology multidisciplinary clinics Alberta, as well new...
Background: Data on dissemination strategies that generate awareness of clinical pathways for kidney care are limited. Objective: This study reports the application Google Analytics to describe reach and use Chronic Kidney Disease Pathway (CKD-P) using a multi-faceted strategy. Design: The design this is retrospective descriptive study. Setting: was conducted in Alberta, Canada. Patients: Individuals who accessed CKD-P Web site between November 5, 2014, May 31, 2019. Measurements:...
Abstract Background Clinical pathways aim to improve patient care. We sought determine whether an online chronic kidney disease (CKD) clinical pathway was associated with improvements in CKD management. Methods conducted a retrospective pre/post population-based cohort study using linked health data from Alberta, Canada. included adults 18 years or older mean estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73m 2 . The primary outcome measurement of outpatient urine albumin...
Background Gaps in identification, medical management and appropriate referral for patients with chronic kidney disease (CKD) are evident. Objective We designed implemented an interactive educational intervention (accredited workshop) to improve primary care providers’ awareness of tools support guideline-concordant CKD management. Design used the Kern method design targeted accredited workshops team members (physicians, nurses allied health) Alberta, Canada. conducted anonymous pre-workshop...
Self-management focused interventions to slow chronic kidney disease (CKD) progression are increasingly common. However, valid self-report instruments evaluate the effectiveness of self-management in CKD limited.We sought develop and conduct preliminary psychometric testing a patient-informed questionnaire assess aspects for patients with categories G2-G5 (not on replacement therapy [KRT]).Self-administered electronic questionnaires (multiphase).Online.Canadian adults KRT).The CKD-SM was...
The kidney failure risk equation (KFRE) can be used to predict progression end-stage disease in a clinical setting.Evaluate implementation of formalized risk-based approach nephrologists' outpatient clinics and multidisciplinary chronic (CKD) determine candidacy for care, the impact CKD care selection on outcomes.Population-based descriptive cohort study.Alberta Kidney Care South.Adults attending or considered clinic between April 1, 2017, March 31, 2019.Exposure-The course assigned by...
<sec> <title>BACKGROUND</title> Supporting patients to self-manage their chronic kidney disease (CKD) has been identified as a research priority by with CKD and those who care for them. Self-management shown slow progression improve the quality of life individuals living disease. Previous work need person-centered, theory-informed, web-based tool self-management that can be individualized patient’s unique situation, priorities, preferences. We addressed this gap using an integrated knowledge...
Interventions to slow chronic kidney disease (CKD) progression through improved self-management in early stage CKD are increasingly common. However, valid self-report instruments evaluate outcomes of interventions limited. We sought develop and conduct preliminary psychometric testing a patient-informed questionnaire assess (esCKD-SM).
Abstract Background Clinical pathways aim to improve patient care. We sought determine whether an online chronic kidney disease (CKD) clinical pathway was associated with improvements in CKD management. Methods conducted a retrospective pre/post population-based cohort study using linked health data from Alberta, Canada. included adults 18 years or older mean estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73m 2 . The primary outcome measurement of outpatient urine albumin...