Margaret Watson
- Diabetes Management and Research
- Gestational Diabetes Research and Management
- Pancreatic function and diabetes
- Telemedicine and Telehealth Implementation
- Health and Lifestyle Studies
- Healthcare Systems and Technology
- Diabetes and associated disorders
- Birth, Development, and Health
- Obesity, Physical Activity, Diet
- Rheumatoid Arthritis Research and Therapies
- Organizational Change and Leadership
- Children's Physical and Motor Development
- Patient Satisfaction in Healthcare
- Nursing Roles and Practices
- Health Systems, Economic Evaluations, Quality of Life
- Library Science and Information Literacy
- Palliative Care and End-of-Life Issues
- Legal Education and Practice Innovations
- Reflective Practices in Education
- Pregnancy and preeclampsia studies
- Counseling Practices and Supervision
- Primary Care and Health Outcomes
- Autoimmune and Inflammatory Disorders Research
- Adolescent and Pediatric Healthcare
- Global Health Workforce Issues
St Joseph's Health Centre
2020
University of Calgary
1995-2018
London Health Sciences Centre
2009-2014
Wesleyan University
1963
Pregnant women with type 1 diabetes are a high-risk population who recommended to strive for optimal glucose control, but neonatal outcomes attributed maternal hyperglycaemia remain suboptimal. Our aim was examine the effectiveness of continuous monitoring (CGM) on control and obstetric health outcomes.In this multicentre, open-label, randomised controlled trial, we recruited aged 18-40 years minimum 12 months were receiving intensive insulin therapy. Participants pregnant (≤13 weeks 6 days'...
OBJECTIVE To compare glycemic control, quality of life, and pregnancy outcomes women using insulin pumps multiple daily injection therapy (MDI) during the Continuous Glucose Monitoring in Women With Type 1 Diabetes Pregnancy Trial (CONCEPTT). RESEARCH DESIGN AND METHODS This was a prespecified analysis CONCEPTT involving 248 pregnant from 31 centers. Randomization stratified for pump versus MDI HbA1c. The primary outcome change HbA1c randomization to 34 weeks’ gestation. Key secondary were...
OBJECTIVE To determine if temporal glucose profiles differed between 1) women who were randomized to real-time continuous monitoring (RT-CGM) or self-monitored blood (SMBG), 2) used insulin pumps multiple daily injections (MDIs), and 3) whose infants born large for gestational age (LGA) not, by assessing CGM data obtained from the Continuous Glucose Monitoring in Women With Type 1 Diabetes Pregnancy Trial (CONCEPTT). RESEARCH DESIGN AND METHODS Standard summary metrics functional analysis...
The CONCEPTT trial compared real-time Continuous Glucose Monitoring (RT-CGM) to capillary glucose monitoring in pregnant women with type 1 diabetes. We analyzed CGM and glycated hemoglobin (HbA1c) measures first (n = 221), second 197), third 172) trimesters, aiming examine target attainment associations pregnancy outcomes. targets were Time-in-range (TIR) > 70%, Time-above-range (TAR) <25%, Time-below-range (TBR) < 4%, HbA1c 6.5% (National Institute for Health Care Excellence [NICE]) 6.0%...
The ratio of physicians to population in Canada peaked the mid-1990s and is now falling. decrease number family has had a disproportionate effect on rural remote communities, surveys have indicated that availability services likely deteriorate communities. Telemedicine increasingly evident every Canadian province territory, it could assist more effective use workforce resources by linking appropriate experts at central sites patients practitioners sites. Positive effects recruitment...
Abstract Objective . To develop a questionnaire for measuring patients' knowledge about arthritis and its self‐management. Methods An initial item pool of 175 multiple‐choice questions was developed, based on the Stanford Arthritis Self‐Management Program basic medical management. A rheumatologist, psychologist, physiotherapist, several lay individuals assessed content validity, breadth coverage, face validity. Patients comprehensibility. Four subject groups with varying levels were...
Childhood obesity is a serious health concern affecting over 155 million children in developed countries worldwide. associated with significantly increased risk for development of type 2 diabetes, cardiovascular disease and psychosocial functioning problems (i.e., depression decreased quality life). The two major strategies management metabolic abnormalities are lifestyle modification pharmacologic therapy. This paper will provide the background rationale methods REACH childhood treatment...
Objective . To assess a comprehensive, intensive lifestyle intervention in combination with metformin extended release (MXR) or placebo on body mass index (BMI) and risk factors for type 2 diabetes cardiovascular disease obese adolescents. Study Design Sixty-nineobese adolescents (mean BMI 32.5) received comprehensive structured dietary, physical activity, behavioral components 24 months. Subjects were randomized to 1 of 4 groups: MXR (33) 2,000 mg daily placebo, either moderate vigorous...
The literature reports that telehealth holds the potential to positively alter health workforce, yet there is little evidence support and substantiate this commonly held belief. This qualitative study examines anticipated realized effects of on workforce concerns. six themes examined include distribution expertise professionals, effect skills base, recruitment retention staffing initiatives, appropriate use care resources, other outcomes. Twelve initiatives were selected for - one from each...
Medical assistance in dying (MAID) is a new medical service Canada. Access to maid for patients with advanced cancer can be daunting during periods of declining health near the end life. In this report, we describe collaborative approach between centralized coordination and regional centre as an effective strategy enabling interdisciplinary care delivery enhancing patient-centred at patient’s journey.
The objective of the study is to examine reliability erosion and joint space narrowing scores derived from hand x-rays posted on Internet compared original plain x-rays.Left right hands 36 patients were first digitized then in standard fashion a secure website. Both scored for erosions using Sharp/Genant method. All scoring was completed blind randomized manner. Agreement between x-ray calculated Lin's concordance correlations Bland-Altman graphical representation.Erosion showed almost...
The Canadian Conference "TExpo'98: Interactive Health" focused on four telehealth themes: community needs, experiences, industry perspectives, and access/security/interoperability issues. Health socioeconomic needs have been the driving force behind initiatives; telelearning is one of major initiatives. To encourage initiatives, federal government building a national health infrastructure. One element in this framework concerned with empowering public, strengthening care services, ensuring...