- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- HIV-related health complications and treatments
- Adolescent Sexual and Reproductive Health
- Mental Health and Patient Involvement
- Family and Disability Support Research
- Public Health Policies and Education
- Homelessness and Social Issues
- Sex work and related issues
- Community Health and Development
- HIV Research and Treatment
- Healthcare Policy and Management
- Indigenous Health, Education, and Rights
- COVID-19 Digital Contact Tracing
- Ethics in Clinical Research
- Diabetes Management and Education
- Health Policy Implementation Science
- Syphilis Diagnosis and Treatment
- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- LGBTQ Health, Identity, and Policy
- HIV/AIDS oral health manifestations
- Infant Development and Preterm Care
- Mobile Health and mHealth Applications
- Focus Groups and Qualitative Methods
University of Victoria
2016-2025
University of Houston - Victoria
2024
University of Alberta
2010-2016
Toronto Rehabilitation Institute
2016
McMaster University
2016
Centre for Social Innovation
2016
Canadian Aboriginal AIDS Network
2015
St. Michael's Hospital
2015
University of Calgary
2002-2011
University of Toronto
1989-2008
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...
Objectives. We examined the role that Indigenous Elders can play in ensuring community-based research (CBR) is conducted ethically. Methods. present data from a larger qualitative study exploring ethical issues occur HIV-related CBR through experiences of researchers engaged CBR. Between May 2010 and July 2011, we interviewed 51 academic community team leaders federally funded HIV studies. used thematic analysis techniques to identify themes. Results. Participating engage because are keepers...
Abstract Objective Human immunodeficiency virus–associated sensory neuropathy (HIV‐SN) is a common and disabling disorder, often associated with antiretroviral therapy (ART) use. We investigated the clinical features pathogenic determinants of HIV‐SN in neurological cohort HIV‐infected patients, together novel model HIV‐SN. Methods patients disease were terms laboratory aspects ART exposure focusing on symptomatic Rat‐derived dorsal root ganglion (DRG) cultures, transgenic for human CD4 CCR5...
Background Mothers’ cognitive appraisal of the family impact childhood disability and their positive affect as a psychological coping resource, both key elements process model stress coping, were tested explanatory variables adjustment.Method In sample Canadian families, 195 mothers children with intellectual developmental completed telephone interviews.Results regression modelling, 35% variance in adjustment was explained by mothers’ impacts positivity (ratio to negative affect). After...
Client anxiety is often associated with diagnostic testing. In this study, the authors used a grounded theory approach to examine situational and social factors underlying HIV testing, analyzing transcripts from semistructured interviews 39 test recipients in Ontario, Canada (selected based on serostatus, risk experience, geographic region, gender, number of tests), then integrating emergent themes existing research literature. Analysis revealed four themes: perceptions responsibility for...
In industrialized countries where HIV infection is becoming a chronic, episodic condition, rehabilitation services have the potential to play an expanded role for people living with HIV/AIDS (PLHAs). However, little known about in context of HIV. This paper documents development enhanced, multidisciplinary conceptual framework HIV, using perceptions PLHAs and professionals. Rehabilitation, broadly defined, dynamic process that includes all prevention and/or treatment activities address body...
This study examined the relationships of income, employment status and other socioeconomic characteristics with dimensions health-related quality life (HRQOL) for those living HIV/AIDS, controlling clinical characteristics. Demographic (gender, age, education, a partner, HIV transmission category), economic (employment status, monthly household volunteer experience), (CD4 count, AIDS defining illness, time since diagnosis, number symptoms, highly active antiretroviral therapy), HRQOL...
This article summarizes our deepened understanding of decolonizing research with, for, and by Indigenous peoples African descent that emerged from conducting a scoping review the methodological literature reflecting on process. Although identified methodologies as promising approach, we questioned if process engaged in knowing. To unpack epistemological tensions between knowing Western ways doing reviews, individual collective reflective processes— dialoguing with tensions—moving immersion...
"Undetectable equals Untransmittable", or U=U, is a public health message designed to reduce HIV stigma and help communicate the scientific consensus that cannot be sexually transmitted when person living with has an undetectable viral load. Between October 2020-February 2021 we conducted 11 in-depth interviews 3 focus groups diverse HIV/STI service providers (nurses, workers, physicians, frontline providers, sexual educators) in Ontario, Canada (n = 18). Our objective was understand how U=U...
Trans masculine, two-spirit, and non-binary people who are gay, bisexual or otherwise have sex with men (TGBM) under-tested for sexually transmitted infections (STI) may face complex, intersectional barriers that prevent them from accessing STI testing. As part of a study on other men's (GBM) experiences current testing systems in Ontario, Canada, this paper reports the findings TGBM participants' in-person range venues (i.e. Family doctors, walk-in clinics, community-based organizations) to...
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...
<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>...
Background Digital testing services for sexually transmitted and blood-borne infections (STBBI) are becoming more common in Canada. There is little evidence supporting the assumption that these reduce healthcare system burden. To explore this further, we described patterns of provider-based among repeat users a digital STBBI service, their association with access barriers. Methods We conducted cross-sectional survey November 2022 GetCheckedOnline.com (≥2 tests, 1 test between April October...
HIV infection is a serious concern in the Canadian Aboriginal population, particularly among youth; however, there limited attention to this issue research literature. The purpose of national study was explore testing and care decisions youth.A community-based mixed-method design incorporating principles Ownership, Control, Access Possession (OCAP) used. Data were collected through surveys (n = 413) qualitative interviews 28). Eleven organizations including urban AIDS service health...
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...
Objective Process model of stress and coping guided psychometric assessment two brief measures psychological well-being: Parenting Morale Index (PMI); Family Impact Childhood Disability (FICD) scale. Methods Canadian mothers (N = 195) children with disability (CWD) completed PMI, FICD, validation (Brief Assessment Measure [FAM], Personal Well-Being Index, Positive Negative Affect Schedule, General Self-Efficacy Scale, Social Desirability Scale) via computer-assisted telephone interview. Of...
The objective of this study was to explore HIV testing experiences and service views Canadian Aboriginal youth in order provide information for services. An exploratory, mixed-method, community-based research design used study. Findings reported here are from 210 survey participants who had experienced an test. Youth were recruited through 11 organizations across Canada, including AIDS organizations, health centers, community friendship centers. tested ranged age 15 30 years (20% <20), came...
Abstract Introduction : Social‐structural inequities impede access to, and retention in, HIV care among structurally vulnerable people living with (PLHIV) who use drugs. The resulting disparities in HIV‐related outcomes PLHIV drugs pose barriers to the optimization of treatment as prevention (TasP) initiatives. We undertook this study examine engagement with, impacts of, an integrated services model tailored needs Vancouver, Canada – a setting community‐wide TasP initiative. Methods...