A5101666459- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Dementia and Cognitive Impairment Research
- Grief, Bereavement, and Mental Health
- Frailty in Older Adults
- Hearing Loss and Rehabilitation
- Hemispheric Asymmetry in Neuroscience
- Hearing, Cochlea, Tinnitus, Genetics
- Child and Animal Learning Development
- Noise Effects and Management
- Vestibular and auditory disorders
- Patient Dignity and Privacy
- Music Therapy and Health
- Diverse Music Education Insights
- Children's Physical and Motor Development
- Psychological Testing and Assessment
- Healthcare professionals’ stress and burnout
- Family Caregiving in Mental Illness
- Geographic Information Systems Studies
- Nutrition and Health in Aging
- Phonetics and Phonology Research
- Stuttering Research and Treatment
- Autism Spectrum Disorder Research
- 3D Modeling in Geospatial Applications
- Behavioral and Psychological Studies
Wilfrid Laurier University
2014-2025
University of St. Augustine for Health Sciences
2023
Congressionally Directed Medical Research Programs
2020
Birkbeck, University of London
1998
The objective of the current study was to understand added effects having a sensory impairment (vision and/or hearing impairment) in combination with cognitive respect health-related outcomes among older adults (65+ years old) receiving home care or residing long-term (LTC) facility Ontario, Canada.Cross-sectional analyses were conducted using existing data collected one two interRAI assessments, for (n = 291,824) and LTC 110,578). Items assessments used identify clients single impairments...
Abstract Background Dying is a complex process comprised of physical, social, cultural, spiritual, environmental, and interpersonal relationship factors that contribute to both good bad death experiences. Bad deaths have historically been explored with qualitative lens. This study aimed identify key indicators examine predictors for each indicator using population-level data. Methods cross-sectional analyzed routinely collected clinical sociodemographic data the Resident Assessment...
ABSTRACT Aim To develop and validate a model to predict cognitive decline within 12 months for home care clients without diagnosis of dementia. Design We included all adults aged ≥ 18 years who had at least two interRAI Home Care assessments months, no dementia baseline Cognitive Performance Scale score ≤ 1. The sample was randomly split into derivation cohort (75%) validation (25%). Significant defined as an increase (deterioration) in scores from ‘0’ or ‘1’ 2 the follow‐up assessment....
Objective: The main objective was to develop a decision-support tool assess the risk of caregiver burden, Caregiver Risk Evaluation (CaRE) algorithm. Methods: Home care clients were assessed using Resident Assessment Instrument for Care (RAI-HC). Their completed 12-item Zarit Burden Interview (ZBI), dependent measure, which linked RAI-HC. Results: In sample ( n = 344), 48% aged 85+ years and 61.6% female. algorithm can be collapsed into four categories (low, moderate, high, very high risk)....
Background Individuals receiving palliative care (PC) are generally thought to prefer receive and die in their homes, yet little research has assessed the quality of home- community-based PC. This project developed a set valid reliable indicators (QIs) that can be generated using data already gathered with interRAI assessments—an internationally validated tools commonly used North America for home clients. The QIs serve as decision-support measures assist providers decision makers delivering...
The current study examined potential risk factors for experiencing a decline on the interRAI Cognitive Performance Scale (CPS). This was retrospective cohort using secondary data collected with Resident Assessment Instrument Home Care (RAI-HC) all assessments completed in Canada between 2001 and 2020. Eligible home care clients included individuals 65+, at least two within 12 months, who had CPS score of zero baseline (n = 146,187). A defined as any increase (i.e., worsening) assessments....
The onset of depressive symptoms is common in home care clients and their caregivers. Understanding the experience informal caregiver can assist clinicians providing services to maximize well-being both client objectives this article are examine risk factors for development symptoms. A longitudinal analysis design was completed with 2+ assessments. defined as a Depression Rating Scale score 3+ on re-assessment. results—overall, 10.7% experienced new who feeling distressed, angry, or...
Objectives: To examine the relationship between hearing deterioration and several health-related outcomes among home care clients in Ontario. Design: Longitudinal analysis was completed for with at least two comprehensive assessments. Hearing status, based on a single item, ranged from zero (no impairment) to three (highly impaired). defined as 1-point decline subsequent Results: Seven percent experienced roughly 1% had 2/3-point decline. After adjusting other covariates, increasing age...
Abstract Vision and hearing impairments are highly prevalent in adults 65 years of age older. There is a need to understand their association with multiple health-related outcomes. We analyzed data from the Resident Assessment Instrument for Home Care (RAI-HC). care clients were followed up 5 categorized into seven unique cohorts based on whether or not they developed new vision and/or impairments. An absolute standardized difference (stdiff) at least 0.2 was considered statistically...
Abstract Background Most individuals who typically receive palliative care (PC) tend to have cancer and a relatively short prognosis (< 6 months). People with other life-limiting illnesses can also benefit from approach. However, little is known about those home in Ontario, Canada’s largest province. To address this gap, the goal of project was understand needs, symptoms potential differences between shorter months) longer (6+ for receiving PC community. Methods A cross-sectional analysis...
Abstract Background In the general population, sensory impairments increase markedly with age in adults over 60 years of age. We estimated prevalence hearing loss only (HL), vision (VL), and a combined impairment (i.e., dual or DSL) Canadians receiving home care (HC) long-term (LTC). Methods Annual cross-sectional analyses were conducted using data collected one two interRAI assessments, used for HC setting ( n = 2,667,199), LTC 1,538,691). Items assessments to measure three mutually...
The objective of the study was to understand how sensory impairments, alone or in combination with cognitive impairment (CI), relate long-term care (LTC) admissions.This retrospective cohort used existing information from two interRAI assessments; Resident Assessment Instrument for Home Care (RAI-HC) and Minimum Data Set 2.0 (MDS 2.0), which were linked at individual level 371,696 unique individuals aged 65+ years. exposure variables interest included hearing (HI), vision (VI) dual (DSI)...
Prognostic accuracy is important throughout all stages of the illness trajectory as it has implications for timing conversations and decisions around care. Physicians often tend to over-estimate prognosis may under-recognize palliative care (PC) needs. It therefore essential that relevant stakeholders have much information available them possible when estimating prognosis.The current study examined whether interRAI Changes in Health, End-Stage Disease, Signs Symptoms (CHESS) Scale a good...
Abstract Background Canadian palliative care (PC) philosophy seeks to support individuals in a person-centered and sensitive manner. Unfortunately, does not necessarily translate into practice this divide may leave patients without appropriate at the end of life, causing distress for some families. The primary goal study was identify key factors affecting perceptions quality PC from perspective informal caregivers decision makers (e.g., program managers) understand how their experiences...
Abstract Objectives The need for palliative care (PC) will continue to increase in Canada with population aging. Many older adults prefer “age place” and receive their own homes. Currently, there is a lack of standardized quality indicators (QIs) PC delivered the community Canada. Methods A one-day workshop collected expert opinions on what should be measured capture PC. Three brainstorming sessions were focused addressing following questions: (1) important measure support PC, regardless...
This study examined potential predictors of persistent depressive symptoms in a cohort seriously ill older adults (aged 65+ years) receiving home care services.This was retrospective using secondary data collected from the Resident Assessment Instrument for Home Care all assessments completed between 2001 and 2020. The included individuals with at baseline who continued to have on reassessment within 12 months (n = 8,304). Serious illness defined as having severe health instability,...
Abstract Background To develop and validate a prediction tool, or nomogram, for the risk of decline in cognitive performance based on interRAI Cognitive Performance Scale (CPS). Methods Retrospective, population-based, cohort study using Canadian Resident Assessment Instrument Home Care (RAI-HC) data, collected between 2010 2018. Eligible home care clients, aged 18+, with at least two assessments were selected randomly model derivation (75%) validation (25%). All clients had CPS score zero...
There is inconsistent evidence demonstrating a relationship between task complexity and hand preference. However, analyzing the point at which overrides decision to demonstrate biomechanically efficient movement can enable be quantified. Young children (ages 3 7), adolescents 8 12), young adults 18 25), older 65+) performed newly developed Hand Selection Complexity Task (HSCT) completed Waterloo Handedness Questionnaire (WHQ). The HSCT included reciprocal Fitts' tapping in contralateral...
Abstract Background The nutrition profile of palliative home care clients is unknown. This study describes this group and their issues evaluates the performance interRAI Clinical Assessment Protocol (CAP). Methods was a cross‐sectional secondary analysis using Ontario Palliative Care (interRAI PC) data. sample represents 74,963 unique assessed between 2011 2018. Frequencies standardized differences (stdiffs) characteristics were presented for cancer (n = 62,394) noncancer 12,569) diagnostic...
Abstract Handedness is a significant behavioral asymmetry; however, there debate surrounding the age at which hand preference develops, and little research has been conducted on handedness in older adults. The current study examined performance long pegboard, to identify similarities differences young children (ages 4–7 years), 8–12 adults 18–25 70+ years). Average time per hole, number of switches, errors were assessed with left‐ right‐hand starts. A left‐right ratio was computed from along...