A5070551363- Mobile Health and mHealth Applications
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Telemedicine and Telehealth Implementation
- Patient Satisfaction in Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Health Promotion and Cardiovascular Prevention
- Diabetes Management and Education
- Attention Deficit Hyperactivity Disorder
- Participatory Visual Research Methods
- Diabetes Management and Research
- Artificial Intelligence in Healthcare and Education
- Physical Activity and Health
- Treatment of Major Depression
- Mental Health and Patient Involvement
- Behavioral Health and Interventions
- Global Health Workforce Issues
- Maternal Mental Health During Pregnancy and Postpartum
- Literature Analysis and Criticism
- Perfectionism, Procrastination, Anxiety Studies
- Attachment and Relationship Dynamics
- Musculoskeletal pain and rehabilitation
- Interprofessional Education and Collaboration
- Health Policy Implementation Science
University of British Columbia
2014-2024
Michael Smith Health Research BC
2023
Christ University
2021-2023
Simon Fraser University
2023
Providence College
2023
Ministry of Health
2021
Centre for Health Evaluation and Outcome Sciences
2021
King's College London
2018-2020
Promoting digital health literacy and healthy lifestyle behaviours in children can lead to positive long-term outcomes prevent chronic diseases. However, there are few school-based interventions promoting this education intermediate elementary students. The objective of study was test the effectiveness a novel intervention increase students' knowledge. Learning for Life is classroom-based program, developed grade 4-7 students delivered by teachers over six weeks. Three Canadian schools were...
Intensive lifestyle interventions are effective in reducing the risk of type 2 diabetes, but implementation learnings from landmark studies is expensive and time consuming. The availability digital increasing, evidence their effectiveness limited.This randomized controlled trial (RCT) aimed to test feasibility a web-based diabetes prevention program (DPP) with step-dependent feedback messages versus standard DPP people prediabetes.We employed two-arm, parallel, single-blind RCT for at high...
Background South Asian community members in Canada experience a higher burden of chronic disease than the general population. Digital health innovations provide significant opportunity to address various care challenges such as supporting patients their self-management. However, are less likely use digital tools for and face barriers accessing them because language or cultural factors. Objective The aim this study is understand facilitators tool uptake experienced by residing Canada. Methods...
Objective The epidemic of obesity is contributing to the increasing prevalence people at high risk cardiovascular disease (CVD), negating medical advances in reducing CVD mortality. We compared clinical and cost-effectiveness an intensive lifestyle intervention consisting enhanced motivational interviewing weight physical activity for patients CVD. Methods A three-arm, single-blind, parallel-group randomised controlled trial was conducted consenting primary care centres south London....
British Columbia, like many jurisdictions, has a health information telephone service (8-1-1) to provide callers with by registered nurses and help them decide whether attend an emergency department or primary care clinic, manage their concern at home. We describe new service, HealthLink BC Emergency iDoctor-in-assistance (HEiDi), that partnered physicians available videoconferencing 8-1-1 support callers.
<h3>Background:</h3> British Columbia’s 8-1-1 telephone service connects callers with nurses for health care advice. As of Nov. 16, 2020, advised by a registered nurse to obtain in-person medical can be subsequently referred virtual physicians. We sought determine system use and outcomes urgently triaged assessed physician. <h3>Methods:</h3> identified physician between Apr. 30, 2021. After assessment, physicians assigned 1 5 triage dispositions (i.e., go emergency department [ED] now, see...
SYNOPSISObjective. Parenting behavior is presumed to be related the thoughts about child that parents report in a controlled and explicit manner more implicit parent cognitions occur outside of conscious awareness are less accessible verbal report. Design. We examined mothers' attitudes toward their children as correlates self-reported parenting behavior. used combination self-report questionnaire reaction-time method (the Implicit Association Test) assess attitudes, respectively. also...
Objective: We tested the similarity-fit hypothesis that predicts more positive parenting when both parent and child have high levels of ADHD symptoms compared to only one does. Method: Mothers fathers 156, 5 13 year old sons participated (110 boys with ADHD, 46 without). Parent inattentive hyperactive-impulsive were examined, in interaction as predictors parental tolerance, empathy, encouragement autonomy, parenting. Results: Several interactions detected which suggested for parents low...
In British Columbia (BC) and across the territories of over 200 First Nations 39 Métis Nation Chartered communities, COVID-19 pandemic catalyzed a group partner organizations to rapidly establish seven virtual care pathways under Real-Time Virtual Support (RTVS) network. They aimed address inequitable access multiple barriers healthcare faced by rural, remote, Indigenous provide pan-provincial services. Mixed-method evaluation assessed implementation, patient provider experience, quality...
Background Motivational interviewing (MI) enhanced with behaviour change techniques (BCTs) and deployed by health trainers targeting multiple risk factors for cardiovascular disease (CVD) may be more effective than interventions a single factor. Objectives The clinical effectiveness cost-effectiveness of an lifestyle motivational intervention patients at high CVD in group settings versus individual usual care (UC) reducing weight increasing physical activity (PA) were tested. Design This was...
British Columbia 8-1-1 callers who are advised by a nurse to seek urgent medical care can be referred virtual physicians (VPs) for supplemental assessment and advice. Prior research indicates callers' subsequent health service use may diverge from VP We sought 1) estimate concordance between advice use, 2) identify factors associated with understand potential drivers of discordant cases.We linked relevant provincial administrative databases obtain inpatient, outpatient, emergency callers....
The increasing prevalence of type 2 diabetes and suboptimal glycaemic control in Kuwait requires novel, wide-reaching, low-cost interventions to motivate mobilise individuals towards more effective self-management. More than million people own mobile phones. We will test whether automated personalised health text messages based on principles motivational interviewing are responsive biodata delivered remotely is potentially improving compared usual care. This a two-arm parallel single-blind...
Abstract Aims We examined the effectiveness of a service innovation, Three Dimensions for Diabetes (3DFD), that consisted referral to an integrated mental health, social care and diabetes treatment model, compared with usual in improving biomedical health economic outcomes. Methods Using non‐randomized control design, 3DFD model was offered two inner‐city boroughs London, UK, where professionals could refer adult residents diabetes, suboptimal glycaemic [HbA 1c ≥ 75 mmol/mol (≥ 9.0%)] and/or...
Background Prehospital telemedicine triage systems combined with machine learning (ML) methods have the potential to improve accuracy and safely redirect low-acuity patients from attending emergency department. However, research in prehospital settings is limited but needed; department overcrowding adverse patient outcomes are increasingly common. Objective In this scoping review, we sought characterize existing for ML-enhanced triage. order support future research, aimed delineate what data...
Background British Columbia has over 200 rural, remote, and Indigenous communities that have limited health care resources due to physician isolation, sparsity in clinical resources, the lack of collegial support, provider burnout. Real-time virtual support (RTVS) peer-to-peer pathways provide patients providers. Amid COVID-19 pandemic exacerbating existing disparities equitable access timely care, RTVS presents a portable additional opportunity be deployed hospital or patient home setting...
<sec> <title>BACKGROUND</title> Patients inevitably incur some cost for accessing healthcare, even in single-payer systems such as Canada. The COVID-19 pandemic dramatically shifted healthcare delivery from in-person to virtual services, also shifting the proportion of costs offset by patients and their families reducing need travel appointments. </sec> <title>OBJECTIVE</title> To develop a method estimating CO2 emissions attributed attending emergency department (ED), hospitalizations,...
<sec> <title>BACKGROUND</title> British Columbia has over 200 rural, remote, and Indigenous communities that have limited health care resources due to physician isolation, sparsity in clinical resources, the lack of collegial support, provider burnout. Real-time virtual support (RTVS) peer-to-peer pathways provide patients providers. Amid COVID-19 pandemic exacerbating existing disparities equitable access timely care, RTVS presents a portable additional opportunity be deployed hospital or...
Abstract Background: British Columbia 8-1-1 callers who are advised by a nurse to seek urgent medical care can be referred virtual physicians (VPs) for supplemental assessment and advice. Prior research indicates callers’ subsequent health service use may diverge from VP We sought 1) estimate concordance between advice use, 2) identify factors associated with understand potential drivers of discordant cases. Methods: linked relevant provincial administrative databases obtain inpatient,...
<sec> <title>BACKGROUND</title> Prehospital telemedicine triage systems combined with machine learning (ML) methods have the potential to improve accuracy and safely redirect low-acuity patients from attending emergency department. However, research in prehospital settings is limited but needed; department overcrowding adverse patient outcomes are increasingly common. </sec> <title>OBJECTIVE</title> In this scoping review, we sought characterize existing for ML-enhanced triage. order support...
Patients inevitably incur some cost for accessing health care, even in universal systems such as Canada. The COVID-19 pandemic dramatically shifted care delivery from in-person to telehealth services, also shifting the proportion of costs offset by patients and their families reducing need travel appointments. This study aimed develop a method estimating CO2 emissions attributed needed emergency department (ED) visits, hospitalizations, physician We present evaluate associated with...
<sec> <title>BACKGROUND</title> South Asian community members in Canada experience a higher burden of chronic disease than the general population. Digital health innovations provide significant opportunity to address various care challenges such as supporting patients their self-management. However, are less likely use digital tools for and face barriers accessing them because language or cultural factors. </sec> <title>OBJECTIVE</title> The aim this study is understand facilitators tool...