A5045237931- Palliative Care and End-of-Life Issues
- Global Cancer Incidence and Screening
- Cancer survivorship and care
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Childhood Cancer Survivors' Quality of Life
- Colorectal Cancer Screening and Detection
- Patient-Provider Communication in Healthcare
- Clinical practice guidelines implementation
- Primary Care and Health Outcomes
- Family Support in Illness
- Interprofessional Education and Collaboration
- Health Sciences Research and Education
- Colorectal Cancer Surgical Treatments
- Economic and Financial Impacts of Cancer
- Geriatric Care and Nursing Homes
- Grief, Bereavement, and Mental Health
- Patient Dignity and Privacy
- Frailty in Older Adults
- Organ Donation and Transplantation
- Mental Health and Patient Involvement
- Pediatric Pain Management Techniques
- Pancreatic and Hepatic Oncology Research
- Cancer-related cognitive impairment studies
- Family and Patient Care in Intensive Care Units
Dalhousie University
2016-2025
Beatrice Hunter Cancer Research Institute
2016-2025
Nova Scotia Health Authority
2016-2025
University of Toronto
2012-2022
King's College London
2022
Public Health Ontario
2021
University of Alberta
2020
Queen Elizabeth II Health Sciences Centre
2012-2019
University of Calgary
2019
Health Sciences Centre
2018
To determine patient-reported financial and family burden associated with treatment of cancer in the previous 28 days across Canada.A self-administered questionnaire (P-SAFE v7.2.4) was completed by 901 patients from twenty centres nationally (344 breast, 183 colorectal, 158 lung, 216 prostate) measuring direct indirect costs related to foregone care. Monthly self-reported out-of-pocket-costs (OOPCs) included drugs, homecare, homemaking, complementary/ alternative medicines,...
Abstract STUDY OBJECTIVES Cancer-related fatigue is one of the most common symptoms in cancer survivors. Cognitive behavioural therapy for insomnia (CBT-I) can improve fatigue, but mechanisms are unclear. This secondary analysis a randomized controlled trial evaluated whether CBT-I led to significant improvement accounting change comorbid insomnia, perceived cognitive impairment (PCI), anxiety, and depression. The parent study impacts on PCI insomnia. METHODS Cancer survivors with were or...
Abstract We assessed the comparative effectiveness and safety of pertuzumab plus trastuzumab chemotherapy versus for patients with HER2+ metastatic breast cancer (mBC) in Canada. conducted a population‐based retrospective study receiving first‐line treatment mBC across eight Canadian provinces. Patients were historical comparators, group. followed until death or up to 5 years following start (maximum follow‐up December 31, 2019). The primary outcome was overall survival (OS). One‐year...
Quality indicators (QIs) are tools designed to measure and improve quality of care. The objective this study was assess stakeholder acceptability QIs end-of-life (EOL) care that potentially were measurable from population-based administrative health databases.After a literature review, the authors identified 19 candidate through databases. A modified Delphi methodology, consisting multidisciplinary panels cancer professionals in Nova Scotia Ontario, used agreement on acceptable EOL (n = 21...
PURPOSE Comorbid insomnia and cancer-related cognitive impairment (CRCI) are experienced by up to 26% of individuals diagnosed with cancer. This study examined the efficacy durability behavioral therapy for (CBT-I) on perceived CRCI in cancer survivors. METHODS Atlantic Canadian survivors were randomly assigned receive seven weekly virtual CBT-I sessions (n = 63) or placed a waitlist control group 69) treatment after waiting period. Participants completed assessments at baseline, 1 month...
Background Virtual follow-up (VFU) has the potential to enhance cancer survivorship care. However, a greater understanding is needed of how VFU can be optimized. Objective This study aims examine how, for whom, and in what contexts works Methods We conducted realist evaluation among patients with breast prostate at an urban center during COVID-19 pandemic. Realist evaluations underlying causal processes intervention (mechanisms) specific circumstances (contexts) interact produce results...
The implementation of innovations (i.e., new tools and practices) in healthcare organizations remains a significant challenge. objective this study was to examine the key interpersonal, organizational, system level factors that influenced use synoptic reporting three specific areas cancer care.Using case methodology, we studied cases Nova Scotia, Canada, wherein were implemented within clinical departments/programs. Synoptic capture present information about medical or surgical procedure...
Abstract Background The purpose of this study was to investigate associations between self‐reported distress (anxiety/depression) and satisfaction with desire for virtual follow‐up (VFU) care among cancer patients during beyond the COVID‐19 pandemic. Methods Breast prostate receiving VFU at an urban centre in Toronto, Canada completed online survey on their sociodemographic, clinical, technology, characteristics experience views VFU. EQ5D‐5 L used assess distress. Statistical models adjusted...
Patient engagement (PE) is not well defined and little guidance available to those attempting employ PE in decision-making relevant health system improvement. After completing a 2-year project, overseen by an Advisory Committee, our objectives were: 1) evaluate how effectively the project team engaged 2) examine Committee members perceived their role PE, 3) identify barriers facilitators order improve future efforts. Five of completed semi-structured interviews post-project about...
Cancer causes substantial emotional and psychosocial distress, which may be exacerbated by delays in treatment. The COVID-19 pandemic has resulted increased wait times for many patients with cancer. In this study, the distress associated waiting cancer surgery during was investigated. This cross-sectional, convergent mixed-methods study included lower priority disease first wave of at an academic, tertiary care hospital eastern Canada. Participants underwent semi-structured interviews...
Objective: Our understanding of optimum health care delivery for cancer survivors is limited by the lack a patient-centred perspective. The objectives present study were to explore views breast and colorectal on their routine follow-up care, with respect needs, preferences, quality follow-up, specialist– compared family physician (FP)–led care. Methods: In Nova Scotia, Canada, 23 (13 breast, 10 colorectal) participated in either focus group or one-on-one interview. Participants asked reflect...
A number of factors influence adherence to adjuvant chemotherapy clinical practice guidelines for colorectal cancer and should be incorporated in future work as novel regimens enter practice.
Abstract Objective Today, more than 80% of children diagnosed with cancer are expected to survive. Despite the high prevalence pain associated diagnosis and treatment childhood cancer, there is a limited understanding how having shapes children's experience meaning after has ended. This study addresses this gap by exploring survivors' (CCS') experiences from their perspective parents. Methods Twenty semi‐structured interviews were completed CCS (50% female; mean age = 13.20 y, range 8‐17 y)...
Abstract Background One of the key conceptual challenges in advancing our understanding how to more effectively sustain innovations health care is lack clarity and agreement on what sustainability actually means. Several reviews have helped synthesize clarify researchers conceptualize operationalize sustainability. In this study, we sought identify individuals who implement and/or evidence-informed define Methods We conducted in-depth, semi-structured interviews with implementation leaders...
Abstract Background Patient engagement (PE) in health‐care planning and improvement is a growing practice. We lack evidence‐based guidance for PE, particularly hospital settings. This study explored how to optimize PE hospitals. Methods was based on qualitative interviews with individuals various roles at hospitals high capacity. asked patients were engaged, rationale approaches chosen solutions key challenges. identified themes using content analysis. Results Participants included 40...
Machine learning is a powerful tool that can be used to solve wide range of problems in various applications and industries. The healthcare sector has faced specific challenges have kept machine algorithms from becoming as widely quickly adopted other Data access management challenges, ethical considerations, safety, physician patient perception present bigger barriers implementation than model performance. In this paper, we propose adapting customizing the concept preconditions...
Knowledge brokering (KB) may be one approach of helping researchers and decision makers effectively communicate their needs abilities, move toward increased use evidence in health care. A multidisciplinary research team Nova Scotia, Canada, has created a dedicated KB position with the goal improving access to quality colorectal cancer The purpose this paper is provide an in-progress perspective on within large team. ("knowledge broker") was perform two primary tasks: (1) facilitate ongoing...