A5008690012- Dementia and Cognitive Impairment Research
- Frailty in Older Adults
- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Palliative Care and End-of-Life Issues
- Hip and Femur Fractures
- Balance, Gait, and Falls Prevention
- Neurobiology of Language and Bilingualism
- Pharmaceutical Practices and Patient Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Chronic Disease Management Strategies
- Mental Health and Patient Involvement
- Cutaneous Melanoma Detection and Management
- Optical Coherence Tomography Applications
- Stroke Rehabilitation and Recovery
- Complex Systems and Decision Making
- Cell Image Analysis Techniques
- Health Policy Implementation Science
- Healthcare Policy and Management
- Migration, Aging, and Tourism Studies
- Mental Health and Psychiatry
- Retirement, Disability, and Employment
- Interprofessional Education and Collaboration
- Telemedicine and Telehealth Implementation
- Travel-related health issues
Horizon Health Network
2014-2025
Dalhousie University
2007-2025
Sinai Hospital
2024
Canadian Apheresis Group
2024
Saint John Regional Hospital
2007-2024
St. Joseph's Hospital
2018-2021
Novartis (Canada)
2018
Montreal Neurological Institute and Hospital
2018
Government of New Brunswick
2017
University of Glasgow
2002
Objective To determine if an educational intervention aimed at house staff will increase knowledge about and recognition of delirium. Design Before/after study, with blinding participants to the intent study. Setting University hospital in Halifax, Nova Scotia. Patients One hundred eighty‐seven control patients, seen as consecutive admissions elderly patients (65+ years) General Medicine services Victoria Hospital prior intervention, 247 thereafter. Intervention Educational grand rounds,...
The purpose of this study was to undertake a diagnostic investigation the international health care logistical environment determine if regulatory policies or industry procedures have hindered implementation just‐in‐time systems. analysis conducted in systematic manner and compared anticipated benefits with those validated other industries from just‐in‐time. also environments USA, UK, Germany manufacturing industry. author focussed on answering: first, why has not implemented just‐in‐time;...
BackgroundAt the 2011 Annual Business Meeting of Canadian Geriatrics Society (CGS), an ad hoc Work Group was struck to submit a report providing estimate number physicians and full-time equivalents (FTEs) currently working in field geriatrics, required (if possible), clearer understanding what has be done move physician resource planning geriatrics forward Canada.MethodsIt decided focus on specialist (defined as those who have completed advanced clinical training or equivalent work...
Patients in acute care hospitals no longer need of are called Alternate Level Care (ALC) patients. This is growing and common all across Canada. A better understanding this patient population would help to address problem.A chart review was conducted two New Brunswick. All patients designated as ALC on July 1, 2009 had their charts reviewed.Thirty-three per cent the hospital beds were occupied with patients; 63% a diagnosis dementia. The mean length stay 379.6 days. Eighty-six awaiting...
The main purpose of this study was to model and analyze hospital home transition processes frail older adults in order identify the challenges within process. A multi-phase, multi-sited mixed methods design utilized, which, Phase 1 included collecting semi-structured interviews focus group data, 2 consisted six patient/caregiver dyad prospective case studies. This conducted three hospitals cities a single province Canada. Functional Resonance Analysis Method (FRAM) employed daily operations...
Online educational programs focused on ways to improve brain health could increase participant literacy, empowerment, and engagement in activities that support personal health, potentially reducing dementia risk. Our goal was develop an evidence-based online program with a focus risk protective factors for dementia. Here we present the rationale features of include results from pilot study assessed usability acceptability. This project is part Can-Thumbs UP (CTU) initiative. An Intervention...
To understand how commonly diminution of verbal repetition was a goal treatment in patients with Alzheimer disease (AD), that achieved, whether attainment might be attributable to galantamine treatment, and change is marker the overall response.This secondary analysis Video-Imaging Synthesis Treating Alzheimer's Disease study, 4-month, double-blind, randomized, placebo-controlled trial 130 community-dwelling mild moderate AD. The primary outcome Goal Attainment Scaling, which individualized...
Abstract Introduction Social support for physical activity is important engaging older adults in physically active lifestyles. Few studies examined the impact of individual exercise trainers (IETs) context dementia prevention interventions with activity. We aimed to assess contributions IETs remote delivery a home-based program combining and cognitive training targeting at risk dementia. Methods Convergent mixed-method analysis was conducted using data from SYNERGIC@Home, feasibility study...
Abstract Introduction Navigating dementia care is challenging, but patient navigation (PN) offers valuable support for this population. The ‘Navigating Dementia NB/Naviguer la démence NB’ program piloted a PN in New Brunswick, Canada, targeting people living with (PLWD) and their carers. aimed to assist participants navigating health social systems, matching needs available services. Methods NB was co-developed by researchers, partners, clinicians. This pilot embedded six PNs primary...
Abstract Objectives Older adults hospitalised with a hip fracture are at risk for adverse health outcomes depending on their level of frailty. This study examined how frailty levels prior to admission impacted length stay (LOS), requirement alternative care (ALC), returning home post-discharge, and mortality. Methods A random sample was generated from all patients aged 65 older admitted Level One Trauma Centre in New Brunswick, Canada 2015–2019. had determined retrospectively using the...
Abstract Introduction Research suggests that physical and cognitive exercise can have a positive effective on those with dementia, but less is known about such interventions in at risk for dementia. Understanding the feasibility of administering clinical assessments remotely using Zoom HealthcareTM context dementia prevention trial older adults not well understood. Methods SYNERGIC@Home/SYNERGIE~Chez soi (NCT04997681) home-based, delivered targeting Participants underwent screening/baseline...
Abstract Introduction Receiving a dementia diagnosis can be overwhelming for persons living with (PLWD) and their carers. Accessing information home supports challenging. Having access to Patient Navigation (PN) program is one way that may assist PLWD Methods This study used mixed methods design involved the implementation of in 6 primary care settings New Brunswick, Canada, between July 2022–July 2023. PLWD/carers own homes were eligible enrol. Results There 150 mean age 76.4 (SD = 9.4)...
Abstract Objectives The objective of this study was to examine participant’s experience with remote delivery during SYNERGIC@Home/SYNERGIE~Chez soi (NCT04997681), a home-based, double-blind, randomised controlled trial targeting older adults at risk for dementia. Metrics included adherence, adverse events (AEs), attitudes towards technology, and protocol deviations (PDs) due technological difficulties. Methods Participants underwent 16 weeks physical cognitive interventions (three...
Little is known about whether cognitive assessments can be completed remotely by older adults at risk for dementia, and there no consensus on which tool best. The SYNchronising Exercises, Remedies in GaIt Cognition Home (SYNERGIC@Home) study evaluated the feasibility of a home-based, double-blind, randomized-controlled trial to improve gait cognition individuals dementia. This paper reports secondary analytic outcome tests used. three aims were: 1) examine Montreal Cognitive Assessment (MoCA...
Dementia care is often fragmented and difficult to navigate. Patient navigation (PN) one solution address the needs of people with dementia (PWD) their partners. Navigating NB/ Naviguer la démence NB was a research project that piloted patient program in small semi-rural province Canada for PWD, partners, team. The intervention co-designed multiple stakeholders, including clinicians, researchers, representatives from Regional Health Authorities. For example, team collaborated Authorities...
Individuals with complex care needs (CCNs) require more health and social services than the average population. These individuals have better outcomes if they access to integrated across settings sectors. Although promising research on is underway, efforts are typically not coordinated occur without patient partner involvement. The critical need for collaboration among stakeholders in this field prompted establishment of Centre Research Integrated Care (CRIC) 2018. CRIC a living laboratory...
Individuals with complex care needs (CCNs) require more health and social services than the average population. These individuals have better outcomes if they access to integrated across settings sectors. Although promising research on is underway, efforts are typically not coordinated occur without patient partner involvement. The critical need for collaboration among stakeholders in this field prompted establishment of Centre Research Integrated Care (CRIC) 2018. CRIC a living laboratory...
There is continuing interest in pre-operative evaluation of cutaneous pigmented lesions with the aim differentiating early melanoma, which requires excision from non-melanomatous that may safely be left untreated.To establish, setting a specialist lesion clinic, if use hand-held dermatoscope can prevent unnecessary benign melanocytic lesions.The study was carried out by three dermatologists experienced dermatoscope. Patients had been referred primary care physicians to clinic and considered...
The primary purpose of this study is to undertake a diagnostic investigation the international health care logistical environment and determine whether regulatory policies or industry procedures have hindered implementation just-in-time (JIT) systems then recommend operational improvements be achieved by implementing JIT Systems.The analysis was conducted in systematic manner compared anticipated benefits with validated other industries from JIT. An extensive literature review conducted.In...
Much of the research and policy reports on Alternate Level Care (ALC) in Canada have focused impact ALC has acute care services. To date, experiences opinions those who must wait hospital for alternate services been largely absent from discussions.A qualitative study was conducted with patients families designated as one urban two rural hospitals Atlantic Canada. Data were analyzed using content analysis.Three themes emerged data: a perception normalcy, being old but not sick anticipating...
Maximizing quality of life (QoL) is a major goal care for people with dementia in nursing homes (NHs). Social determinants are critical residents' QoL. However, similar to the United States and other countries, most Canadian NHs routinely monitor publicly report care, but not resident QoL its social determinants. Therefore, we lack robust, quantitative studies evaluating association multiple intersecting NH The this study address knowledge gap.