Co-leads:
- Habib Chaudhury
Simon Fraser University
- Jan Robson
Alzheimer Society of BC
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Trainee:
- Lillian Hung
Simon Fraser University
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Approximately 40 percent of older people in hospitals have dementia. Research suggests that hospital staff are ill-prepared to provide dementia care. There is an urgent need to increase dementia knowledge among hospital staff because an aging population is giving rise to patients with dementia. A literature review has identified three key challenges in hospital dementia education: (a) staff struggled to find time to attend workshops due to schedules and staffing shortage, (b) managers with tight budgets could not pay for conferences, workshops for staff education and replacement, (c) staff found classroom learning boring and difficult to retain.
To address these challenges, in 2017, the BC Patient Safety & Quality Council funded the development of an online game based on the PhD research findings of Lillian Hung in hospital dementia care. The game development was a collaboration between a team of clinical experts, VCH Learning & Technology, and a game design student at BCIT. Over 70 interdisciplinary VGH staff members participated in PDSA cycles to co-develop the game, called the ART & SCIENCE of Person-Centred Care, showing 10 dementia care approaches applicable in the hospital setting. The game was launched on the LearningHub, an online platform that enables staff in all BC health authorities to have free access, anywhere, anytime.
This project aims to facilitate a wider uptake of research in hospital dementia care by using gamification principles to motivate staff engagement in learning. This project integrates the expertise of researchers (Habib Chaudhury and Lillian Hung), research user co-lead (Jan Robson, Alzheimer Society Provincial Educator), and research users (local experts and decision makers) in BC health authorities — Fraser Health, Providence, Interior Health, Island Health, Northern Health, and Vancouver Coastal Health.
A knowledge translation workshop will bring researchers and research users together to work with a knowledge translation specialist (Lupin Battersby) from the BC SUPPORT Unit and a patient partner (Jim Mann) to co-develop a knowledge translation plan.
In the knowledge translation workshop, the team will:
- Develop communication tools and key messages.
- Determine strategies to problem solve local barriers.
- Agree on knowledge translation processes, products and evaluation plan.
Expected outcomes:
- An opportunity for provincial cross health authorities collaboration in knowledge dissemination.
- Improving dementia care through increasing awareness and using the educational game for staff training.
- Contribution to the science of knowledge-to-action by identifying lessons learned in this innovative project.
Co-leads:
- Angela Kaida
Simon Fraser University
- Margarite Sanchez
Positive Living Society of BC
- Lori Brotto
University of British Columbia
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Trainee:
- Allison Carter
Simon Fraser University
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Research on the sexual quality of life for women diagnosed with HIV is gaining momentum. Recent studies in BC and globally show that people with HIV, with undetectable levels of the virus in their blood, have a near-normal life expectancy and effectively no risk of sexual transmission of HIV. This project, #LifeAndLoveWithHIV: A social media initiative to support the sexual health needs of women living with HIV, aims to move this research evidence, along with lived experience perspectives about sexuality and relationships in HIV, directly into the hands of women living with HIV, including those who love and support them, by combining storytelling with online social media and activism.
This inter-disciplinary team of researchers and research users (including women living with HIV and care providers) has been working closely the past seven years to create new knowledge on sexual health and rights of women living with HIV. With support from an SFU Student Social Innovation Seed Grant and a CIHR Knowledge Synthesis Grant, a new open-access resource, www.lifeandlovewithHIV.ca (launched July 2018) was built to share this knowledge with women, partners, care providers, HIV policy makers, and the general public. This Reach award will allow the team to:
- Hire and mentor five women living with HIV as feature writers on this online magazine and blog; they will collectively produce 25 blog articles on sexuality and relationships, and be grounded in lived experiences and supported by research evidence.
- Implement and evaluate a social marketing initiative to promote uptake of this information, through a collection of YouTube videos, Facebook polls, Instagram images, Twitter parties, and hashtags such as #UntoldDesiresInCanada (which generated >20K impressions).
The dissemination plan includes measuring and evaluating the outcomes of this work. Through this initiative the aim is to reduce HIV stigma, support the sexual health needs of women living with HIV, to not only save, but also improve the quality of, women’s lives.
Co-leads:
- Christine Lee
Island Health
- Katharine McKeen
Victoria Division of Family Practice
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Trainee:
- Jocelyn Chai
University of British Columbia
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Dr. Christine Lee and her research co-lead Dr. Katharine McKeen, a primary care physician (PCP) with the Victoria Division of Family Practice (DFP), are employing a patient-oriented research (POR) approach to raise awareness and disseminate evidence of fecal microbiota transplant (FMT) to treat recurrent Clostridium difficile infection (rCDI). FMT, the administration of feces from a healthy screened donor, is demonstrated to be both safe and more effective than the usual ways to treat rCDI. Estimates from three recent Canadian studies indicate that only 1,000 rCDI patients have received FMT, yet approximately 10,000 Canadians each year are diagnosed with rCDI.
The team is proposing a distributed knowledge translation approach, one that will enable them to reach diverse stakeholders: patients, families, PCPs, and healthcare decision makers (HCMs). Using a POR approach, they will co-develop a digital story that will enable their patient partner to share her lived experience of rCDI and FMT, and then the research team will relay the evidence for FMT. This video will be used for public outreach and as an education tool. They will also engage PCPs and HCDMs through presentations at their respective networks. During this outreach, the digital story will be displayed.
The overall goal is to increase FMT access for patients diagnosed with rCDI. The objectives are to:
- Raise awareness of rCDI and FMT.
- Inform stakeholders of FMT’s safety and effectiveness.
- Engage PCPs and HCDMs in a constructive dialogue to discuss the benefits of and evidence for FMT for rCDI.
The expected outcomes and outputs are to:
- Raise stakeholder awareness of FMT and its benefits as a treatment for rCDI. Output: Production and launch of a digital story telling video on rCDI and FMT as an education and public awareness tool.
- Foster communications with PCPs and increase their awareness of regional FMT resources. Output: Share the digital story and engage PCPs in a constructive dialogue via a café scientifique style discussion at the DFP “Dine and Learn” session.
- Increase HCDMs awareness of regional FMT resources and FMTs positive contributions to the healthcare system overall. Output: Share the digital story and engage HCMs through presentations to Island Health's Medical Advisory and Clinical Practice Councils.
The team will evaluate the impact of their work by using the domains of the Canadian Academy of Health Science “Making and Impact” framework: advancing knowledge; research capacity building; informed decision making; health impact; and broad social and economic impact.
Co-leads:
- Rachel Murphy
University of British Columbia
- Phil Pollock
Vancouver Prostate Centre / Vancouver Coastal Health Research Institute
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Team members:
- Larry Goldenberg
Vancouver Prostate Centre
- Celestia Higano
Vancouver Coastal Health
- Mike Marin
University of British Columbia
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Trainee:
- Kaitlin McLaughlin
RD, MPH student
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One in eight Canadian men will develop prostate cancer (PC), but most will live for many years after diagnosis. This places a high level of importance on supportive care, particularly regarding lifestyle, as the impact of treatment on health and quality of life are long lasting. Nutrition is a key part of supportive care, helping to inform men about healthy eating and diet recommendations for PC. However, nutrition is rarely a part of standard of care in Canadian cancer centres. In recognition of this gap and other gaps in supportive care, the Prostate Cancer Supportive Care (PCSC) program, a comprehensive survivorship program, provides education (including nutrition education), as standard of care. The Vancouver-based program is being expanded to four additional centres across BC as part of a $6 million commitment from the BC Ministry of Health. A strategic priority of the PCSC program is the development of online materials for a virtual centre to reach men who cannot physically access the program.
The objective of this study is to collaboratively develop innovative online videos that meets the educational needs of men by teaching nutrition concepts and presenting evidence on diet and PC in an interesting and engaging way. E-learning offers more flexibility, wider geographic reach, and on-demand access to provide men greater autonomy over this aspect of their healthcare. Audience-appropriate learning strategies will be used, assisted by the award-wining teaching expertise on the team. The team also has expertise in knowledge translation of nutrition evidence and e-learning methods. Video content will be adapted from evidence-based information including the current in-person education session, medical and scientific literature, and will respond to the findings from a needs assessment being conducted by the project team, which includes feedback from men, their partners, physicians, and stakeholders. Videos will be displayed on the PCSC website and cross-posted with other partner sites. Additional objectives are to refine the videos based on feedback from these groups and to measure the reach and satisfaction.
The outcome of the project is increased nutritional support for men and their families throughout the survivorship continuum. It is anticipated that this project will serve as a model to encourage incorporation of nutrition as a standard of care and will positively affect men’s health across the PC trajectory.