Friday, February 3, 2012
8:30 am to 2:00 pm
Best Western Nor’Wester Resort Hotel Highway 61, Thunder Bay, ON
Since 2006 the Research Department at St. Joseph’s Care Group has hosted what has become the premier annual venue for the dissemination of research relevant to the health of Northwestern Ontarians. The Research Department is pleased to host “Making a Difference: 2012 Showcase of Health Research.”
This event is made possible through the generous support of the Leadership Team at St. Joseph’s Care Group.
Introduction
Podium Presentations
2012 Schedule of Events
8:30 am Registration and Poster Set up - Kaministiquia Room
9:00 am Welcome and Opening Remarks
Janet Sillman, Vice President – Mental Health & Addiction Services, St. Joseph’s Care Group
Michel Bédard, Scientific Director, St. Joseph’s Care Group
9:15 am Making a Difference: Empirically Validated Treatments for Family Caregivers and the People They Assist
Keynote Speaker: Dr. Steven H. Zarit
Dr. Zarit is an internationally renowned researcher, educator, and clinician who has conducted pioneering work on the problems faced by families of people with Alzheimer disease and related memory disorders, and on interventions to relieve the stresses of family caregiving. He is a professor at Pennsylvania State University, USA and Jönköping University, Sweden.
10:00 am Role Perceptions of Mental Health Rehabilitation Team Members Experiencing Transition
L Macdonald, K Stewart, S Delamere, P Calder, A Caines, N Shemitt, A Tytus, J Tryssenaar – St. Joseph’s Care Group; McMaster University
10:20 am Front Line Staff Experiencing of Grief and Loss in a Long-Term Care Home
J Marcella, ML Kelley – Lakehead University
10:40 am Poster Presentations and Nutritional Break - McGillivray Room
11:10 am Identifying Variables Affecting Breastfeeding Among Aboriginal Women
K McQueen, K Allan, K Poole, E Leinonen, P Blekkenhorst, W Montelpare, L Tyler – Lakehead University; Thunder Bay District Health Unit; University of Leeds; Meno Ya Win Health Centre
11:30 am Immune Response to Haemophilus Influenzae Type b Vaccination in Patients with Chronic Renal Failure
E Nix, N Hawdon, W McCready, M Ulanova – Northern Ontario School of Medicine
11:50 am Evaluation of the Effectiveness of a Triple P Parenting Group Intervention in a Community-Based Clinic
S Chomycz, A Kruse, F Schmidt – Lakehead University; Children’s Centre Thunder Bay
12:10 pm Respite for Seniors in the Districts of Thunder Bay and Kenora/Rainy River
C Neff, S Dubois, C Gibbons, M Bédard – Wesway; St. Joseph’s Care Group
12:30 pm Aggressive Driving in Young Drivers
A Lambert-Bélanger, S Dubois, B Weaver, N Mullen, M Bédard – Lakehead University; St. Joseph’s Care Group
12:50 pm Poster Presentations and Lunch – McGillivray Room
*Presenter in Red
Poster Presentations
1 New Emerging IT Trends in Public Health and their Security Challenges
S Mohammed, J Fiaidhi – Lakehead University
2 Exploring the Relationship Between Health-Related Fitness and Biological CVD Risk Factors in Canadian Young Adult Men and Women
D Thompson, T Larocque, J Farrell – Lakehead University
3 Exploring the Relationship Between Participation and Motivation in People Who Take Part in Formal Activities with Their Dogs
J Farrell, A Hope, R Hulstein, S Spaulding – Lakehead University; University of Western Ontario
4 Naadmaage Kwe - Women Helping Women
E Leinonen, K McQueen, K Allan, L Prodanyk, S Marcinyshyn, M Mawaskeesic –Thunder Bay District Health Unit; Lakehead University; Anishnawbe Mushkiki Community Health Centre
5 Ethical Space for a Sensitive Research Topic: Engaging First Nations Women in the Development of Culturally Safe Human Papillomavirus Testing
I Zehbe, M Maar, A Nahwegahbow, K Berst, J Pintar –Thunder Bay Regional Research Institute; Northern Ontario School of Medicine; University of Waterloo
6 Does Co-Located Primary Care Mental Health Decrease Hospital Use? An Analysis Over Five Years of Emergency Department Visits and Hospital Admissions in Thunder Bay, Ontario
J Haggarty, J Jarva, J Hohenadel, L Martin, S Dubois – St. Joseph’s Care Group; North West Local Health Integration Network; Lakehead University
7 Adolescents’ Experiences of a Strengths-Based Treatment Program for Substance Abuse
N Harris, J Brazeau, A Clarkson, K Brownlee, E Rawana – Lakehead University
8 Teach Our Children: Stroke Awareness for Aboriginal Youth
B Minore, M Hill, P Bodnar – Lakehead University; Thunder Bay Regional Health Sciences Centre
9 Using High-Fidelity Simulation to Bridge Theory to Practice for Baccalaureate Nursing Students Learning to Care for Cardiac Patients
R Kirk-Gardner, L Sutherland, K Hildebrandt – Lakehead University
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11
12
Improving Communication around Death and Dying for Personal Support Workers in Long-Term Care Facilities
S Hendrickson, K Jones, K Kortes-Miller, ML Kelley – Lakehead University
Palliative Care Competencies for PSWs Working in Long-Term Care
M McKee, C England, J McDonald – Lakehead University; St. Joseph’s Care Group
Improving Continence in Northwestern Ontario Long-Term Care Homes
H Woodbeck, D Jenkins, S Shaikh – Registered Nurse Association of Ontario; Glengarry Health Care Consulting
13
Preparing for Driving Cessation: Does Health or Personality Make a Difference?
N Mullen, G Kafka, M Bédard – Lakehead University
14 Older Drivers’ Driving Patterns and Satisfaction
15
N Mullen, G Kafka, M Bédard – Lakehead University
Evaluating the Dem Tect and SIMARD MD as Screening Tools for Older Drivers
N Mullen, S Ostap, M Bédard – Lakehead University; Joseph’s Care Group
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18
Relating Attention Network Test (ANT) Measures to Cognitive Test Scores for Driver Screening in Candrive Common Cohort Study Participants
L Morrison, B Weaver, M Bédard – Lakehead University
Risk of Rollover by Occupancy Rate among Automobiles, Minivans, 15-Passenger Vans, and Highway Busses
T Potter, S Dubois, M Bédard – Lakehead University; St. Joseph’s Care Group
The Impact of Some Common Medications, Alone and in Combination with Alcohol, on Crash Responsibility
S Dubois, H Maxwell, B Weaver, M Bédard – St. Joseph’s Care Group; Lakehead University
*Presenter in Red
Speaker #1
Role Perceptions of Mental Health Rehabilitation Team Members Experiencing Transition
Laurie Macdonald
Older Adult Rehabilitation, St. Joseph’s Care Group
Katherine Stewart
Administration, St. Joseph’s Care Group
Sue Delamere
Adult Rehabilitation, St. Joseph’s Care Group
Petrina Calder
School of Rehabilitation Science, McMaster University
Arwen Caines
School of Rehabilitation Science, McMaster University
Neva Shemilt
School of Rehabilitation Science, McMaster University
Alex Tytus
School of Rehabilitation Science, McMaster University
Joyce Tryssenaar
School of Rehabilitation Science, McMaster University
Background/Objectives: Two existing mental health inpatient programs are being amalgamated to create a single mental health rehabilitation program in a new facility to be built within the next three years. A gap in the literature exists related to team member perceptions of roles during program transition. The purpose of this study was to explore role perceptions of team members on two interdisciplinary inpatient mental health rehabilitation programs and anticipated role changes with program transition.
Method: A qualitative case-study design was completed to carry out an in-depth exploration of a bounded system (two mental health rehabilitation programs). Following semi-structured, one-time individual interviews, constant comparative analysis of the interview transcripts was used to identify themes.
Results: Three main themes, including commitment to clients: complexities of client-centered care, continuum of effective collaboration, and responses to pending change, were identified. Themes highlighted the complex nature of providing care on interdisciplinary mental health programs experiencing transition.
Conclusion: By exploring the role perceptions of inpatient interdisciplinary mental health team members as they approach a significant change in location and program, it was evident that there is a united focus on client care, that collaboration exists on many levels with varying results, and that team members respond differently to both the pending change and the information about that change. Future directions for research may include the development and evaluation of a mechanism to enhance team communication and feedback, thus providing a means to capitalize on the human resource potential of the team itself.
Speaker #2
Front Line Staff Experiences of Grief and Loss in a Long-Term Care Home
Jill Marcella
Centre for Education and Research on Aging and Health, Lakehead University
Mary Lou Kelley
Centre for Education and Research on Aging and Health, Lakehead University
Background/Objectives: Residents are choosing to remain in LTC at the end-of-life. The LTC home has thus become a major location of death for people in Canada. Formal palliative care programs in LTC homes that aim to relieve suffering and improve the quality of living and dying are rare. LTC homes often do not formally recognize the grief and loss experienced by the front line staff. Due to nature of the care provided by front line staff, the relationships formed with residents are intense. These relationships are sometimes referred to by staff as “family like”. The close personal connections that staff have with residents contribute to staffs’ grief at death.
Method: Individual interview and qualitative methods were used to conduct the research. 6 PSWs, 1 RN, and 2 RPNs working in LT were recruited. Participants had worked a minimum of three years in the LTC setting and provided hands on care to residents who were at the end-of-life. Semi structured interviews were audio recorded and transcribed verbatim. Thematic analysis and a process of analytic induction were used to analyze the transcripts.
Results: Findings were organized into four overarching themes that emerged from the data: 1) the organizational context influences grief and bereavement, 2) the burden of grief, 3) the emotional impact of grief on staff, and 4) formal and informal opportunities that would better support staff after a resident dies.
Conclusion: Results vividly describe the complexity of the grief and bereavement experience for front line workers in a LTC home.
Speaker #3
Identifying Variables Affecting Breastfeeding Among Aboriginal Women
Karen McQueen
School of Nursing, Lakehead University
Ken Allan
Thunder Bay District Health Unit
Karen Poole
School of Nursing, Lakehead University
Eija Leinonen
Thunder Bay District Health Unit
Peggy Blekkenhorst
Thunder Bay District Health Unit
William Montelpare
University of Leeds
Leanne Tyler
Meno Ya Win Health Centre
Background/Objectives: While breastfeeding initiation rates have been increasing over the past two decades, breastfeeding duration and exclusivity fall well below current recommendations. A limitation of the breastfeeding literature is that the majority of studies have been conducted in large urban cities and little research has been done with Aboriginal women. The purpose of this study was to evaluate breastfeeding outcomes among Aboriginal women and psychometrically test the Breastfeeding Self-Efficacy ScaleShort Form.
Methods: Breastfeeding Aboriginal women were invited to participate from an urban or rural hospital in northwestern/northern Ontario (n = 132). Participants completed a baseline questionnaire in hospital evaluating sociodemographic, labour and delivery and postpartum variables and were then contacted by a research assistant at 4 and 8 weeks postpartum to evaluate infant feeding outcomes.
Results: This presentation will focus on the descriptive findings. Participants were identified with several factors that would be considered as at risk for early discontinuation of breastfeeding. However, the rates of breastfeeding at 8 weeks postpartum (78.5%) were similar or higher than other reported studies. Rates of breastfeeding exclusivity were low at 35.3%. Six variables were identified as significantly influencing breastfeeding duration p≤0.05.
Conclusion: Despite the challenges many women in this study faced, the breastfeeding outcomes are similar or greater than other reported studies. Improvements may still be made as breastfeeding exclusivity is well below current recommendations. Gaining a better understanding of the variables affecting breastfeeding outcomes among Aboriginal women may lead to the development of culturally safe and appropriate nursing interventions to support breastfeeding.
Speaker #4
Immune Response to Haemophilus Influenzae Type b Vaccination in Patients with Chronic Renal Failure
Eli Nix
Medical Sciences, Northern Ontario School of Medicine
Nicole Hawdon Medical Sciences, Northern Ontario School of Medicine
William McCready Medical Sciences, Northern Ontario School of Medicine
Marina Ulanova Medical Sciences, Northern Ontario School of Medicine
Background/Objectives: Chronic renal failure (CRF) patients undergoing haemodialysis are immunocompromised and therefore at high risk for invasive bacterial infections. Despite widespread vaccination programs Haemophilus influenzae type b (Hib) continues to circulate in the general population. The paediatric Hib vaccine could protect CRF patients provided their immune response is sufficiently robust and long lasting.
Method: Thirty-four CRF patients and 19 healthy controls received one dose of paediatric Hib conjugate vaccine; serum anti-Hib IgG antibody levels and functional antibody activity were assessed before, and 1, 6, 9, 12 months after vaccination. Baseline anti-Hib IgM antibody levels were also evaluated.
Results: Less than 50% of non-vaccinated CRF patients had protective anti-Hib antibody levels (≥1.0 µg/ml) and only 26.5% expressed detectable serum bactericidal activity against Hib. Four weeks post-vaccination, all but one patient (97%) had developed protective antibody levels with a 23-fold increase in geometric mean concentrations (P<0.0001); 29 out of 32 (91%) patients had serum that exhibited detectable bactericidal activity. Protective IgG antibody levels and serum bactericidal activity persisted 12 months post-vaccination in 92% and 85% of patients, respectively. The vaccine response did not depend on age, sex, or length of dialysis, but was lower in CRF patients who had type 2 diabetes mellitus or COPD.
Conclusion: Adult patients with CRF can be at an increased risk of acquiring invasive Hib disease because many lack functionally active anti-Hib antibodies. The conjugate Hib vaccine is highly immunogenic in these patients and can provide protection against invasive Hib disease for at least one year.
Speaker #5
Evaluation of the Effectiveness of a Triple P Parenting Group Intervention in a Community-Based Clinic
Suzanne Chomycz
Department of Psychology, Lakehead University
Alexandra Kruse
Department of Psychology, Lakehead University
Fred Schmidt
Children’s Centre Thunder Bay
Background/Objectives: Past effectiveness studies of the Triple P-Positive Parenting Program have focused on treatment outcomes but have neglected to understand the role of treatment process factors related to effective results. Information of this nature, however, is critical for the refinement of evidence-based parenting programs which are delivered under the real world conditions of community-based clinics.
Methods: Participants included 166 families (116 mothers and 50 fathers) who completed the Level 4 group Triple P program in a community-based clinic. Data on standardized parent and therapist measures of therapeutic alliance, parent psychopathology, and social support were collected in order to assess child and parent treatment outcomes.
Results: The Triple P program significantly improved mother (p < .001) and father (p = .05) ratings of child behavioural functioning. Moreover, parenting practices for both mothers (ps <.05) and fathers (ps < .05) significantly improved. Levels of parenting confidence and self-efficacy for mothers (p < .001) and fathers (p =.004) reached significance as well. In addition, levels of maternal depression and stress (ps < .05) as well as paternal stress (p < .05) significantly decreased upon completion of the program. The relationship between therapeutic alliance and child and parent treatment outcomes and the implications of the findings for group treatment delivery in community-based settings will be described.
Conclusion: Overall, this research provides a step toward understanding the factors related to more effective Triple P interventions for parents of children with behavioural problems within a community-based clinic.
Speaker #6
Respite for Seniors in the Districts of Thunder Bay and Kenora/Rainy River
Carol Neff
Wesway
Sacha Dubois
Research Department, St. Joseph’s Care Group
Carrie Gibbons
Research Department, St. Joseph’s Care Group
Michel Bedard
Centre for Research on Safe Driving, Lakehead University Research Department, St.Joseph’s Care Group
Background/Objectives: Using an innovative Family Directed Respite Funding model, Wesway began a pilot project to help meet the needs of family caregivers of frail elderly people living in small communities in the Districts of Thunder Bay and Kenora/Rainy River. This model offered caregivers the ability to select the type of care best suited to their particular respite needs.
Methods: Within accountability parameters, family caregivers were reimbursed for the respite supports they chose. Health status (Short-Form Health Survey – 12), Quality of Life (Global Quality of Life Scale), Utilization of Health Care Services, Caregiver Burden (Zarit Burden Interview – Short), and Satisfaction with Services (CSQ-8) were measured at program entry and 12-months (East only). Focus groups were also conducted.
Results: Most care recipients assessed by the CCAC (East=69%, West=93%) received MAPLe scores indicating a minimum of high needs (11 or greater). At baseline, many caregivers were below expected general health population norms by at least one standard deviation (e.g. low 40’s). Mean role and personal burden ZBI domains were around 2.5 for both Districts indicating many caregivers were experiencing burden symptoms at least one or more times per week. At one year, District East caregivers reported lower mean burden levels however these differences were not statistically significant. Over 95% of caregivers reported they were mostly or very satisfied with Wesway’s services.
Conclusion: Given the health status, burden levels, and service utilization data available it appears that respite services offered by Wesway are essential to support caregivers and may result in tangible benefits.
Speaker #7
Aggressive Driving in Young Drivers
Anik Lambert-Bélanger
Research Department, St. Joseph’s Care Group
Sacha Dubois
Research Department, St. Joseph’s Care Group
Bruce Weaver
Centre for Research on Safe Driving, Lakehead University
Nadia Mullen
Centre for Research on Safe Driving, Lakehead University
Michel Bédard
Centre for Research on Safe Driving, Lakehead University
Research Department, St.Joseph’s Care Group
Background/Objectives: To determine the extent to which number of passengers, driver age and driver sex are associated with aggressive driving actions (ADAs) in young drivers.
Methods: We used U.S. fatal-crash data from Fatality Analysis Reporting System (FARS), 1991 – 2008. A Delphi consensus process was utilized to identify ADAs from FARS driver related factors. Proxy measures of aggressive driving included ADA presence and the difference between the posted speed limit and the speed of vehicle (i.e., the speed differential). Using a case-control design (cases were drivers who committed at least one ADA, controls did not) we examined odds of an ADA (using logistic regression) and speed differential (multiple regression) in young drivers (aged 16 to 25).
Results: Compared to driving alone, young drivers (aged 16) had increased odds of an ADA between 11% (OR: 1.11; 95%CI: 1.05;1.18) and 69% (OR: 1.69;95%CI:1.27;2.26) when accompanied by one and five passengers respectively. Further, carrying a higher number of passengers was a stronger predictor of speeding in younger drivers.
Conclusion: Novice drivers, especially males, had a high risk of driving aggressively in the presence of passengers compared to drivers with a few more years of driving experience. These data support the use of graduated licensing approaches and indicate tackling the issue of driving while impaired is not sufficient to drastically reduce crashes among the youngest drivers. Specifically, developing interventions to reduce aggressive driving appear imperative.
Notes
Poster #1
New Emerging IT Trends in Public Health and their Security Challenges
Sabah Mohammed
Department of Computer Science, Lakehead University
Jinan Fiaidhi
Department of Computer Science, Lakehead University
Background/Objectives: After World War II, there was widespread optimism that good sanitation, vaccines, and antimicrobial agents would conquer infectious diseases. However, public health successes of the 1960s and 1970s were followed in the 1980s and early 1990s by ominous developments, such as the recognition of the extent of the HIV/AIDS epidemic and the resurgence of diseases such as tuberculosis. Recently public health extends the new emerging Web 2.0 technologies of usergenerated content, patient empowerment, participatory technologies, and public collaboration to the field of public health.
Methods: This article describes the use of various Web 2.0 technologies (e.g. Public Health 2.0, EHR 2.0, Patient 2.0, Biosurveillance 2.0) in public health and their security and privacy challenges. The article attempts to answer whether such technologies are hype or fiction from the security and privacy point of view.
Results: The authors constructed an infrastructure for sharing patients health records over a public internet cloud and assess it use from the security and performance point-of-views.
Conclusion: The new emerging IT technologies in public health reflect an evolution in medical counterculture movements where their use must be strictly considered from the angle of security and privacy.
Poster #2
Exploring the Relationship Between Health-Related Fitness and Biological CVD Risk Factors in Canadian Young Adult Men and Women
David Thompson
School of Kinesiology, Lakehead University
Tracey Larocque
School of Kinesiology, Lakehead University
Joey Farrell
School of Kinesiology, Lakehead University
Background/Objectives: Established relationships exist between declining health-related fitness and Cardiovascular Disease risk (CVD) in older adults. However, the relationship between current fitness levels and CVD risk in young adults remains unclear. Current medical practices do not actively use blood lipid testing to screen for CVD in young adults however, non-optimal lipids in young adults have been associated with coronary atherosclerosis later in life. To our knowledge, no study has identified any relationship between blood lipid measures and healthrelated fitness levels in Canadian Young Adults for men and women.
Methods: Sixty-seven male and female Kinesiology and Nursing students (18 to 30 years of age) participated in the study. Fasting levels of HDL-C, LDL-C, Total Cholesterol (TC), Total Triglyceride, and hs-CRP were obtained and compared to the following health-related fitness measures: Body mass index (BMI), waist circumference (WC), the Rockport Walk Test (RWT), The YMCA Modified Sit and Reach Test, right angle push-ups, partial curl-ups, and the wall-sit.
Results: In males, triglycerides were correlated to BMI (r(27)=.408, p<0.05), WC (r(27)=.541, p<0.01), and RWT (r(27)= -.500, p<0.01). In females, TC/HDL-C ratio was correlated to WC, (r(36)=.563, p<0.01), BMI, (r(36)=.580, p<0.01), RWT, (r(36)=-.496, p<0.01), push-ups, (r(37)=-.323, p<0.05), and partial curl-ups (r(37)=-.359, p<0.05).
Conclusion: Our final findings revealed a relationship between healthrelated fitness and biological CVD risk factors that is more pronounced in women than men, but still needs to be explored further. As an initial CVD screening tool for young adults, health-related fitness assessment is an attractive low-cost option that merits further investigation.
Poster #3
Exploring the Relationship Between Participation and Motivation in People Who Take Part in Formal Activities with Their Dogs
Joey Farrell
School of Kinesiology, Lakehead University
Ashley Hope
School of Kinesiology, Lakehead University
Rodney Hulstein
School of Kinesiology, Lakehead University
Sandi Spaulding
School of Occupational Therapy, University of Western Ontario
Background/Objectives: Participation in physical activity with one’s dog provides dog owners with physical, psychological, and social benefits to health (Knight & Edwards, 2008). Dog sports offer dog owners the opportunity for life-long engagement in a more formalized mode of activity with one’s dog. According to Deci and Ryan (2008), intrinsic motivation is associated with enhanced participation adherence and activity enjoyment, which positively influences health. The purpose was to explore motivation and participation levels of individuals who participate in dog sports.
Methods: Demographic information was collected to provide a description of the population (n=85) related to their involvement in dog sports. A modified Sport Motivation Scale, based on the SelfDetermination Theory, collected information regarding motivation for participation in dog sports. Open-ended questions provided a deeper understanding of individuals’ perceived barriers and motivators for dog sport participation.
Results: Results illustrated that 77% of participants were over 45 years of age and 80% were female. The sample was well-educated; 34% were post-secondary graduates and 32% held postgraduate degrees. Seventysix percent reported participation in 12 or more dog sport competitions yearly and 62% would like to participate in more. Intrinsic motivation was a strong source of motivation for participants. Motivators cited were enjoyment and social interactions. Barriers of time and financial commitments were indicated as limiting participation.
Conclusion: Motivation was intrinsically-driven which was reflected in high participation levels similar to Deci and Ryan’s conclusions. Dog sports are indicated as life-long activities for older adults to engage in exercise leading to improved health and well-being.
Poster #4
Naadmaage Kwe - Women Helping Women
Eija Leinonen
Thunder Bay District Health Unit
Karen McQueen
School of Nursing, Lakehead University
Ken Allan
Thunder Bay District Health Unit
Laura Prodanyk
Thunder Bay District Health Unit
Sheila Marcinyshyn
Anishnawbe Mushkiki Community Health Centre
Martha Mawaskeesic
Anishnawbe Mushkiki Community Health Centre
Background/Objectives: The benefits of breastfeeding have been well documented for both mothers and infants. Despite the known benefits and a Canadian breastfeeding initiation rate of approximately 90%, less than 50% of women continue to breastfeed for the recommended duration. Breastfeeding rates among Aboriginal women have been reported to be lower than Canadian averages. Few studies have been conducted with breastfeeding Aboriginal women; thus, little is known about effective interventions to support Aboriginal women. Peer support has been identified as an effective intervention for improving breastfeeding outcomes. This pilot study evaluated a breastfeeding peer support program for Aboriginal women.
Methods: The program includes both breastfeeding education and support by health care providers and peer mothers. Participants were:
(1) invited to attend an antenatal breastfeeding education session,
(2) matched and met with an Aboriginal mother who has breastfeeding experience and attended a training session on providing breastfeeding support, and (3) provided with telephone support from the peer mother postpartum.
Results: This poster presentation will focus on the pilot findings including the culturally sensitive components of the peer support program (antenatal education and peer training), recruitment, challenges encountered, maternal and peer satisfaction, and the contributions of the research findings.
Conclusion: Findings support continuing the antenatal breastfeeding education session and opportunity for mothers to meet their breastfeeding peers. Additional peer training and alternate types of support such as face- to- face should be considered. Aboriginal organizations are recommended to take the lead.
Poster #5
Ethical Space for a Sensitive Research Topic: Engaging
First Nations Women in the Development of Culturally Safe Human Papillomavirus Screening
Ingeborge Zehbe
Probe Development and Biomarker Exploration, Thunder Bay Regional Research Institute
Marion Maar
Human Sciences Division, Northern Ontario School of Medicine
Amy Nahwegahbow
School of Public Health, University of Waterloo
Kayla Berst
Probe Development and Biomarker Exploration, Thunder Bay Regional Research Institute
Janine Pintar
Probe Development and Biomarker Exploration, Thunder Bay Regional Research Institute
Background/Objectives: First Nations women are widely under-screened for Human Papillomavirus (HPV) infection and cervical cancer. This may be due to issues around screening for a sexually transmitted infection. These issues may include experiences of stigmatization, feelings of shame, and fear of lack of privacy when results are reported in very small communities.
Methods: Any HPV research in First Nations communities must be done in a sensitive, respectful, and culturally appropriate way, preferably involving community members themselves. In studying ways to promote HPV and cervical cancer screening in First Nations communities in Ontario, the authors of this paper used a participatory action research (PAR) approach, which involves collaboration between the research team and the people the research is supposed to benefit. The authors also used First Nations scholar Willie Ermine’s concept of ethical space— where groups with separate worldviews come together to recognize differences and negotiate mutual understanding—in their approach to working with the communities.
Results: Through a series of engagements with community members to introduce, develop, and refine the proposed research, the authors were able to create a study that was both scientifically sound and accepted by the community. A pilot study was completed in one First Nations community with a larger, randomized trial scheduled to begin in ten additional communities involving up to 1,000 women.
Conclusion: Although the PAR/ethical space approach may be more time- and resource-intensive, involving local women, health care providers, leaders, and other community members helps ensure acceptance by and benefit to the First Nations communities involved in research.
Forthcoming publication in the Journal of Aboriginal Health.
Poster #6
Does Co-Located Primary Care Mental Health Decrease Hospital Use? An Analysis Over Five Years of Emergency Department Visits and Hospital Admissions in Thunder Bay, Ontario
Jack Haggarty
Community Mental Health, St. Joseph’s Care Group
Janelle Jarva
Mental Health Outpatient Program, St. Joseph’s Care Group
Jane Hohenadel
Northwest Local Health Integration Network
Lynn Martin
Department of Health Sciences, Lakehead University
Sacha Dubois
Research Department, St. Joseph’s Care Group
Background/Objectives: This study will examine the impact of a primary care located shared mental health care (SMHC) on emergency room usage and mental health related admissions. We anticipate that, when compared to patients whose clinics do not offer SMHC, patients of SMHC clinics will demonstrate less emergency room utilization related to minor to moderate mental diagnoses, and comparable rates of emergency room visits / psychiatric admissions related to severe mental health diagnoses (not routinely managed by SMHC).
Methods: Data from the emergency room visits from patients of 4 large primary care clinics will be examined (N= 259,220). Two of these clinics offered SMHC services, and two did not. Patient data was obtained from the Thunder Bay Regional Health Sciences Centre database for all ED visits for the period of April 1st 2004 to March 31st, 2010. ICD-10 codes were used to distinguish between mental health-related visits and non-mental health related visits. The number of patients per clinic (roster size) was used to create corrected values, to account for the differing sizes of the clinics.
Results: The majority of visits to the ED were for non-mental health visits. Preliminary analysis, corrected for roster size, indicates that of the patients from SMHC clinics, 5.06% had a mental health-related visit, compared to 6.06% from non-SMHC clinics (Odds ratio 0.84, 95% CI [0.78, 0.89]).
Conclusion: These preliminary results indicate that the SMHC affiliated clinics have less overall use of the ED for mental health reasons.
Poster #7
Adolescents’ Experiences of a Strengths-Based Treatment Program for Substance Abuse
Nicholas Harris
Department of Psychology, Lakehead University
James N. Brazeau
Department of Psychology, Lakehead University
Ashley Clarkson
School of Social Work, Lakehead University
Keith Brownlee
School of Social Work, Lakehead University
Edward P. Rawana
Department of Psychology, Lakehead University
Background/Objectives: Substance abuse is a growing issue among adolescents. While not every adolescent who struggles with this issue seeks treatment, those who do, frequently fail to complete treatment or tend to relapse following treatment. To improve adolescent treatments for substance abuse issues it is important to understand adolescent experiences while in treatment, along with the factors that contribute to positive treatment outcomes.
Methods: Qualitative methods were used to examine 52 post-treatment interviews conducted with adolescents following their completion of a five week strengths-based residential program for substance use issues. Adolescent narratives were analyzed to answer three research questions:
(1) what aspects of the treatment program were found to be most helpful by youth, (2) which specific strengths did youth identify to be the most helpful throughout the treatment process and in beginning to overcome their substance use issues, and (3) did youth begin to adopt strengthsbased thinking strategies over the course of treatment?
Results: Descriptive answers to these questions based on common themes across participant responses are provided. Youths reported the strengths-based approach to promote engagement and to be the most useful aspect of treatment while attending the program. Many youths adopted the beliefs that identifying, further developing, and acting from a position of strengths has value for them as they are trying to overcome their substance use issues.
Conclusion: Findings suggest that the strengths-based approach may be particularly attractive and easily adopted by youths in a substance use treatment program. Implications for future research are discussed.
Poster #8
Teach Our Children: Stroke Awareness for Aboriginal Youth
Bruce Minore
Centre for Rural and Northern Health Research, Lakehead University
Mary Hill
Centre for Rural and Northern Health Research, Lakehead University
Pauline Bodnar
Northwestern Ontario Regional Stroke Network, Thunder Bay Regional Health Sciences Centre
Background/Objectives: To learn what Aboriginal youth understand about stroke, what they need to know about stroke and how this information can best be delivered to them.
Methods: The study used a participatory-research approach and a sentinel site design to select ten locations (1 urban, 2 remote and 7 rural) that represented Aboriginal populations and health care organizations in Northwestern Ontario. Following recommended strategies for Aboriginal research, the investigators collaborated closely with communities, provided honoraria to Elders and organizations, and employed First Nations facilitators to ensure respect for culture, values and needs.
Results: The findings revealed considerable variability in Aboriginal youth’s knowledge about stroke. Some communities, with strong health programming, had very well-informed youth; in other locations, there was less awareness. Using the results, the research team and Aboriginal advisors developed an educational DVD featuring Anishnawbe youth teaching others about stroke.
Conclusion: The project demonstrated the benefits of collaboration with First Nation communities, health organizations and educational institutions. It is anticipated that the DVD tool will be utilized by health and education professionals to heighten the awareness of signs and symptoms of stroke. Over the longer-term, increased awareness should encourage more timely response to stroke, and ultimately, contribute to better outcomes for stroke survivors.
Poster #9
Using High-Fidelity Simulation to Bridge Theory to Practice for Baccalaureate Nursing Students Learning to Care for Cardiac Patients
Rhonda Kirk-Gardner
School of Nursing, Lakehead University
Leslie Sutherland
School of Nursing, Confederation College
Kathryn Hildebrandt
School of Nursing, Lakehead University
Background/Objectives: This project facilitates bridging of cardiac theory to comprehensive client care for third year baccalaureate nursing students using high fidelity simulation.
Methods: A scenario was developed for a client in Northwestern Ontario with unstable angina. The client experienced severe blockage of a coronary artery and required transfer to a major centre approximately 1000 miles away for bypass surgery. A chart was created and used by students assembled in groups of four to prepare and care for the client. Students were evaluated based on their presentation of information on pathophysiology, diagnostic tests, medications, assessments, diagnoses/interventions, and social determinants of health. Information was delivered by the group in a rounds-style format and evaluated by a faculty instructor, lab coordinator, and peers. Students were also evaluated on individual performance of an assigned skill during which they were expected to interact with the client and respond appropriately to strategic questions and comments posed. The sessions concluded with debriefing.
Results: Students felt the experience improved their ability to apply cardiac theory to client care, as evidenced by student comments expressed during debriefing and anonymous feedback received from students through postsession evaluation.
Conclusion: High-fidelity simulation in education and health care practice settings can be integrated to challenge and inform critical thinking and quality care provision at both the team and individual levels. High fidelity simulation experiences designed to bridge theory to practice have the potential to facilitate student-centered learning for baccalaureate nursing students.
Poster #10
Improving Communication Around Death and Dying for Personal Support Workers in Long-Term Care
Stephanie Hendrickson
School of Social Work, Lakehead University
Kristen Jones
School of Nursing, Lakehead University
Kathy Kortes-Miller
Faculty of Education, Lakehead University
Mary Lou Kelley
School of Social Work, Lakehead University
Background/Objectives: In Canada, long-term care (LTC) can be thought of as the hospices of the future, caring for older people with chronic conditions with a long trajectory to death. The most common condition is dementia. Personal Support Workers (PSWs) provide the majority of direct care to LTC home residents, yet receive little formal training in palliative care. Communication about death and dying has been identified as a key challenge for PSWs working in LTC homes.
To develop, implement, and evaluate a high-fidelity simulation (HFS) experience as an intervention that can be used for training PSWs in communication skills for palliative care.
Method: This intervention was developed, implemented and evaluated in conjunction with a participatory action research project within two LTC homes in Thunder Bay, ON.
Results: Participant surveys indicated a statistically significant improvement on self-efficacy scores related to the provision of end-of-life care. Participants reported that the experience was positive and affirming and believed that HFS should be more widely used in PSW training. At follow-up, participants reported improved confidence, communication skills, awareness and understandings of palliative care, and an increased comfort level discussing issues around death and dying with both residents and family members.
Conclusion: This study provides data supporting the benefit of using HFS for palliative care education with PSWs in LTC. No previous research could be found regarding the use of HFS for this purpose. Future research is needed to evaluate this intervention more broadly.
Poster #11
Palliative Care Competencies for PSWs Working in Long-Term Care
Marg McKee
School of Social Work, Lakehead University
Chris England
Bethammi Nursing Home, St. Joseph’s Care Group
Jackie McDonald
Bethammi Nursing Home, St. Joseph’s Care Group
Background/Objectives: This poster present the results of phase one of the project: Palliative Care Competencies for PSWs in Long Term Care(LTC). The competencies project is part of a larger ongoing SSHRC funded project whose goal is to improve the quality of life of people dying in LTC homes. One of the themes to emerge from an early environmental scan was that the PSWs wanted to develop a set of core practice competencies to define and articulate their role on the palliative care team, and thus, the competency project began.
Methods: In Phase one of the project we interviewed PSWs who had been identified by their peers as exemplars of excellent practice, and asked them about their role with the seniors they cared for who were nearing the end-of- life in their LTC home. The interviews were audio-recorded, transcribed, and analyzed for themes using standard qualitative methods. Themes related to the knowledge, skills, personal attributes, and values they thought were necessary for excellent practice, were identified from the transcripts. The participants were then invited to a focus group where the themes were presented for discussion and verification.
Results: The competencies of PSWs working in palliative care in Long Term Care are presented.
Conclusion: The next phase of the research includes verifying the competencies with other groups of PSWs, and then working with Colleges that provide training to PSWs to develop curriculum to address the gaps in palliative care education.
Poster #12
Improving Continence in Northwestern Ontario Long Term Care Homes
Heather Woodbeck
Registered Nurse Association of Ontario
Deb Jenkins
Glengarry Health Care Consulting
Saima Shaikh
Registered Nurses Association of Ontario
Background/Objectives: Bowel and bladder incontinence are ongoing problems in Long Term Care Homes (LTCH). It is estimated that up to 80% of residents are incontinent. The aim of the Improving Continence Care Collaborative (IC3) is to enhance the lives of long term care residents by implementing continence care best practices.
Method: Teams from 8 LTCH’s in Northwestern Ontario have participated in IC3, a Community of Practice of the Seniors Health Research Transfer Network (SHRTN). Since 2006, teams from over 100 LTC homes across Ontario have come together to share their progress in monthly teleconferences and quarterly videoconferenced learning sessions. Quality improvement methods are used to implement best practices. LTC homes set an aim; monitor; and implement improvements in bowel and continence care. Teams document their successes and challenges using the Plan/ Study/Do/Act (PDSA) cycles.
Results: LTCH’ s have demonstrated that it is possible to improve the continence status of their residents. Residents in participating LTCH’s have decreased rates of constipation; increased bowel and urinary continence; decreased laxative use and skin breakdown and improved quality of life. Some LTCH’s have been able to sustain this transformation of their continence care practices over four years.
Conclusion: Lessons that have been learned are: Residents can relearn to be continent, even those with dementia; toileting takes less time than cleaning up a messy incontinent product and toileting helps residents to maintain their dignity. Videoconferencing provides opportunities for organizations to share their successful approaches for change is a cost effective approach.
Poster #13
Preparing for Driving Cessation: Does Health or Personality Make a Difference?
Nadia Mullen
Centre for Research on Safe Driving, Lakehead University
Garrett Kafka
Department of Psychology, Lakehead University
Michel Bédard
Centre for Research on Safe Driving, Lakehead University Research Department, St.Joseph’s Care Group
Background/Objectives: Preparing in advance for driving cessation may help older drivers with the transition to non-driver status. This project was conducted to determine whether health or personality were associated with older drivers’ preparedness or intentions to retire from driving.
Method: 180 (84 male, 96 female) older drivers (mean age = 71.2 years) completed a questionnaire package that included measures of demographics, health (SF-12), personality (NEO-FFI Neuroticism and Extraversion), intentions to cease driving in the next 2 or 5 years, and whether drivers had thought about how they would get around following driving cessation.
Results: Drivers who were older or in poorer physical health had greater odds of intending to cease driving within 2 years (OR for a 10-year increase in age: 5.48, 95% CI: 2.44-12.32; OR for a 10-point increase in the SF-12 Physical Component Score: 0.50, 95% CI: 0.29-0.85). Age was similarly associated with the intention to cease driving within 5 years (OR: 2.70, 95% CI: 1.60-4.56). Personality measures were associated with preparing for driving cessation; drivers who scored higher in neuroticism and extraversion had increased odds of having thought about how they would get around without a licence (OR for a 5-point increase in neuroticism: 1.49, 95% CI: 1.11-2.02; OR for a 5-point increase in extraversion: 1.46, 95% CI: 1.01-2.10).
Conclusion: Some drivers are less likely to have thought about the effects of driving cessation on their mobility. Identifying these individuals would assist with developing and targeting interventions to encourage such drivers to prepare for driving cessation.
Poster #14
Older Drivers’ Driving Patterns and Satisfaction
Nadia Mullen
Centre for Research on Safe Driving, Lakehead University
Garrett Kafka
Department of Psychology, Lakehead University
Michel Bédard
Centre for Research on Safe Driving, Lakehead University Research Department, St.Joseph’s Care Group
Background/Objectives: The objective was to examine older drivers’ driving patterns, their satisfaction with these patterns, and whether these patterns correlated with health. We hypothesized that driving patterns would be associated with satisfaction, and that health would be associated with both driving patterns and satisfaction.
Method: 137 (64 male, 73 female) licensed older drivers (mean age = 71.4 years) living in an urban area of >100,000 people completed a questionnaire package that included measures of demographic variables, weekly driving patterns (frequency of trips, distance driven), satisfaction with their amount of driving, and health (SF-12).
Results: Driving satisfaction was not associated with driving frequency or weekly distance driven. Three regression models examined whether health measures were associated with driving patterns and driving satisfaction, after controlling for gender and age. Health measures were not associated with driving frequency or driving distance. However, the Mental Component Score (MCS) of the SF-12 was associated with driving satisfaction, such that healthier drivers had greater odds of being satisfied with their amount of driving (OR for a 10-point increase in MCS = 1.79, 95% CI: 1.05-3.04).
Conclusion: The discord between driving patterns and satisfaction should be investigated to identify what leads older drivers to drive more or less than they would like. This would enable the development of interventions to minimize the discrepancy between driving patterns and satisfaction. Future research should also investigate the temporality of the association between mental health and driving satisfaction, with the goal of developing interventions to maximize good mental health and satisfaction.
Poster #15
Evaluating the DemTect and SIMARD MD as Screening Tools for Older Drivers
Nadia Mullen
Centre for Research on Safe Driving, Lakehead University
Simeon Ostap
Department of Psychology, Lakehead University
Michel Bédard
Centre for Research on Safe Driving, Lakehead University; Research Department, Joseph’s Care Group
Background/Objectives: With the number of older drivers increasing, effective tools are needed to assist with identifying drivers who may no longer be safe on the road. This study evaluated the utility of the DemTect and SIMARD MD as screening tools for older drivers. The study was designed to examine: a) how strongly older drivers’ scores on the DemTect and SIMARD MD were associated with other measures of visual attention and cognitive status, and b) how strongly DemTect and SIMARD MD scores were associated with on-road driving scores.
Method: Thirty-six older drivers (20 men, 16 women; aged 70 to 87 years) completed laboratory assessments, and 30 of these participants subsequently completed an on-road driving evaluation.
Results: Performance on the DemTect and SIMARD MD was significantly associated with performance on the SMMSE, Trails B, UFOV, and ANT (r ranged from .40 to .56, p < .05), but neither DemTect nor SIMARD MD scores were associated with performance on the driving evaluation (r = .19, p = .31, and r = .17, p = .36, respectively). Using the SIMARD MD cut-points identified by Dobbs and Schopflocher (2010), likelihood ratios showed that the SIMARD MD failed to improve prediction of driving outcome.
Conclusion: Neither the DemTect nor SIMARD MD appear to be suitable screening tools for older drivers; these tools may be more effective with a less healthy sample, such as drivers who have been referred for a driving evaluation (e.g., following a stroke).
Poster #16
Relating Attention Network Test (ANT) Measures to Cognitive Test Scores for Driver Screening in the Candrive Common Cohort Study Participants
Laura Morrison
Centre for Research on Safe Driving, Lakehead University
Bruce Weaver
Centre for Research on Safe Driving, Lakehead University
Michel Bédard
Centre for Research on Safe Driving, Lakehead University Research Department, St.Joseph’s Care Group
Background/Objectives: A major goal of the 5-year Candrive common cohort study is to develop a screening tool physicians can use to determine fitness to drive. Participant enrollment totals 927 across seven Canadian cities. Annual assessments of participants include various cognitive and physical tests, plus the Attention Network Test (ANT). The latter is a computerized reaction time test that measures three distinct functions of attention: alerting, orienting, and executive function. Previous research has suggested the ANT may be associated with driving performance. Here, we examined the relationship between ANT measures and cognitive test scores for a small group of older drivers enrolled in the Candrive study.
Methods: Data were collected from 27 Candrive participants at the Thunder Bay site (12 females; mean age=79 yrs). Correlations were computed between ANT measures and the following cognitive tests: Montreal Cognitive Assessment (MoCA), Mini Mental State Exam (MMSE), Motor-Free Visual Perception Test (MVPT-3), The Trail Making Tests A and B (TMT), the Demtect, and the Simard-MD.
Results: Median response time for all correct trials from the ANT was significantly correlated with MVPT-3(r=.615), TMTA(r=.534) and TMTB(r=.656) scores (p<0.01). Alerting efficiency was significantly correlated with MVPT-3(r=-.395), MoCA(r=.426), MMSE(r=.479) and Simard-MD(r=.402) scores (p<0.05); and orienting efficiency was significantly correlated with the MoCA(r=.401) and Simard-MD(r=.395) (p<0.05). Conflict efficiency was not significantly correlated with any of the cognitive tests.
Conclusion: Preliminary evidence relating the ANT to cognitive test scores demonstrates that it is reasonable to continue collecting data within the Candrive common cohort study and further explore its potential role in screening older drivers.
Poster #17
Risk of Rollover by Occupancy Rate Among Automobiles, Minivans, 15-Passenger Vans and Highway Busses
Tom Potter
School of Outdoor Recreation, Parks, and Tourism, Lakehead University
Sacha Dubois Research Department, St.Joseph’s Care Group
Michel Bédard
Centre for Research on Safe Driving, Lakehead University Research Department, St.Joseph’s Care Group
Background/Objectives: As any motor vehicle’s occupancy rate rises so too does its centre of gravity, and consequently its handling characteristics change. Given rollovers are among the deadliest actions of vehicle crashes we investigated fatality rates as a result of vehicle rollover among some of the most common vehicles used to transport groups: automobiles, minivans, 15-passenger vans and highway busses.
Methods: We used data from the Fatality Analysis Reporting System to compare odds and absolute risk of a roll-over by occupancy rate and vehicle type (car, minivan, 15-passenger van, and bus) for vehicles involved in fatal crashes. We also examined impact point and most harmful event for each vehicle.
Results: Of the four vehicle types studied all were more likely to rollover as their occupancy rates increased. Fully loaded 15-passenger vans had almost 13 times the increased odds of rollover compared to fully loaded cars and 75% increased risk. Minivans when full (seven occupants), often seen as the replacement for 15-passenger vans, were found to have over 3.5 times the increased odds of rollover and 50% increased absolute risk compared to fully loaded cars. Impact point and most harmful events will also be presented by vehicle type.
Conclusion: Drivers need to be aware that as occupancy rates of the vehicles they drive rise so too does the risk of rollover and fatalities, especially among mini and 15-passenger vans. Organizations transporting groups need to balance cost and safety management by selecting vehicle types and drivers with acute awareness of the risks involved.
Poster #18
The Impact of Some Common Medications, Alone and in Combination with Alcohol, on Crash Responsibility
Sacha Dubois
Research Department, St.Joseph’s Care Group
Hillary Maxwell
Research Department, St.Joseph’s Care Group
Bruce Weaver
Public Health Department, Lakehead University
Michel Bédard
Centre for Research on Safe Driving, Lakehead University; Research Department, Joseph’s Care Group
Background/Objectives: Several medications depress brain function within the central nervous system (CNS) and also have the potential to impair drivers – leading to fatal traffic crashes. Most epidemiological research has focused on the association between medications that depress the CNS and traffic crashes. Yet, the role of these medications on crash responsibility is still not properly understood. Methods: We used a case-control design with drivers aged 20 and over involved in a fatal crash in the U.S.A. from 1993-2008. All drivers were tested for alcohol and drugs (Benzodiazepines and Opioid Analgesics). Cases had at least one Unsafe Driver Action (UDA – the proxy measure for responsibility) related to the crash, while controls did not. Logistic regression was used to calculate log-odds, predicted odds, and odds ratios of performing an UDA for the drug alone, alcohol alone, and both the additive and combination of drugs and alcohol by age and sex while controlling for driving record.
Results: Younger and middle-aged drivers had the highest odds ratios of committing an unsafe driver action when exposed to CNS medications. Even at legal limits of alcohol, the odds of committing an unsafe driver action were significantly increased when combined with medications.
Conclusion: Given the increased associated risk, driver and public health education should highlight the association of CNS depressant usage, both alone and in combination with alcohol, on unsafe driving.
Author List
Ken Allan
Health Protection and Clinical Services, Thunder Bay District Health Unit
999 Balmoral St, Thunder Bay, ON P7B 6E7 tel: (807) 625-5955 Ken.Allan@tbdhu.com
Kayla Berst
Probe Development and Biomarker Exploration, Thunder Bay Regional Research Institute
Michel Bédard
Centre for Research on Safe Driving Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 mbedard@lakeheadu.ca
Peggy Blekkenhorst
Thunder Bay District Health Unit
Pauline Bodnar
Thunder Bay Regional Health Sciences Centre Northwestern Ontario Regional Stroke Network Professional Bldg. 201, 980 Oliver Road, Thunder Bay ON P7B 7C7 tel: (807) 684-6468 bodnarp@tbh.net
James Brazeau
Department of Psychology, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 jbrazeau@lakeheadu.ca
Keith Brownlee
Department of Social Work, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 343-8575 kbrownlee@lakeheadu.ca
Arwen Caines
School of Rehabilitation Science, McMaster University
Petrina Calder
School of Rehabilitation Science, McMaster University
Suzanne Chomycz
Clinical Psychology, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 473-6313 schomycz@lakeheadu.ca
Ashley Clarkson
Department of Social Work, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 768-5081 aaclarks@lakeheadu.ca
Sue Delamere
Adult Rehabilitation
St. Joseph’s Care Group
580 Algoma Street N tel: 343-4300 ext. 4437 delamers@tbh.net
Sacha Dubois
Research Department, St. Joseph’s Care Group
580 N. Algoma Street, Thunder Bay, ON tel: (807) 343-4300 duboiss@tbh.net
Chris England
Bethammi Nursing Home Nursing Personal Support Worker, St Joseph’s Care Group 63 Carrie Street, Thunder Bay, ON englandc@tbh.net
Joey Farrell
School of Kinesiology, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 jfarrell@lakeheadu.ca
Jinan Fiaidhi
Computer Science, Lakehead University 955 Oliver Road Thunder Bay, ON P7B 5E1 tel: (807) 343 8224 jfiaidhi@lakeheadu.ca
Carrie Gibbons
Research Department, St. Joseph’s Care Group gibbonsc@tbh.net
John Haggarty
Community Mental Health, St. Joseph’s Care Group haggartyj@tbh.net
Nicholas Harris
Department of Psychology Lakehead University 955 Oliver Road, Thunder Bay ON P7B 5E1 nharris@lakeheadu.ca
Nicole Hawdon
Medical Sciences
Northern Ontario School of Medicine 955 Oliver Road, Thunder Bay, ON P7B 5E1 nhawdon@lakeheadu.ca
Stephanie Hendrickson
Social Work Department, Lakehead University 6-540 Red River Rd. Thunder Bay, ON. P7B 1G7 tel: (807) 6840421 shendric@lakeheadu.ca
Kathryn Hildebrandt
School of Nursing
Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 346-7941 kathryn.hildebrandt@ lakeheadu.ca
Mary Hill
Centre for Rural and Northern Health Research
Lakehead University
955 Oliver Road, Thunder Bay ON P7B 5E1 tel: (807) 766-7278
mehill1@lakeheadu.ca
Jane Hohenadel Northwest LHIN Jane.Hohenadel @LHINS.ON.CA
Ashley Hope
School of Kinesiology, Lakehead University
955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 343-8414
ahope1@lakeheadu.ca
Rodney Hulstein
School of Kinesiology, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 343-8414
rhulstei@lakeheadu.ca
Janelle Jarva MHOP, St. Joseph’s Care Group 710 Victoria Avenue tel: (807) 624-3422
jarvaj@tbh.net
Deb Jenkins
Glengarry Health Care Consulting RR#1 Monkland, ON tel: (613) 363-2820
deborahannejenkins @gmail.com
Kristen Jones
School of Nursing
Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 343-8079
kristen.jones@lakeheadu.ca
Garrett Kafka
Department of Psychology
Lakehead University
955 Oliver Road Thunder Bay, ON P7B 5E1
Mary Lou Kelley
Centre for Education and Research on Aging and Health, Lakehead University Balmoral St Centre 955 Oliver Road Thunder Bay, ON P7B 5E1 tel: (807) 766-7270
mlkelley@lakeheadu.ca
Rhonda Kirk-Gardner
School of Nursing, Lakehead University
955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 622-4622
rhonda.kirk-gardner@ lakeheadu.ca
Kathy Kortes-Miller
Faculty of Education Lakehead University
955 Oliver Road, Thunder Bay, ON P7B 5E1 kkortesm@lakeheadu.ca
Alexandra Kruse
Clinical Psychology Lakehead University 955 Oliver Road Thunder Bay, ON P7B 5E1 tel: (807) 343-8110 askruse@lakeheadu.ca
Anik Lambert-Bélanger
Research Department, St. Joseph’s Care Group 580 N. Algoma Street, Thunder Bay, ON aniklb@hotmail.com
Tracey Larocque
School of Kinesiology, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tmlarocq@lakeheadu.ca
Author List
Eija Leinonen
Healthy Babies Healthy Children Programs, Thunder Bay District Health Unit
999 Balmoral St, Thunder Bay, Ont. P7B 6E7 tel: (807) 625-5916
Eija.Leinonen@tbdhu.com
Marion Maar
Human Sciences Division, Northern Ontario School of Medicine
Laurie Macdonald
Older Adult Rehabilitation, St. Joseph’s Care Group 580 N. Algoma Street, Thunder Bay, ON tel: 343-4300 ext. 4430 macdonal@tbh.net
Jill Marcella
Centre for Education and Research on Aging and Health Lakehead University, Balmoral St. Centre 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 766-7228 jmarcell@lakeheadu.ca
Sheila Marcinyshyn
Anishnawbe Mushkiki
Community Health Centre 29 Royston Court, Thunder Bay, ON P7A 4Y7 tel: (807) 343-4843 ext 231 sheilam
@anishnawbe-mushkiki.org
Lynn Martin
Department of Health Sciences
Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 lynn.martin@lakeheadu.ca
Martha Mawaskeesic
Anishnawbe Mushkiki
Community Health Centre
29 Royston Court, Thunder Bay, ON P7A 4Y7 tel: (807) 343-4843 martha @anishnawbe-mushkiki.org
Author List
Hillary Maxwell Research Department, St. Joseph’s Care Group
Dwight Mazmanian Clinical Psychology
Lakehead University
955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 343-8257
dmazmani@lakeheadu.ca
William McCready Medical Sciences
Northern Ontario School of Medicine
955 Oliver Road, Thunder Bay, ON P7B 5E1 william.mccready@nosm.ca
Jackie McDonald
Bethammi Nursing Home Nursing Personal Support Worker, St Joseph’s Care Group 63 Carrie Street, Thunder Bay, ON beanyj@hotmail.com
Marg McKee
Department of Social Work, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 mmckee@lakeheadu.ca
Karen McQueen
School of Nursing, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 766-7124
kmcqueen@lakeheadu.ca
Bruce Minore
Centre for Rural and Northern Health Research, Lakehead University 955 Oliver Road, Thunder Bay ON P7B 5E1 tel: (807) 766-7278
bminore@lakeheadu.ca
Sabah Mohammed Computer Science Department
Lakehead University
955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 3438777
sabah.mohammed @lakeheadu.ca
William Montelpare University of Leeds
Laura Morrison
Centre for Research on Safe Driving
Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 766-7256
ldiamond@lakeheadu.ca
Nadia Mullen
Centre for Research on Safe Driving
Lakehead University
955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 766-7249
nmullen@lakeheadu.ca
Amy Nahwegahbow
School of Public Health, University of Waterloo
Carol Neff
Wesway
210-1703 Victoria Avenue E Thunder Bay, ON P7C 1C8 cneff@wesway.com
Eli Nix
Medical sciences
Northern Ontario School of Medicine
955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 766 7491 eli.nix@nosm.ca
Kirsten Oinonen
Clinical Psychology, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 343-8096
koinonen@lakeheadu.ca
Simeon Ostap
Centre for Research on Safe Driving, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 svostap@lakeheadu.ca
Janine Pintar
Probe Development and Biomarker Exploration, Thunder Bay Regional Research Institute
Karen Poole
School of Nursing, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1
Tom Potter
School of Outdoor Recreation, Parks, and Tourism Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 343-8843 tpotter@lakeheadu.ca
Laura Prodanyk
Healthy Families, Thunder Bay District Health Unit
999 Balmoral Street Thunder Bay, ON P7B 6E7 tel: (807) 625-5952
Laura.Prodanyk@tbdhu.com
Edward Rawana
Department of Psychology, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 edward.rawana@lakeheadu.ca
Emily Russell
Clinical Psychology
Lakehead University 955 Oliver Road
Thunder Bay, ON P7B 5E1 tel: (807) 343-8110
erussell@lakeheadu.ca
Fred Schmidt
Children’s Centre Thunder Bay; Clinical Psychology Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 343-5016 fschmidt@childrenscentre.ca
Saima Shaikh
Registered Nurses Association of Ontario 4350 Mississauga Road, Mississauga, ON, L5M 7C8 tel: (905)-510-7527 sshaikh@rnao.org
Neva Shemilt
School of Rehabilitation Science, McMaster University
Nathan Smith Research Department, St. Joseph’s Care Group smithn@tbh.net
Sandi Spaulding
School of Occupational Therapy, University of Western Ontario sspauldi@uwo.ca
Katherine Stewart Administration, St. Joseph’s Care Group 580 Algoma Street N. tel: (807) 343-4336 stewarka@tbh.net
Leslie Sutherland
School of Nursing Confederation College 1450 Nakina Drive, Thunder Bay, ON tel: (807) 473-3789 sutherla @confederationc.on.ca
David Thompson
School of Kinesiology, Lakehead University 955 Oliver Road, Thunder Bay, ON P7B 5E1 dsthomps@lakeheadu.ca
Joyce Tryssenaar
School of Rehabilitation Science, McMaster University Northern Ontario School of Medicine Thunder Bay, ON tryssen@mcmaster.ca
Leanne Tyler
Meno Ya Win Health Centre 1 Meno Ya Win Way Sioux Lookout, ON P8T 1B4
Alex Tytus
School of Rehabilitation Science, McMaster University
Marina Ulanova Medical Sciences
Northern Ontario School of Medicine
955 Oliver Road, Thunder Bay, ON P7B 5E1 tel: (807) 766 7340 mulanova@nosm.ca
Bruce Weaver
Centre for Research on Safe Driving, Lakehead University 955 Oliver Road, Thunder Bay, ON, P7B 5E1 bweaver@lakeheadu.ca
Heather Woodbeck
Registered Nurse Association of Ontario 171 Whalen Street, Thunder Bay, ON P7A 7H9 tel: (807) 345-9250 bwoodbeck@rnao.org
Ingeborge Zehbe
Probe Development and Biomarker Exploration, Thunder Bay Regional Research Institute zehbei@tbh.net
Acknowledgements
Thank you to the following individuals for their work on the 2012 Showcase!
Melanie Peterson
Secretary, Learning, Research and Professional Practice St. Joseph’s Care Group
Geri Vainionpaa Director, Learning, Research and Professional Practice St. Joseph’s Care Group
Sacha Dubois Research Statistician St. Joseph’s Care Group
Carrie Gibbons Research Coordinator St. Joseph’s Care Group
Michel Bédard Scientific Director St. Joseph’s Care Group
Remo d’Angelo
Learning/Telehealth Facilitator St. Joseph’s Care Group
Duncan Koza
Website Developer/Graphics Designer
St. Joseph’s Care Group
Robert Srigley Senior Information Technologist St. Joseph’s Care Group/Thunder Bay Regional Health Sciences Centre
Hillary Maxwell Research Coordinator St. Joseph’s Care Group
Nathan Smith Research Intern St. Joseph’s Care Group
For more information, please contact Carrie Gibbons, Research Coordinator Tel: 807-343-4300, ext.4404 • Fax: 807-346-5243 Email: gibbonsc@tbh.net
