2025 Showcase of Health Research

OF HEALTH RESEARCH SHOWCASE

Conference Program

February 7, 2025

Italian Cultural Centre

Thunder Bay, ON

About the Showcase of Health Research

Since 2006, the Centre for Applied Health Research (CAHR) has hosted what has become the premier annual venue for the dissemination of research relevant to the health of Northwestern Ontarians.

During the Showcase of Health Research, attendees have the opportunity to:

1. Learn about health research relevant to Northwestern Ontarians; 2. Discuss with others how to incorporate research into clinical practice; and

3. Network and develop research partnerships.

This event is made possible through the generous support of the Leadership Team at St. Joseph’s Care Group (SJCG).

Schedule

8:15 AM Doors Open for Sign-in with Coffee/Tea Station

9:00 AM Welcome & Opening Remarks

Janine Black, President & Chief Executive Officer (CEO), St. Joseph’s Care Group

Michel Bédard, Scientific Director, St. Joseph’s Care Group

9:15 AM A Feminist Analysis of Women's Chronic Pain Experiences in Northwestern Ontario

Jenna Scali & Barbara Parker

– Lakehead University

9:35 AM Regional Approaches in Adolescent Vaping Prevention in Ontario: A Qualitative Case Study Exploring Perceptions of Public Health Professionals

Jamie DiCasmirro, Joan Tranmer, Colleen Davison, Kevin Woo, & Catherine (Katie) Goldie

– Queen's University

9:55 AM Screening for Social Determinants of Health in Northern Ontario

Tia Cooney, Miranda Bevilacqua, Lindsey Inkila, Jacob Gazzola, & Emma Hay

– Confederation College, Nurse Next Door

10:15 AM Nutritional Break

10:30 AM Poster Session #1 & Nutritional Break (continued)

11:00 AM Palliative Needs Among Home Care Clients from Underserved Groups

Adam Banner, Nicole Williams, & Lynn Martin

– Lakehead University, Wilfrid Laurier University

11:20 AM Examining the Role of THC Alone and in Combination with Alcohol in Fatal USA Crashes Over the Past Three Decades (1991 - 2019): Prevalence and Crash Risk

Stephanie Campbell, Sacha Dubois, Hillary Maxwell, Bruce Weaver, & Michel Bédard

– Correctional Service Canada, Lakehead University, St. Joseph's Care Group

11:40 AM A Cross-Sectional Analysis of Nurses' Work Environments, Burnout, and Mental Health Disorders in Northwestern Ontario (NWO)

Ainsley Miller & Vicki Kristman – Lakehead University

12:15 PM Lunch

12:30 PM Poster Session #2 & Lunch (continued)

1:00 PM Closing Remarks & CAHR Learner Award Recipient

Michel Bédard, Scientific Director, St. Joseph’s Care Group

1:15 PM End of Poster Session #2

1:30 PM End of the 2025 Showcase of Health Research

Poster Presentations

1 Needs Assessment of Workplace Mental Health During the COVID-19 in Northwestern Ontario

Umme Saika Kabir, Claudia Jozefina Czechowski, & Vicki L. Kristman

– Lakehead University

2 Police Officer's Mental Health During COVID-19: A CrossSectional Analysis

Umme Saika Kabir & Vicki L. Kristman

– Lakehead University

3 Improving Coping Flexibility Among Postsecondary Students with the JoyPop™ Mental Health App

Amy Stern, Ishaq Malik, Amelia Traer, & Aislin Mushquash

– Lakehead University

4 Building Capacity for Health Information Management: Developing a Tailored Micro-Credential for Rural and Remote Communities

Shikui Wu & Michael Dohan

– Lakehead University

5 Talking All Things JoyPop™: Qualitative Examination Using the Unified Theory of Acceptance and Use of Technology

Teagan Neufeld, Ishaq Malik, Amelia Traer, Anastasia RantaDiegel, Mackenzie McQueen, Jennifer Wyman, & Aislin Mushquash

– Lakehead University

6 The Effectiveness of Youth Women's Lacrosse Headgear and Neck Muscle Strength in Mitigating Concussion Risk

Carlos Zerpa, Lauren Radbourne, & Meilan Liu

– Lakehead University

7 Percussive Massage Improves Cervical Spine Range of Motion but Not Strength

Emma Lindsey & Paolo Sanzo – Lakehead University

8 The Effect of Low-Amplitude Plyometrics on Unilateral Static and Anticipatory Postural Control in University-level Male Soccer Players

Eryk Przysucha & Richard Johnson – Lakehead University

9 Leg Dominance and Balance Control in Youth Soccer Players

Eryk Przysucha, Carlos Zerpa, Erica Vidotto, Liam Puskas, & Carl Goodwin

Lakehead University

10 How Pleasant Touch Influences the Visual Sensory Environment

Oluwaseun Olusanya & James Kryklywy

– Lakehead University

11 The Effects of Ankle Taping on Youth Basketball Players' Vertical Jump Height and Ground Reaction Forces Before and After a Sport-Specific Activity

Shae Coffey & Paolo Sanzo

– Lakehead University

12 Functional Outcomes Following Total Knee Arthroplasty Utilizing Lifestyle Risk Factors and Comorbidities on Performance-Based Tests

Braedan Prochnicki, Simon Lees, Carlos Zerpa, David Puskas, & Paolo Sanzo

– Lakehead University, Northern Ontario School of Medicine University

13 Belonging and Purpose: The Experiences of People with Dementia and Care Partners in Participating in Research

Abbey Hunter, Jiaqi Li, Maaja Sepa, Carlina Marchese, Nisha Sutherland, & Elaine Wiersma

– Lakehead Univeristy

14 Housing and Health of Asylum Seekers and Refugees in Canada: A Cross-Sectional Study

Khater Muhajir, Rebecca Schiff, Michel Bédard, & Peter Brink

– Lakehead University, University of Lethbridge

15 Intermittent Self-Catheterization: Does Disclosure Affect Perceptions and Friendship Intentions?

Claudia Czechowski & Kirsten Oinonen

– Lakehead University

16

Young Adults from Sexual Minority Groups in Northwestern Ontario Report More Adverse Childhood Experiences Than Peers

Smruthi Venkateshan, Thomas Bentz, Bianca Boboc, Kaleigh Etienne-Power, & Kirsten Oinonen

– Lakehead University

17 The YVPP Healthy Relationships Booster Intervention: Reinforcing Student Knowledge and Skills

Angela Gollat, Mary Ellen Hill, Shevaun Nadin, Marianne Stewart, Christopher Mushquash, Stephanie Meek, Sydney Hunt, et al.

– Thunder Bay District Health Unit, Lakehead University

18 Decolonizing Dementia Care for Residential School Survivors in Long-Term Care: A Scoping Review

Maydena Remenda

– Lakehead University

19 Exploring Wholistic Risk and Protective Factors for Alcohol Use Among First Nations Peoples Living in Canada

Trent Lynds, Brittany Skov, Lydia Hicks, Alexa Curci, & Christoper Mushquash

– Lakehead University

20 Nothing About Us, Without Us: Exploring the Current and Potential Impact of the Nutrition North Subsidy Through Community-Based Criteria

Tahshiina Cheechoo, Kristin Burnett, Keira Loukes, Lana Ray, & Anita Vaillancourt

– Kiikenomaga Kikenjigewen Employment and Training Services (KKETS), Lakehead University, Athabasca University

21 Access To Palliative Care by Persons with Severe and Persistent Mental Illness in Ontario

Emmanuel Yohuno, Megan Bryson, Lynn Martin, & Michel Bédard

– Lakehead University

22 Barriers to Accessing Sexual Assault Evidence Kits in Rural and Remote Northwestern Ontario

Sydney Timmermans, Jodie Murphy-Oikonen, & Kathleen Rice

– Western University, Lakehead University, McGill University

23 Describing the State of Measurement-Informed Care Across Canada

Vamika Mann & Deborah Scharf

– Lakehead University

24 Identifying Predictors of Intrauterine Device (IUD) Ever-Use in a Largely Northwestern Ontario Student Sample

Kaleigh Etienne-Power, Bianca Boboc, Smruthi Venkateshan, Thomas Bentz, & Kirsten Oinonen

Poster Presentation Withdrawn

26 Prevalence of Pain and Receipt of Pain Management Among Persons Receiving Inpatient Psychiatric Services

Megan Bryson, Michel Bédard, & Lynn Martin

– Lakehead University

27 What Does a Cure for HIV Mean to You?

Pauline Sameshima & Patricia Defechereux

– Lakehead University, Gladstone Institutes

28 A Survey of Canadians' Beliefs, Cannabis Use Behaviours and Decision-Making Processes Related to Cannabis and Driving

Stephanie Campbell, Hillary Maxwell, Sacha Dubois, Biyi Liu, Bruce Weaver, & Michel Bédard

– Correctional Service Canada, Lakehead University

Podium Presentation #1

A Feminist Analysis of Women's Chronic Pain Experiences in Northwestern Ontario

Jenna Scali

Sociology, Lakehead University

Barbara Parker

Sociology, Lakehead University

Abstract

Background: Women's experiences of chronic pain are an under-researched topic, which has led to a gap in knowledge of women's pain symptoms. Women are more likely to be misdiagnosed, mistreated, and dismissed within the health care system. The social and geographical conditions of Northwestern Ontario and Thunder Bay create multiple health disparities for its residents. Hankivsky et al. (2014) shows that gender, among other intersections of identity, impact health experiences and treatment in the health care system.

Objective: This qualitative research explores women's intersectional experiences with chronic pain and navigating the health care system in Thunder Bay.

Methods: Through an intersectional narrative feminist approach, in-depth interviews with eight women between the ages of 18-50 were conducted to understand their lived experiences with chronic pain.

Results: Participants' gender, age, body size and ability, significantly influence their chronic pain experiences. The context of place is also highlighted as participants described great difficulty navigating the health care system in Thunder Bay. Participants' identities as women compounded their gendered experiences in the medical system, which intersected with age, place, and body size, to cause challenges with being diagnosed and believed by medical professionals. Although structural barriers and biases challenge them, participants took their health into their own hands by advocating for themselves and doing their own research to find alternatives for treating their chronic pain.

Conclusion: Women's experiences with chronic pain in Northwestern Ontario are deeply connected to their gender, age, and body size, which impacts how they navigate through the health care system.

Podium Presentation #2

Regional Approaches in Adolescent Vaping Prevention in Ontario: A Qualitative Case Study Exploring Perceptions of Public Health Professionals

Jamie DiCasmirro

Nursing, Queen's University

Joan Tranmer

Nursing, Queen’s University

Colleen Davison

Public Health Science, Queen’s University

Kevin Woo

Nursing, Queen’s University

Catherine (Katie) Goldie

Nursing, Queen’s University

Abstract

Background: Adolescent vaping remains a public health concern in Ontario, with 17% of students in grades 9-12 reporting vaping in 2023. Ontario's diverse population and geography offer a unique lens for examining adolescent vaping and public health prevention approaches. We investigated adolescent vaping through a detailed investigation of the four regions of Ontario.

Objectives: Through public health professionals' perceptions we explored: 1) adolescent vaping behaviours; 2) regional demographic characteristics impacting vaping; 3) public health interventions; 4) factors impacting prevention efforts.

Methods: A qualitative collective case study was conducted. Purposive sampling was used to recruit public health professionals from diverse health units and regions. Data were collected using documents and interviews, which were recorded, transcribed and imported into NVivo 14. The framework analysis approach was applied to the data. Initial codes were identified a priori, and additional codes added based on the research objectives.

Results: Six public health units and eight public health professionals participated in the study. Concerning adolescent vaping behaviours were discussed among all regions, with attention to notable regional demographic characteristics. Five intervention categories were identified: school-based; cessation-based; community-based; media/web-based; and policy/enforcement. Factors enabling prevention efforts included collaborations and funding. Staffing capacity, lack of funding, data availability, competing priorities, and scope of public health mandate emerged as barriers.

Conclusion: The persistence of adolescent vaping in Ontario underscores the critical need for targeted, evidence-based prevention efforts that account for regional diversity and communityspecific factors. Ontario's public health units, through independent initiatives and collaborative partnerships, play a pivotal role in mitigating this public health issue.

Podium Presentation #3

Screening for Social Determinants of Health in Northern Ontario

Tia Cooney

School of Health, Confederation College

Miranda Bevilacqua

School of Health, Confederation College

Lindsey Inkila

School of Health, Confederation College

Jacob Gazzola

Nursing, Nurse Next Door

Emma Hay

Wellness, Confederation College

Abstract

Background: Inequities in social determinants of health (SDoH) are associated with poor health outcomes.

Objective: To determine healthcare provider screening practices of their patient's SDoH.

Methods: We analyzed survey data from 70 healthcare providers across Northern Ontario on their screening practices of their patient's SDoH using a Likert-style survey with optional comments on Qualtrics.

Results: Seventy-three percent of participants were nurses, with the majority working in acute care (25%) in the North West Local Health Integration Network (95%). Overall, 75% of participants stated they were taught about SDoH in their education, however not necessarily on where to refer patients for assistance should there be a need, nor how to screen. Fifty-eight percent said screening for SDoH was part of their employment, however only 57% felt they had enough time to complete the screening. Twenty-one percent stated they did not have a standardized assessment tool to use, nor a specific time to complete the assessment. Sixtyeight percent said they feel moral distress over screening for SDoH given the lack of resources or time to complete the assessment. The majority (82%) of referrals for SDoH were to Social Work.

Conclusion: It is evident that healthcare providers identify that screening for SDoH is crucial. However, participants felt there was not enough time to screen, nor a streamlined way to assess and document the screening. This may have implications regarding utilizing standardized ways to assess for SDoH, such as on admission and using electronic health records.

Podium Presentation #4

Palliative Needs Among Home Care Clients from Underserved Groups

Adam Banner

Health Sciences, Lakehead University

Nicole Williams

Faculty of Science, Wilfrid Laurier University

Lynn Martin

Health Sciences, Lakehead University

Abstract

Background: Palliative care (PC) optimizes quality of life for individuals and their families by providing care that promotes dignity, respect, and comfort. Some groups experience inequities related to PC, including persons with mental illness, persons living with dementia, persons in linguistic minority groups, and those living in rural, remote, or northern areas.

Objective: There is relatively little data on palliative needs among underserved groups in Canada.

Methods: We analyzed anonymized pan-Canadian population-level data on 1,415,975 home care clients assessed with the Resident Assessment Instrument for Home Care as part of regular clinical practice. Palliative needs were defined as having a prognosis of six or fewer months to live, having palliative goals of care, or being offered or receiving hospice/palliative services. We examined whether, after controlling for personal (e.g., age, sex), social (e.g., marital status, limited funds, living situation), functional (e.g., communication, cognition), and clinical characteristics (e.g., specific medical conditions, multimorbidity, health instability).

Results: Overall, 5.0% (n = 70,270) of home care clients had recognized palliative needs. Controlling for age, sex, social characteristics, functional, and clinical characteristics, persons with mental illness (0.75 OR), dementia (0.58 OR), and linguistic minorities (0.94 OR) had lower odds of recognized palliative needs. However, those living in rural areas had higher odds of having palliative needs recognized (1.28 OR).

Conclusion: These findings highlight that certain groups may not be receiving the care that they need. Future work on promoting earlier identification and awareness of palliative needs is needed.

Podium Presentation #5

Examining the Role of THC Alone and in Combination with Alcohol in Fatal USA Crashes over the Past Three Decades (1991 - 2019): Prevalence and Crash Risk

Stephanie Campbell

Correctional Service Canada

Sacha Dubois

School of Nursing, Lakehead University

Hillary Maxwell Centre for Applied Health Research, St. Joseph's Care Group

Bruce Weaver

Centre for Research on Safe Driving, Lakehead University

Michel Bédard

Centre for Research on Safe Driving, Lakehead University

Abstract

Background: Legalization and decriminalization of recreational cannabis has become increasingly prevalent. Research demonstrates that driving under the influence of alcohol or cannabis alone is associated with increased crash risk.

Objectives: Describe THC prevalence in fatal USA crashes (1991-2019); examine the combined influence of alcohol (BAC ≤ .08) and cannabis on crash risk; explore the influence of THC on specific driver actions associated with fatal crashes.

Methods: Adult drivers, drug and alcohol blood tested, involved in a fatal USA crash were examined using a case-control design. Cases had at least one potentially unsafe driving action (UDA) recorded; controls had none. Both unadjusted (number of exposed drivers divided by all drivers with a valid drug/alcohol test) and adjusted (accounting for the potential impact of increased drug screening) prevalence were calculated. Adjusted odds ratios of committing an UDA for THC and alcohol both individually and combined were computed via logistic regression. This model was also used to explore the influence of THC on specific UDAs.

Results: In fatal USA crashes THC is increasingly prevalent, even after adjustment for increased screening. Drivers positive for both THC and alcohol were more likely to make an error than drivers positive for either substance alone. The association of THC on unsafe driving depended on the driver action.

Conclusion: Research examining the risk associated with individual cannabis concentration levels is necessary. Regardless, driver and public health education should focus on emphasizing the increased risk of unsafe driving associated with THC exposure and lower levels of alcohol concentration.

Podium Presentation #6

A Cross-Sectional Analysis of Nurses' Work Environments, Burnout, and Mental Health Disorders in Northwestern Ontario (NWO)

Ainsley Miller Health Sciences, Lakehead University

Vicki Kristman Health Sciences, Lakehead University

Abstract

Background: An estimated one-tenth of nurses worldwide are said to be suffering from severe burnout. A Canadian survey determined that nurses with high levels of burnout are 17 times more likely to screen positive for posttraumatic stress disorder, 43 times more likely to screen positive for major depressive disorder, 25 times more likely to screen positive for generalized anxiety disorder, and 23 times more likely to screen positive for panic disorder than participants who reported no burnout. A common precipitating factor associated with nurses' burnout and mental health is the nursing practice environment.

Objectives: 1) Examine the prevalence of burnout and mental health disorders, and 2) Describe stressors within the nursing practice environment.

Methods: A cross-sectional survey was conducted among a sample of nurses in NWO. Registered Nurses, Registered Practical Nurses, and Nurse Practitioners that were currently working within the NWO region were eligible to participate. Consenting participants completed an online survey through Qualtrics. Ethics approval was obtained from Lakehead University.

Results: To date, we have recruited 457 participants with a target sample of 500 nurses. Preliminary analyses have determined the prevalence of burnout to be 66% of nurses. Further, 28% of nurses screened positive for anxiety, 24% for depression, and 23% for posttraumatic stress disorder. Descriptive statistics of the nursing practice environment have revealed workload to be a prominent stressor.

Conclusion: Burnout and mental health of nurses has determined to be high among those working within the NWO. Identification of nursing stressors can lead to change as the nursing practice environment is amenable to change.

Poster Presentation #1

Needs Assessment of Workplace Mental Health During the COVID-19 in Northwestern Ontario

Umme Saika Kabir Health Sciences, Lakehead University

Claudia Jozefina Czechowski Psychology, Lakehead University

Vicki L. Kristman Health Sciences, Lakehead University

Abstract

Background: The recent COVID-19 pandemic impacted organizations and the working population globally and resulted in widespread organizational changes.

Objectives: To gain deeper insights into employers' perceptions of the alterations in workplace mental health (WMH) and stigma during the pandemic, and to understand the current needs of WMH.

Methods: Two cross-sectional studies on different sets of respondents were conducted through online surveys in the City of Thunder Bay and District located in Northwestern Ontario, Canada. The results were compared to understand changes in WMH and stigma from the perspective of employers.

Results: There were 78 and 71 participants in pre- and post-pandemic surveys respectively. Overall, post-pandemic sample mentioned poorer mental health compared to the pre-pandemic sample. WMH was a higher priority in organizations participating after the pandemic than before. The post-pandemic participants had greater knowledge of mental health, related stigmas and supporting resources. Around 61% of the pre-pandemic survey participants were interested in strategies for promoting and preventing mental health, whereas 62% of the postpandemic respondents were concerned with chronic stress and burnout management strategies. In the post-pandemic group, online resources were more popular for gaining WMH knowledge. Both the pre- and post-pandemic samples exhibited a lack of knowledge of the legal aspects of WMH.

Conclusion: The study provides insight into the need for organizations to prioritize WMH, provide ongoing efforts to destigmatize mental health issues, foster a culture of open communication, and invest in employee support systems.

Poster Presentation #2

Police Officer's Mental Health During COVID-19: A Cross-Sectional Analysis

Umme Saika Kabir Health Sciences, Lakehead University

Vicki L. Kristman Health Sciences, Lakehead University

Abstract

Background: The recent COVID-19 pandemic resulted in changes in the work pattern for police officers and their experiences might be related to their mental health and functioning.

Objective: The current study will explore the association of workplace-related factors and concerns for COVID-19 with the mental health of police officers working in Ontario, Canada.

Methods: A cross-sectional study was carried out among the seventeen police services in Ontario through an online survey. The primary independent variables were workplace factors, pandemic concerns, and vaccination status. The outcome variable was self-reported mental health. A multivariate regression model was fitted to understand the association between the independent and dependent variables adjusted for sociodemographic characteristics.

Results: Of the invited, 264 police officers across Ontario completed the survey. The prevalence of fair/poor mental health among the participants was 46.59% (95% CI 40.57%-52.61%). Among the officers, 36% had a supervisory position and most of them considered their workplace culture as healthy. Nevertheless, 29.17% of officers experienced bullying at their workplace. In the multivariate regression analysis, poor workplace culture (OR = 3.55, 95% CI 1.69-7.44) and bullying at work (OR = 2.58, 95% CI 1.31-5.06) were significantly associated with fair/poor mental health. However, COVID-19 concerns and vaccination did not have any significant relationship with the officers' mental health in the adjusted model.

Conclusion: The study emphasizes the need for targeted mental health support for police officers focusing on mitigating workplace stressors at critical times, particularly during the pandemic.

Poster Presentation #3

Improving Coping Flexibility Among Postsecondary Students with the JoyPop™ Mental Health App

Amy Stern

Psychology, Lakehead University

Ishaq Malik

Psychology, Lakehead University

Amelia Traer

Psychology, Lakehead University

Aislin Mushquash

Psychology, Lakehead University

Abstract

Background: Postsecondary students face numerous stressors (Linden & Stuart, 2020). How they cope with these stressors can determine the impact on their mental health (DeRosier et al., 2013). Coping flexibility is a re-evaluation process involving recognizing, implementing, and evaluating coping strategies which has positive impacts on mental health (Kato, 2020). Therapy or counselling can support students with developing their coping and improving their mental health, but access is limited (Moghimi et al., 2023). Innovative digital mental health tools (e.g., apps) can increase access to alternative supports that could improve coping flexibility and ultimately mental health among students (Price et al., 2014).

Objective: To examine whether using a digital mental health tool (the JoyPop™ app) is associated with improvements in coping flexibility among postsecondary students.

Methods: 182 students at a medium-sized Canadian university completed the study. Participants used the JoyPop™ app for one week. Before and after using the app, they completed a measure assessing their coping flexibility. Paired samples t-tests examined changes in coping flexibility.

Results: Overall coping flexibility improved (d = .42, p < .001), along with each component of coping flexibility: abandonment (d = .22, p = .004), re-coping (d = .38, p < .001), meta-coping (d = .44, p < .001).

Conclusion: Results support the increasing evidence that the JoyPop™ app is an effective tool in supporting students and promoting adaptive coping, coping flexibility, and mental health.

Poster Presentation #4

Building Capacity for Health Information Management: Developing a Tailored Micro-Credential for Rural and Remote Communities

Shikui Wu

Faculty of Business Administration, Lakehead University

Michael Dohan

Faculty of Business Administration, Lakehead University

Abstract

Background: Northwestern Ontario is transitioning rural and remote hospitals and clinics to a unified electronic health record (EHR) system, creating a need for skilled Health Information Management (HIM) professionals. These professionals are vital to ensuring effective data management, technology adoption, and patient care improvement in Northwestern Ontario.

Objectives: This study aims to develop a micro-credential in HIM to address skill gaps in rural and remote healthcare settings. The objectives include identifying essential competencies, aligning the program with regional needs, and fostering inclusivity, particularly with respect to Indigenous healthcare perspectives.

Methods: Consultations were conducted with regional healthcare stakeholders, including hospital administrators, IT professionals, and Indigenous health representatives. Thematic analysis of feedback identified priority areas, which informed iterative curriculum development. The design focused on creating a flexible, accessible program for healthcare professionals in rural and remote settings.

Results: Three critical themes emerged: (1) Data Governance, focusing on the integration of data systems, privacy, ethical considerations, and Indigenous data sovereignty; (2) Change Management, addressing the adoption of new technologies among diverse stakeholders; and (3) Innovation, aimed at optimizing, automating, and integrating healthcare processes with emerging technologies. These themes formed the foundation for the micro-credential's content and structure, ensuring alignment with local healthcare needs and challenges.

Conclusion: The HIM micro-credential offers a targeted, community-driven solution to address skill shortages in rural and remote healthcare systems. By aligning program design with stakeholder input and regional challenges, the initiative demonstrates how tailored education can support healthcare transformation and enhance patient outcomes in underserved areas.

Poster Presentation #5

Talking All Things JoyPop™: Qualitative Examination Using The Unified Theory of Acceptance and Use of Technology

Teagan Neufeld

Psychology, Lakehead University

Ishaq Malik

Psychology, Lakehead University

Amelia Traer

Anastasia Ranta-Diegel

Mackenzie McQueen

Lakehead University

Jennifer Wyman

Aislin Mushquash

Psychology, Lakehead University

Abstract

Background: Post-secondary student mental health difficulties are common and increasing. Unfortunately, barriers often prevent access to treatment. In response, digital health tools like mental health apps offer a promising solution. An increased interest in mental health apps has encouraged the development of mHealth interventions, utilizing technology to deliver support. However, challenges like low user engagement persist.

Objective: Understand post-secondary student users' perspectives on a mHealth app to help determine its acceptance and intention of use.

Methods: Our study focuses on a promising mHealth intervention called the JoyPop™ app. Using a descriptive approach, we examined Lakehead University student JoyPop™ user perspectives using The Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) model to create an interview exploring factors influencing acceptance intention of use. Through deductive-inductive content analysis, the interview transcriptions were coded using categories from the UTAUT2 model and then further subcategorized into themes related to use and acceptance.

Results: Overall, students provided valuable feedback. The interview content was deductively organized into six UTAUT2 categories, then inductively organized into 14 general categories, and further into 36 specific subcategories.

Conclusion: The results help us identify factors influencing the acceptance and intention of using the JoyPop™ app among post-secondary students. This qualitative study contributes to the multimethod evidence base supporting the potential of the JoyPop™ app as an accessible and beneficial intervention. Furthermore, utilizing a theoretical model like the UTAUT2 enhances the transferability of results and contributes to the broader mHealth literature.

Poster Presentation #6

The Effectiveness of Youth Women's Lacrosse Headgear and Neck Muscle Strength in Mitigating Concussion Risk

Carlos Zerpa

School of Kinesiology, Lakehead University

Lauren Radbourne

School of Kinesiology, Lakehead University

Meilan Liu

Mechanical and Mechatronics Engineering, Lakehead University

Abstract

Background: Women's lacrosse has the second-highest concussion rate among high school sports. While helmet testing criteria identify impacts likely to cause brain injuries, further research is needed to assess concussion risk across different impact locations and neck strength levels.

Objective: This study evaluated the effectiveness of women's lacrosse headgear in reducing concussion risk, measured by the Gadd Severity Index (GSI), during simulated horizontal head collisions at varying impact sites and neck strength levels.

Methods: A mechanical neckform and NOCSAE headform, fitted with a women's lacrosse helmet and equipped with sensors, were connected to a horizontal impact mechanism. The researchers adjusted the mechanical neckform to reflect neck strength levels in the 50th and 90th percentiles. The helmet underwent horizontal impacts at 18 different velocities on the front, side, and back for 108 impacts. GSI was computed using LabChart® software.

Results: The two-way analysis of variance revealed only a significant main effect of impact locations on GSI measures, F(2, 102) = 5.85, p < .05, η² = 0.10. A Tukey's post hoc analysis indicated a lower risk of head injury at the back impact location, p < 0.05.

Conclusion: The findings of this study highlight the necessity of examining the capabilities of lacrosse helmet technologies in reducing the risk of head injuries, particularly at the front and side locations. This information is valuable for researchers and helmet manufacturers, as it promotes the development of advanced lacrosse helmet technologies.

Poster Presentation #7

Percussive Massage Improves Cervical Spine Range of Motion but Not Strength

Emma Lindsey

School of Kinesiology, Lakehead University

Paolo Sanzo

School of Kinesiology, Lakehead University

Abstract

Background: Percussive massage is often used by users and healthcare providers to apply vibrations and rapid pulses in short bursts of pressure to a muscle belly or tendon. This technique is said to increase joint range of motion (ROM) and improve blood flow to the targeted muscle. To date, research has not examined the effects of percussive massage on cervical spine flexion ROM and strength.

Objective: To examine short-term effects of percussive massage of the upper trapezius muscle on cervical spine flexion ROM and strength.

Methods: Using a crossover study design with a 24-hour washout period, 19 healthy male and female students received a 5-minute percussive massage on the upper trapezius muscles bilaterally. Cervical spine flexion ROM and flexion strength was measured pre-and postintervention. Descriptive statistics and repeated measures mixed ANOVA were used to analyze the data with a p<.05.

Results: There was a statistically significant interaction with a medium effect size for treatment condition and time on cervical spine flexion ROM (F(1,36)=5.381, p=.026, partial ƞ2.130). There was no statistically significant interaction for treatment condition and time on cervical spine flexion strength (F=(1,36).558, p=.460) and no other statistically significant effects or with post-hoc testing.

Conclusion: Percussive massage increased cervical spine flexion ROM but did not affect cervical spine flexion strength. Future research should continue to explore the effects of percussive massage to determine its clinical utility in clinical trial involving a symptomatic or pathological population.

Poster Presentation #8

The Effect of Low-Amplitude Plyometrics on Unilateral Static and Anticipatory Postural Control in University-level Male Soccer Players

Eryk Przysucha

Kinesiology, Lakehead University

Richard Johnson

Kinesiology, Lakehead University

Abstract

Background: Soccer is a dynamic sport where complex unilateral skills like shooting, passing and changes of direction occur frequently. Biomechanically, unilateral stance is controlled via ankle strategy, which is modeled as a single segment inverted pendulum (Winter et al., 1990). Thus, ankle joint and the musculature of lower leg play a central role in postural corrections during single limb standing. Majority of the training programs implement high intensity training that focuses on upper quadrant of the leg muscles, while little is known how unilateral pogos, jumps, hops, and bounds can improve the control of ankle joint while balancing.

Objective: To investigate the effects of low amplitude plyometric training on unilateral static and anticipatory postural control among university-level soccer players.

Methods: Two male soccer players were recruited from Lakehead University's Men's Soccer Club and were involved in static and anticipatory balance tasks before and after plyometric training that took place twice per week, for 6 weeks.

Results: The results were equivocal across the two participants, tasks, and dominant and nondominant legs, as expected changes were evident in some measures, but not others. Static control improved in P1 as indicated by decreased area-of-sway, however the remaining measures failed to reveal such changes. The performance of P2 was more in line with the expected effects as most of the measures decreased indicating better stability. Due to the lack of inferential analysis, it is unclear if those were "significant".

Conclusion: The results are inconclusive. Future research should examine the reliability of the protocol and involve larger sample size.

Poster Presentation #9

Leg Dominance and Balance Control in Youth Soccer Players

Eryk Przysucha

Kinesiology, Lakehead University

Carlos Zerpa

Kinesiology, Lakehead University

Erica Vidotto

Kinesiology, Lakehead University

Liam Puskas

Kinesiology, Lakehead University

Carl Goodwin

Kinesiology, Lakehead University

Abstract

Background: Balance control, particularly in uni-lateral domain, is essential in soccer. In this context, the issue of leg dominance is critical from motor control as well as practical perspectives. Majority of the existing studies examined dynamic balance via clinical tools, and primarily involved male players.

Objective: To examine the nature of Center of Pressure (COP) postural sway, and underlying balance control mechanisms, in youth female players across dominant and non-dominant stances.

Methods: Sixteen female competitive players (age 12.4± 1.40 years) were asked to stand on AMTI force plate in bi-pedal stance, and with the dominant and non-dominant legs respectively. Three, 10 second trials were carried out for each condition.

Results: Bi-pedal stance resulted in least sway across all measures examined (p < .05). However, better balance was exhibited in non-dominant leg as evident from slower COP velocity (p < .003), and smaller path length (p < .001) and AP sway (p < .003). In addition, the analysis of stabilograms confirmed that in the non-dominant condition the pronounced COP oscillations were of lower amplitude and frequency as compared to the dominant leg.

Conclusion: Postural asymmetry found between the two legs indicated that planting rather than the preferred kicking leg exhibited better balance. It is hypothesized that this may be due to the fact that in soccer, the planting / pivoting leg is used more frequently in balance-related tasks like shooting, passing or changing direction. Unilateral training is warranted to strengthen both the dominant and dominant legs, particularly in youth players.

Poster Presentation #10

How Pleasant Touch Influences the Visual Sensory Environment

Oluwaseun Olusanya Psychology, Lakehead University

James Kryklywy Psychology, Lakehead University

Abstract

Background: Affiliative touch is a type of slow, gentle stroking on hairy skin that promotes social bonding between individuals. This gentle stroking activates a special group of sensory channels, known as valence-labelled C-Tactile (CT) afferents, that are independent from typical discriminative touch. Stimulation of affiliative touch pathways induce feeling of pleasantness, and this is understood to be an unlearned process inherent to humans. It has been shown to facilitate the formation of mother-offspring attachment, as well as the dynamic experience of warmth and attachment to a romantic partner. Interestingly, while its independent role in tactile affect control is increasingly well-defined, little is known of how these somatosensory signals can regulate emotional salience and response in a multisensory environment.

Objective: The present study investigated how affiliative touch impacts the appraisal of visual information.

Methods: Participants were presented with either affiliative touch, neutral touch, or no touch while viewing images of varied emotional content. Both the visual and tactile stimuli were then rated for the valence and arousal they elicited. Affiliative touch was operationalized as brush strokes on the arm (3cm/s). Visual stimuli included images from the International Affect Picture System (IAPS).

Results: Results demonstrate that the nature of tactile stimulation can impact ratings of valence and arousal ratings for emotional and non-emotional visual stimuli.

Conclusion: Affiliative touch has the capacity to modulate the emotional appraisal of visual information and possible other sources of sensation.

Poster Presentation #11

The Effects of Ankle Taping on Youth Basketball Players' Vertical Jump Height and Ground Reaction Forces Before and After a Sport-Specific Activity

Shae Coffey

School

of Kinesiology, Lakehead University

Paolo Sanzo

School

of Kinesiology, Lakehead University

Abstract

Background: Basketball is one of the most commonly played youth sports in Canada resulting in the highest proportion of sports-related injuries including ankle sprains. Ankle taping may reduce injury risk by restricting abnormal inversion range of motion (ROM) but may also impact performance or may loosen diminishing these restrictive effects.

Objective: To explore effects of ankle taping on vertical jump height and ground reaction forces (GRFs) after performing a timed sport-specific activity.

Methods: Participants completed a countermovement vertical jump test at baseline, posttaping condition, and post-activity as well as 15 minutes of sport-specific activity. Mean center of pressure (COP) velocity, 95% ellipse area, and path length were measured using the AMTI© force platform and vertical jump height using a Vertec© device.

Results: 13 individuals participated (8 females, 5 males; aged M=14.6 years; height M=174.1cm; mass M=65.6kg). When taped, participants demonstrated a 6% reduction in vertical jump height (M=48.25cm±8.79 at baseline; M=45.18cm±9.07 post-taping condition), and then an increase of 6% (M=48.62cm±8.85) post-activity demonstrating the loosening effect of tape; and an improved balance with a reduction in GRFs and 95% ellipse (M=10.31cm2±4.22 at baseline; M=8.78 cm2±6.51 post-taping condition), and then an increase again demonstrating loosening of tape and loss of effect of the tape (M=10.77cm2±6.25 postactivity). Similar effects related to balance were evident for mean COP velocity and path length measures, respectively. Participants with no-tape did not demonstrate any significant change in the respective measures.

Conclusion: The application of ankle tape may affect youth basketball players' vertical jump height and GRFs.

Poster Presentation #12

Functional Outcomes Following Total Knee Arthroplasty Utilizing Lifestyle Risk Factors and Comorbidities on Performance-Based Tests

Braedan Prochnicki

School of Kinesiology, Lakehead University

Simon Lees

Medical Sciences, Northern Ontario School of Medicine University

Carlos Zerpa

School of Kinesiology, Lakehead University

David Puskas

Clinical Sciences, Northern Ontario School of Medicine University

Paolo Sanzo

School of Kinesiology, Lakehead University

Abstract

BACKGROUND: Lifestyle risk factors and comorbid conditions are known factors that impair recovery following surgery. It is not clear on whether specific lifestyle risk factors and comorbid conditions affects recovery following total knee arthroplasty (TKA) when using functional testing measures.

Objective: To investigate the effect of lifestyle risk factors and the presence of comorbidities on functional performance measures pre- and post-operatively in TKA patients.

Methods: 28 participants completed the Stair Climb Test (SCT), Stair Climb Power Test (SCPT), and Six-Minute Walk Test (SMWT). A two-way mixed factorial ANOVA was employed to assess the impact of smoking status, alcohol consumption, and the presence of comorbidities on functional performance measures, while a bivariate correlational analysis examined the relationship between BMI and performance outcomes.

Results: There was no statistically significant interaction effect between groups (smoking status, alcohol consumption status, BMI, or comorbidities present) and time across any functions testing measures. An improvement in the SCT, SCPT, and SMWT post-operatively was evident for both groups which was expected following the completion of the surgical procedure; the best time to complete the functional tests and distance walked on functional performance measures was demonstrated by the non-smokers and drinkers and individuals with less comorbidities present.

Conclusion: Due to insufficient power and a small sample size, there were no statistically significant differences on functional performance measures for those who smoked, drank, presented with multiple comorbidities, or had a higher BMI than those who did not but generally those who did not performed better post-operatively on the functional performance measures.

Poster Presentation #13

Belonging and Purpose: The Experiences of People with Dementia and Care Partners in Participating in Research

Abbey Hunter

Centre for Education and Research on Aging & Health (CERAH), Lakehead Univeristy

Jiaqi Li

Centre for Education and Research on Aging & Health (CERAH), Lakehead University

Maaja Sepa

Centre for Education and Research on Aging & Health (CERAH), Lakehead University

Carlina Marchese

Centre for Education and Research on Aging & Health (CERAH), Lakehead University

Nisha Sutherland

Centre for Education and Research on Aging & Health (CERAH), Lakehead University

Elaine Wiersma

Centre for Education and Research on Aging & Health (CERAH), Lakehead University

Abstract

Background: Community-based participatory research (CBPR) is a growing approach to research, yet little research has explored the experiences of people with dementia and care partners engaged in these projects.

Objective: This purpose was to explore the experiences of people with dementia and their care partners involved in the 'Building Capacity Project,' a 5-year project to build community capacity for the inclusion of people with dementia and care partners. The Thunder Bay site hosted numerous social programs, meetings, presentations, and partnerships and reached hundreds of individuals.

Methods: Data collection involved 13 semi-structured interviews with people with dementia (n=5), care partners (n=4), and researchers (n=4). The interviews lasted between 20-75 minutes. Data were analyzed using a thematic analysis approach.

Results: Four key themes emerged. First, different initiatives and involvement helped to create places of belonging, where participants described their relationships as 'family' '-like. New people were brought into this sense of community through involvement in various initiatives. Second, participants described finding a balance between fun and work. Although the project itself was work, participants described having fun, eating together, and sharing humour and laughter. Third, finding a sense of purpose described how participants felt they were making a difference and found a renewed sense of purpose. Finally, participants realized that dementia isn't the end. A diagnosis of dementia did not mean that life was over; they could still advocate for change.

Conclusion: This project underscores the importance of engaging people with dementia and care partners and the transformative potential of CBPR.

Poster Presentation #14

Housing and Health of Asylum Seekers and Refugees in Canada: A CrossSectional Study

Khater Muhajir

Department of Health Science, Lakehead University

Rebecca Schiff University of Lethbridge

Michel Bédard

Department of Health Sciences, Lakehead University

Peter Brink

Department of Health Sciences, Lakehead University

Abstract

Background: Housing is a recognized determinant of health, yet research exploring its specific impact on the health and well-being of asylum seekers and refugees (ASR) remains limited. Understanding how housing conditions, such as living in social housing or shelters, influence ASR health outcomes is essential for informing effective policies and interventions.

Objective: This study examines the association between housing and the quality of life (physical and mental health) of ASR in Canada to inform evidence-based practices and improve support systems for this vulnerable population.

Methods: A cross-sectional study design was employed, using the World Health Organization's Quality of Life - BREF (WHOQOL-BREF) survey to assess health outcomes. Participants included ASR individuals residing in social housing or shelters across Canada. Descriptive statistics summarized sample characteristics, and multiple linear regression models were applied to examine the association between housing and quality of life.

Results: Among participants (N = 283), 51% identified as male, 46% as female, and 42.8% were asylum seekers, while 57.2% were refugees. The mean age was 33.5 years. Poorer housing conditions were significantly associated with lower physical health (β = -.167, p = .011), psychological health (β = -.265, p < .001), social relationships (β = -.198, p = .003), and environmental quality (β = -.314, p < .001). Homelessness experience and increased chronic conditions were linked to poorer health outcomes.

Conclusion: Poor housing conditions are significantly associated with negative health outcomes among ASR in Canada, highlighting the importance of considering policies and interventions that can improve housing and health outcomes for this population.

Poster Presentation #15

Intermittent Self-Catheterization: Does Disclosure Affect Perceptions and Friendship Intentions?

Claudia Czechowski

Department of Psychology, Lakehead University

Kirsten Oinonen

Department of Psychology, Lakehead University

Abstract

Background: Feelings of shame and embarrassment frequently deter women using intermittent self-catheterization (ISC) from disclosing their ISC use, even to long-term friends, family, or romantic partners. These women report anticipating stigma from others in response to ISC-related issues, such as fearing judgment over bladder control issues.

Objective: This project is the first to examine the role of disability disclosure in shaping perceptions of, and desire for friendship with, a female using ISC.

Methods: Participants (n = 439) were randomly assigned to one of four experimental groups where they completed questionnaires and read a vignette about an unfamiliar female with or without an invisible disability (e.g., ISC). They rated their affective, cognitive, and behavioural perceptions (positive and negative) of the female target, and their desire to be her friend.

Results: The female who disclosed ISC use was perceived more positively and less negatively than the control female, even after controlling for social desirability. Group effects were consistently strongest for cognitive perceptions, rather than emotions or behavioural intentions. Disclosing ISC use had no effect on reported intentions to form a friendship with the target.

Conclusion: The findings are promising, suggesting that disclosure does not result in stigma, and may enhance relationships/perceptions. However, replication with more detailed vignettes or ecologically valid methods is needed. Since cognitions were strongly affected by ISC disclosure, future research and interventions focussed on inclusivity should target cognitions.

Poster Presentation #16

Young Adults from Sexual Minority Groups in Northwestern Ontario Report More Adverse Childhood Experiences Than Peers

Smruthi Venkateshan

Psychology, Lakehead University

Thomas Bentz

Psychology, Lakehead University

Bianca Boboc

Psychology, Lakehead University

Kaleigh Etienne-Power

Psychology, Lakehead University

Kirsten Oinonen

Psychology, Lakehead University

Abstract

Background: Studies have shown that sexual minority individuals experience more adverse childhood experiences and higher psychosocial stress compared to their heterosexual counterparts, yet we are not aware of any studies conducted in Northwestern Ontario.

Objective: The purpose of the present study was to address this gap using two samples primarily consisting of university students from Northwestern Ontario.

Methods: Using secondary datasets from two independent studies, heterosexuals and sexual minorities were compared on a number of adverse childhood experiences. In both studies, participants completed measures of sexual orientation and the Adverse Childhood Experiences Scale: Study 1 (N = 193 participants;146 heterosexual, 47 sexual minority), and Study 2 (N = 184 participants;144 heterosexual, 40 sexual minority).

Results: In both studies, the sexual minority group reported significantly more adverse childhood experiences overall than the heterosexual group, and higher odds of having experienced both verbal abuse and emotional abuse. All results held even when only females were examined.

Conclusion: These findings are in line with previous research and suggest that sexual minorities are at a higher risk of experiencing adverse childhood experiences. Higher rates of childhood emotional and verbal abuse in sexual minorities can have mental health implications. Findings are of relevance to educators, healthcare providers, and policy makers.

Poster Presentation #17

The YVPP Healthy Relationships Booster Intervention: Reinforcing Student Knowledge and Skills

Angela Gollat

Thunder Bay District Health Unit

Mary Ellen Hill

Centre for Rural and Northern Health Research (CRaNHR), Lakehead University

Shevaun Nadin

Centre for Rural and Northern Health Research (CRaNHR), Lakehead University

Marianne Stewart

Thunder Bay District Health Unit

Christopher Mushquash

Centre for Rural and Northern Health Research (CRaNHR), Lakehead University

Stephanie Meek

Thunder Bay District Health Unit

Sydney Hunt

Centre for Rural and Northern Health Research (CRaNHR), Lakehead University et al.

Abstract

Background: The Youth Violence Prevention Project (YVPP) was a 6-year violence prevention initiative in Thunder Bay and District (2018-24).

Objective: Funded by the Public Health Agency of Canada, the YVPP sought to give youth knowledge and skills they need to engage in healthy relationships. A key objective was to develop a Booster Intervention for Grade 10 students, to reinforce knowledge about healthy relationships gained in Grades 7-9.

Methods: The Booster was developed through a Hackathon with TBDHU staff and consultations with School Mental Health Leads. It was finalized after three iterative rounds of feedback from facilitators and students in 2022-23, and alignment with national benchmarks on incorporating gender-based violence prevention education in school-based settings. Booster delivery was evaluated using Facilitator Reflection Forms (n=85), End-of-Workshop Student Surveys (n=750), and Student Follow-Up Surveys (n=159).

Results: Evaluations were positive: Facilitators found the Booster easy to deliver. Students liked it, found the content useful, gained knowledge they need to engage in healthy relationships, and applied their new learnings to their lives. Pilot delivery of the Booster in Grades 9, 11, 12 and alternate learning programs suggested that this intervention appears to be equally effective in other settings.

Conclusion: The Booster was well received by facilitators and students and was achieving its intended goals. The Healthy Relationships Booster can be considered promising youth dating violence prevention program.

Poster Presentation #18

Decolonizing Dementia Care for Residential School Survivors in LongTerm Care: A Scoping Review

Maydena Remenda Centre for Education and Research on Aging & Health (CERAH), Lakehead University

Abstract

Background: Indigenous seniors, particularly survivors of the residential school system, face unique challenges in long-term care (LTC). Many are forced to relocate to urban LTC homes from their communities due to lack of resources. They risk re-traumatization due to culturally unsafe practices while placed in a residential living facility. These experiences are heightened by the symptoms of dementia - causing repeated trauma due to loss of memory, time orientation and communication.

Objective: This review aims to explore the current state of dementia care for Indigenous seniors in LTC, with a focus on reducing re-traumatization and promoting culturally safer care.

Methods: A comprehensive search was conducted for peer-reviewed literature published within the last 15 years, focusing on studies that discuss dementia care for Indigenous populations in Canada, the impact of historical trauma, and the implementation of culturally safer practices in LTC.

Results: The review of 10 pieces of literature highlighted several key themes. These included: the need for comprehensive cultural safety training for all staff, the integration of traditional ways of knowing and culture, and community collaboration and involvement in care provision. Sub themes included: cultural safety, competency and humility training, historical and contextual awareness, and bridging language and communication gaps.

Conclusion: This scoping review emphasizes the urgency of culturally safe dementia care for survivors of residential schools. It advocates for comprehensive education on historical context and traditional knowledge for all LTC staff. Additionally, it demands tangible actions from policymakers and governments to transform cultural safety from rhetoric to reality.

Poster Presentation #19

Exploring Wholistic Risk and Protective Factors for Alcohol Use Among First Nations Peoples Living in Canada

Trent Lynds

Department of Psychology, Lakehead University

Brittany Skov

Department of Psychology, Lakehead University

Lydia Hicks

Department of Psychology, Lakehead University

Alexa Curci

Department of Psychology, Lakehead University

Christoper Mushquash

Department of Psychology, Lakehead University

Abstract

Background: Many First Nations (FNs) communities in Canada have identified reducing alcohol use as a health priority. While on average a greater proportion of FN people do not use alcohol when compared to non-FN people, FN people who use alcohol experience disproportionate negative outcomes (e.g., depression, cancer, liver disease) when compared to non-FN people. Social-ecological models (e.g., Nishnaabe wholistic theory) emphasize various levels that contribute to wellness, including individual, community, and national levels. Identifying protective and risk factors for alcohol use could guide alcohol use reduction efforts, with implications for fostering wellness in FNs communities. However, there are no reviews to date that have synthesized risk and protective factors for alcohol use among FNs peoples.

Objective: We aimed to identify and synthesize the available peer-reviewed literature on risk and protective factors for alcohol use among FNs peoples in Canada.

Methods: We systematically searched ten peer-reviewed databases for quantitative and/or qualitative studies examining risk and protective factors for alcohol use among FNs peoples in Canada. Forty-one relevant studies were identified and reviewed.

Results: Individual, family, community, and national level risk and protective factors for alcohol use were summarized thematically and mapped out onto a wholistic model of FNs wellness. Findings were discussed across multiple levels (e.g., individual, community, Nation).

Conclusion: Suggestions are provided regarding how to tailor approaches at each level to address identified risk factors and promote protective factors for First Nations peoples. Results may help to inform future interventions in Northwestern Ontario and beyond.

Poster Presentation #20

Nothing About Us, Without Us: Exploring the Current and Potential Impact of the Nutrition North Subsidy through Community-Based Criteria

Tahshiina Cheechoo

Mawachintoon Anishinabe Miijim, Kiikenomaga Kikenjigewen Employment and Training Services (KKETS)

Kristin Burnett

Indigenous Learning, Lakehead University

Keira Loukes

School of Outdoor Recreation, Parks, and Tourism, Lakehead University

Lana Ray

Health Disciplines, Athabasca University

Anita Vaillancourt

Social Work, Faculty of Health and Behavioural Sciences, Lakehead University

Abstract

Background: The federal government has identified food insecurity in Northern First Nations as a serious public health crisis. To date, solutions have focused primarily on market-based models with limited impact.

Objective: To understand the current food (in)security conditions and the impacts of the Nutrition North Canada (NNC) program on five fly-in First Nations located in northwestern Ontario.

Methods: We employed an Indigenous community-based approach with a mixed-methods research design that is driven by community engagement and feedback. Data was collected during visits (N=2) to each of the five participating communities. First visits were reiterative engagement sessions (N=50-100) that generated a survey tool, and shared knowledge and experiences about food security and sovereignty. The second visit consisted of structured interview sessions (N=4-10/community) using the survey tool. A food costing tool reflective of local eating patterns was also developed to cost essential food and household items.

Results: Each community is a distinct food environment underscoring the need for a placebased self-determined holistic approach that supports Indigenous sovereignty. Community members identified the importance of traditional food harvesting and the desire for food sovereignty. Significant barriers persist due to seasonal impacts of remoteness and inadequate support networks, including special diet needs.

Conclusion: The findings suggest that barriers to food security mask the need for crosssectoral planning and coordination at the local, provincial, and federal levels to address food insecurity, as well as social, environmental, economic, and health challenges. Communities must exercise Indigenous sovereignty to determine their own needs and strengths. Without addressing these issues chronic illnesses and disproportionately poorer health outcomes will persist.

Poster Presentation #21

Access to Palliative Care by Persons with Severe and Persistent Mental Illness in Ontario

Emmanuel Yohuno Health Sciences, Lakehead University

Megan Bryson Health Sciences, Lakehead University

Lynn Martin Health Sciences, Lakehead University

Michel Bédard Health Sciences, Lakehead University

Abstract

Background: Persons with severe and persistent mental illness (SPMI) experience unequal access to palliative care (PC) compared to persons without SPMI, which poses the risk of poor management of pain and ailments at the end of life.

Objective: To examine access to palliative care by persons with SPMI and determine the factors associated with access.

Methods: A retrospective cohort study using de-identified health administrative data from interRAI home care. Access to PC was determined as persons residing in a hospice facility or PC unit or persons offered and/or received a PC program. Access to PC among persons with SPMI was compared to those without SPMI. The association between access to PC and the socialdemographic and clinical factors related to access was determined through multivariate logistic regression.

Results: Of all the home care clients, 25% (n=155642) had SPMI, and 2% of these home care clients had access to PC (n=15057). Of those who accessed PC, 23% (n=3536) had SPMI. The odds of access to PC by persons with SPMI was 10% less (OR=0.93, CI=0.90,0.97). Making financial trade-offs due to limited funds (OR=0.84, CI=0.76,0.93); being married (OR=1.15, CI=1.07,1.25), widowed (OR=1.1, CI=1.02,1.19), aged between 45-64 years (OR=1.85, CI=1.04,3.3), and having health instability (CHESS score 1 (OR=1.62, CI=1.46,1.80) score 2 (OR=2.33, CI=2.11,2.58) score 3 (OR=4.36, CI=3.95,4.81) score 4 (OR=9.76, CI=8.84,10.78) score 5 (OR=69.31, CI=62.23,77.21) were factors associated with persons with SPMI's access to PC.

Conclusion: The findings confirm that persons with SPMI are less likely to receive PC than those without SPMI.

Poster Presentation #22

Barriers to Accessing Sexual Assault Evidence Kits in Rural and Remote Northwestern Ontario

Sydney Timmermans

Faculty of Medicine, Western University

Jodie Murphy-Oikonen

Social Work, Lakehead University

Kathleen Rice

Family Medicine, McGill University

Abstract

Background: Sexual assault evidence kits (SAEKs) are used to gather forensic evidence from survivors following sexual assault. This evidence collection coincides with comprehensive postassault care and referrals to follow-up services. Many hospitals lack staff trained in SAEK use and sexual assault care, especially in rural areas.

Objective: This study aimed to explore the barriers SAEK use in Northwestern Ontario.

Methods: Semi-structured interviews (9) with healthcare providers (nurses, physicians, nurse practitioners) and a survey (sent to all Emergency Departments in the Northwest LHIN). Data were analyzed using thematic analysis.

Results: We developed three themes pertaining to logistical barriers to SAEK use. These are: 1) Lack of Training; 2) Legal Implications of the Kit; 3) Resource Constraints. We also identified three themes that speak to sociocultural barriers to effective SAEK use, which were found to influence both perceptions of survivor credibility and the decision to complete the SAEK. These are: 1) Substance use; 2) Police Involvement; 3) Being Indigenous. These themes invite discussion about the future of sexual assault care in rural emergency centers, specifically where it pertains to trauma informed care and forensic training, distance to care centers, hospital staffing and the medicolegal role of clinicians.

Conclusion: Sexual assault trauma hinders many survivors from seeking care, especially when care has been inadequate in the past. This research provides insights into rural health inequities in Northern and rural Canada and lends insight into the gaps that exist within the juncture of health and justice systems.

Poster Presentation #23

Describing the State of Measurement-Informed Care Across Canada

Vamika Mann Psychology, Lakehead University

Deborah Scharf Psychology, Lakehead

University

Abstract

Background: The quality of care for people with mental health needs remains suboptimal in community mental health (CMH) settings, and Measurement-Informed Care (MIC) has potential to improve it. MIC involves the repeated use of a small core set of well-validated client selfreport measures to monitor symptoms and functional outcomes, and then use this data to collaboratively guide treatment and organizational plans.

Objective: Identify current Canadian federal, territorial and provincial required MIC procedures in CMH.

Methods: An environmental scan was conducted of the mental health structure, CMH data reporting procedures, and MIC initiatives in each province/territory and at the federal level.

Results: While all jurisdictions collected CMH data, including demographic and clinical information, only Ontario collected and reported patient-reported outcomes. Six jurisdictions either gathered patient outcomes through clinician-reported measures or are in the process of implementing strategies aligned with MIC principles. The remaining six jurisdictions did not show evidence of systematically collecting mental health data that adhere to any MIC principles. At the federal level, various non-profit organizations and governmental bodies report several mental health indicators, but there are no national guidelines for collecting and reporting measures that align with MIC in CMH settings.

Conclusion: MIC is an evidence-based practice that enhances client outcomes and quality of care. However, CMH settings are not required to collect or report client outcome data that is aligned with MIC. Government and professional organizing bodies should work together to establish a national guideline with a small curated set of measures to integrate MIC into routine practice across the country.

Poster Presentation #24

Identifying Predictors of Intrauterine Device (IUD) Ever-Use in a Largely Northwestern Ontario Student Sample

Kaleigh Etienne-Power

Psychology, Lakehead University

Bianca Boboc

Psychology, Lakehead University

Smruthi Venkateshan

Psychology, Lakehead University

Thomas Bentz

Psychology, Lakehead University

Kirsten Oinonen

Psychology, Lakehead University

Abstract

Background: Despite intrauterine devices (IUDs) being 99% effective, only 2.3% of Canadian women report using them as their main form of contraception.

Objective: The aim of this study was to identify predictors of IUD ever-use in Canadian students, given they are a vulnerable population for unintended pregnancy. This may help understand reasons for ever-use and never-use.

Methods: We surveyed 481 students that were 16 years of age or older, assigned female at birth, biologically capable of becoming pregnant, and sexually active. Variables on the demographic questionnaire and scores on the Hormonal Contraceptives Concerns Scale were examined as predictors of IUD ever-use using logistic regression.

Results: There were higher odds of having ever used an IUD in students with: fewer concerns on the Hormonal Contraceptives Concerns Scale, White ethnicity, English as their first language, maternal figures with a post-secondary education, alcohol use, cannabis use, and ever-use of oral contraceptives. Having lower scores on the Hormonal Contraceptive Concerns Scale was the strongest predictor of IUD ever-use.

Conclusion: The findings suggest that in students, concerns about hormones likely prevent IUD use, ethno-racial minorities have lower IUD use, and experience using drugs an hormones are predictors of IUD use. Given the high efficacy of IUDs, these results propose a need to (a) better understand women's concerns about hormonal contraceptives and hormonal IUD's and use this to guide contraception prescriptions, (b) better educate women about any misconceptions, and (c) develop more non-hormonal IUD options as they may have a higher appeal to potential users.

Poster Presentation #25

Poster Presentation Withdrawn

Poster Presentation #26

Prevalence of Pain and Receipt of Pain Management Among Persons Receiving Inpatient Psychiatric Services

Megan Bryson Health Sciences, Lakehead University

Michel Bédard Health Sciences, Lakehead University

Lynn Martin Health Sciences, Lakehead University

Abstract

Background: Pain significantly impacts health and quality of life, but is often underreported and poorly managed among persons with mental illness.

Objective: The goal was to examine the prevalence of pain and receipt of pain management among individuals receiving inpatient psychiatric services in Ontario, and identify characteristics associated with receipt of pain management.

Methods: Anonymized population-level data were analyzed from the Ontario Mental Health Reporting System, based on the interRAI Mental Health assessment. The assessment includes over 300 items covering personal, social, functional, and clinical characteristics, as well as service use. Pain prevalence was based on the interRAI Pain Scale with a score that is ≥1. Multivariate analyses identified factors linked to receiving pain management among those reporting pain.

Results: Approximately 22% (n=69,529) experienced pain, but only 49% (n=34,4470) received pain management. The multivariate model demonstrated several factors were associated with receipt of pain management: substance use (opiate OR=1.68; inhalant OR=0.70; cannabis OR=0.88), trauma (OR=1.50), health instability (OR=1.39), financial trade-off (OR=1.21), psychiatric diagnoses (ptsd OR=1.20; bipolar disorder: OR=0.77; psychotic disorders: OR=0.70; somatic disorders: OR=1.35; substance use disorder: OR=1.31; medication induced disorders: OR=0.68).

Conclusion: Less than half of those in pain received pain management. Future research is needed to explore the impact of this on experiences and outcomes receiving inpatient services.

Poster Presentation #27

What Does a Cure for HIV Mean to You?

Pauline Sameshima Education, Lakehead University

Patricia Defechereux Virology, Gladstone Institutes

Abstract

Background: Over the last 40 years, attempts to eliminate the HIV virus from the bodies of people living with HIV, have failed. The HIV Obstruction by Programmed Epigenetics (HOPE) Collaboratory aims to permanently silence HIV in the body through a "Block, lock stop" strategy by taking advantage of knowledge about how other viruses have become naturally inactivated over time.

Objective: Successful rollout of the HIV cure strategy when it is ready requires better understanding of the needs of people living with HIV.

Methods: Participants in 2 focus groups used polymer clay to create "holders" of their responses to the question: "What are your hopes and fears about Block Lock Stop?" Each group met twice, on two separate days. Participants also completed 3 surveys (2 prior and 1 post discussions) detailing demographics, attitudes, beliefs and experiences around HIV and HIV cure.

Results: 27 volunteers with an average age of 56 years old participated. 65% were living with HIV, 58% had family members/partners living with HIV. Participants included: 65% Black, 23% White, 4% Latino, and 73% LGBTQ+. 92% completely/mostly trust their healthcare providers. 100% completely/mostly trust medical research. 80% of participants would take a cure if safe and effective. Three key themes emerged from discussions around the art pieces: their EXPERIENCES, their PERSONAL GROWTH, and beneficial and needed SUPPORTS.

Conclusion: Participants desire more education and want cure implementation to consider holistic and community-centred implementation strategies. Overall, participants demonstrate keen but cautious excitement about cure possibilities.

Poster Presentation #28

A Survey of Canadians' Beliefs, Cannabis Use Behaviours and DecisionMaking Processes Related to Cannabis and Driving

Stephanie Campbell Correctional Service Canada

Hillary Maxwell Centre for Research on Safe Driving, Lakehead University

Sacha Dubois

School of Nursing, Lakehead University

Biyi Liu

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

Abstract

Background: Evidence suggests that driving under the influence of cannabis is increasing. A better understanding of the factors contributing to this increase is required in order to facilitate evidence-informed interventions.

Objective: The current work involved the development and administration of a new survey to assess Canadians' knowledge, beliefs and behaviours surrounding cannabis and driving. This survey expands on the existing Canadian Cannabis Survey (CCS).

Methods: In Phase 1, semi-structured focus groups were conducted to explore participants' perceptions of potential survey questions. A 16-item survey was then developed for Phase 2. The survey was distributed online, alongside a measure of risk-taking and a demographic questionnaire. Eligibility included being aged 19 or older, driving at least weekly, and having used cannabis at least five times in the last 12 months.

Results: For Phase 1, three focus groups involved 16 participants from across Canada, with an average age of 32.9 (SD=9.69). For Phase 2, 416 participants with an average age of 32.7 (SD=8.95) completed the online survey. Novel findings included general misinformation regarding legal thresholds and other knowledge gaps, insight into decision-making processes, and an openness to use of validated decision-making tools. There was also an association between risk-taking and reports of driving under the influence of cannabis.

Conclusion: This research makes a valuable contribution to the knowledge base of cannabis and driving by expanding on the CCS, and has implications for consumers, law enforcement, government agencies, and policymakers. Recommendations will be provided along with suggestions for future research.

Centre for Applied Health Research Learner Award

About

The Centre for Applied Health Research (CAHR) Learner Award is a $250 cheque awarded to the highest ranked student-conducted research poster at the Showcase of Health Research.

Eligibility

Presentations must be on a topic relevant to St. Joseph’s Care Group (SJCG) services (i.e., Mental Health & Addiction Services, Long-Term Care Services, Rehabilitative Care Services, or Spiritual Care). The candidate must be the presenter, and participated in the research as a student at Confederation College, Lakehead University, or Northern Ontario School of Medicine University. In addition, the presenter must have been under the supervision of a CAHR member for the research.

Poster Judges

For the 2025 Showcase of Health Research, Erica Sawula, an Epidemiologist at Thunder Bay District Health Unit, and Hillary Maxwell, a Research Statistician at SJCG, are the judges for the CAHR Learner Award poster finalists.

St. Joseph’s Care Group Awards in Applied Health Research

About

Funded by St. Joseph’s Care Group (SJCG), the SJCG Awards in Applied Health Research is a yearly competition of four awards, each valued at $4000.

Eligibility

The awards are available to four full-time graduate students at Lakehead University pursuing research related to the service areas of SJCG. Recipients of the awards must be Canadian citizens or permanent residents of Canada, and under the supervision of a Centre for Applied Health Research (CAHR) member.

Process

Each year, awardees will receive their installments from September of the application year to August of the following year. Applications open in January each year, and close in March. The awards are administered through the CAHR at SJCG.

Application

To apply to the 2025/2026 St. Joseph's Care Group Awards in Applied Health Research, complete the application form below on or before March 28, 2025 at 11:59 PM.

Application Form

Contact

For any questions, contact Carrie Gibbons, Manager of Volunteers, Library & Research Services, at Carrie.Gibbons@tbh.net or 807-346-3697.

About

About the Centre for Applied Health Research

The Centre for Applied Health Research (CAHR) conducts high quality research and program evaluation, engages in knowledge translation, and supports St. Joseph's Care Group (SJCG) in the creation of new knowledge relevant to: Rehabilitative Care, Long-Term Care Services, Addictions & Mental Health, and Spiritual Care.

Mandate

The mandate of the CAHR is to enhance research capacity and generate new knowledge through targeted research and program evaluation efforts. This includes supporting researchers and evaluators while striving to establish the CAHR as a recognized leader in applied health research.

Objectives

Create new knowledge relevant to SJCG

Adopt strategies to enhance knowledge translation activities

Support the development of research capacity within SJCG

Contribute expertise to facilitate evaluation activities

Feedback for the 2025 Showcase of Health Research

Every year, we evaluate our Showcase of Health Research. Whether it is positive, negative, or somewhere in between, we want to hear from you. We sincerely appreciate the time you put aside to rate your experience of this event. When possible, we try our best to incorporate the feedback we receive into our future Showcases!

Feedback

Based on your feedback in these evaluations throughout the years, here are some recent examples below of our commitment to improving your Showcase of Health Research experience year after year.

 Switched from cocktail seating to table seating

 Increased poster presenter space

 Incorporated longer breaks

Thank you again for participating in our annual Showcase of Health Research – we hope to see you again next year!

Acknowledgements

Thank you to all the attendees, podium presenters, and poster presenters for your effort, time, and participation in the 2025 Showcase of Health Research. Additionally, we would like to acknowledge the following individuals for their work on the 2025 Showcase of Health Research.

Aryn Ertl Research Assistant

Centre for Applied Health Research

St. Joseph’s Care Group

Carrie Gibbons

Manager, Volunteers, Library & Research Services

Volunteers, Library & Research Services

St. Joseph’s Care Group

Erica Sawula Epidemiologist

Thunder Bay District Health Unit

Erin Paul Communications & Engagement Coordinator

Communications & Government Relations

St. Joseph’s Care Group

Hillary Maxwell Research Statistician

Centre for Applied Health Research

St. Joseph’s Care Group

Michel Bédard Scientific Director

Centre for Applied Health Research

St. Joseph’s Care Group

Sena Honke Communications Specialist Communications & Government Relations

St. Joseph’s Care Group

Shayna Cummings Research Coordinator

Centre for Applied Health Research

St. Joseph’s Care Group

Simran Bedi Research Intern

Centre for Applied Health Research

St. Joseph’s Care Group

Organizer Shayna

sjcg.cahr@tbh.net