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  • 1
    In: Alzheimer's & Dementia, Wiley, Vol. 17, No. S7 ( 2021-12)
    Abstract: Persons living with dementia (PLWD) and family care partners (CPs) want to improve their health, maintain independence, and enhance well‐being. Multi‐domain interventions towards this goal are needed, but few are available and fewer were co‐created with PLWD, CPs, and program providers. The objective of the DELIGHT project is to use a participatory approach to co‐design a feasible, effective multi‐domain intervention (the DELIGHT program) that meets the health and well‐being goals of PLWD and CPs. Method Using a participatory approach, the DELIGHT project is guided by a core team of researchers, PLWD, CPs, and an Alzheimer Society representative. The co‐design team included the core team and additional PLWD/CPs, exercise professionals, dietitians, health care professionals, and community service providers (n=29). Due to COVID‐19, research team meetings have been virtual since May 2020. The co‐design was planned for four in‐person, half‐day sessions but was transitioned to six online, 1.5‐hour sessions, using small breakout rooms for discussion. The co‐design meetings focused on identifying target population, key outcomes of the program and developing program components and structure. During co‐design meetings, two or three guiding questions were set to focus discussion on a specific topic (e.g., exercise). The final co‐design session focused on the overall structure of the DELIGHT program. The core team then reflected on co‐design discussions and decisions and made final decisions on program structure. Program resources were iteratively designed with the core team, co‐design team, and other external stakeholders (including an illustrator). Result The DELIGHT program is designed to promote well‐being among PLWD and CP. Engagement soon after diagnosis is a goal. The program will meet twice per week for one hour of exercise and thirty minutes of facilitated discussion/education with a healthy snack and social engagement. Education will focus on healthy eating, sleeping well, mental well‐being, social connection, and physical activity. Program resources and manual are in development. Conclusion The DELIGHT program was co‐created by PLWD, CPs, researchers, and community stakeholders to meet the health and well‐being goals of PLWD and CPs. The on‐line and in‐person program options will be piloted and evaluated in fall 2021.
    Type of Medium: Online Resource
    ISSN: 1552-5260 , 1552-5279
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2201940-6
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  • 2
    In: Alzheimer's & Dementia, Wiley, Vol. 17, No. S7 ( 2021-12)
    Abstract: Engaged research involves stakeholders as active partners in the research process, not just as research participants. Engaged dementia research can improve the relevance and quality of research, empower persons living dementia (PLWD) and family care partners, and acknowledge their expertise gained through lived experience. Conducting engaged research is challenging during COVID‐19 when in‐person interactions are difficult or impossible. The Dementia Lifestyle Intervention for Getting Health Together (DELIGHT) project used an online, engaged research approach to co‐design the DELIGHT program, a 12‐week program to support the health and well‐being goals of PLWD and care partners. Here, we used mixed‐methods to evaluate the DELIGHT co‐design process, its alignment with an Authentic Partnership approach, and experiences, satisfaction, and suggestions for future online co‐design processes. Method The DELIGHT project engaged 29 people in the co‐design process during Summer 2020, including PLWD, care partners, service/program providers, healthcare providers, and researchers. The co‐design team met over six, 1.5‐hour online meetings (via Zoom) to develop the program. Although the co‐design process is on‐going, evaluation focused on this first phase of the co‐design process. A 17‐item survey assessed alignment with an Authentic Partnerships approach. Focus groups and interviews used a semi‐structured guide to assess experiences, satisfaction, and suggestions for future on‐line co‐design. Result Surveys were completed by 11 co‐design members, and 11 co‐design members participated in interviews or focus groups (not all completed both). Initial analysis of survey results indicates co‐design members felt respected and safe in the co‐design process, felt their perspectives and opinions were valued, and valued the contributions of other members (100% agreed or strongly agreed). All survey respondents felt they gained knowledge and strategies for living well with dementia during the co‐design process. All survey respondents also strongly agreed that the DELIGHT program, when implemented, will have a positive impact on PLWD and care partners. Analysis of interviews/focus groups is ongoing and will be available in Spring 2021. Conclusion Co‐design members expressed high satisfaction with the process and felt their experiences were valued and heard. All members expressed a strong belief that the program developed will benefit PLWD and care partners.
    Type of Medium: Online Resource
    ISSN: 1552-5260 , 1552-5279
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2201940-6
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  • 3
    In: Alzheimer's & Dementia, Wiley, Vol. 17, No. S7 ( 2021-12)
    Abstract: Exercise improves functional abilities of persons living with dementia (PLWD) and provides an opportunity for social engagement, support, and inclusion. Yet, there are few exercise programs available to PLWD, especially in smaller communities. The goal of the Dementia‐Inclusive Choices for Exercise (DICE) project was to use participatory processes to create evidence‐informed knowledge translation (KT) resources to increase the number and quality of exercise opportunities for PLWD. Method The DICE core team includes PLWD, a family care partner (CP), exercise providers (EPs), dementia service providers (DSPs), health care professionals, and researchers. In the early project stages, we confirmed objectives and conducted 1 survey, 2 interviews, 16 focus groups to better understand barriers to and supports needed for exercise among PLWD. Results led to the prioritizing of primary (EPs) and secondary (PLWD & CP) target audiences for the KT resources. Co‐creation of the KT resources followed several steps: 1) drafting content and possible formats for resources over several core team meetings; 2) conducting a one‐day workshop with additional PLWD, CPs, EPs, and DSPs to develop a comprehensive plan for the content and format for each resource, target audience, and dissemination strategies; 3) using iterative design among the core team, resource developers, and additional PLWD, CPs, EPs, and DSPs to develop resources; and 4) usability testing. Result Key information to be translated included understanding the diversity of dementia, rights of PLWD to inclusion, physical activity guidelines/benefits, and dementia‐inclusive communication, practices, and design. This information is delivered through the DICE toolkit, which includes a website, on‐line training modules and manual targeted at exercise providers, destigmatizing videos that show the stories of PLWD, and resources for PLWD and their CPs to increase knowledge and confidence regarding exercise. Subsequent usability testing among EPs, PLWD, and CPs (n=7) identified design and content adjustments. Collaborative and inclusive decision making created improved relationships and ongoing learning between all stakeholders. Conclusion The participatory approach of the DICE project enabled stakeholders to identify and share perspectives and needs throughout the co‐creation process. Working collaboratively and iteratively with a diverse team ensured that the DICE toolkit is relevant and usable to EPs, PLWD, and CPs.
    Type of Medium: Online Resource
    ISSN: 1552-5260 , 1552-5279
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2201940-6
    Location Call Number Limitation Availability
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  • 4
    In: Influenza and Other Respiratory Viruses, Wiley, Vol. 7, No. s2 ( 2013-09), p. 72-75
    Abstract: Vaccination of immunocompromised patients is recommended in many national guidelines to protect against severe or complicated influenza infection. However, due to uncertainties over the evidence base, implementation is frequently patchy and dependent on individual clinical discretion. We conducted a systematic review and meta‐analysis to assess the evidence for influenza vaccination in this patient group. Healthcare databases and grey literature were searched and screened for eligibility. Data extraction and assessments of risk of bias were undertaken in duplicate, and results were synthesised narratively and using meta‐analysis where possible. Our data show that whilst the serological response following vaccination of immunocompromised patients is less vigorous than in healthy controls, clinical protection is still meaningful, with only mild variation in adverse events between aetiological groups. Although we encountered significant clinical and statistical heterogeneity in many of our meta‐analyses, we advocate that immunocompromised patients should be targeted for influenza vaccination.
    Type of Medium: Online Resource
    ISSN: 1750-2640 , 1750-2659
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2013
    detail.hit.zdb_id: 2272349-3
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  • 5
    Online Resource
    Online Resource
    JMIR Publications Inc. ; 2022
    In:  JMIR Formative Research Vol. 6, No. 4 ( 2022-4-27), p. e31827-
    In: JMIR Formative Research, JMIR Publications Inc., Vol. 6, No. 4 ( 2022-4-27), p. e31827-
    Abstract: Successful best practice implementation is influenced by access to peer support and knowledge exchange. The Toronto Stroke Networks Virtual Community of Practice, a secure social media platform, is a knowledge translation tool supporting dissemination and adoption of stroke best practices for interprofessional stroke stakeholders. Objective The aim of this study is to evaluate the use of a virtual community of practice (VCoP) in supporting regional stroke care best practice implementation in an urban context. Methods A mixed methods approach was used. Qualitative data were collected through focus groups and interviews with stroke care provider members of the VCoP working in acute and rehabilitation settings. Thematic analysis was completed, and the Wenger Value Creation Model and developmental evaluation were used to reflect practice change. Quantitative data were collected and analyzed using website analytics on VCoP use. Results A year after implementation, the VCoP had 379 members. Analysis of web analytics data and transcripts from focus groups and interviews conducted with 26 VCoP members indicated that the VCoP provided immediate value in supporting user networking, community activities, and interactions. Skill acquisition and changes in perspective acquired through discussion and project work on the VCoP were valued by members, with potential value for supporting practice change. Learning about new stroke best practices through the VCoP was a starting point for individuals and teams to contemplate change. Conclusions These findings suggest that the VCoP supports the early stages of practice change and stroke best practice implementation. Future research should examine how VCoPs can support higher levels of value creation for implementing stroke best practices.
    Type of Medium: Online Resource
    ISSN: 2561-326X
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2022
    detail.hit.zdb_id: 2941716-8
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  • 6
    In: BMJ Open, BMJ, Vol. 12, No. 6 ( 2022-06), p. e060860-
    Abstract: In recognition that engagement in physical activities for persons living with dementia can be challenging in rural and northern communities, the objective of this study was to explore the factors influencing physical activity participation among persons living with dementia in rural/northern communities and to identify the locally-driven mitigation strategies participants used to address barriers to physical activity. Setting Interviews and focus groups were conducted in two locations in northern British Columbia, Canada including a rural community ( 〈 10 000 persons) and a medium-sized geographically isolated city ( 〈 80 000 persons). Both communities are located at substantial distances ( 〉 700 km) from larger urban centres. Participants Twenty-nine individuals participated including healthcare providers (n=8), community exercise professionals (n=12), persons living with dementia (n=4) and care partners (n=5). Results Rural and northern contextual factors including aspects of the built and natural environment were the main drivers of physical activity for persons living with dementia. Limited capacity in the health system to support physical activity due to a lack of referrals, poor communication mechanisms and limited resources for programming created challenges for physical activity participation. At the community level, local champions filled gaps in physical activity programming by leveraging informal networks to organise opportunities. Programme-level factors included a lack of consistency in staff, and challenges defining programme scope given limited population size and the fear of stigma for persons living with dementia. Conclusions Environmental context and limited access to specialised programming affect the opportunities for persons living with dementia to engage in physical activities. Rural and northern communities showed resiliency in providing physical activity opportunities yet remained fragile due to human resource challenges. Without reliable resources and sustained support from the health system, local champions remain vulnerable to burnout. Enhancing support for local champions may provide greater stability and support to physical activity promotion in rural and northern communities.
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    Language: English
    Publisher: BMJ
    Publication Date: 2022
    detail.hit.zdb_id: 2599832-8
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  • 7
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