Medicine and Health Sciences Commons^™

Prevalence Of Sensory Impairments In Home Care And Long-Term Care Using Interrai Data From Across Canada, Dawn M. Guthrie, Nicole Williams, Atul Jaiswal, Paul Mick, Hannah M. O'Rourke, M. Kathleen Pichora-Fuller, Walter Wittich, Rinku Sutradhar

Health Sciences Faculty Publications

Background

In the general population, sensory impairments increase markedly with age in adults over 60 years of age. We estimated the prevalence of hearing loss only (HL), vision loss only (VL), and a combined impairment (i.e., dual sensory loss or DSL) in Canadians receiving home care (HC) or long-term care (LTC).

Methods

Annual cross-sectional analyses were conducted using data collected with one of two interRAI assessments, one used for the HC setting (n = 2,667,199), and one for LTC (n = 1,538,691). Items in the assessments were used to measure three mutually exclusive outcomes: prevalence of VL only, …

Cross-Sectional Nutrition Profile Of Palliative Home Care Clients In Ontario And Performance Of The Interrai Palliative Care Nutrition Clinical Assessment Protocol, Tara Stevens, Heather Keller, Nicole Williams, James Downar, Dawn M. Guthrie

Health Sciences Faculty Publications

Background: The nutrition profile of palliative home care clients is unknown. This study describes this group and their nutrition issues and evaluates the performance of the interRAI nutrition Clinical Assessment Protocol (CAP).

Methods: This was a cross-sectional secondary analysis using Ontario interRAI Palliative Care (interRAI PC) Assessment data. The sample represents 74,963 unique Ontario home care clients assessed between 2011 and 2018. Frequencies and standardized differences (stdiffs) of nutrition characteristics were presented for cancer (n = 62,394) and noncancer (n = 12,569) diagnostic subgroups. Rates of triggering the nutrition CAP were presented by nutrition issue to evaluate its performance.

Results: …

Potential Quality Indicators For Seriously Ill Home Care Clients: A Cross-Sectional Analysis Using Resident Assessment Instrument For Home Care (Rai-Hc) Data For Ontario, Lisa E. Harman, Dawn M. Guthrie, Joachim Cohen, Anja Declercq, Kathryn Fisher, Donna Goodridge, John P. Hirdes, Hsien Seow

Health Sciences Faculty Publications

Background

Currently, there are no formalized measures for the quality of home based palliative care in Ontario. This study developed a set of potential quality indicators for seriously ill home care clients using a standardized assessment.

Methods

Secondary analysis of Resident Assessment Instrument for Home Care data for Ontario completed between 2006 and 2013 was used to develop quality indicators (QIs) thought to be relevant to the needs of older (65+) seriously ill clients. QIs were developed through a review of the literature and consultation with subject matter experts in palliative care. Serious illness was defined as a prognosis of …

The Relationship Between Caregiver Burden And Depressive Symptoms In Ontario Home Care Clients, Nicole Williams, Samantha Jamal, Dawn M. Guthrie

Health Sciences Faculty Publications

The onset of depressive symptoms is common in home care clients and their caregivers. Understanding the experience of the informal caregiver can assist clinicians in providing services to maximize the well-being of both the client and their caregivers. The objectives of this article are to examine risk factors for the development of depressive symptoms. A longitudinal analysis design was completed for clients with 2+ assessments. The development of depressive symptoms was defined as a Depression Rating Scale score of 3+ on re-assessment. The results-overall, 10.7% of clients experienced new depressive symptoms and clients with a caregiver who was feeling distressed, …

A Deterioration In Hearing Is Associated With Functional And Cognitive Impairments, Difficulty With Communication And Greater Health Instability, Nicole Williams, Dawn M. Guthrie, Jacob G.S. Davidson, Kathryn Fisher, Lauren E. Griffith

Health Sciences Faculty Publications

Objectives: To examine the relationship between hearing deterioration and several health-related outcomes among home care clients in Ontario. Design: Longitudinal analysis was completed for clients with at least two comprehensive assessments. Hearing status, based on a single item, ranged from zero (no impairment) to three (highly impaired). Hearing deterioration was defined as at least a 1-point decline between subsequent assessments. Results: Seven percent experienced a 1-point deterioration in hearing and roughly 1% had a 2/3-point decline. After adjusting for other covariates, increasing age (odds ratio = 1.94; 95% confidence intervals [CIs] = [1.45, 2.61]) and a diagnosis of Alzheimer's disease …

Combined Impairments In Vision, Hearing And Cognition Are Associated With Greater Levels Of Functional And Communication Difficulties Than Cognitive Impairment Alone: Analysis Of Interrai Data For Home Care And Long-Term Care Recipients In Ontario, Dawn M. Guthrie, Jacob G.S. Davidson, Nicole Williams, Jennifer Campos, Kathleen Hunter, Paul Mick, Joseph B. Orange, M. Kathleen Pichora-Fuller, Natalie A. Phillips, Marie Y. Savundranayagam, Walter Wittich

Health Sciences Faculty Publications

Objectives: The objective of the current study was to understand the added effects of having a sensory impairment (vision and/or hearing impairment) in combination with cognitive impairment with respect to health-related outcomes among older adults (65+ years old) receiving home care or residing in a long-term care (LTC) facility in Ontario, Canada.

Methods: Cross-sectional analyses were conducted using existing data collected with one of two interRAI assessments, one for home care (n = 291,824) and one for LTC (n = 110,578). Items in the assessments were used to identify clients with single sensory impairments (e.g., vision only [VI], hearing only …

The Effectiveness Of Teamwork Training On Teamwork Behaviors And Team Performance : A Systematic Review And Meta-Analysis Of Controlled Interventions, Desmond Mcewan, Geralyn R. Ruissen, Mark Eys, Bruno D. Zumbo, Mark R. Beauchamp

Kinesiology and Physical Education Faculty Publications

The objective of this study was to conduct a systematic review and meta-analysis of teamwork interventions that were carried out with the purpose of improving teamwork and team performance, using controlled experimental designs. A literature search returned 16,849 unique articles. The meta-analysis was ultimately conducted on 51 articles, comprising 72 (k) unique interventions, 194 effect sizes, and 8439 participants, using a random effects model. Positive and significant medium-sized effects were found for teamwork interventions on both teamwork and team performance. Moderator analyses were also conducted, which generally revealed positive and significant effects with respect to several sample, intervention, and measurement …

A Comparison Of Home Care Quality Indicator Rates In Two Canadian Provinces, Dawn M. Guthrie, Amanda M. Mofina

Kinesiology and Physical Education Faculty Publications

Background. Home care is becoming an increasingly vital sector in the health care system yet very little is known about the characteristics of home care clients and the quality of care provided in Canada. We describe these clients and evaluate home care quality indicator rates in two regions. Methods. A cross-sectional analysis of assessments completed for older (age 65+) home care clients in both Ontario (n=102,504) and the Winnipeg Regional Health Authority (n=9,250) of Manitoba, using the Resident Assessment Instrument for Home Care (RAI-HC). This assessment has been mandated for use in these two regions and the indicators are generated …

The Practitioner's Corner: An Exploration Of Municipal Active Living Charter Development And Advocacy, M. Blair Evans, Alex J. Benson, Terry L. Mitchell, Jennifer Robertson-Wilson, Mark Eys

Kinesiology and Physical Education Faculty Publications

Background: Numerous municipal active living-­‐related charters have been adopted to promote physical activity in Canada throughout the past decade. Despite this trend, there are few published critical examinations of the process through which charters are developed and used.

Purpose: Thus, the purpose of this study was to establish greater understanding of active living charter development and advocacy.

Methods: Semi-­‐structured interviews were conducted with eight primary contributors to different active living-­‐related charters across Ontario, Canada. Interview questions explored participants’ experiences developing and advocating for an active living charter. Interviews were analyzed using open, axial, and selective coding.

Results and Conclusions: Participants …

The Lived Experiences Of Individuals With Acquired Deafblindness: Challenges And The Future, Paula C. Fletcher, Dawn M. Guthrie

Kinesiology and Physical Education Faculty Publications

The lived experiences of seven individuals who are deaf blind (DB) were explored through the use of semi-structured face-to-face interviews. Two of the emerging themes from this phenomenological analysis were: (1) the daily challenges faced by the participants (e.g., difficulties with communication; compromised activities of daily living; lack of independence; and (2) their lack of preparedness for the future resulting from the uncertainties associated with their degenerative diseases. The findings from this study clearly articulate the importance of intervenor services from the perspective of these individuals.

The Adaptation Challenges And Strategies Of Adolescent Aboriginal Athletes Competing Off Reserve, Robert J. Schinke, Amy T. Blodgett, Hope E. Yungblut, Mark Eys, Randy C. Battochio, Mary Jo Wabano, Duke Peltier, Stephen Ritchie, Patricia Pickard, Danielle Recollet-Saikkonen

Kinesiology and Physical Education Faculty Publications

Within the motivation literature, it has been indicated that athletes respond more effectively to sport’s contextual challenges through effective adaptation skills. Fiske identified five core motives as facilitators of the adaptation process across cultures: belonging, understanding, controlling, self-enhancement, and trusting. Through a cultural sport psychology approach, the adaptation challenges and strategies of Canadian Aboriginal adolescent athletes from one community (Wikwemikong) are described as they traveled off reserve to compete in mainstream sporting events. Concurrently, Fiske’s core motives are considered in relation to youth sport participants from the aforementioned Aboriginal community. Culture sensitive research methods among the Wikwemikong, including community meetings, …

Role Ambiguity Within Sport Teams, Grégoire Bosselut, Jean-Philippe Heuzé, Mark Eys

Kinesiology and Physical Education Faculty Publications

Résumé: L’objectif de cet article est de présenter une synthèse des travaux publiés ces dernières années en contexte sportif, sur l’un des éléments fondamentaux de la structure du groupe (Shaw, 1981), l’ambiguïté du rôle. La première approche de l’ambiguïté du rôle proposée par Kahn, Wolfe, Quinn, Snoek et Rosenthal (1964) prend sa source dans le contexte organisationnel. Inspiré de ces travaux et adapté au domaine sportif, Beauchamp, Bray, Eys, et Carron (2002) ont proposé un modèle multidimensionnel de l’ambiguïté du rôle composé de quatre manifestations (i.e., étendue des responsabilités, comportements liés au rôle, évaluation du rôle, conséquences liées au rôle) …

Evaluation Of Work Place Group And Internet Based Physical Activity Interventions On Psychological Variables Associated With Exercise Behavior Change, Kimberley A. Dawson, Jill Tracey, Tanya Berry

Kinesiology and Physical Education Faculty Publications

The purpose of this research was to compare group-based and internet-based physical activity interventions in terms of desirability, participants characteristics, exercise self-efficacy, and barrier self-efficacy. Pretest questionnaires were completed prior to voluntary enrollment into either of the ten-week physical activity interventions. Both interventions were based on Social Cognitive Theory and the Transtheoretical Model. Interventions were followed with posttest questionnaires. Results demonstrated that the internet intervention attracted more participants, but only the grou-based participants showed significant increases in exercise and barrier self-efficacy. At pretest, participants who selected the internet intervention were significantly lower in life and job satisfaction than those who …

Female Mate Choice Is Influenced By Male Sport Participation, Albrecht I. Schulte-Hostedde, Mark A. Eys, Krista Johnson

Kinesiology and Physical Education Faculty Publications

Sexual selection theory argues that females invest more heavily in reproduction than males and thus tend to be choosier in terms of mate choice. Sport may provide a context within which females can gain information about male quality to inform this choice. Males may be able to display attractive traits such as athleticism, strength, and physique to females while participating in sport. We predicted that females would favor males that participated in team sports over individual sports and non-athletes because team sport athletes may be more likely to display qualities such as the ability to work well with others and …

The Relationship Between Agency Characteristics And Quality Of Home Care, Dawn M. Dalby, John P. Hirdes

Kinesiology and Physical Education Faculty Publications

ABSTRACT. Background. This project assessed the relationship between home care quality indicators HCQIs) and agency characteristics. Methods. Twelve agencies completed a mailed survey on a variety of characteristics, including size of their caseload and for-profit (FP) status of contracted service providers. The HCQIs were derived from standardized assessments completed voluntarily for home care clients in Ontario and in Manitoba, Canada. Results. The average caseload was 121.3 clients per case manager, and over 40% of nursing, personal support and therapy providers were considered FP. For individual HCQIs, few correlations were statistically significant. An overall summary measure of quality was …

Predictors Of Influenza Immunization Among Home Care Clients In Ontario, John P. Hirdes, Dawn M. Dalby, R. Knight Steel, G. Iain Carpenter, Roberto Bernabei, John N. Morris, Brant E. Fries

Kinesiology and Physical Education Faculty Publications

Background: This study examined factors associated with the receipt of influenza vaccination among Ontario home care clients.

Methods: Home care clients were assessed, as part of a routine home visit, during a pilot study of the Resident Assessment Instrument – Home Care (RAI-HC) in 12 Ontario Community Care Access Centres (CCACs). The RAI-HC is a multidimensional assessment that identifies clients’ needs and level of functional ability. Multiple logistic regression was used to identify factors associated with influenza immunization in the two years prior to assessment.

Results: The overall rate of immunization reached about 80% by 2002. Factors …

Physical Activity Context And University Students Propensity To Meet The Centers For Disease Control And Prevention/American College Of Sports Medicine Guidelines, Shauna M. Burke, Albert V. Carron, Mark Eys

Kinesiology and Physical Education Faculty Publications

Background: Previous research shows that exercise context is important for exercise adherence – exercising alone is associated with reduced adherence whereas exercising with others is associated with increased adherence. The purpose of the study was to examine whether exercising in one or a combination of four contexts for physical activity (in a structured class, with others outside of a structured class, alone but in an exercise setting, and completely alone) is related to the degree to which university students meet prescribed (i.e., CDC/ACSM) guidelines for aerobic activity.

Material/Methods: Males (n=196) and females (n=398) completed a self-reported physical activity questionnaire pertaining …

Understanding The Role Of Behavior And Cognitions In A Group Exercise Setting, Tina L. Shrigley, Kimberley A. Dawson

Kinesiology and Physical Education Faculty Publications

The first purpose of the present study examined whether individuals with different exercise behaviors (classified by attendance) experienced different or similar cognitive patterns. It was hypothesized that different behavior would lead to different cognitive appraisals. It was predicted that there would be a difference between the three behavioral frequency groups with regard to self-efficacy measures and goal measures. The second purpose of the study was to describe, evaluate and observe whether social factors were associated with participating in exercise in groups. It was hypothesized that those who engage in exercise classes would elicit a social focus. Participants for the study …

Evaluating The Influence Of Massage On Leg Strength, Swelling, And Pain Following A Half-Marathon, Lance G. Dawson, Kimberley A. Dawson, Peter M. Tiidus

Kinesiology and Physical Education Faculty Publications

Massage therapy is commonly used following endurance running races with the expectation that it will enhance post-run recovery of muscle function and reduce soreness. A limited number of studies have reported little or no influence of massage therapy on post-exercise muscle recovery. However, no studies have been conducted in a field setting to assess the potential for massage to influence muscle recovery following an actual endurance running race. To evaluate the potential for repeated massage therapy interventions to influence recovery of quadriceps and hamstring muscle soreness, recovery of quadriceps and hamstring muscle strength and reduction of upper leg muscle swelling …

Role Ambiguity In Sport Teams, Mark A. Eys, Albert V. Carron, Mark R. Beauchamp, Steven R. Bray

Kinesiology and Physical Education Faculty Publications

The general purpose of the present study was to examine the nature of role ambiguity in sport teams and to explore the construct validity of the operational definition of role ambiguity developed by Beauchamp, Bray, Eys, and Carron (2002). Role ambiguity was operationalized as a multidimensional construct (Scope of Responsibilities, Behavioral Responsibilities, Evaluation of Performance, and Consequences of Not Fulfilling Responsibilities) that occurs in two contexts, offense and defense. Consistent with the a priori hypothesis, perceptions of role ambiguity exhibited some degree of within-group consistency and group-level variability, but most of the variance in role ambiguity was seen at the …

Influence Of Moderate Training On Gait And Work Capacity In Fibromyalgia Patients: A Preliminary Field Study, Peter Tiidus, Michael Pierrynowski, Kimberley A. Dawson

Kinesiology and Physical Education Faculty Publications

This field study examined the influence of moderate intensity training on gait patterns and work capacity of individauls with fibromyalgia syndrome (FS). FS is a chronic condition of unknown etiology, characterized by muscle tenderness, pain and stiffness and often accompanied by depression and fatigue which seems to occur primarily in middle aged females. There is no known cure for FS but treatment often includes a prescription of mild exercise. Few studies have evaluated the effectiveness of mild exercise on work capacity and gait patterns in FS patients. Participants were 14 females (age 47.0±7.6 y) who participated in a 10 wk …

Effect Of Preventive Home Visits By A Nurse On The Outcomes Of Frail Elderly People In The Community: A Randomized Controlled Trial, Dawn M. Dalby, John W. Sellors, Fred D. Fraser, Catherine Fraser, Cornelia Van Ineveld, Michelle Howard

Kinesiology and Physical Education Faculty Publications

Background: Timely recognition and prevention of health problems among elderly people have been shown to improve their health. In this randomized controlled trial the authors examined the impact of preventive home visits by a nurse compared with usual care on the outcomes of frail elderly people living in the community. Methods: A screening questionnaire identified eligible participants (those aged 70 years or more at risk of sudden deterioration in health). Those randomly assigned to the visiting nurse group were assessed and followed up in their homes for 14 months. The primary outcome measure was the combined rate of deaths and …

Management Of Common Musculoskeletal Problems: A Survey Of Ontario Primary Care Physicians, Richard H. Glazier, Dawn M. Dalby, Elizabeth M. Badley, Gillian A. Hawker, Mary J. Bell, Rachelle Buchbinder, Sydney C. Lineker

Kinesiology and Physical Education Faculty Publications

BACKGROUND: In Canada, primary care physicians manage most musculoskeletal problems. However, their training in this area is limited, and some aspects of management may be suboptimal. This study was conducted to examine primary care physicians' management of 3 common musculoskeletal problems, ascertain the determinants of management and compare management with that recommended by a current practice panel. METHODS: A stratified computer-generated random sample of 798 Ontario members of the College of Family Physicians of Canada received a self-administered questionnaire by mail. Respondents selected various items in the management of 3 hypothetical patients: a 77-year-old woman with a shoulder problem, a …