A Coaching And/Or Education Intervention Targeting Physical Activity And Nutrition Behaviours In Parents With Overweight/Obesity And Their Children, Shazya Karmali

Electronic Thesis and Dissertation Repository

The purpose of this dissertation is to provide a detailed overview of, findings from, and experiences participating in a 3-month randomized controlled trial (RCT) targeting obesity-related behaviours in parents with overweight/obesity (body mass index [BMI] ≥ 25 kg/m²) and their children (2.5-10 years old, any weight; N = 50 dyads). A concurrent mixed methods study comprised of an RCT and descriptive qualitative design was utilized. Parent-participants received Co-Active Life Coaching (CALC) and webinar-based health education (intervention) or education only (control). To address the dissertation’s purpose, Chapter II provides a detailed methodological account of the program, including rationale and …

Proportion Of Canadian Adults With Unreported Type 2 Diabetes Who Experience A Related Hospitalization: Results From Canadian Community Health Survey And Discharge Abstract Database Linkage, Aini Khan

Electronic Thesis and Dissertation Repository

Abstract

Background: People with type 2 diabetes (T2D) may go undiagnosed and subsequently be hospitalized with T2D.

Objective: Determine the percentage of Canadians, with unreported T2D, who experience a T2D hospitalization

Methods: Using linked dataset, respondents who reported no diabetes in the Canadian Community Health Survey, were followed in the Discharge Abstract Database for T2D hospitalization event.

Results: 0.56% of men and 0.44% of women, who reported no diabetes, were hospitalized with T2D. Older Age, higher BMI and worse self-reported health increased T2D hospitalization in both men and women. In women, drinking alcohol, smoking tobacco and lower physical activity were …

Multi-Level Analysis For Geographical Inequalities On Ambulatory Care Sensitive Hospitalizations, Soushyant Kiarasi

Electronic Thesis and Dissertation Repository

Ambulatory care sensitive conditions (ACSC) hospitalizations are potentially preventable events and considered as indicator of the efficiency of the primary healthcare system. Therefore, a high level of geographic variation in ACSC hospitalizations warrants more research. The objective of current research was to assess the variation in odds of ACSC-related hospitalizations across Canadian communities and health regions. To do so, the Discharge Abstract Database (DAD) from the Canadian Institute of Health Information (CIHI), was linked to the long-form census by Statistics Canada. Data from three fiscal years (FY), (2006 to 2009), were pooled. Statistical analysis included hierarchical three-level mix modeling. Results …

Analysis Of Billings Data To Evaluate Patterns Of Mental Health Services In Primary Care And Emergency Departments By Blended Fee-For-Service And Blended Capitation Models In Ontario, Canada, Thy H. Vu

Electronic Thesis and Dissertation Repository

Treating mental illness in primary care improves access to care, but it is unclear how to encourage family physicians to provide adequate mental health services. One approach may be changing how they are remunerated. The objectives of this thesis were to: 1) review the literature on the association between physician remuneration and provision of mental health services, and 2) assess the impact of blended capitation, compared to blended fee-for-service (FFS), on mental health services provision in Ontario. The review found that capitation appears to be associated with fewer services compared to FFS; however, studies of ED visits for mental health …