McMaster University

McMaster University

Photo courtesy of dmLane
Canadian Flag

Research & Knowledge Transfer

  • Inspire
    Newsletter
  • Published
    Articles
  • Research Priorities
    & Questions
  • Presentations
     
Newsletter Cover

Inspire Newsletter

The current issue of Inspire is now available for download!

Issue 13 - Spring 2012 PDF

This section includes Abstract summaries of our Published Articles listed in order of date published starting with the most current. Where applicable, details on how to obtain copies of articles is provided.

  • 2011
  • 2010
Parental Symptoms of Psychiatric Distress in a Multi-Diagnosis Group of Children

Associations and costs of parental symptoms of psychiatric distress in a multi-diagnosis group of children with special needs

Reference:

Thurston S, Paul L, Loney P, Ye C, Wong M, Browne G (2011)
Journal of Intellectual Disability Research, 55(3): 263-280.

Families supporting children with complex needs are significantly more distressed and economically disadvantaged than families of children without disability and delay. What is not known is the associations and costs of parental psychiatric distress within a multi-diagnosis group of special needs children.

In this cross-sectional survey, families were identified from the Children's Treatment Network. Families were eligible if the child was aged 0-19 years, resided in Simcoe/York, and if there were multiple family needs.

Some 42% of surveyed parents exhibited symptoms of psychiatric distress and the presence of these symptoms was associated with but not limited to reports of poorer social support, family dysfunction, and greater adverse impact of the child's situation on the family, to mention a few. Parent sympsoms of psychiatric distress are a significant societal concern in families with complex needs children.

[Read more ...]

More Effective/Less Expensive Health Services Also Address the Social Determinants of Health

More Effective/Less Expensive Health Services Also Address the Social Determinants of Health

Reference:

Browne G (2011)
Journal of the Ontario Association of Social Workers, 37(1).

This article relates to Dr. Browne's keynote presentation at the OASW Provincial Conference on November 27, 2010 where she addressed issues of cost-effectiveness and utilization of health and social services.

[Read more...]

Parental Stress in a Sample of Families Involved with Ontario Child Welfare

The Family Standpoint of Investigation: Examining the correlates and costs of parental stress in a sample of families involved with Ontario Child Welfare

Reference:

Browne D, Verticchio D, Shlonsky A, Thabane L, Hoch J, Byrne C (2010)
Canadian Journal of Community Mental Health, 29(2): 131-154.

Consistent with contemporary theories related to the well-being and adjustment of children, the Ontario Child Welfare Transformation policy suggests that researchers and practitioners consider multiple levels of analysis when attempting to understand, prevent, and respond to childhood adversity. By examining the phenomenon of parental stress among child welfare cases, this study sought to integrate family, child, and service-system levels of analysis through a family-based standpoint of investigation.

Theoretical and applied implications are discussed.

This article is not available online. Click here to visit the journal's website for details on how to obtain a copy.

Making the Case for Youth Recreation

...Counting up the costs (Making the case for youth recreation integrated service delivery: more effective and less expensive)

Reference:

Browne G (2010) Counting up the Costs. In P. Donnelly (Ed.),
Taking Sport Seriously: Social Issues in Canadian Sport, Third Edition (p189-196). Thompson Education Publishing Inc.

This chapter is based on a talk Gina Browne gave at "Action Speaks Louder", a forum on youth recreation convened by the Laidlaw Foundation and Ideas That Matter held in Toronto in November 2002.

Integrating Health Services to Serve Vulnerable People

Case Study: Integrating health services to serve vulnerable people more cost-effectively in Ontario, Canada

Reference:

Browne,G (2010)
KPMG International Healthcare, A Better Pill to Swallow: 24-27.

Since 1991, our series of Southern Ontario clinical trials have shown that targeting vulnerable people with proactive, integrated care is more effective and usually less expensive than on-demand care and that this approach to healthcare typically pays for itself within the same year and/or saves money by avoiding use of more expensive crisis services.

It is widely acknowledged that vulnerable people make the greatest demands on health services, largely because they have relatively few personal or social resources to draw upon. In Ontario, the care provided to vulnerable people is typically offered by a range of providers acting independently. In an attempt to reduce the costs of serving this group, we have sought to compare the traditional, often reactive, approach to care to a more proactive approach where different providers coordinate more closely.

Our trials have shown that targeting this population with a mix of services can lead to greater effectiveness of care and either similar or, in many cases, reduced costs.

[Read more...]

Quality of Life of a Multidiagnosis Group of Special Needs Children

Clinical Study: The Quality of Life of a Multidiagnosis Group of Special Needs Children: Associations and Costs

Reference:

Thurston S, Paul L, Loney P, Wong M, Browne G (2010)
International Journal of Pediatrics. V.2010, Article ID 940101, 1-13. doi:10.1155/2010/940101

The purpose of this study was to determine the Quality of Life (QOL), associations, and costs of a multidiagnosis group of special needs children using the PedsQL to measure quality of life. In this cross-sectional survey, families were identified from the Children's Treatment Network, a Canadian multisector program for children with special needs. Families were eligible if the child was aged 2-19 years, resided in Simcoe/York, and if there were multiple child/family needs.

Please enter keyword, title, or author into the search area on this journal's website to be redirected to the article.

[Read more...]

System Integration and Its Influence

Clinical Study: System Integration and Its Influence on the Quality of Life of Children with Complex Needs

Reference:

Thurston S, Paul L, Ye C, Loney P, Browne D, Browne G, Wong M, Thabane L, Rosenbaum P (2010)
International Journal of Pediatrics. V.2010, Article ID 570209, 1-12. doi:10.1155/2010/570209

This 2-year study explored the interactions between child and parent's psychosocial factors and team integration variables that may explain improvements in physical dimensions of the PEDS QL quality of life of children with complex needs. Parents were identified by the Children's Treatment Network and families were eligible if the child was aged 0-19 years, had physical limitations, resided in either Simcoe County or the Region of York, Ontario, and if there were multiple other family needs.

It was determined that a child's physical quality of life was affected by interacting factors including child's behaviour, parenting, and integrated care. Statistically significant interactions between team integration, processes of care, and child/parent variables highlight the complexity of the rehabilitation approach in real-life situations.

We concluded that rehabilitation providers working with children with complex needs and their families should also address child and parent problematic behaviours. When this was the case in high integrated teams, the child's physical quality of life improved after two years.

Please enter keyword, title, or author into the search area on this journal's website to be redirected to the article.

[Read more...]

Assessment of Attendance and Nonattendance at Camp Trillium by Children with Cancer and their Families

A comparative assessment of attendance and nonattendance at Camp Trillium by children with cancer and their families; including their utilization of health and social services

Reference:

Barr R, Silva A, Wong M, Frid W, Posgate S, Browne G (2010)
Journal of Pediatric Hematology/Oncology, 32(5): 358-365. doi:10.1097/MPH.0b013e3181dccc1f

Camping programs for children with chronic diseases are designed for specific needs, but rigorous evaluation of their impact is largely lacking. The biggest camp for children with cancer and their families provided an opportunity to conduct such an investigation.

The study sample consisted of 76 attendee and 86 nonattendee families. Parents and children completed a series of validated questionnaires addressing family functioning, health-related quality of life of the patients, the children's behaviour and relationships, parental behaviours, mood and social support, parental nurturance, rejection and monitoring, and a health and social service utilization inventory.

Children with cancer cannot be randomized not to attend camp, so the results of this study cannot resolve the conundrum - do better-adapted families attend a camp designed to meet the special needs of their children, or does attendance materially improve the health and welfare of families of children with cancer? However, the very proliferation of such camps is indicative of a need being met and greater efforts should be made to promote the camping experience and to encourage such children and their families to participate.

Please visit this website to read the full abstract or for details on how to obtain a copy of the full article.

[Read more...]

Psychosocial Quality of Life of Children with Complex Needs

Research Article: Interactions among ecological factors that explain the psychosocial quality of life of children with complex needs

Reference:

Thurston S, Paul L, Ye C, Loney P, Browne G, Thabane L, Rosenbaum P (2010), International Journal of Pediatrics, V.2010, Article ID 404687, 1-10. doi:10.1155/2010/404687

In this cross-sectional survey, consenting parents were identified by the Children's Treatment Network and families were eligible if the child was 0-19 years, resided in Simcoe/York and if there were multiple family needs. Regression analysis was used to explore associations and interactions.

Younger children, without conduct disorder, without hostile and punitive parenting and with low adverse family impact demonstrated the highest levels of psychosocial quality of life. Statistically significant interactions between processes of care and parent variables highlight the complexity of real life situations.

It is not possible to fully understand the child's psychosocial quality of life in complex needs families by considering only simple associations between ecological factors. A multitude of factors and interactions between these factors are simultaneously present and the care of these families requires a holistic approach.

Please enter keyword, title, or author into the search area on this journal's website to be redirected to the article.

[Read more...]

Parenting-by-Gender Interactions in Child Psychopathology

Parenting-by-gender interactions in child psychopathology: attempting to address inconsistencies with a Canadian national database

Reference:

Browne D, Odueyungbo A, Thabane L, Byrne C, Smart LA (2010)
Child & Adolescent Psychiatry & Mental Health, 4: 5.

Research has shown strong links between parenting and child psychopathology. The moderating role of child gender is of particular interest, due to gender differences in socialization history and in the prevalence of psychiatric disorders. Currently there is little agreement on how gender moderates the relationship between parenting and child psychopathology. This study attempts to address this lack of consensus by drawing upon two theories (self-salience vs. gender sterotyped misbehaviour) to determine how child gender moderates the role of parenting, if at all.

Using generalized estimating equations, associations between three parenting dimensions were examined in relationship to child externalizing and internalizing dimensions of psychopathology. A sample of 4 and 5 year olds from the National Longitudinal Survey of Children and Youth were selected for analysis and followed over 6 years and two models with main effects and main effects plus interactions were tested.

[Read more...]

As part of our mandate with the Ontario Ministry of Health and Long-Term Care and the System Integration and Innovation Research Network (SIIReN), Investigators with the Systems of Prevention and Care respond to Ministry research priorities and questions, share ideas and innovations, and integrate the research being planned and conducted.

These research questions cover a diverse range of topics and will be compiled into reports and made available on this site.


Models of Home Care for Adults with Complex Needs

This report is a review of the literature on models of home care in Canada and discusses case management in home care enlisting the help of a range of professional services and the hospital-in-the-home versus inpatient hospitalizations. Studies were reviewed documenting the characteristics of patients with complex needs, use of resources, caregiver burden, and dose of the intervention and detailed costs.

Click here to view or print this report. PDF
  • 2012
  • 2011
  • Sept
  • Jun
  • May
  • Apr
  • Mar
Transforming Primary Health Care for Some... Who (& How?) - Sept 26, 2012
Details will be provided when they become available.
Impact of Population Health Interventions on the Well-being of Urban Children & Youth - Sept 24, 2012
Details will be provided when they become available.
Return on Investment in Arts & Recreation for Children and Parents on Social Assistance - Sept 19, 2012
Details will be provided when they become available.
Optimizing the Roles of Nurses to Improve Efficiencies - June 27, 2012

CHSRF On Call

Dr. Gina Browne and Scott Robertson, Chief Nurse Officer for the Government of the Northwest Territories, explored how optimizing the role of nurses and using them to their full scope of practice could improve efficiences and healthcare.

To learn more about the presenters and to watch this video, please visit the CHSRF On Call website.

University of Ontario Institute of Technology Research Retreat - June 25-26, 2012

This 2nd annual event is an invitation-only retreat put on by the Faculty of Health Sciences at the University of Ontario Institute of Technology.

Opening Keynote Speaker at Canadian Nurses Association 2012 Biennial Convention - June 19, 2012

Keynote Address: Transforming Health Care for the Next Generation

This year's meeting takes place in Vancouver, BC and provides an opportunity for nurses across Canada to meet and learn about solutions to some of the biggest challenges in nursing and health care.

For additional information, visit the CNA website.

Keynote Speaker at 2012 CASN Research Conference - May 8, 2012

Ontario will be hosting the CASN Research Conference in Toronto on May 7-10, 2012.

Dr. Gina Browne has been invited to provide the Keynote Address at the Canadian Association of Schools of Nursing Research Conference being held in Toronto next year.

The theme of the 2012 conference is "Innovation in Research and Knowledge Exchange" with sub-themes of:

  • Innovation in Methodologies and Dissemination
  • Knowledge Exchange: Research to Practice - Practice to Research
  • Changing it up: New Frontiers of Nursing Research

Please visit the CASN website for additional details

Hosting: CE&B Rounds, McMaster University - April 18, 2012

"Shifting Assumptions Underlying the Concept of 'Social Causation' Changing Knowledge, Methods and Statistical Analyses: Are there More?"

Co-presenters, Drs. Gina Browne and Lehana Thabane, will deliver this presentation, which is an inquiring, interactive, and learningful conversation about changing assumptions underlying the concept of social causation and how this is changing what we know, research methods, and statistical analyses.

For additional information on McMaster's Clinical Epidemiology & Biostatistics Rounds, visit their website by clicking here.

Keynote Speaker at Best Brains Exchange, Winnipeg - April 13, 2012

Keepin' them out when they don't need to be in!

Best Brains Exchange, Manitoba will focus on emergency department admissions for high user groups. The Ministry of Health, Manitoba will look at the existing evidence and learn about experiences from other jurisdictions with interventions designed to address emergency department admissions, improve health outcomes, and reduce costs. Costs such as primary care, continuity of care, housing, disease prevention and health promotion.

Best Brains Exchanges are one-day meetings that focus on a single topic identified as high priority by provincial/territorial ministries of health and the Health Portfolio. For additional information on the Best Brains Exchanges, please visit the Canadian Institutes of Health Research website.

Presenter at Parks and Recreation Ontario Educational Forum and Trade Show - March 30, 2012

Invited Panelist and Presenter on "Change is Upon Us: Moving the National Recreation Agenda Forward"

The focus of this panel will be on moving a National Recreation Agenda forward from perspectives and partnerships with public health, social service, education and justice to enhance the well-being, health and engagement of Ontario citizens.

This annual Parks and Recreation Ontario education event will host up to 400 leaders in recreation, health promotion, park stewardship, policy and program delivery.

For more information on the 2012 Educational Forum and Trade Show, please visit the Parks and Recreation website or click here to download the 2012 Educational Forum and Trade Show brochure.

Moderator of this event will be Brian Johnston who recently moderated the National Recreation Summit in October. Papers and presentations from the October Summit are available online through the Leisure Information Network (LIN).

Round-Table Dialogue on Aboriginal Health - March 27, 2012

Building on Strengths: Taking Action to Improve the Health and Healing of First Nations, Inuit and Metis People, Families and Communities.

This invitation only discussion will focus on social and environmental determinants of health; non-communicable (chronic) disease; and Aboriginal children, parents and families with a goal on generating solutions to improve Aboriginal health by building on existing community strengths and knowledge.

Invited participants will include community members and leaders within the Aboriginal and non-Aboriginal communities, and experts in nursing, medicine, midwifery, health policy, healthcare administration, science and government. Dr. Browne will discuss 'Models of Care that Improve Health'.

For more information on this Round-Table Dialogue, please see the media advisory.

The outcome of this dialogue will inform the recommendations of the Canadian Nurses Association's independent National Expert Commission. For more information, please visit the CNA National Expert Commission website.

Keynote Speaker at Best Practices in Wound Care: Minding the Gap - March 26, 2012

Keynote Address on "Transferring Research to Nursing Practice and Outcomes"

This is the 4th Annual Minding the GAP clinical educational event targeted to wound care professionals in order to enhance their knowledge and skills related to the use of Best Practices in the prevention and treatment of wounds.

For more information on this event, please visit the RNAO website.

Keynote Speaker at CIHR Community-Based Primary Health Care Meeting - March 19, 2012

Keynote Address on "Planning for Access: Integrating Accessibility, Service Delivery and Workforce Planning for Primary Health Care"

This meeting is restricted to invited presenters and attendees only and is being held in Halifax, Nova Scotia.

Poster Presentation at the MOHLTC 2011 Health Research Showcase

Poster Titled 'Cumulative and Concentrated Multisectoral Indicators of Inequities in the Well-Being of Children and Youth: The Need for a City-Wide System of Prevention and Care for Youth

On behalf of the Systems of Prevention and Care Research Team, Dr. Gina Browne presented their poster supporting the need for a city-wide system of prevention and care for children and youth up to 24-years-of-age, at the Ministry of Health and Long-Term Care's Health Research Showcase on December 1, 2011 at Queen's Park in Toronto, Ontario.

This year's theme focused on 'Linking Health Research and Quality Health Care for all Ontarians' and its primary outcome is to increase policy maker awareness and provide opportunities for researchers and policy makers to establish dialogue on the types of research needed.

Gina joined other researchers from the Applied Health Research Network Hubs including poster presentations from the Applied Health Research Network, the System Integration and Innovation Research Network, the Primary Health Care System, and the Transitions of Prevention and Care.

Presentation to the Commission for the Review of Social Assistance in Ontario

Presentation Titled 'Proactive and Comprehensive versus Self-Directed Services for Sole-Support Parents and Children on Social Assistance is More Effective and Less Expensive'

Dr. Gina Browne was invited to meet with the Commission for the Review of Social Assistance on October 12, 2011 for a briefing on her research in 'intensive case management'.

The Commission is undertaking the first major review of Ontario's Social Assistance programs in 20 years that is intended to assist in the development of an action plan that will help Ontario's social assistance programs become more socially and financially responsible.

The lead commissioners, The Honourable Francis Lankin, P.C. and Dr. Munir Sheikh, along with several Policy Executives and Advisors were present to hear Gina speak about the approaches to service delivery for sole-support parents and children on social assistance and the effectiveness and expense these approaches have on the community as a whole.

For additional information regarding this initiative, please visit the Ontario Ministry of Community and Social Services website or the Commission for the Review of Social Assistance in Ontario.

Valid XHTML 1.0 Transitional Level Double-A conformance, W3C WAI Web Content Accessibility Guidelines 2.0