Look at our completed projects

End-of-Life Care (EOL)/Advance Care Planning (ACP)

• Integrating a quality of life assessment and practice support system in palliative home care — Richard Sawatzky, PhD, MSc, BSc, RN
• Pilot study of an automated one-year mortality prediction tool to trigger Advance Care Planning — James Downar, MDCM, MHSc, FRCPC
• Talk to me: seriously ill patients’ views on physician behaviours that influence the quality of end-of-life communication — John You, MD, MSc, FRCPC
• iGAP: Improving General practice Advance care Planning — Michelle Howard, PhD, MSc
• Improving DECIsion-making about goals of care for hospitalized elDerly patiEnts: a “multi-incubator” study (iDECIDE) — John You, MD, MSc, FRCPC
• Helping the primary care system identify, plan, and care for seriously ill, frail elderly — Robin Urquhart, PhD
• Improving Palliative Care in Long-Term Care Homes Using Participatory Action Research — Sharon Kaasalainen, RN, BScN, MSc, PhD
• DECision-making about goals of care for hospitalized medical patiEnts II: a COMMUNICATion intErvention (DECIDE II COMMUNICATE) — Patient Data Collection and Feedback Pilot — James Downar, MDCM, MHSc, FRCPC
• Fostering End-of-Life Conversations, Community and Care Among LGBT Older Adults — Brian de Vries, PhD
• Optimizing Palliative Care in Nunavik’s Communities — Serge Dumont, PhD
• Integrated Approach to Palliative Care in Acute Care (iPAC-AC) — Kelli Stajduhar, PhD, MSN, BN, RN, CAHS
• Mixed Methods feasibility study of group peer support interventions to engage the public in ACP — Doris Barwich, MD, CCFP
• A National Comparison of Intensity of End-of-Life Care in Canada: Defining Changing Patterns, Risk Factors and Targets for Intervention — Robert Fowler, MD, MSc
• A Knowledge Translation Project on Benchmark End-of-Life Care Practices for the Elderly in Primary Care — Francis Lau, PhD, MBA, MSc
• Sex differences in admission to intensive care units: the role of social support factors — Allan Garland, MD, MA
• Web-Based Videoconferencing (WBVC) for Rural Palliative Care Consultation in the Home — Linda Read Paul, RN, MN, CHPCN(C)
• Systematic scoping review and meta analysis of end-of-life decision making tools and strategies — John You, MD, MSc, FRCPC
• Improving advance care planning for frail elderly Canadians — John You, MD, MSc, FRCPC
• Improving Supportive End-of-Life Care in Long-Term Care: Exploring the Changing Role of Family Physicians in Care Teams — Jayna Holroyd-Leduc, BSc, MD, FRCPC
• “C5-75”: A primary care program to identify and support older adults living with frailty — Linda Lee, MD, MCISc(FM), CCFP, FCFP
• A suite of tools to support decision-making with older hospitalized patients who are frail and seriously ill — John You, MD, MSc, FRCPC
• Using an automated mortality prediction tool to focus advance care planning efforts for older inpatients who are frail — James Downar, MDCM, MHSc, FRCPC
• Rurality and frailty: What are the impacts, benefits and outcomes of paramedic palliative support at home? — Alix Carter, MD, MPH, FRCPC

Acute/Critical Care

• Nutrition care pathway for hospitalized older adults: content validation and feasibility testing — Heather Keller, PhD, RD, FDC
• Integrating quality of life assessments into acute care for older adults with chronic life-limiting illness — Richard Sawatzky, PhD, MSc, BSc, RN
• E-CYCLE: A pilot randomized clinical trial of early in-bed cycling in elderly, mechanically ventilated patients — Michelle Kho, PhD, PT
• A pilot study of a MEdication RAtionalization (MERA) Intervention — James Downar, MDCM, MHSc, FRCPC
• Reducing post-discharge potentially inappropriate medications amongst the elderly: a multi-centre electronic deprescribing intervention — Todd Campbell Lee, MD, MPH, FRCPC
• Probiotics: Prevention of Severe Pneumonia and Endotracheal Colonization Trial (PROSPECT): A Feasibility Pilot Trial — Deborah Cook, MD, MSc (Epid), FRCPC, DABIM, CCM, CAHS, FRS
• Reengineering the Discharge of Elderly Patients from Intensive Care — Tom Stelfox, BMSc, MD, PhD
• A scoping review of evidence for measuring frailty in pre-hospital and hospital settings — Olga Theou, PhD
• Frailty Assessment of Older Canadians Using Emergency Services with Tablet Technology — Jacques Lee, MD, MSc, FRCPC
• The essential frailty toolset — Jonathan Afilalo, MD, MSc, FACC, FRCPC
• Province-Wide Implementation of the Clinical Frailty Scale in an Electronic Medical Record System (eCritical) in Alberta — Sean Bagshaw, MD, MSc, FRCPC
• Patient- and family-reported experience and outcome measures for elderly acute care patients: A knowledge synthesis — Richard Sawatzky, PhD, MSc, BSc, RN
• Antipsychotics for management of delirium – A systematic review — Lisa Burry, BScPharm, PharmD
• More-2-Eat: Nutrition care pathway and optimized protein supplementation for malnourished elderly patients — Heather Keller, PhD, RD, FDC
• Care of frail, acutely ill older persons: Making health care work like a system — Paul Hébert, MD
• Exploring the preferences of frail elderly Canadians for aspects of inpatient care: A best-worst scaling experiment — Nick Bansback, PhD
• Screening Elderly patieNts for InclusiOn in a weaning tRial: The SENIOR trial — Karen Burns, MD, MSc, FRCPC
• Evaluation of a context‐adapted wiki‐based decision aid supporting critically ill patients’ decisions about life‐sustaining therapies — Patrick Michel Archambault, MD, MSc, FRCPC
• Practices in End of Life Care and in Discontinuing Mechanical Ventilation in Elderly Critically Ill Patients: A Nested Study within an International Observational Study — Karen Burns, MD, MSc, FRCPC
• OPTIMAL Selection for and Timing to Start Renal Replacement in Critically Ill Older Patients with Acute Kidney Injury (OPTIMAL-AKI) — Sean Bagshaw, MD, MSc, FRCPC
• Identifying older patients at high risk of poor outcomes after joint replacement surgery — Daniel McIsaac, MD, MPH, FRCPC
• New Approaches to Evaluating Frailty in Solid Organ Transplantation — Lianne Singer, MD, FRCPC
• Acute-Care Frailty Ladder — Nancy Mayo, PhD, MSc
• Cardiac Surgery among the Frail and Elderly Towards Optimal Decision Making — Greg Hirsch, MD
• Assessing Quality of Life (QoL) Measures for Elderly Traumatic Brain Injury (TBI) Survivors: A Systematic Review — Donna Ouchterlony, MD, CCFP
• A Scoping Review Determining the Current and Future Role of Occupational Therapy in the ICU — Susan Baptiste, MSc, OT(C)
• PROSPECT: Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial — Deborah Cook, MD, MSc (Epid), FRCPC, DABIM, CCM, CAHS, FRS
• Elder-friendly Approaches to the Surgical Environment-using Biological samples to Identify & provide Optimized care (EASE-BIO) — Rachel Khadaroo, MD, PhD, FRCSC
• Determining the Optimal Duration of Antibiotic Treatment for Older Adults Living with Frailty with Bloodstream Infection — Nick Daneman, MD, FRCPC, MSc
• Pharmacist led intervention to improve medication use in older in-patients living with frailty: The Drug Burden Index — Emily Reeve, BPharm (Hons.), PhD
• The EDGAR study (Elderly with epilepsy DruG AppRopriateness) — Mark Keezer, MDCM, PhD
• Family Identification of Delirium in Critically Ill Patients Living with Frailty — Kirsten Fiest, PhD
• Experience and compliance with exercise before cancer surgery for older adults living with frailty — Daniel McIsaac, MD, MPH, FRCPC
• More-2-Eat Phase 2: spread and scaling up of improved nutrition care processes to detect and treat malnutrition in hospital — Heather Keller, PhD, RD, FDC
• Development and Implementation of a Web-based eFI-CGA Software Tool for Points of Care Applications — Grace Park, MD, CCFP
• Exploring the care needs of Canadians living with frailty and the role of primary care during the COVID-19 pandemic — Paul Stolee, PhD, Anik Giguere, PhD & Sara Mallinson, PhD
• Developing a Frailty Cohort in the Ontario COVID-19 Prospective Cohort Study — Amol Verma, MD, MPhil

Community and Residential Care

• The Carer Support Needs Assessment (CSNAT) Intervention: Supporting Family Caregivers of Palliative Patients at Home — Kelli Stajduhar, PhD, MSN, BN, RN
• Feasibility of a volunteer/health care provider navigation partnership to support frail rural-dwelling older adults — Barbara Pesut, PhD, RN
• The eDosette Study: Optimizing medication use and safety in community dwelling seniors — Henry Siu, MD, MSc, CCFP
• A frailty measure for persons with intellectual and developmental disabilities using aging care — Hélène Ouellette-Kuntz, PhD
• Antidepressant guidelines for long-term care residents with advanced frailty — Laurie Mallery, MD
• Interventions to prevent and treat frailty in community-dwelling older adults: a scoping review of the literature and international policies — Martine Puts, PhD, RN
• Modeling changes in assessments to predict needs and guide care planning in home care — Debra Sheets, PhD, MSN, RN, FAAN
• The Jintronix technology to prevent functional decline in pre-frail/frail seniors consulting Emergency Departments — Marie-Josée Sirois, OT, PhD
• Implementing the ‘Frailty Portal’ in Community Primary Care Practice: Evaluating feasibility, effects and expansion needs — Paige Moorhouse, MD, MPH, FRCPC
• The eDosette study: Optimizing medication use and safety in community dwelling seniors — David Chan, MD, CCFP, MSc, FCFP
• FRAMING-LTC: Frailty and Recognizing Appropriate Medications IN Geriatrics and Long-Term Care — Andrew Morris, MD, SM, FRCP(C)
• User Studies with Intelligent Assistive Robots and Elder Residents Living in Long-Term Care Homes — Goldie Nejat, PhD
• Improving Outcomes for Frail Seniors: Impact of ASILA Program for Long-Term Staff — Veronique Boscart, PhD, MEd, MScN, RN
• New technologies to optimize assessment of mobility, activity, and health in the frail elderly — William McIlroy, PhD
• Integrated eTechnology: Seniors Care for the 21st Century — Esther Suter, PhD, MSW
• Supporting Family Caregivers of Frail Older Persons Living in Long Term Care — Wendy Duggleby, PhD, RN, AOCN
• An ounce of prevention: intensive resistance training to optimize health in pre-frail older adults — Ada Tang, PT, PhD, MSc
• Anticipatory Long-term care Electronic Resident Triage Tool (ALERT) for Canadian Long-Term Care Homes — Michelle Grinman, MD, FRCPC, MPH
• TELEPROM-G: A Study Evaluating Access and Care Delivery of Telehealth Services Among Community-Based Seniors — Cheryl Forchuk, PhD, RN
• Incorporating a frailty dimension into LOCUS for seniors in a medical-psychiatry population — Rose Geist, MD, FRCPC
• An innovation for relocating a toilet to ease access for the frail elderly at home — Tilak Dutta, PhD, PEng
• Wearable Caregiver Posture Coaching Feedback System — Tilak Dutta, PhD, PEng
• Using mobile health applications (mHealth) to support communication with frail elderly people in long-term care — Jeff Small, PhD
• Post-discharge rehabilitation interventions for older adults with cognitive impairment following a hip fracture — Katherine McGilton, PhD, RN
• Communication Technologies for Engaging Patients, Families and Caregivers in the Health Care System: A Scoping Review — Lynn McDonald, BA, MSW, PhD
• Rehabilitation for the seriously ill elderly: models of care and quality indicators — Lora Giangregorio, PhD
• Support, Education, Networking & Sustained Engagement (SENSE): Knowledge-to-Action with Families of the Frail Elderly Living in Residential Long-term Care — Jennifer Baumbusch, RN, PhD, MSN, BSN
• A Collaborative Intervention for Streamlining Medication Appropriateness and Deprescribing within Integrated Health-Care Teams — Melissa Andrew, BSc, MSc, MD
• Team Approach to Polypharmacy Reduction in Long-Term Care (TAPERLTC). RCT feasibility study: integrating families’ experiences — Dee Mangin, MBChb, DPH, FRNZCGP
• Assessing and understanding frailty and high-risk non-prescription drug use in community pharmacy practice — Colleen Maxwell, BSc, MA, PhD
• Improving medication use in residential care: insights of frailty and brain vital signs — Xiaowei Song, PhD, MSCS
• Benefit of a Telehealth home-monitoring program for patients living with frailty undergoing heart surgery — Jean-François Légaré, MD
• Stand if You Can —Danielle Bouchard, PhD, MSc
• Supporting quality of life assessments of frail older adults and their family caregivers — Richard Sawatzky, PhD, MSc, BSc, RN
• Promoting intersectoral collaboration to support frail older adults with intellectual and developmental disabilities in the community — Lynn Martin, PhD
• Social Frailty in Recently Relocated Semi-Independent Older Adults — Suzanne Dupuis-Blanchard, PhD
• Promoting movement in older adults in the community (PROMO). — Barbara Liu, MD, FRCPC
• Keeping our Nlaka’pamux Elders at Home — Anne Cochran, MEd &  Sonia Singh

Transitions of Care

• Connecting Emergency Departments with Community services to prevent mobility losses in injured pre-frail & frail Seniors (CEDeComS) — Marcel Émond, MD, MSc
• Improving the decision process about location of care with the frail elderly and their caregivers — France Légaré, MD, PhD, CCFP, FCFP
• Post-emergency department evidence-based interventions for the prevention of frailty and functional decline in injured community-dwellers — Marcel Émond, MD, MSc
• Implementing a Risk Screening Tool in Primary Care for Older Frail Adults — Paul Stolee, PhD
• Choosing Healthcare Options by Involving Canada’s Elderly: The CHOICE Knowledge Synthesis Project — Paul Stolee, PhD
• Development and testing of a standardized communication form to improve transitions for nursing home residents — Greta Cummings, PhD, RN
• Reengineering the Discharge of Elderly Patients from Intensive Care: Pre-Clinical Evaluation of a Tool Kit — Tom Stelfox, BMSc, MD, PhD
• Developing patient-provider partnerships across the system — Paul Stolee, PhD
• Tecla Shield 3.0 — Deborah Fels, PhD, PEng
• Hip fracture quality indicators: A scoping review — Susan Jaglal, PhD, MSc
• Transforming primary health care for frail elderly Canadians — Paul Stolee, PhD
• Frailty predicts early death or functional decline after dialysis in patients with Chronic Kidney Disease — Navdeep Tangri, PhD
• Optimizing transitions from hospital to home for frail older adults: a mixed method study to examine how hospital discharge plans translate into supportive home care environments — Rose McCloskey, RN, PhD, GNC (C)
• Improving ICU-to-Ward Transfers of Care: Evaluation of a KT Tool Kit and ICU Transfer Tool — Tom Stelfox, BMSc, MD, PhD
• An innovative decision tool to optimize hospital discharge in frail older patients living at risk. — Véronique Provencher, PhD