Projects in progress

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

Improving advance care planning for frail elderly Canadians (TG 2015-03) — John You, MD, MSc, FRCPC — McMaster University

Improving Supportive End-of-Life Care in Long-Term Care: Exploring the Changing Role of Family Physicians in Care Teams (CAT 2018-03) — Jayna Holroyd-Leduc, BSc, MD, FRCPC – University of Calgary

“C5-75”: A primary care program to identify and support older adults living with frailty (CAT 2018-19) – Linda Lee, MD, MCISc(FM), CCFP, FCFP — McMaster University

A suite of tools to support decision-making with older hospitalized patients who are frail (KT 2017-04) — John You, MD, MSc, FRCPC — McMaster University

Using an automated mortality prediction tool to focus advance care planning efforts for inpatients (KT 2017-10) — James Downar, MDCM, MHSc, FRCPC – University Health Network

Acute/Critical Care

PROSPECT: Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial (TG 2015-20) —

Deborah Cook, MD, MSc (Epid), FRCPC, DABIM, CCM, CAHS, FRS  — McMaster University

Elder-friendly Approaches to the Surgical Environment-using Biological samples to Identify & provide Optimized care (EASE-BIO) (CAT 2014-31) — Rachel Khadaroo, MD, PhD, FRCSC — University of Alberta

Determining the Optimal Duration of Antibiotic Treatment for Older Adults Living with Frailty with Bloodstream Infection (CAT 2017-08) — Nick Daneman, MD, FRCPC, MSc  — Sunnybrook Research Institute

Pharmacist led intervention to improve medication use in older in-patients living with frailty: The Drug Burden Index (CAT 2017-13) — Emily Reeve, BPharm (Hons.), PhD — Nova Scotia Health Authority

The EDGAR study (Elderly with epilepsy DruG AppRopriateness) (CAT 2017-19) — Mark Keezer, MDCM, PhD — Centre de recherche du Centre Hospitalier de l’université de Montréal (CHUM)

Family Identification of Delirium in Critically Ill Patients Living with Frailty (CAT 2018-01) — Kirsten Fiest, PhD – University of Calgary

Experience and compliance with exercise before cancer surgery for older adults living with frailty (CAT 2018-16) – Daniel McIsaac, MD, MPH, FRCPC – Ottawa Hospital Research Institute

The Breaking “Bad Rest” Study: Interrupting sedentary time to reverse frailty levels in acute care (CAT 2018-27) – Olga Theou, PhD – Nova Scotia Health Authority

More-2-Eat Phase 2: spread and scaling up of improved nutrition care processes to detect and treat malnutrition in hospital (KT 2017-01) — Heather Keller, PhD, RD, FDC – University of Waterloo

Outcome Priorities in Intensive Care Studies (OPTICS) (SDG 2013-01) — John Muscedere, MD, FRCPC — Queen’s University/Kingston General Hospital

Community and Residential Care

Support, Education, Networking & Sustained Engagement (SENSE): Knowledge-to-Action with Families of the Frail Elderly Living in Residential Long-term Care (CAT 2015-12) — Jennifer Baumbusch, RN, PhD, MSN, BSN — University of British Columbia

The Carer Support Needs Assessment (CSNAT) Intervention: Supporting Family Caregivers of Palliative Patients at Home (CORE 2013-01) — Kelli Stajduhar, PhD, MSN, BN, RN — University of Victoria

A Collaborative Intervention for Streamlining Medication Appropriateness and Deprescribing within Integrated Health-Care Teams (CAT 2017-10) — Melissa Andrew, BSc, MSc, MD — Dalhousie University

Team Approach to Polypharmacy Reduction in Long-Term Care (TAPERLTC). RCT feasibility study: integrating families’ experiences (CAT 2017-20) – Dee Mangin, MBChb, DPH, FRNZCGP – McMaster University

Assessing and understanding frailty and high-risk non-prescription drug use in community pharmacy practice (CAT 2017-21) – Colleen Maxwell, BSc, MA, PhD – University of Waterloo

Improving medication use in residential care: insights of frailty and brain vital signs (CAT 2017-25) – Xiaowei Song, PhD, MSCS – Fraser Health Authority

Benefit of a Telehealth home-monitoring program for patients living with frailty undergoing heart surgery (CAT 2018-13) – Keith Brunt, PhD – University of New Brunswick

Stand if You Can (CAT 2018-15) – Danielle Bouchard, PhD, MSc – University of New Brunswick

Supporting quality of life assessments of frail older adults and their family caregivers (CAT 2018-17) – Richard Sawatzky, PhD, MSc, BSc, RN – Trinity Western University

Promoting intersectoral collaboration to support frail older adults with intellectual and developmental disabilities in the community (CAT 2018-35) – Lynn Martin, PhD – Lakehead University

Social Frailty in Recently Relocated Semi-Independent Older Adults (CAT 2018-42) – Suzanne Dupuis-Blanchard, PhD – University of Moncton

Transitions of Care

Better tArgetting, Better outcomes for frail ELderly patients (BABEL) (TG 2015-15) — Paul Hébert, MD — Centre de recherche du Centre Hospitalier de l’université de Montréal (CHUM)

Transforming primary health care for frail elderly Canadians (TG 2015-24) — Paul Stolee, PhD — University of Waterloo

Frailty predicts early death or functional decline after dialysis in patients with Chronic Kidney Disease (CAT 2018-11) — Navdeep Tangri, PhD – University of Manitoba

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 (CAT 2018-38) – Rose McCloskey, RN, PhD, GNC (C) – University of New Brunswick

Improving ICU-to-Ward Transfers of Care: Evaluation of a KT Tool Kit and ICU Transfer Tool (KT 2017-15) — Tom Stelfox, BMSc, MD, PhD – University of Calgary