Project Stories and Updates
Wrap around care for youth injured by violence:
Injury by violence is the fourth cause of death and the leading reason for a youth to visit an emergency department (ED) in Canada. In Winnipeg, 20% of youth who visit an ED with an injury due to violence have a second visit for a subsequent violent injury within 1 year. Youth injured by violence are in a reflective and receptive state of mind, rendering the ED setting appropriate for intervention.
This protocol describes a wraparound care model delivered by a support worker with lived experience with violence, supported by social workers and links to multiple community partners. Support workers will be on call 24 hours a day, 7 days a week in order to start the intervention in the ED and take advantage of the 'teachable moment'. The protocol is of a pilot randomised control trial to assess the feasibility of a randomised control trial designed to assess efficacy. For the pilot trial, we will assess recruitment, treatment fidelity, participant adherence and safety. The intervention arm will receive wraparound care initiated at the time of their visit for injury due to violence. The control arm will receive standard care. We will use an adapted preconsent randomisation methodology. This intervention has been developed using an integrated knowledge translation approach.
Following the intervention, favourable results such as substance use cessation, increased engagement in education and decreased involvement in the justice system were noted by community partners, clinicians and decision makers during the study and are highlighted in a short video. To watch the video, please visit https://youtu.be/uxmns_Y-GUc.
PATHS Equity for Children Research Grant
As a part of the PATHS Equity for Children, 5-year (2011-2016) CIHR Programmatic Research grant, CHI’s Evaluation Platform is leading a qualitative analysis on “Understanding the Mechanisms of Inequity”. The Platform has specifically undertaken two case studies: one on the effect of InSchool Teen Clinics on the rates of pregnancy and sexually transmitted infections and the other on the effect of the Healthy Baby Prenatal (HBP) Benefit. The Healthy Baby benefit allows families with low income afford a healthy diet and lifestyle during pregnancy.
The objective of this research is to understand how the HBPbenefit and in-school Teen Clinics address socioeconomic gaps.
Preliminary findings of this study suggest that there are several barriers and facilitators to applying the HBP benefit. The HBPB use their benefits for healthy pregnancy foods, baby supplies, personal items, paying bills and to prepare for the baby by focusing on the future needs of the infant.
The Evaluation platform along with the MCHP interviewed 21 key Informants;10 front line practitioners physicians, nurse practitioners, nurses, medical assistant; 11 policy/decision makers managers, policy consultants, decision makers from each of the 23 in-school Teen Clinics across the province to understand the rates of pregnancy and STI’s in teenagers. Early findings of this study suggest that in-school Teen Clinics empower youth to make informed decisions around their health and cultivate skills in navigating health services. Facilitators and challenges to implementation of this intervention are currently being identified.
Centre on Aging Fellowship 2016-2017
Kathryn Sibley has been awarded the Centre on Aging Fellowship for her aging-related work on balance exercise and fall prevention. As a Research Affiliate with the Centre on Aging, she has presented her work as an invited speaker for the Centre on Aging Research Seminar Series in January 2016, and is a member of the planning committee for the 2016 Centre on Aging Spring Research Symposium, during which she will also be presenting her work on measurement and best practices in balance exercise and fall prevention.
Digital Health Innovations
With the broad adoption of digital gadgets among patients and healthcare providers and the mounting number of mobile health apps, the question is whether and to what extent this trend is impacting healthcare. This is why it is so important to evaluate digital health evidence. Funded by the Canadian Institutes for Health Research, a CHI team led by Xibiao Ye and Colleen Metge examined how digital health innovations improve mental health services for children and adolescents. The team has found that: (i) digital mental health interventions reduce mental health problems such as anxiety symptom severity by 50%; (2) user’s satisfaction with this new type of intervention is generally moderate to high; and (3) digital health trials face unique methodological challenges associated with online use behaviors such as anonymity.