Assessing the Relative Perspective of the Regulation of Kinesiologists Among Other Health Professionals

Formerly a self-governed profession, in the Province of Ontario, Canada, kinesiology was designated a regulated profession under the Regulated Health Professions Act (1991). The purpose of this study was to evaluate the perceptions of current health delivery agents to the regulation of kinesiology. An 18-item survey was used to collect data, and a SWOT (strengths, weaknesses, opportunities and threats) framework was used for analysis. The data indicated that kinesiology provides a unique expertise adding to client and patient care and is a needed partner within the multidisciplinary health environment. Similarly, despite the need for the profession to clearly define, delineate, and promote its scope of practice to professionals and to the public, there are increased opportunities that exist within the health care sector, particularly in chronic disease prevention. The addition of kinesiology as a regulated health profession was not considered to be a threat by existing key stakeholders

ANALYZING KINEMATICS VARIABLES: A STRUCTURAL EQUATION MODEL APPLICATION FOR THE ASSESSMENT OF SKATING IN DEVELOPMENTAL AND ELITE ICE HOCKEY PLAYERS

The purpose of this presentation is to describe an approach in which bivariate correlation followed by exploratory factor analysis and structural equation modelling was used to make sense of kinematic parameters for the purpose of predicting time to skate six meters. Two studies were completed in order to predict on-ice acceleration in both developmental and elite ice hockey players based on the kinematic variables from 3D biomechanical analyses of the skating technique. Through the creation of latent variables, the approach generated valuable information for the coach and the player about the way in which body movements work together to predict performance

Peer-to-peer support on Facebook for caregivers of children and youth with complex care needs in New Brunswick: An environmental scan

This environmental scan aimed to describe the purpose, use, and reach of health-related peer-to-peer support groups on Facebook for caregivers of children and youth with complex care needs in New Brunswick. A total of 3,104 searches on Facebook and consultations with thirty-two stakeholders led to the identification of forty-seven Facebook support groups (twenty-one active). Groups targeted a range of conditions, with autism and related intellectual disabilities appearing most frequently. Content analysis of posts indicated that groups were primarily used to exchange informational support. This study showed that Facebook-based peer-to-peer support groups are available to families of children and youth with complex care needs in the province. This work also lays a foundation for future scans of Facebook-based support groups in other Canadian provinces and beyond.La présente analyse du milieu visait à décrire l’objectif, l’utilisation et la portée des groupes de soutien entre pairs liés à la santé sur Facebook pour les personnes qui s’occupent d’enfants et de jeunes ayant des besoins de soins complexes au Nouveau-Brunswick. En tout, 3 104 recherches sur Facebook et des consultations auprès de 32 intervenants ont permis de repérer 47 groupes de soutien sur Facebook, dont 21 groupes actifs. Des groupes ciblaient un éventail de troubles; l’autisme et les déficiences intellectuelles connexes étaient ceux qui étaient les plus fréquents. Les analyses de contenu des messages ont révélé que les groupes étaient principalement utilisés pour échanger des informations de soutien. Selon cette étude, des groupes de soutien entre pairs sur Facebook sont offerts aux familles d’enfants et de jeunes ayant des besoins de soins complexes dans la province. De plus, ce travail jette les bases de futures analyses de groupes de soutien sur Facebook d’autres provinces canadiennes et d’ailleurs

Variability within individuals of plasma ionic magnesium concentrations

BACKGROUND: With the invention of the ion-selective electrode (ISE), ionic magnesium (iMg) is a common blood assay. This could be advantageous, as iMg is the biologically active form of Mg. There is some evidence that iMg has considerable within subject variability. RESULTS: Individual ranges averaged .08 mmol/L (range .05 to .14). Coefficients of variation (CV) ranged from 3% to 7% (mean 4%) while analytical variation was determined to be 2.3%. Biological variability thus accounts for almost half of the variability, which is clinically significant, as 9 of the 13 subjects recorded at least one value below a reference range of .46 – .60 mmol/L. A significant within-day variation (p < .001) was noted, with differences between 7:00 and 10:00 as well as 10:00 and 22:00. Between day variations were not significant (p = .56). CONCLUSIONS: A plausible explanation of this data is that iMg has a circadian rhythm. Thus, cautious interpretation of single iMg values is warranted until future research determines the nature of iMg variability

Harnessing the Power of Administrative Data to Create a Provincial-Level Child Heath Profile and Birth Cohort in New Brunswick (NB) and Prince Edward Island (PEI)

Introduction Early-life prevention of chronic diseases is crucial to a healthy adulthood. However, evidence is often lacking to assess the effectiveness of early intervention programs, partly because of failure to make use of existing data. This project aims to capitalize on existing administrative data in two provinces to address this gap. Objectives and Approach To identify and evaluate selected administrative databases (AD) from NB and PEI to create an intra-provincial Child Health Profile (CHP) and establish the foundation for a population-based birth cohort database in each province using existing administrative data. Integrated knowledge translation (iKT) was implemented to facilitate the continuous involvement of knowledge users and stakeholders, including provincial government managers/decision-makers, data custodians, health practitioners, parents and community organizations. Consultations were held to identify the AD of interest and develop a roadmap for the CHP. For each dataset, a list and description of data and analytical variables was produced and data access requested. Results Not all AD identified are equally complete and accessible to researchers. Data access, preparation and linkage are challenging but feasible. This process was facilitated by iKT, which also contributes to capacity building. Several AD, mainly healthcare AD, including the Healthy Toddler Assessment and NutriSTEP, are currently accessible. An analytic framework was developed for pulling the data together and planning their analyses to produce the CHP. Based on the data currently accessible, the first CHP will focus on data at birth and at 18 months. Other databases (e.g., preschooler assessments) may be included subsequently. Work is underway to create workable datasets from which the CHP and roadmap for the birth cohort are being developed. This approach is scalable and can be extended to other jurisdictions. Conclusion/Implications Select AD in NB and PEI are rich resources for establishing a comprehensive CHP and population-based birth cohort database in each province. These new tools will enable various stakeholders to monitor and report on child health over the long term, and to evaluate current practices and future health interventions

Challenges and Facilitating Factors in Accessing Administrative Data for Research: Insights from the Children's Health Profile and Trajectory Initiative in NB and PEI

Introduction Administrative health data (AHD) are typically not analyzed to produce evidence on the effectiveness and limitations of primary prevention programs and strategies. The value of AHD for answering research questions is generally recognized, but the challenges in accessing and using these data for research are not always know and documented. Objectives and Approach To identify and advise on the facilitating factors and challenges of accessing select AHD in New Brunswick (NB) and Prince Edward Island (PEI) for the purpose of creating an intra-provincial Child Health Profile (CHP) and population-based birth cohort database, using existing AHD not been previously linked. This research is a cross-jurisdictional collaboration between NB and PEI with an integrated knowledge translation (iKT) approach that adheres to each province’s unique data policies, data procedures, and data governance. The collaboration involves people in various roles: provincial government managers, policy-makers, data custodians, health practitioners, citizens, community organizations, in addition to academic researchers. Results Access to select AHD required considerable preparation, cross province coordination, and ongoing discussions over many months. Key facilitators were the NB Institute for Research, Data and Training, a newly established data repository that holds provincial AHD in NB, and the provincial health authority in PEI. In NB, the existence of well-documented protocols and support from designated personnel (including trained data analysts) were assets facilitating data access through the data repository. In PEI, REB approval was obtained more rapidly but challenges occurred in subsequent stages of data access directly through the health authority. This research supports the empowerment of stakeholders such as Public Health and researchers who are trying to leverage ‘big data’ resources to address research and practice questions regarding children’s health. Conclusion/Implications Accessing AHD for the project was facilitated by the existence of well-documented protocols and other specialized resources that help streamline the process of data sharing while ensuring data privacy and security. Continued relationship-building among stakeholders is needed to facilitate and maximize the use of existing AHD in NB and PEI

Predictors of Vaccine Hesitancy: Implications for COVID-19 Public Health Messaging

Objectives: Successful immunization programs require strategic communication to increase confidence among individuals who are vaccine-hesitant. This paper reviews research on determinants of vaccine hesitancy with the objective of informing public health responses to COVID-19. Method: A literature review was conducted using a broad search strategy. Articles were included if they were published in English and relevant to the topic of demographic and individual factors associated with vaccine hesitancy. Results and Discussion: Demographic determinants of vaccine hesitancy that emerged in the literature review were age, income, educational attainment, health literacy, rurality, and parental status. Individual difference factors included mistrust in authority, disgust sensitivity, and risk aversion. Conclusion: Meeting target immunization rates will require robust public health campaigns that speak to individuals who are vaccine-hesitant in their attitudes and behaviours. Based on the assortment of demographic and individual difference factors that contribute to vaccine hesitancy, public health communications must pursue a range of strategies to increase public confidence in available COVID-19 vaccines

Intercollegiate ice hockey injuries

abstract: Presents a study describing Canadian Intercollegiate ice hockey injuries over a six-year period following a standardized reporting strategy and clearly defining terminology. The data set; Results; Discussion