Copy
View this email in your browser
December 2023
Facebook
Twitter
Website

December 2023

A Message From Our Scientific Director

On behalf of the TREC team, I would like to extend warm holiday wishes and a thank-you to each of you for your ongoing support of TREC and for your many contributions to improving both the lives of older adults with dementia in LTC and the quality of work life of the staff who care for them.

It is hard to believe that we are a full year and more past the worst of the pandemic but also sobering to know that it has not truly left LTC and many other healthcare settings. I know that many of you are routinely affected by COVID (and other) outbreaks, and short staffing as we try to make our way to normalizing things again. We are still in the midst of a severe workforce shortage and for those of you in Alberta, much is changing with respect to how our health system is organized.
 
Still, it has been a busy year at TREC and among our now quite large group of LTC homes.

Highlights include:
  1. Working with BC to implement INFORM in the first cohort of LTC Homes. INFORM is our trial that focused on LTC managers making local improvement changes using a simple and well tested strategy – this was a successful initiative and currently BC is extending the implementation to a second group of homes.
  2. Nearing completion of the large CIHR funded “context” grant that has looked at much of our over 15 years of data on the work environment to tease out which elements of context contribute most strongly to implementation success.
  3. The CIHR funded qualitative “experiences of care aides taking care of residents with a history of psychological trauma” project is underway and will pick up momentum in 2024.
  4. We completed the “breathing” study – this “coherent breathing” intervention showed positive results among LTC staff, with improvements in several mental health and well-being outcomes. We are nearly done the development of a “breathing toolkit” based on this study and we anticipate launching it in March. Both were funded by Healthcare Excellence Canada.
  5. The 2020 COVID Impact study was completed and multiple webinars have been held, as well as multiple papers published with some still being written. It was funded by Alberta Health, Manitoba and Nova Scotia funders and CIHR. All findings point to a workforce under significant duress at all levels.
In 2023:
  • We held our first in-person AGM since 2019 – it was exciting, fun and successful. The annual report from it will be out in early 2024.
  • We launched the Alberta Health funded “Wave 7” study focusing on the workforce and will enable us to get a first look at whether trends observed in the COVID impact surveys are improving, levelling off, or worsening. We are almost half way through data collection and will be completed by end of May 2024. We will then have a few months of “data cleaning” and expect to be doing a variety of webinars and tailored reports in the fall. Kudos to the Field team led by Julie Melville, they have been doing yeoman’s duty along with the staff here in the Edmonton office to make this happen.
  • Manitoba will be continuing with this wave and will start their data collection in the New Year. Malcolm continues his work with Norway researchers and homes.
  • Importantly, Atlantic Canada has launched their “Wave 1” study using the same protocols as we do in the west. They are collecting data now and will be in all 4 provinces with the survey and then obtaining the MDS resident data. Their program – ARC-LTC is on the same timeline as Alberta and Manitoba. This is an exciting venture and will provide the first comprehensive data of this kind for the Atlantic Region and opportunity for comparative work.
A number of other ongoing studies are being led by TREC investigators, e.g., Matthias Hoben’s multi province COVCARE (looking at Assisted Living and LTC) and Quality of Life Measurement studies; Whitney Berta’s multi-province “intervention sustainability in LTC (SSaSSy)” study; Liane Ginsburg’s continued work on intervention fidelity and its program theory from the SCOPE and INFORM trials; Stephanie Chamberlain’s work on loneliness among older adults; and Hannah O’Rourke’s work on connection among older adults in LTC.

Other related work includes an update to the 2020 “Restoring Trust” report on COVID and the future of LTC to be released in January or February of 2024, called “Repair and recovery in LTC: Restoring trust in the aftermath of COVID-19.” Stay tuned. Several more provincial reviews of LTC in which TREC team members are involved have or are occurring in Atlantic Canada – PEI (Keefe, Estabrooks), Nfld (Keefe). Alberta is launching major new Continuing Care legislation in Spring along with regulations and other updates. Several team members have been or are involved in national activities such as CIHR’s Institute of Aging, the G7 Decade of Healthy Aging event held in Niagara this past fall, the National Senior’s Council and the new “Health Workforce Canada” entity that has been formed. Several TREC researchers and trainees presented at the Canadian Association of Health Service Policy and Research (CAHSPR) Conference in May, and at the Canadian Association of Gerontology (CAG) and Gerontological Association of America (GSA) conferences in late fall 2023.

It has been a busy year and 2024 looks equally challenging and busy!

On a personal note, we lost Vivien Lai in late 2024, this is a deep loss for LTC and the improvement of conditions for older adults in Alberta. Vivien was a tireless advocate and highly adept at convening any and all for change, she was a long-standing friend of TREC and we will miss her dearly. We extend warm thoughts to her husband Bill and to her children and her extended family.

Warm wishes for a brighter 2024 and better signs than we have had in 2023 of stability, optimism and hope in our world.

Carole Estabrooks

Brief updates on some

TREC Projects

TMS W7: In TMS Wave 7, we have expanded our sample of homes in Alberta to 64 facilities in all 5 health zones. After a period of survey modification and facility recruitment, data collection in Alberta began in September 2023. As of December, we have finished data collection in 24 facilities in Alberta, we have collected 886 care aide surveys, and received 496 regulated surveys.
ARC-LTC: The Atlantic Research Collaboration on Long-Term Care has started data collection in the province of Nova Scotia; with PEI, New Brunswick and Newfoundland to start in the new year.

Missed Care: Phase 1 is nearing completion, with 30 care aide interviews completed and 18 remaining. Phase 2, which will include focus groups with care aides to identify strategies for reducing missed care will begin in early 2024.
Workforce Resilience (Breathing): The first paper has been published (see TREC publications below), and two additional papers are being prepared for submission. We are in the field validating elements of the Toolkit with care aides.

Remembering

Vivien Lai

We are sad to announce that Vivien Lai, a long time policy maker, advocate and supporter of aging well in Alberta, died on October 20th. Vivien was a long time supporter of research and evidence-informed decision-making for older adults. Vivien was a strong supporter of TREC's research and attended many of our AGM's.

Vivien's obituary and details of her celebration of life can be found by clicking the button below. It will also be posted on the AAG's website.

The Alberta Association of Gerontology (AAG)'s Future Policy Forum/Culture Change Project and Stakeholder Collaborative Committee initiatives were a tribute to Vivien's vision of creating a culture and community for change in support of Alberta's vision for healthy aging and transformation agenda.  

Read Vivien's obituary

Presentations on TREC work at

Conferences in 2023

"I had a wonderful experience attending the Canadian Association for Health Services and Policy Research (CAHSPR) Annual Conference in Montreal this past May. Representing my colleagues from the ICII project, I had the honor of presenting our mixed-methods research on the complex relationship between work environments and the use of research-based evidence by care aides in long-term care homes. My presentation was part of the Knowledge Translation and Exchange session which provided an invaluable platform for sharing and discussing research findings and method innovations among researchers in diverse and multiple disciplines. The constructive feedback received from the audience was beneficial, offering critical insights that have significantly aided in refining my research and preparing it for peer-reviewed publication. Additionally, the conference offered a delightful bonus of visiting Montreal in late May. I really enjoyed the charm and sights of the city." - Yinfei Duan, TREC Postdoctoral Fellow

Dr. Alba Iaconi, who trained with Dr. Carole Estabrooks as a post-doctoral fellow at the University of Alberta and now works with Dr. Whitney Berta at the University of Toronto, presented one of TREC’s research projects at the Gerontological Society of America Annual Scientific meeting this November 2023 held in Tampa, Florida in the United States of America. The theme of the meeting was ‘Building Bridges, Catalyzing Research, Empowering All Ages’. Alba had the opportunity to present the TREC research work through a poster and a podium presentation. The title of the project shared at the conference was “An Unequal Work Environment: Nursing Home Staff Perceptions of Unit Organizational Context”. The conference hosted more than 4000 attendees across the world in an engaging exchange of ideas and collaborations surrounding Aging.  
"During 2023, I had the pleasure of presenting at and attending the Canadian Association for Health Services and Policy Research (CAHSPR) conference in Montreal in May and the Canadian Association on Gerontology (CAG) conference in Toronto in October.

During these conferences, I met with policymakers, stakeholders and researchers from multiple backgrounds  and experiences, including individuals who collaborate with TREC. These conversations have allowed me to learn more about how
gerontological research is developing in Canada and internationally and hear from multiple researchers how excited they are about TREC's research. My presentations at both conferences (a poster at CAHSPR and a poster and oral presentation at the CAG conference) focused on the Workforce Resilience (Breathing) project. Presenting at these conferences was also a rewarding experience, as I was able to have insightful discussions about TRECs current and previous research projects, including the breathing project. Through these discussions, I reflected on our project and the importance of disseminating this research while receiving positive feedback about our team's current work. I also gained valuable experiences in in-person presentations and networking, which will be beneficial as I continue to build my career." - Brittany deGraves, TREC Research Trainee  

Celebrations, congratulations and welcomes

Staff and Trainees

Xinshi Wang joined TREC in October 2023. She currently is a fourth-year undergraduate student majoring in Statistics at the University of Alberta. She works as a data analyst with TREC in the PERCI project. Xinshi specializes in leveraging tools like Python, R, and visualization platforms to extract, analyze, and communicate datasets. She is very passionate about data collection, cleaning, and analysis and plans to have further studies in statistics.
We would like to extend our congratulations to Yuting Song on the birth of her son in November 2023. Yuting recently received a national-level project fund for her project titled The Causal Pathways and Cognition-Emotion Intervention Strategies for Missed Care in Long-Term Care Homes: A Study Based on the Decision Lens. The project will begin in January 2024. 

Read our

TREC Publications

Epubs Ahead of Print
  • Duan, Y., Hoben, M., Song, Y., Chamberlain, S.A., Iaconi, A., Choroschun, K., Shrestha, S., Cummings, G.G., Norton, P.N., Estabrooks, C.A. (2023, Sept 5) Organizational context and quality indicators in nursing homes: A microsystem look. Journal of Applied Gerontology. doi: 10.1177/07334648231200110 (ePub ahead of print); Published Jan 2024; 43(1):13-25
  • Song, Y.; Keefe, J.; Squires, J.; DeGraves, B.; Duan, Y.; Cummings, G.; Doupe, M.; Hoben, M.; Duynisveld, A.; Norton, P.; Poss, J.; Estabrooks, C. (2023, Aug 30). Changes in health and well-being of care aides in nursing homes from a pre-pandemic baseline in February 2020 to December 2021. Journal of Applied Gerontology. doi: 10.1177/07334648231197074 (ePub ahead of print)
  • Ginsburg, L., Hoben, M., Berta, W., Doupe, M., Estabrooks, C., Toth, F., Norton, P., Reid, R.C., Seguin, A., Wagg, A. (2023, Aug 30) Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI). BMJ Quality & Safety. doi: 10.1136/bmjqs-2023-016001 (open access; ePub ahead of print)
Accepted/In Press 
  • DeGraves, B.S., Titley, H., Duan, Y., Thorne, T.E., Banerjee, S., Ginsburg, L., Salma, J., Hegadoren, K., Angel, C., Keefe, J., Lanius, R., and Estabrooks, C.A. (2023, July 20). Workforce resilience supporting staff in managing stress: A coherent breathing intervention for the long-term care workforce. Journal of the American Geriatrics Society (JAGS). (Manuscript ID JAGS-1174-CI-Jul-23)
  • Grunier, A., Chamberlain, S., Jensen, C., Cummings, G., Hoben, M., Boamah, S., Bosco, C., Ekhlas, S., Bolt, S., Rappon, T., Berta, W., Squires, J., Estabrooks, C. (2023, Nov 24) Burnout among nursing home care aides and the effects on resident outcomes. Medical Care Research and Review. MCRR-2023-0070-ER.R2 (accepted and in press)
Share Share
Tweet Tweet
Forward Forward
Share Share
+1 +1
Copyright © 2023 Translating Research in Elder Care, All rights reserved.


Contact Us
Translating Research in Elder Care
University of Alberta
Edmonton, AB T6C 0A1
Canada

Add us to your address book
unsubscribe from this list    update subscription preferences 



Changing the Story
Share Share
Tweet Tweet
Forward Forward
Share Share
+1 +1






This email was sent to <<Email Address>>
why did I get this?    unsubscribe from this list    update subscription preferences
Translating Research in Elder Care · University of Alberta · Edmonton, AB T6C 0A1 · Canada

Email Marketing Powered by Mailchimp