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December 2022
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December 2022

Message from our Scientific Director

On behalf of the TREC team, I would like to extend a belated but warm thank-you to each of you for your ongoing support of TREC and for your many contributions to improving the lives of older adults with dementia in LTC these past 3 years. 

Soon after our 2019 Christmas newsletter, COVID-19 emerged, changing things forever and wreaking havoc in LTC homes across the country. I doubt many of us in late 2019 imagined a vaccine for an entirely new virus could be available in less than a year; thankfully it was. However, we continue to live in the large shadow of COVID with an international and industry wide workforce crisis that stands to change everything. TREC did not escape the effects of COVID – studies were put on hold, others specific to COVID were launched, others slowed as we tried to adapt to virtual interactions and the impact the pandemic was and is having on LTC homes. We experienced major contraction of staff resources, staff turnover; more recently we have hired new staff as “on-hold” projects have been launched and new projects have come online.
 
It has been a busy and topsy-turvy 3 years. Some highlights include:
  • Completing the INFORM trial and publishing the main papers and a two-year follow-up paper. We also created training modules based on the trial and have been working for almost two years with BC on an implementation of INFORM.
  • Completing the SCOPE trial; those papers are under review. Plans for spread of SCOPE are happening in Manitoba and a follow up study looking at how SCOPE has been sustained and how to encourage sustainability continued to move slowly.
  • Continuing work to validate the Quality-of-Life instrument for use with residents in LTC homes – early results are very encouraging and a larger pan-Canadian study is underway to further this work.
  • Launching the important “Context grant” that uses all of our 15+ years of TREC data to look deeper at new things we can learn about context and how that knowledge can be used to improve implementation success, as well as, other staff and resident outcomes. This project’s 4 post docs led a terrific symposium at the Nov 2022 Gerontological Society of America meetings.
  • In 2020 we made an unsuccessful bid in the New Frontiers Research Fund. While disappointed that we did not succeed, the process helped shape our work since in major ways. It also deepened our understanding of the important equity, diversity and inclusivity (EDI) initiatives in Canada.
  • In late 2022/early 2023 two studies that have been on hold due to COVID launched, “the missed care study” and a qualitative study on the “experiences of care aides taking care of residents with a history of psychological trauma.”
Importantly, we initiated two “COVID grants” in this period:
  • We were funded in late 2020 by Alberta Health (Manitoba and Nova Scotia also secured funding) and CIHR to do the “COVID Impact” study. We had a perfect pre-pandemic baseline of workforce measures in our 5th survey data collection in late 2019. We returned to the field in late 2021 using virtual data collection methods. In this “COVID wave” we added a number of mental health and resilience measures. Multiple webinars, 3 scientific papers, and several conference presentations have emerged so far and more papers are underway. All point to a workforce that is experiencing significant and often untoward effects from COVID-19.
  • We were also funded by Health Excellence Canada (HEC) and AHS for the “Workforce Resilience” (breathing) study. We taught staff a specific coherent breathing routine thought to up-regulate the parasympathetic (calming) part of the nervous system. Early findings are encouraging with respect to the positive impact of the 8 week “coherent breathing” intervention. Expect those reports and papers in the first half of 2023.
In addition to the work outlined above, we received a “Workforce” grant from Alberta Health and as part of that, we will be busy over the next 2 years...
  • Developing the breathing intervention into a self-directed toolkit.
  • Working with managers on a suite of strategies as part of a manager toolkit.
  • Expanding the Alberta cohort of LTC homes to include all regions and undertake a 7th wave of staff surveys (and continue to work with the RAI-MDS data). This will enable us to see if trends we observed in the COVID impact surveys are improving, levelling off, or worsening. It will also give us important additional insights into where interventions are most needed.
Much more happened of course over the last 3 years. Many TREC team members, researchers and stakeholders, have led or been key members of an array of national and provincial panels and committees relating to transformation in LTC and the effects of COVID. This began with the publication of the “Restoring Trust” report in mid 2020 and continued with the Alberta Facility Based Continuing Care report and subsequent legislation changes, panels in Nova Scotia and PEI on COVID’s impact on LTC, the National LTC Standards development, and the National Seniors Council. The team is a busy one.

In closing, I know that each of us solemnly remembers the many losses in so many forms of the last 3 years; the courage of staff and managers, and the residents and families during COVID. I hope we each remember that COVID is not over for LTC homes and as they continue to work under its shadows, they also face a difficult flu season and ongoing, severe staffing shortages.

I hope we each remember to extend compassion for the many individuals for whom Christmas is a difficult and challenging season. And I wish all TREC team members and associates scattered across Canada and the world a peaceful and restorative holiday season.

Warm wishes,
Carole Estabrooks

Celebrations, congratulations and welcomes

Staff Highlights

Dr. Joel Minion joined TREC in July 2020 as a Research Scientist responsible for legacy products and asset protection. He also mentors TREC trainees, particularly in our qualitative research. Joel has a PhD in health informatics from the University of Sheffield, a Master of Library and Information Science (MLIS) from Western University, and a MA in Anthropology from McMaster University.
Abraham Munene is a research associate with TREC working on the INFORM project. He completed both his PhD and Post Doctoral training from the University of Calgary. His research interests broadly lay in health and health behaviours, epidemiology, public health, and the environment. His recent work has focused on interventions to improve elderly care within the context of long term care homes.
Seyedehtanaz (Tannaz) Saeidzadeh, PhD, RN is a Postdoctoral Fellow in TREC. She has a PhD in nursing from the University of Iowa. She is leading the process evaluation of INFORM implementation in BC. INFORM was a successful complex research intervention that is currently being implemented in nursing homes in BC. 
Robby Randhawa graduated from medical school in 2021 and has been a part of TREC since 2019. He is currently working as a research assistant on the Workforce Resilience Project. He has a Bachelor of Science in Health Sciences and a minor in Gerontology from Simon Fraser University. With his experience in long-term care facilities, he wants to emphasize the importance of an interdisciplinary team to improve residents' quality of care and clinical needs. 

Shannon McCormick has recently joined TREC working as the finance administrator. She has an extensive accounting background and has previous research experience as a Research & Activities Coordinator at the University of Alberta. Shannon's interest in Elder Care stems from her personal experience caring for her elderly mother with dementia and her various experiences with long term care homes.

Hadiya Huijer has recently joined TREC working as a Research Assistant on the INFORM project. She graduated from Queen's University with Master of Science in Aging and Health in October 2022 and currently lives in Ottawa, Ontario.  
Madhawa Alahakoon graduated from the University of Alberta with a Bachelor of Science in Psychology. He is a research assistant with TREC in the INFORM project process evaluation and the Workforce Resilience project. Madhawa's research interests include geriatrics psychology, supporting care staff, and community service.
Ashikur Rahman (University of Alberta) is a doctoral student with Dr. Carole Estabrooks. He completed his master’s in public health with a specialization of improving quality of life low back pain by a quasi-experimental study in Bangladesh. In the COVID-19 pandemic, he worked on resilient mental health workforces. He is planning to focus on specific mental health intervention in his PhD to ensure safe and sound health care environment in long term care settings in order to improve quality of nursing care for older adults. Currently, he is working with TREC to measure the impact of Alberta Context Tool (ACT) in all health care settings since it was developed.
Samantha Cover is a Master of Nursing student at the University of Alberta currently working as a research assistant on a systematic review involving the use of the Alberta Context Tool. She recently graduated from the University of Alberta with a Bachelor of Science in Nursing and she has a previous Bachelor of Commerce degree from York University in Toronto. She also works part-time as a graduate nurse at the Misericordia Hospital in the Emergency Department. Samantha is interested in advocating for staff and patients of health care facilities through her research activities.
Lee-Ann Langkaas has recently joined TREC working as a Project Coordinator for the Alberta Workforce Resilience Project. Lee-Ann brings her past experience from multiple Research Coordinator and Clinical Research Manager positions to lead the role out of the Wave 7 survey.
Cybele Angel has recently joined TREC working as a Research Assistant on the Missed Care project. Cybele is completing her PhD at the University of Alberta. She focused her research on the nurse-patient relationship in correctional facilities, specifically, related to correctional nurses who work with women who are incarcerated and experience mental health concerns.
Julie Melville has been working with TREC since 2014. Over the last 8 years, she worked primarily as the Regional Project Coordinator in BC and more recently as the one of the coordinators in Alberta during TREC’s COVID Impact Assessment. Julie has now been promoted to a new position with TREC as the Field Coordinator that will coordinate the recruitment, implementation timing, and feedback activities in participating sites across all TREC projects. In this new role Julie will continue to establish and maintain relationships with regional stakeholders at provincial and regional levels, facilities and their staff, and study staff. This position will cover all regions and provinces in which these requirements are present.
Christina Weise is the new Associate Director of TREC. Prior to joining TREC, Christina was the CEO of Research Manitoba for over 10 years. She has a Master of Public Administration from the University of Manitoba and has more than 20 years of experience developing and implementing public policy in the areas of research and innovation and in managing funds and programs to support research.
Christina serves on numerous Boards including as Chair of the Institute Advisory Board with the Institute of Health Services and Policy Research, and as a member of the Health Data Research Network Board of Directors, the Health in Common Board of Directors and of the Advisory Council for the Canadian Longitudinal Study on Aging.

Highlights from the  

GSA 2022 Annual Scientific Meeting

"Participating in the Gerontological Society of America (GSA) meeting in Indiana was the highlight of my postdoctoral training at TREC and the best professional meeting I have attended thus far. At the meeting, five TREC trainees from the Context Grant and one from the INFORM grant, as well as one faculty, had the opportunity to present in the form of a symposium our research on how Organizational Context, the environment within the long-term care homes in Western Canada, influence outcomes and share the INFORM trial progress. This experience was so rewarding to see other researchers globally being curious about our work at TREC. The audience expressed interest in the data collection processes and were amazed at the longitudinal nature of the data. Personally, my favorite part was meeting researchers from various disciplines, such as nursing, public health, psychology, pharmacy, exercise physiology, and sociology ---- all with a common goal of contributing to the interdisciplinary field of aging research. Thank you to Dr. Estabrooks and the TREC team for this beautiful professional opportunity." - Alba Iaconi

Tannaz Saeidzadeh attended the GSA conference in November 2022. The conference attracts more than 4,000 researchers in the field of aging from around the world. She gave an oral presentation on the preliminary results of the process evaluation of INFORM implementation in BC.

Two Postdoctoral Fellows from UNC, Jing Wang and Janelle Perez also attended GSA with Alba and Yinfei. 

"Attending the GSA 2022 conference was a professionally rewarding experience. It was a great opportunity to disseminate our research findings from the ICII project and exchange research findings and ideas with other researchers from similar research fields. Listening to others' presentations was also very interesting and fruitful, making me reflect on my own work and inspiring future research ideas. Plus, reconnecting with former colleagues and meeting new people in person for the first time after the pandemic was lots of fun." - Yinfei Duan

AGM 2021

Annual General Meeting Report

In June 2021, TREC held a virtual AGM which provided team members and associates an opportunity to share and learn about TREC's activities and accomplishments over the previous year. The theme of the meeting was The Innovation Journey Continues: Moving ideas to implementation – and the importance of alignment.

In the midst of the pandemic, TREC continues to work, tackling important and timely research to improve practice and enhance the quality of eldercare in Canada. During the meeting we heard presentations from the team about the numerous projects underway including the COVID Impact, Workforce Resilience (breathing), and Context studies. TREC also strives to make sure those improvements are sustainable and scalable and during the AGM we heard from partners about their involvement in TREC research and the process to scale and spread research. 

The AGM report will be live on the website soon and we are now in the midst of planning an in person meeting in spring 2023.

Keep up with TREC
KUSP FYI Service

TREC is pleased to support KUSP FYI, a regular blog highlighting news, publications, events and other happenings in the world of knowledge translation, quality improvement, and aging. The service offers regular updates thanks to the efforts of Thane Chambers (MLIS), Research Impact Librarian with the University of Alberta. For the latest edition and to subscribe, visit kuspfyi.com.

Visit KUSP FYI

Read our

New TREC Publications

Accepted/In Press

  • Estabrooks, C.A., Duan, Y., Cummings, G.G., Doupe, M., Hoben, M., Keefe, J., Poss, J. Song, Y., Squires, J.E., Wagg, A., Norton, P.G. Changes in health and well-being of nursing home managers from February 2020 (pre-pandemic) to December 2021. Journal of the American Medical Directors Association
  • Cranley, L.A., Lo, T.K.T., Weeks, L.E., Hoben, M., Ginsburg, L.R., Doupe, M., Anderson, R.A., Wagg, A., Boström, A-M., Estabrooks, C.A. Reporting unit context data to stakeholders in long-term care: A practical approach. Implementation Science Communications. 

Published

  • Thorne, T.E., Titley, H., Lanius R., Norton P., Duan, Y., Estabrooks, C.A. (2022). Care aides’ perceptions of caring for residents with a history of psychological trauma in care home settings. International Journal of Geriatric Psychiatry. 37(11). https://onlinelibrary.wiley.com/doi/10.1002/gps.5818?af=R
  • Rasiah, J., Gruneir, A., Oelke, N., Estabrooks, C.A., Holroyd-Leduc, J., Cummings, G.G. Instruments to assess frailty in community dwelling older adults: A systematic review. International Journal of Nursing Studies, 134(104316).
  • Estabrooks, C.A., Song, Y., Anderson, R., Beeber, A., Berta, W., Chamberlain, S., Cummings, G., Duan, Y., Hayduk, L., Hoben, M., Iaconi, A., Lanham, H., Perez, J., Wang, J., Norton, P. The influence of context on implementation and improvement: Protocol for a mixed method, secondary analyses study.  JMIR Research Protocols. 11(9):e40611. https://www.researchprotocols.org/2022/9/e40611/ 
  • Titley, HK., Young, S., Savage, A., Thorne, T., Spiers, J., EstabrooksCA. (2022). Cracks in the foundation: The experience of care aides in long-term care homes during the COVID-19 pandemic. Journal of the American Geriatrics Society. https://doi: 10.1111/jgs.18024
  • Savage, A, Young, S, Titley, HK, Thorne, T, Spiers, J, Estabrooks, CA. (2022). This was my Crimean War: COVID-19 and the toll on nursing home leaders. Journal of the American Medical Directors Association. https://www.jamda.com/article/S1525-8610(22)00635-1/fulltext
  • Estabrooks, C.A., Titley, H.K., Thorne, T.E., Banerjee, S., Feldman, H.H., Silvius, J., Lanius, R.A. (2022) A matter for life and death: Managing psychological trauma in care homes. Journal of the American Medical Directors Association, 23(7): 1123-1126. https://doi.org/10.1016/j.jamda.2022.02.007
  • Hoben, M., Banerjee, S., Beeber, A., Chamberlain, S., Hughes, L., O'Rourke, H., Stajduhar, K., Shrestha, S., Devkota, R., Lam, J., Simons, I., Dymchuk, E., Corbett, K., Estabrooks, C.A. (2022) Feasibility of Routine Quality of Life Measurement for People Living with Dementia. Journal of the American Medical Directors Association. 23(7): 1221-1226. https://doi.org/10.1016/j.jamda.2021.07.018
     
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