https://knowledgecommons.lakeheadu.ca/handle/2453/617 through its graduate program offerings in public health and health sciences, the department of health sciences provides 世界杯2022赛程表淘汰赛 with an understanding of the complexities of public health and health sciences 2025-01-16t10:14:03z https://knowledgecommons.lakeheadu.ca/handle/2453/4901 prevalence of multimorbidity in adults with cancer, and associated health service utilization in ontario, canada: a population-based retrospective cohort study kone pefoyo, anna; scharf, deborah background: the majority of people with cancer have at least one other chronic health condition. with each additional chronic disease, the complexity of their care increases, as does the potential for negative outcomes including premature death. in this paper, we describe cancer patients’ clinical complexity (i.e., multimorbidity; mmb) in order to inform strategic efforts to improve care and outcomes for people with cancer of all types and commonly occurring chronic diseases. methods: we conducted a population-based, retrospective cohort study of adults diagnosed with cancer between 2003 and 2013 (n = 601,331) identified in ontario, canada healthcare administrative data. during a five to 15-year follow-up period (through march 2018), we identified up to 16 co-occurring conditions and patient outcomes for the cohort, including health service utilization and death. results: mmb was extremely common, affecting more than 91% of people with cancer. nearly one quarter (23%) of the population had five or more co-occurring conditions. while we saw no differences in mmb between sexes, mmb prevalence and level increased with age. mmb prevalence and type of co-occurring conditions also varied by cancer type. overall, mmb was associated with higher rates of health service utilization and mortality, regardless of other patient characteristics, and specific conditions differentially impacted these rates. conclusions: people with cancer are likely to have at least one other chronic medical condition and the presence of mmb negatively affects health service utilization and risk of premature death. these findings can help motivate and inform health system advances to improve care quality and outcomes for people with cancer and mmb. this is an accepted manuscript of an article published by springer nature in bmc cancer on april 14, 2021, available online: https://doi.org/10.1186/s12885-021-08102-1 2021-01-01t00:00:00z https://knowledgecommons.lakeheadu.ca/handle/2453/839 creating space for citizenship : the impact of group structure on validating the voices of people with dementia wiersma, elaine c.; o'connor, deborah l.; loiselle, lisa; hickman, kathy; heibein, bill; hounam, brenda; mann, jim recently, there has been increasing attention given to finding ways to help people diagnosed with dementia “live well” with their condition. frequently however, the attention has been placed on the family care partner as the foundation for creating a context that supports the person with dementia to live well. a recent participatory action research (par) study highlighted the importance of beginning to challenge some of the assumptions around how best to include family, especially within a context of supporting citizenship. three advisory groups consisting of 20 people with dementia, 16 care partners, and 3 service providers, were set up in three locations across canada to help develop a self-management program for people with dementia. the hubs met monthly for up to two years. one of the topics that emerged as extremely important to consider in the structuring of the program revolved around whether or not these groups should be segregated to include only people with dementia. a thematic analysis of these ongoing discussions coalesced around five inter-related themes: creating safe spaces; maintaining voice and being heard; managing the balancing act; and the importance of solidarity. underpinning these discussions was the fifth theme, recognition that ‘one size doesn’t fit all’. overall an important finding was that the presence of family carepartners could have unintended consequences in relation to creating the space for active citizenship to occur in small groups of people with dementia although it could also offer some opportunities. the involvement of care partners in groups with people with dementia is clearly one that is complex without an obvious answer and dependent on a variety of factors to inform a solution, which can and should be questioned and revisited. this is the author’s version of a work that was accepted for publication in the journal dementia. the publisher's version is available at doi:10.1177/1471301216642339 (sage) 2016-05-01t00:00:00z https://knowledgecommons.lakeheadu.ca/handle/2453/618 the job accommodation scale (jas): psychometric evaluation of a new measure of employer support for temporary job modifications shaw, william s.; kristman, vicki l.; williams-whitt, kelly; soklaridis, sophie; huang, yueng-hsiang; cote, pierre; loisel, patrick an employer offer of temporary job modification is a key strategy for facilitating return-to-work for musculoskeletal conditions, but there are no validated scales to assess the level of support for temporary job modifications across a range of job types and organizations. objective to pilot test a new 21-item self-report measure [the job accommodation scale (jas)] to assess its applicability, internal consistency, factor structure, and relation to physical job demands. methods supervisors (n = 804, 72.8 % male, mean age = 46) were recruited from 19 employment settings in the usa and canada and completed a 30-min online survey regarding job modification practices. as part of the survey, supervisors nominated and described a job position they supervised and completed the jas for a hypothetical worker (in that position) with an episode of low back pain. job characteristics were derived from the occupational informational network job classification database. results the full response range (1–4) was utilized on all 21 items, with no ceiling or floor effects. avoiding awkward postures was the most feasible accommodation and moving the employee to a different site or location was the least feasible. an exploratory factor analysis suggested five underlying factors (modify physical workload; modify work environment; modify work schedule; find alternate work; and arrange for assistance), and there was an acceptable goodness-of-fit for the five parceled sub-factor scores as a single latent construct in a measurement model (structural equation model). job accommodations were less feasible for more physical jobs and for heavier industries. conclusions the pilot administration of the jas with respect to a hypothetical worker with low back pain showed initial support for its applicability, reliability, and validity when administered to supervisors. future studies should assess its validity for use in actual disability cases, for a range of health conditions, and to assess different stakeholder opinions about the feasibility of job accommodation strategies. the final publication is available at springer via http://dx.doi.org/10.1007/s10926-014-9508-7 2015-04-28t00:00:00z