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Research

Overview

The care that we strive to provide to our seniors is informed by clinical research and best evidence. As part of our commitment to providing the best possible care for seniors, we are committed to research within the Health and Aging. To this end, the Geriatricians and nurses in the Department of Geriatric Medicine have been involved in a number of research activities over the past decade including Clinical Trials and original research, some of which has been presented and published nationally and internationally.

Since 1994, we have participated in over 20 Clinical Trials as an investigational site nationally and internationally. We have been involved in the testing of over 10 existing and investigational medications in the treatment of Dementia, primarily Alzheimer's disease. We are one of several sites in Canada that form the Consortium of Canadian Centres for Clinical Cognitive Research (C5R). We have also been involved in Canadian Institute of Health Research Grants (CIHR) as an investigational site and as collaborating investigators.  Most recently, we are the only New Brunswick site for the Compass ND study, which is part of the Canadian Consortium on Neurodegeneration in Aging.

The original research we have been involved in is targeted to improving clinical care and measuring outcomes that have informed the establishment of best practises. We have received grants from the New Brunswick Health Research Foundation, Horizon Health Network and the former Atlantic Health Sciences Research Foundation for some of this work. We have presented over 50 research posters at national and international meetings since 1997. We have also published over 10 research papers in peer reviewed journals as primary and/or coauthors.

We have continued to develop research activities in the Department of Geriatric Medicine and the Health and Aging Program and continue to work together alongside other health care providers and university researchers.   This has become a culture in our Program and many of our allied health professional fields have joined in the research activity in the past few years. We continue to strive to develop a culture in our department and program that fosters and encourages this type of activity so that we can continue to answer important clinical questions that will help us provide the best possible care to our patients.

Research in the News

Researchers

Department of Geriatric Medicine Saint John

Pamela Jarrett, MD, FRCPC, FACP - Physician Lead  

Linda Yetman, RN, BN, Med, ACNP (dip), PhD - Research Coordinator

Elizabeth MacDonald, MD, FRCPC

Donna MacNeil, PhD, MD, FRCPC


Collaborating Researchers

Dalhousie Medicine New Brunswick

Dalhousie University

Horizon Health Network

London Health Sciences Centre

Maritime Medical Genetic Services

Maritime SPOR SUPPORT Unit

NB Trauma Program

Nova Scotia Health Authority

University of New Brunswick

University of New Brunswick Saint John

University of Toronto

Vitalité Health Network

Western University

 

Current Studies

  1. Comprehensive Assessment of Neurodegeneration and Dementia (Compass-ND) Study
  2. Caregivers of Persons with Dementia: What They Say is Meaningful and Important  to Them
  3. Timed Up and Go (TUG) Test for Discriminating Between Pre-Frailty and Cognitive Impairment
  4. Creating a Healing Environment for Care of the Aging and Elderly: What Patients, Families, and Nursing Staff Say is Required
  5. Who are the Fallers and why do They Fall? A Comprehensive Study of Falls in Older Adults in a Hospital Setting
  6. Managing Constipation in the Older Patient with Dementia: A Mixed Methods Study
  7. A Descriptive Study of the Use of Emergency Services and Acute Care Hospital by Residents living in Special Care Homes in New Brunswick
  8. Description of a family with Autosomal Dominant Kufs Disease: A rare cause of dementia in young adults
  9. Outcomes in  Older Adults with Isolated Hip Fractures: A Descriptive Epidemiological Study across Regional Hospitals in  New Brunswick
  10. Retrospective Chart Review of Patients Diagnosed with Mild Cognitive Impairment in an Outpatient Geriatric Assessment Clinic
  11. Experiences of Dementia Patients in a Collaborative Care Memory Clinic
  12. Successful  Aging in Place: Indicators from a Memory Clinic Population
  13. Alternate Level of Care: Using the Patient and Caregiver Experience to Guide Health System Performance Measurement
  14. Caring for Caregivers of Aging Canadians: Assessing and Prioritizing Promising Practices and Selecting Interventions for Future Implementation

Research Presentations and published abstracts

1. Falls on Geriatric Hospital Units: What Information Can We Learn from Reports from Nurses? 37th Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2017.

2. Falls on Inpatient Geriatric Units: Which tools predict falls best? 37th Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2017.

3. Canadian Geriatrician and Care of the Elderly Human Resource Update: 2016. 37th Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2017.

4. Which Bedside Tools Predict Falls on Inpatient Geriatric Units? Interprofessional Health Research Day. Saint John, NB. March 2017.

5. Patient Falls in Geriatric Settings: Gleaning Information from Nurses' Reports. Interprofessional Health Research Day. Saint John, NB. March 2017.

6. Why do older adults in assisted living facilities use the emergency department: Are all these visits necessary? Canadian Association of Emergency Physicians 2016 Conference. Quebec City, QC. May 2016.

7. Why Residents from Assisted Living Facilities are admitted to Hospital from the Emergency Department. 36th Canadian Geriatrics Society Annual Scientific Meeting. Vancouver, BC. April 2016.

2015

8. How well does a Memory Clinic Support Patients in a Community? 8th Canadian Conference on Dementia. Ottawa, ON. October 2015.

9. What happens to Alternate Level of Care patients in hospital? Is Dementia a factor? 8th Canadian Conference on Dementia. Ottawa, ON. October 2015.

2013

10. What do We Know about the Patients who are Alternate Level of Care in Horizon Health Network? 33rd Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2013.

11. A Pilot Study Comparing the Screen for the Identification of the Impaired Medically at Risk Driver: A Modification of the DemTect (SIMARD MD) to Clinical Impression of Patients with Dementia or Mild Cognitive Impairment. 33rd Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2013.

12. Quality Improvement Initiative on an Inpatient Geriatric Ward to Improve Documentation and Frequency of Bowel Movements. 33rd Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2013.

13. The Dementia Trilogy: Development of Three Original Booklets about Dementia for Patients and their Families. 33rd Canadian Geriatrics Society Annual Scientific Meeting. Toronto, ON. April 2013.

14. Alternative Level of Care: Patient and Family Perspectives. American Association for Geriatric Psychiatry 2013 Annual Meeting. Los Angeles, CA. March 2013.

15. Measuring Outcomes on an Inpatient Geriatric Evaluation and Management Unit: The Effectiveness of Goal Attainment Scaling in Patients with Dementia. American Association for Geriatric Psychiatry 2013 Annual Meeting. Los Angeles, CA. March 2013.

16. Long Stay Hospital Patients in Acute Care Hospital beds: What does Dementia have to do with this? American Association for Geriatric Psychiatry 2013 Annual Meeting. Los Angeles, CA. March 2013.

17. The Relationship between Dementia and Falling in Long-stay Hospital Patients. American Association for Geriatric Psychiatry 2013 Annual Meeting. Los Angeles, CA. March 2013.

2012

18. Journey across the Care Continuum: Patient and Family Perspectives. The Gerontological Society of America 65th Annual Scientific Meeting. San Diego, CA. November 2012.

19. What do We Know about the Patients who are Alternate Level of Care in Horizon Health Network? 4th Annual New Brunswick Health Research Conference. Fredericton, NB. November 2012.

2011

20. The Relationship between Dementia and Falling in Long-stay Hospital Patients. 6th Canadian Conference on Dementia. Montreal, QC. October 2011.

21. Who are the Alternate Level of Care (ALC) Patients in one Atlantic Canada Community? A description from two New Brunswick Hospitals. 40th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology. Ottawa, ON. October 2011.

22. The Effectiveness of a Hospital Based Falls Prevention Program for Geriatric Patients. 40th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology. Ottawa, ON. October 2011.

23. Challenges of using home health monitoring devices with frail older adults. 40th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology. Ottawa, ON. October 2011.

2010

24. An Evaluation of a Model of Care in a New Brunswick Nursing Home: Transition to Shared-Care with a Nurse Practitioner. The Gerontological Society of America 63rd Annual Scientific Meeting. New Orleans, LA. November 2010.

25. The Feasibility of Using Home Based Technology in Frail Older Adults. Independent@Home: A Pilot Study. 2nd Annual New Brunswick Health Research Conference. Saint John, NB. November 2010.

26. The Effectiveness of Using Goal Attainment Scaling as a Tool to Measure Individualized Outcomes for Patients on a Geriatric Evaluation and Management Unit. 2nd Annual New Brunswick Health Research Conference. Saint John, NB. November 2010.

27. Are we Meeting Guideline Recommendations for Dementia Care in an Outpatient Setting? 2nd Annual New Brunswick Health Research Conference. Saint John, NB. November 2010.

28. Effectiveness of a Review and Reduction Strategy for Patients Receiving Atypical Neuroleptic Treatment for Behavioural and Psychological Symptoms of Dementia (BPSD) on Transitional Care Units (TCUs). 30th Canadian Geriatrics Society Annual Scientific Meeting. Ottawa, ON. April 2010.

29. Patient Related Outcomes of Geriatric Medicine Inpatient Services. 30th Canadian Geriatrics Society Annual Scientific Meeting. Ottawa, ON. April 2010.

30. Effectiveness of Multi-Sensory Stimulation as an Intervention in Treating Behavioural Problems in Patients with Dementia on a Transitional Care Unit. Interprofessional Health Research Day. Saint John, NB. March 2010.

Publications

1. McCloskey, R., Jarrett, P., & Stewart, C. (2015). The Untold Story of Being Designated an Alternate Level of Care Patient. Healthcare Policy, 11(1), 76. 

2. McCloskey, R., Jarrett, P., Stewart, C., & Keeping‐Burke, L. (2015). Recruitment and Retention Challenges in a Technology‐Based Study with Older Adults Discharged from a Geriatric Rehabilitation Unit. Rehabilitation Nursing, 40(4), 249-259.

3. McCloskey, R., Jarrett, P., Stewart, C., & Nicholson, P. (2014). Alternate level of care patients in hospitals: what does dementia have to do with this? Canadian Geriatrics Journal, 17(3), 88.

4. Wernham, M., Jarrett, P. G., Stewart, C., MacDonald, E., MacNeil, D., & Hobbs, C. (2014). Comparison of the SIMARD MD to clinical impression in assessing fitness to drive in patients with cognitive impairment. Canadian Geriatrics Journal, 18(2), 134.

5. Hogan, D. B., Borrie, M., Basran, J. F., Chung, A. M., Jarrett, P. G., Morais, J. A., ... & Stultz, T. (2012). Specialist physicians in geriatrics-report of the Canadian Geriatrics Society Physician Resource Work Group. Canadian Geriatrics Journal, 15(3), 68.

6. McCloskey, R., Jarrett, P., Knudson, C., Quinn, S., and Stewart, C. (2009). Exploring the Role of a Nurse Practitioner in Long-Term Care. Canadian Journal of Geriatrics, 12(4), 10-15.

7. Rockwood, K., Fay, S., Jarrett, P., & Asp, E. (2007). Effect of galantamine on verbal repetition in AD A secondary analysis of the VISTA trial. Neurology, 68(14), 1116-1121.

8. Kamel, S. J., Jarrett, P., & MacDonald, E. (2005). Effectiveness of geriatric evaluation and management units in caring for older adults. Geriatrics Today, 8(3), 104.

9. Jarrett, P.G., Deschenes, P.J., MacDonald, E.A., Thompson, C. (2005). Pharmacy Review Rounds and Medication Appropriateness on a GEMU. Geriatrics Today, 8(1), 21-26.

10. Rockwood, K., Cosway, S., Carver, D., Jarrett, P., Stadnyk, K., & Fisk, J. (1999). The risk of dementia and death after delirium. Age and ageing, 28(6), 551-556.

11. Jarrett, P. G., Rockwood, K., Carver, D., Stolee, P., & Cosway, S. (1995). Illness presentation in elderly patients. Archives of Internal Medicine, 155(10), 1060-1064.

12. Rockwood, K., Cosway, S., Stolee, P., Kydd, D., Carver, D., Jarrett, P., & O'Brien, B. (1994). Increasing the recognition of delirium in elderly patients. Journal of the American Geriatrics Society, 42(3), 252-256.

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