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									    “Research to Action as Canada Ages:
Setting Priorities, Recognizing Opportunities”

     Aboriginal Experiences in Aging Symposium
                 Saskatoon, Canada
                 September 19, 2008
           Canadian Institutes of Health
                 Research (CIHR)
 Major health research agency for Canada
 Launched on June 7, 2000
 Supports 10,000 researchers in universities,
  teaching hospitals, research institutes across
 Replaces the Medical Research Council of
  Canada & National Health Research and
  Development Program of Health Canada
 Establishes a new structure for funding
  research based upon virtual institutes, and a
  multidisciplinary approach
            CIHR - Mission

“To excel, according to internationally
accepted standards of scientific
excellence in the creation of new
 its translation into improved health
for Canadians, more effective health
services and products and a
strengthened Canadian health care
         From Cell to Society:

 Biomedical
 Clinical
 Health services and health systems
 Health of populations, societal and
  cultural dimensions of health, and
                                                             CIHR Grants and Awards Funding:
                                                             Research Themes
Expenditures in Millions of Dollars










                                                         Biomedical                             Clinical                  Health systems/services         Social/Cultural/Environmental/
                                                                                                                                                               Population Health

                                                               199900       200001        200102       200203        200304       200405        200506       200607
                                          Figures include a proportional distribution of projects where researchers had not selected a primary research theme.
                                          Figures do not include CRC’s and NCE’s.
CIHR - Institutes
                            CIHR Expenditures: 1999-2000 vs. 2007-2008
                            ($ Millions)

   Figures exclude CRC’s, CECR’s and NCE’s.
   The Strategic Initiatives figure includes all grants and awards expenditures excluding open competitions.
   Operating Expenditures reported using the appropriation-based accounting method.
    Institute of Aging: Mission

The fundamental
goal of the Institute
of Aging is the
advancement of
knowledge in the
field of aging to
improve the quality
of life and the health
of older Canadians.
       Institute of Aging:
      Strategic Initiatives
 Cognitive Impairment in Aging
 Mobility in Aging
 Canadian Longitudinal Study on
  Aging (CLSA)
 Next: Health Systems
          Cognitive Impairment in Aging

 Caregiving in Dementia: Research Initiatives
    Biological causes / prevention
    Clinical: treatment
    Health services and caregiving: management
        Special populations: rural, ethno-cultural

 Research to Action Program in Dementia: RAPID
    Application of research: requires effective knowledge
     translation (KT)
    Partnerships/collaborations: enhance relevance of
     research and optimize research impact
    Translation of research findings: priority
         Strategic Research Focus:
             Mobility in Aging
 Understanding and defining
 Maintaining and restoring
 Measures, tools, and
  technologies in research,
  assessment and mobility aids
 Supportive designs for
  mobility in aging: housing,
  communities, and
Canadian Longitudinal Study on Aging

    Principal Investigators:
     Parminder Raina, McMaster
     Christina Wolfson, McGill
     Susan Kirkland, Dalhousie
    Canadian Longitudinal Study on
     Aging (CLSA): Research Team

 20 Co-Investigators
 140 collaborators (all provinces)
 20 years: Study ages 45+
 Tracking Component (20,000)
 Comprehensive Component
  10,000 – 30,000 people
 Launch: 2008
  Cdn. Community Health Survey:
    Statistics Canada
                          Proposed CLSA
     Environmental influences
   (e.g., rural, socio-economic, exercise, nutrition)         Chronic diseases
                                                              diabetes, cancer, dementia
                                                              arthritis, cardiac

       e.g., telomeres / oxydative stress
             psychological & cognitive abilities                           Aging
             immune functions

Genetics                                                infections

                                        Health Services Utilization
     Defining Priorities: IA and CIHR

Setting the Strategic Direction:

  Institute Advisory Board
  Public Engagement
  Consultations on Specific Issues (e.g.
  Collaborations with other Institutes
  Partner-Initiated Programs
  Reflecting CIHR-wide Priorities (eg., KT)
                 CIHR - Institute of Aging
                 Institute Advisory Board
                                                                                        17 members :
                                                                                        researchers, voluntary sector,
                                                                                        public citizens, private sector
                     Denise            Max               Louise              Norma      and government agencies
                  Cloutier Fisher     Cynader            Demers            Drosdowech

                                                                                        Expertise :
Howard Bergman
                                                                                        geriatrics, community
    (Chair)                                                                             medicine, nursing, dementia,
                     Carole           Russell             Janice             Peter      biology of aging, ethnicity and
                   Estabrooks         Hepple              Keefe             Lansley     socio-cultural factors,
                                                                                        epidemiology, long-term care,
                                                                                        psychology, diabetes, healthy
                                                                                        aging, family studies,
                                                                                        neuropsychology, nutrition,
                      Verena           Gael             Christopher         Hélène
                      Menec            Page              Patterson          Payette     knowledge translation, health
  Jane Rylett                                                                           policy, geography, assistive
  (Vice Chair)
                                                                                        technology, mobility

                            Frances           Dorothy              Gary
                            Pennell           Pringle              Teare
   Regional Seniors' Workshops on Research

  Regional Seniors’
Workshop on Research
   Atlantic Region
                               Prairies – Regina (June 2004)
                               Atlantic – Halifax (November
                               British Columbia & North
                                Regions – Vancouver (March
                               Ontario – Toronto (November
                               Québec – Montreal (May 2006)
   November 16 – 17, 2004      SUMMARY REPORT: May 2007
    Halifax, Nova Scotia
        Seniors’ Research Workshop Results

The leading health issues identified as priorities for
research on aging by seniors and advocates across the
country were:
 Health care and health services
 The housing-care continuum
 Health promotion
   Strategic Priority Setting: Opportunities

Collaborations with other Institutes
  IAPH on the Rural-Northern Initiative
  ICR on End of Life Care
  IMHA on Arthritis
  INMD on Obesity (diabetes)
  INMHA on Stroke; Mental Health
  IGH on Health Disparities
Partner-Initiated Programs
  Alzheimer Society of Canada
  Cdn. Nurses Foundation
       IA – IAPH –IMHA partnered research

Annette Brown, UBC: “Organization and utilization of
arthritis health services for First Nations peoples living in
the southern mainland area of British Columbia” 2007-
Arthritis more common in First Nations peoples than in
the general population
Study examines how health services are set up and
used by a First Nation
Engaging a specific First Nations community in a
partnership, research will provide policy makers with
recommendations for improvements in healthcare for
arthritis management.
        CIHR Collaborative IA – IAPH funded Projects

 Mark Rosenberg, S. Abonyi and K. Wilson:
  “Aboriginal peoples in Canada: Aging, health and
  health care”. 2006-2007 (pilot)
 Sabrina Wong, UBC: “Group Visits: A potential
  model of delivering primary health care?”. 2007-2010
   patient and provider perspectives about group visits
     and impact on health care in two FN reserves.
 Nancy Edwards, U Ottawa: “First nations falls
  prevention: Engaging elders for community action”.
   Aims to strengthen community capacity to prevent
     falls among Elders in the Mohawk community of
     Akwesasne, engaging Elders in falls prevention.
         Interdisciplinary and Inter-Institute Projects

 Eliminating Oral Health Disparities: Educating
  competent and caring oral health professionals (Aging,
 Diabetic sensory polyneuropathy (INMHA, Aging,
 Investigating the genetic basis of aboriginal glaucoma
  and blindness (IAPH and IG)
 Intersecting Vulnerabilities: Gender, poverty, age and
  aboriginal status in women’s experience of breast and
  gynecological cancers (IGH, IPPH, IAPH, IA)
 Cross-cultural curriculum for delivery and utilization
  of end of life health care services (IA, IHSPR, IC, IAPH)
      Building Research Capacity in Aging

 Significant IA investment

 New Emerging Teams (NETs) (e.g., Morgan)

 Pilot Grants program ($50K for one year; test ‘risky’

 Emerging Team Grants in Mobility and Aging

 Awards, Recognition Prizes, SPA
       Students and Trainees:
       Awards, Prizes and Activities

              The Age+ Award
              Travel Awards

              CIHR IA Recognition Prize in Research in Aging
              CIHR IA Réjean Hébert Prize (CGS)
              CAG-IA Student Poster Competition

CLSA Fellowships – Longitudinal
TEA: Training for Excellence in Aging
       Summer Program in Aging (SPA)

                  National Event:
                   2006 Québec
                     2007 B.C.
                   2008 Ontario
                     2009 N.S.
   Knowledge Translation (KT) is
   the bridge between discovery and impact

           (KT research and practice)

outputs                                 Research impacts

   KT is about making a difference
         Doing KT and KT Research

Knowledge translation is about:
 Making users aware of knowledge and facilitating
  their use of it
 Closing the gap between what we know and what
  we do
 Moving knowledge into action

Knowledge translation research is about:
 Studying the determinants of knowledge use and
  effective methods of promoting the uptake of
          KT: The role of stakeholders

Stakeholders in entire research process:
 Shaping the research questions
 Decisions about methodology
 Helping with data collection and tools
 Interpreting the study findings
 Crafting the message and disseminating the
  research results
 Moving the results into practice / policy
  Partnerships for Health System

 Supports teams of researchers and decision makers to
  conduct applied health systems and services research
  responsive to needs of health care decision makers
 Integrated Knowledge Translation program requires at least
  one decision maker co-applicant, and allows for a decision
  maker to be a principal applicant
 Researchers and decision makers work together from the
  start – including development of research proposal and
  articulation of research question(s) through to dissemination
  of results
     Partnerships for Health Systems Improvement

• Examples of funded projects related to
   • Integration of nurse practitioners in long
     term care
   • Access to end-of-life care for patients with
     life-threatening illness
   • Older adults' access to community support
     services: Service awareness and
     information sources
         Evidence on Tap

Evidence on Tap    Objective
                   To produce high-quality, timely, and accessible
                   evidence that is of immediate interest and use
                   to provincial/territorial decision makers

                   • Demand from provincial/territorial and
                     regional health officials for accessible and
1. Best Brains       timely “user-friendly” evidence to help
   Consultations     inform their decision making
2. Expedited       • Decision makers need evidence faster
   Research          than traditional funding approaches allow
                   • CIHR Act requires CIHR to work with
                     provinces on research needs and to
                     inform policy making
         Pilot Partners

1. Ontario Ministry of Health
   and Long-Term Term Care

2. Saskatchewan Ministry of

3. New Brunswick Department
   of Health

…and researchers from
  across the country!
The Future is AGING!

       Phone: 604-822-0905
       Fax: 604-822-9304

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