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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
Canada
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
knowledge
and
its translation into improved health
for Canadians, more effective health
services and products and a
strengthened Canadian health care
system…”
From Cell to Society:
Biomedical
Clinical
Health services and health systems
Health of populations, societal and
cultural dimensions of health, and
environmental
CIHR Grants and Awards Funding:
Research Themes
$500
Expenditures in Millions of Dollars
$450
$400
$350
$300
$250
$200
$150
$100
$50
$0
Biomedical Clinical Health systems/services Social/Cultural/Environmental/
Population Health
199900 200001 200102 200203 200304 200405 200506 200607
Note:
Figures include a proportional distribution of projects where researchers had not selected a primary research theme.
Figures do not include CRC’s and NCE’s.
CIHR - Institutes
CIHR Expenditures: 1999-2000 vs. 2007-2008
($ Millions)
Note:
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
Partnership
Mobility in Aging
Canadian Longitudinal Study on
Aging (CLSA)
Next: Health Systems
Improvements
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
mobility
Maintaining and restoring
mobility
Measures, tools, and
technologies in research,
assessment and mobility aids
Supportive designs for
mobility in aging: housing,
communities, and
transportation
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
time
Defining Priorities: IA and CIHR
Setting the Strategic Direction:
Institute Advisory Board
Public Engagement
Consultations on Specific Issues (e.g.
Mobility)
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
2004)
British Columbia & North
Regions – Vancouver (March
2005)
Ontario – Toronto (November
2005)
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-
2009
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”.
2005-2008
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,
IPPH, IGH, IAPH)
Diabetic sensory polyneuropathy (INMHA, Aging,
INMD, IAPH)
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’
initiatives)
Emerging Team Grants in Mobility and Aging
Awards, Recognition Prizes, SPA
Students and Trainees:
Awards, Prizes and Activities
Awards:
The Age+ Award
Travel Awards
Prizes:
CIHR IA Recognition Prize in Research in Aging
CIHR IA Réjean Hébert Prize (CGS)
CAG-IA Student Poster Competition
CLSA Fellowships – Longitudinal
Research
TEA: Training for Excellence in Aging
Summer Program in Aging (SPA)
National Event:
2006 Québec
2007 B.C.
2008 Ontario
2009 N.S.
http://www.cihr-irsc.gc.ca/e/33047.html
Knowledge Translation (KT) is
the bridge between discovery and impact
(KT research and practice)
Research
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
knowledge
KT: The role of stakeholders
Stakeholders in entire research process:
Shaping the research questions
Decisions about methodology
Helping with data collection and tools
development
Interpreting the study findings
Crafting the message and disseminating the
research results
Moving the results into practice / policy
Partnerships for Health System
Improvement
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
aging:
• 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
Rationale
• 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
Syntheses
• 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
Health
3. New Brunswick Department
of Health
…and researchers from
across the country!
The Future is AGING!
http://www.cihr-irsc.ca/e/193.html
Phone: 604-822-0905
Fax: 604-822-9304
E-mail:
aging@interchange.ubc.ca
