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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: email@example.com
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