Doug Klein
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View article: Development and validation of a rheumatoid arthritis case definition: a machine learning approach using data from primary care electronic medical records
Development and validation of a rheumatoid arthritis case definition: a machine learning approach using data from primary care electronic medical records Open
A case definition for RA in using primary care EMR data was developed based off the XGBoost algorithm. With high validity metrics, this case definition is expected to be a reliable tool for future epidemiological research and surveillance …
View article: Exploring Iron Deficiency in Alberta: Following up on Clinical Observations
Exploring Iron Deficiency in Alberta: Following up on Clinical Observations Open
CONTEXT: Iron deficiency (ID) is a common and preventable micronutrient deficiency, affecting cognitive development, immune function, and well-being of individuals, and leading to substantial health care costs. OBJECTIVE: Our study investi…
View article: The role of the primary healthcare research community in addressing the social and structural determinants of health: a call to action from NAPCRG 2023
The role of the primary healthcare research community in addressing the social and structural determinants of health: a call to action from NAPCRG 2023 Open
The need for effective primary healthcare to address social and structural determinants of health and to mitigate health inequalities has been well established. Here, we report on the international forum of the 2023 NAPCRG (formerly known …
View article: Study protocol for a single-arm pilot trial investigating the feasibility of a multimodal digital technology for managing metabolic syndrome in patients with chronic obstructive pulmonary disease
Study protocol for a single-arm pilot trial investigating the feasibility of a multimodal digital technology for managing metabolic syndrome in patients with chronic obstructive pulmonary disease Open
View article: Exploratory analysis of the variable response to an intensive lifestyle change program for metabolic syndrome
Exploratory analysis of the variable response to an intensive lifestyle change program for metabolic syndrome Open
View article: Exploratory Analysis of the Variable Response to an Intensive Lifestyle Change Program for Metabolic Syndrome
Exploratory Analysis of the Variable Response to an Intensive Lifestyle Change Program for Metabolic Syndrome Open
Background Wide variability in response to lifestyle interventions has been recognized for many years, and researchers have begun to disentangle sources of error from inherent differences in individual responsiveness. The objective of this…
View article: Metabolic Rehab in Primary Care: Evaluating the CHANGE Protocol
Metabolic Rehab in Primary Care: Evaluating the CHANGE Protocol Open
CONTEXT: Metabolic syndrome (MetS) refers to a combination of factors (dyslipidemia, elevated glucose and triglycerides, high blood pressure, and high abdominal fat distribution) that increase the risk for cardiovascular disease (CVD) and …
View article: Measuring severe obesity in pediatrics: A cohort study
Measuring severe obesity in pediatrics: A cohort study Open
Purpose: To examine cross-sectional and longitudinal relationships between body mass index (BMI)-derived metrics for measuring severe obesity (SO) using the Centers for Disease Control and Prevention (CDC) and World Health Organization (WH…
View article: Canadian family medicine residency program survey of physical activity curriculum content
Canadian family medicine residency program survey of physical activity curriculum content Open
Background: Physical activity (PA) is an important contributor to the health of Canadians. However, the extent that PA is included in family medicine residents' education is largely unknown. This study surveyed curriculum experts in Canadi…
View article: Relationship between Cardiometabolic Factors and the Response of Blood Pressure to a One-Year Primary Care Lifestyle Intervention in Metabolic Syndrome Patients
Relationship between Cardiometabolic Factors and the Response of Blood Pressure to a One-Year Primary Care Lifestyle Intervention in Metabolic Syndrome Patients Open
Systemic hypertension has been recognized as a modifiable traditional cardiovascular risk factor and influenced by many factors such as eating habits, physical activity, diabetes, and obesity. The objective of this cross-sectional study wa…
View article: Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care
Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care Open
View article: Modified Delphi Process to Identify Research Priorities and Measures for Adult Lifestyle Programs to Address Type 2 Diabetes and Other Cardiometabolic Risk Conditions
Modified Delphi Process to Identify Research Priorities and Measures for Adult Lifestyle Programs to Address Type 2 Diabetes and Other Cardiometabolic Risk Conditions Open
This first effort confirms broad agreement on research priorities and limited agreement on core indicators/measures. The results provide a starting point for further development of common measures for implementation research in lifestyle s…
View article: Key Process Features of Personalized Diet Counselling in Metabolic Syndrome: Secondary Analysis of Feasibility Study in Primary Care
Key Process Features of Personalized Diet Counselling in Metabolic Syndrome: Secondary Analysis of Feasibility Study in Primary Care Open
Background: Personalized diet counselling, as part of lifestyle change programs for cardiometabolic risk conditions (combinations of prediabetes or type 2 diabetes, hypertension, dyslipidemia and high waist circumference) has been shown to…
View article: Evaluation of Latent Models Assessing Physical Fitness and the Healthy Eating Index in Community Studies: Time-, Sex-, and Diabetes-Status Invariance
Evaluation of Latent Models Assessing Physical Fitness and the Healthy Eating Index in Community Studies: Time-, Sex-, and Diabetes-Status Invariance Open
Accurate measurement requires assessment of measurement equivalence/invariance (ME/I) to demonstrate that the tests/measurements perform equally well and measure the same underlying constructs across groups and over time. Using structural …
View article: Research Priorities and Indicators for Lifestyle Programs to Address Cardiometabolic Conditions
Research Priorities and Indicators for Lifestyle Programs to Address Cardiometabolic Conditions Open
Background: Cardiometabolic conditions are a major and growing health burden in many countries. At least one-third of middle-aged adults with overweight and obesity develop various combinations of type 2 diabetes, hypertension, dyslipidemi…
View article: A Time-, Gender-, and Disease-State Invariant Model of Fitness Across the Adult Lifespan
A Time-, Gender-, and Disease-State Invariant Model of Fitness Across the Adult Lifespan Open
In studies of community-based health behavior interventions (diet and physical activity) one goal in analysis is to show expected relationships between measures of intervention and clinically relevant outcomes. Many programs fail to show s…
View article: Does Change Predict Change in the CHANGE Intervention Study?
Does Change Predict Change in the CHANGE Intervention Study? Open
Does change in one lifestyle factor (e.g., exercise/fitness) help explain change in another factor or process (i.e., dietary behavior or cardiovascular risk)? The current modeling was a secondary analysis of a primary care feasibility stud…
View article: Effect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings
Effect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings Open
Implementation of the online PREPARE program in primary care and cancer care clinics increased advance care planning engagement among patients.
View article: Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course
Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course Open
View article: Improving Obesity Management Training in Family Medicine: Multi-methods evaluation of the 5AsT-MD Pilot Course
Improving Obesity Management Training in Family Medicine: Multi-methods evaluation of the 5AsT-MD Pilot Course Open
Background: Quality, evidence-based obesity management training for family medicine residents is needed to better support patients. To address this gap, we developed a comprehensive course based on the 5As of Obesity Management™ (ASK, ASSE…
View article: OP06 Primary care clinicians’ confidence, willingness and participation in advance care planning discussions: a multi-site survey
OP06 Primary care clinicians’ confidence, willingness and participation in advance care planning discussions: a multi-site survey Open
Background People who engage in advance care planning (ACP) are more likely to receive healthcare that is concordant with their goals and wishes at the end of life. Primary care providers are ideally positioned to facilitate ACP. This stud…
View article: Improving Obesity Management Training in Family Medicine: Multi-methods evaluation of the 5AsT-MD Pilot Course
Improving Obesity Management Training in Family Medicine: Multi-methods evaluation of the 5AsT-MD Pilot Course Open
Background : Quality, evidence-based obesity management training for family medicine residents is needed to better support patients. To address this gap, we developed a comprehensive course based on the 5As of Obesity Management™ (ASK, ASS…
View article: Primary care clinicians’ confidence, willingness participation and perceptions of roles in advance care planning discussions with patients: a multi-site survey
Primary care clinicians’ confidence, willingness participation and perceptions of roles in advance care planning discussions with patients: a multi-site survey Open
Background People who engage in advance care planning (ACP) are more likely to receive health care that is concordant with their goals at the end of life. Little discussion of ACP occurs in primary care. Objective The objective of this stu…
View article: Improving Obesity Management Training in Family Medicine: Multi-methods evaluation of the 5AsT-MD Pilot Course
Improving Obesity Management Training in Family Medicine: Multi-methods evaluation of the 5AsT-MD Pilot Course Open
Background Prevention and management of obesity is integral to family medicine. Yet, physicians lack training and confidence to effectively address weight concerns with patients. Quality, evidence-based obesity management training for fami…
View article: Nutrient intake and dietary quality changes within a personalized lifestyle intervention program for metabolic syndrome in primary care
Nutrient intake and dietary quality changes within a personalized lifestyle intervention program for metabolic syndrome in primary care Open
A team-based 12-month lifestyle program for the treatment of metabolic syndrome (MetS) (involving physicians, registered dietitians (RDs), and kinesiologists) was previously shown to reverse MetS in 19% of patients (95% confidence interval…
View article: Short Graphic Values History Tool for decision making during serious illness
Short Graphic Values History Tool for decision making during serious illness Open
Objectives To develop and validate a values clarification tool, the Short Graphic Values History Tool (GVHT), designed to support person-centred decision making during serious illness. Methods The development phase included input from expe…
View article: Patient experiences of a lifestyle program for metabolic syndrome offered in family medicine clinics: a mixed methods study
Patient experiences of a lifestyle program for metabolic syndrome offered in family medicine clinics: a mixed methods study Open
View article: Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems
Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems Open
Lifestyle behaviours are contributing to the increasing incidence of chronic disease across all developed countries. Australia, Canada and the UK have had different approaches to the role of primary care in the prevention and management of…
View article: Older patient engagement in advance care planning in Canadian primary care practices: Results of a multisite survey.
Older patient engagement in advance care planning in Canadian primary care practices: Results of a multisite survey. Open
Many patients have engaged in some ACP activities, but few have discussed ACP with their family physicians. Strategies should be implemented in primary care to reduce the barriers to discussing ACP.
View article: Barriers to and enablers of advance care planning with patients in primary care: Survey of health care providers.
Barriers to and enablers of advance care planning with patients in primary care: Survey of health care providers. Open
In primary care, there are barriers to engaging patients in ACP at the patient, provider, and system levels that could potentially be addressed through the informed development of multifaceted interventions.