Ian Zenlea
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View article: Automated Insulin Delivery Systems and Glucose Management in Children and Adolescents With Type 1 Diabetes
Automated Insulin Delivery Systems and Glucose Management in Children and Adolescents With Type 1 Diabetes Open
Importance Youth living with type 1 diabetes (T1D) are increasingly choosing automated insulin delivery (AID) systems to manage their blood glucose. Few systematic reviews meta-analyzing results from randomized clinical trials (RCTs) are a…
View article: Insights Into How Digital Health Interventions Shape Outcomes for Emerging Adults Living With Type 1 Diabetes: Qualitative Realist Process Evaluation
Insights Into How Digital Health Interventions Shape Outcomes for Emerging Adults Living With Type 1 Diabetes: Qualitative Realist Process Evaluation Open
Background Emerging adults living with type 1 diabetes (T1D) need targeted support to equip them with the knowledge and motivation required for self-management, particularly as they transition from pediatric to adult care. While multicompo…
View article: Guide de pratique clinique pour la prise en charge de l’obésité chez l’enfant
Guide de pratique clinique pour la prise en charge de l’obésité chez l’enfant Open
CONTEXTE: L’obésité est une maladie chronique complexe et stigmatisante caractérisée par une accumulation anormale ou excessive de graisse corporelle susceptible de nuire à la santé, d’accroître le risque de complications médicales et de r…
View article: Community-based and family-focused mental well-being interventions and programs for immigrant and refugee Communities: A Systematic Scoping Review Protocol
Community-based and family-focused mental well-being interventions and programs for immigrant and refugee Communities: A Systematic Scoping Review Protocol Open
View article: Impact of cardiovascular risk visualization on motivation to self-manage young-onset type 2 diabetes
Impact of cardiovascular risk visualization on motivation to self-manage young-onset type 2 diabetes Open
View article: A Collaborative Response to Addressing Family Violence with Racialized and Diverse Communities During Pandemic Recovery in Peel Region
A Collaborative Response to Addressing Family Violence with Racialized and Diverse Communities During Pandemic Recovery in Peel Region Open
Family violence is a social issue that impacts families and communities every day in Canada and around the world. As family violence rates continue to increase there is an urgent need for cross-sectoral collaboration to codesign social wor…
View article: Managing obesity in children: a clinical practice guideline
Managing obesity in children: a clinical practice guideline Open
This guideline will support children, families, and health care providers to have informed discussions about the balance of benefits and harms for available obesity management interventions to support value- and preference-sensitive decisi…
View article: An audit and feedback‐based intervention to improve diabetes management in the year after transfer to adult type 1 diabetes care: A multi‐center quasi‐experimental study
An audit and feedback‐based intervention to improve diabetes management in the year after transfer to adult type 1 diabetes care: A multi‐center quasi‐experimental study Open
Aim To test whether an audit and feedback‐based intervention improved HbA1c 12 months after transfer to type 1 diabetes adult care. Methods Multi‐centre, quasi‐experimental pre‐post study of an AF‐based intervention targeting paediatric di…
View article: Bridging the gap: a qualitative process evaluation from the perspectives of healthcare professionals of an audit-and-feedback-based intervention to improve transition to adult care for young people living with type 1 diabetes
Bridging the gap: a qualitative process evaluation from the perspectives of healthcare professionals of an audit-and-feedback-based intervention to improve transition to adult care for young people living with type 1 diabetes Open
View article: Using community-based participatory research methods to build the foundation for an equitable integrated health data system within a Canadian urban context
Using community-based participatory research methods to build the foundation for an equitable integrated health data system within a Canadian urban context Open
Health inequalities amplified by the COVID-19 pandemic have disproportionately affected racialized and equity-deserving communities across Canada. In the Municipality of Peel, existing data, while limited, illustrates that individuals from…
View article: Optimizing paediatric specialist referrals for short stature in an era of multiple growth hormone indications
Optimizing paediatric specialist referrals for short stature in an era of multiple growth hormone indications Open
The assessment of growth during infancy and childhood is an essential component of paediatric medicine, as atypical growth may point to the existence of an underlying health condition. To reduce morbidity, it is vital that treatment for gr…
View article: The Role of Occupational Therapy in Improving Participation in Activities of Daily Living (Self-Care, Leisure, Productivity) for Adolescents Aged 10-19 with Type 1 Diabetes: A Scoping Review Protocol
The Role of Occupational Therapy in Improving Participation in Activities of Daily Living (Self-Care, Leisure, Productivity) for Adolescents Aged 10-19 with Type 1 Diabetes: A Scoping Review Protocol Open
View article: An assessment of adaptation and fidelity in the implementation of an audit and feedback-based intervention to improve transition to adult type 1 diabetes care in Ontario, Canada
An assessment of adaptation and fidelity in the implementation of an audit and feedback-based intervention to improve transition to adult type 1 diabetes care in Ontario, Canada Open
Background The fit between an intervention and its local context may affect its implementation and effectiveness. Researchers have stated that both fidelity (the degree to which an intervention is delivered, enacted, and received as intend…
View article: Raising awareness of anti-fat stigma in healthcare through lived experience education: a continuing professional development pilot study
Raising awareness of anti-fat stigma in healthcare through lived experience education: a continuing professional development pilot study Open
Background Anti-fat attitudes and weight-based discrimination are prevalent in healthcare settings and among healthcare practitioners and clinical trainees, and can result in immense harm to patients. There is increasing recognition that a…
View article: Towards a community-driven definition of community wellbeing: A qualitative study of residents
Towards a community-driven definition of community wellbeing: A qualitative study of residents Open
Background Understanding what promotes or hinders a community’s capacity to serve the priorities of its residents is essential for the alignment of citizen needs and governance. Participatory approaches that engage community residents on t…
View article: Health and wellness coaching for Type 2 diabetes prevention: A Systematic Scoping Review Protocol
Health and wellness coaching for Type 2 diabetes prevention: A Systematic Scoping Review Protocol Open
eview question / Objective Objectives -The main objective of this systematic scoping review is to identify, map, and synthesize existing peer-reviewed evidence on health and wellness coaching programs or interventions for T2D prevention.Th…
View article: Text message-based intervention, Keeping in Touch (KiT), to support youth as they transition to adult type 1 diabetes care: a protocol for a multisite randomised controlled superiority trial
Text message-based intervention, Keeping in Touch (KiT), to support youth as they transition to adult type 1 diabetes care: a protocol for a multisite randomised controlled superiority trial Open
Introduction Transition from paediatric to adult care can be challenging for youth living with type 1 diabetes (T1D), as many youth feel unprepared to transfer to adult care and are at high risk for deterioration of glycaemic management an…
View article: Incorporation of patient and family values and preferences for health‐related outcomes in paediatric obesity management: A systematic review
Incorporation of patient and family values and preferences for health‐related outcomes in paediatric obesity management: A systematic review Open
Summary Objective A systematic review of value and preference studies conducted in children and their caregivers related to the estimated benefits and harms of interventions for managing paediatric obesity. Methods We searched Ovid Medline…
View article: A multi-center, randomized, 12-month, parallel-group, feasibility study to assess the acceptability and preliminary impact of family navigation plus usual care versus usual care on attrition in managing pediatric obesity: a study protocol
A multi-center, randomized, 12-month, parallel-group, feasibility study to assess the acceptability and preliminary impact of family navigation plus usual care versus usual care on attrition in managing pediatric obesity: a study protocol Open
Background Pediatric obesity management can be successful, but some families discontinue care prematurely (i.e., attrition), limiting treatment impact. Attrition is often a consequence of barriers and constraints that limit families’ acces…
View article: Adolescent and Caregiver Perspectives on Family Navigation to Improve Healthcare Access and Use for Managing Pediatric Obesity
Adolescent and Caregiver Perspectives on Family Navigation to Improve Healthcare Access and Use for Managing Pediatric Obesity Open
We interviewed families to explore their views on the role of family navigation (FN) to improve access to and use of health services for managing pediatric obesity. From March to December, 2020, we conducted individual, structured telephon…
View article: A multi-centre, randomized, 12-month, parallel-group, feasibility study to assess the acceptability and preliminary impact of family navigation plus usual care versus usual care on attrition in managing pediatric obesity: A study protocol
A multi-centre, randomized, 12-month, parallel-group, feasibility study to assess the acceptability and preliminary impact of family navigation plus usual care versus usual care on attrition in managing pediatric obesity: A study protocol Open
BACKGROUND: Pediatric obesity management can be successful, but some families discontinue care prematurely (i.e., attrition), limiting treatment impact. Attrition is often a consequence of barriers and constraints that limit families’ acce…
View article: Service Provider Perspectives on Exploring Social Determinants of Health Impacting Type 2 Diabetes Management for South Asian Adults in Peel Region, Canada
Service Provider Perspectives on Exploring Social Determinants of Health Impacting Type 2 Diabetes Management for South Asian Adults in Peel Region, Canada Open
Service providers identified social, economic and systemic factors as influencing the higher prevalence of T2D among South Asian individuals. They also identified their important roles in providing culturally appropriate supports to addres…
View article: Design for a Virtual Peer-to-Peer Knowledge to Action Platform for Type 2 Diabetes
Design for a Virtual Peer-to-Peer Knowledge to Action Platform for Type 2 Diabetes Open
Many patients with Type 2 Diabetes (T2D) have difficulty in controlling their disease despite wide-spread availability of high-quality guidelines, T2D education programs and primary care follow-up programs. Current diabetes education and t…
View article: Updating the Canadian clinical practice guideline for managing pediatric obesity: a protocol
Updating the Canadian clinical practice guideline for managing pediatric obesity: a protocol Open
The guideline will support Canadian families and clinicians to make informed, value-sensitive and evidence-based clinical decisions related to managing pediatric obesity. The guideline and accompanying resources for end-users will be publi…
View article: All together: Integrated care for youth with type 1 diabetes
All together: Integrated care for youth with type 1 diabetes Open
The initial findings from this project indicate the acceptability and, to limited extent, the feasibility of an integrated stepped care model embedded in an ambulatory pediatric diabetes clinic led by an interdisciplinary care team. The ca…
View article: A fused mixed-methods approach to thematic analysis of personal networks: Two case studies of caregiver support networks
A fused mixed-methods approach to thematic analysis of personal networks: Two case studies of caregiver support networks Open
Thematic analysis of personal networks involves identifying regularities in network structure and content, and grouping networks into types/clusters, to allow for a holistic understanding of social complexities. We propose an inductive app…
View article: Strategies to reduce attrition in managing paediatric obesity: A systematic review
Strategies to reduce attrition in managing paediatric obesity: A systematic review Open
Summary Objective To conduct a systematic review of the literature for strategies designed to reduce attrition in managing paediatric obesity. Methods We searched Ovid Medline (1946 to May 6, 2020), Ovid Embase (1974 to May 6, 2020), EBSCO…
View article: Implementing integrated care pilot projects in hospital settings – an exploration of disruptive practices
Implementing integrated care pilot projects in hospital settings – an exploration of disruptive practices Open
Purpose In Canada, integrated care pilot projects are often implemented as a local reform strategy to improve the quality of patient care and system efficiencies. In the qualitative study reported here, the authors explored the experiences…
View article: Using Person-Reported Outcomes (PROs) to Motivate Young People with Diabetes
Using Person-Reported Outcomes (PROs) to Motivate Young People with Diabetes Open
Purpose of Review This manuscript describes how person-reported outcomes (PROs) can be utilized in care for young people with diabetes in the context of motivation. Recent Findings The use of person-reported outcome measures (PROMS) in cli…
View article: Testing an audit and feedback-based intervention to improve glycemic control after transfer to adult diabetes care: protocol for a quasi-experimental pre-post design with a control group
Testing an audit and feedback-based intervention to improve glycemic control after transfer to adult diabetes care: protocol for a quasi-experimental pre-post design with a control group Open