Pamela Roach
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View article: Validation of the Care Partner Stress Scale in the CAN-PROTECT Study
Validation of the Care Partner Stress Scale in the CAN-PROTECT Study Open
Background Family and friend care partners play a vital role in supporting individuals with neurocognitive disorders, such as Alzheimer disease and related dementias. Care partners are often uncompensated and face unique, multifaceted chal…
View article: Navigating policy and infrastructure inequities in Indigenous primary health care: A qualitative comparative policy analysis of Alberta and Ontario
Navigating policy and infrastructure inequities in Indigenous primary health care: A qualitative comparative policy analysis of Alberta and Ontario Open
The capacity of primary health care (PHC) systems to provide high-quality, culturally safe care for Indigenous Peoples depends on strong and sustainable system infrastructure—including physical facilities, human resources, information syst…
View article: Culturally safe interventions for Indigenous people living with dementia: an empty scoping review and urgent call to action
Culturally safe interventions for Indigenous people living with dementia: an empty scoping review and urgent call to action Open
Colonization and ongoing colonial policies and practices are contributing to increased dementia rates in Indigenous populations. This health inequity could be addressed by implementing culturally safe dementia interventions specifically de…
View article: Understanding disparities in access to and quality of surgical care for African, Caribbean and Black communities in high-income countries with universal healthcare: a scoping review protocol
Understanding disparities in access to and quality of surgical care for African, Caribbean and Black communities in high-income countries with universal healthcare: a scoping review protocol Open
Introduction African, Caribbean and Black (ACB) communities experience disparities in health outcomes, with higher rates of chronic diseases, such as heart disease and stroke, and lower self-reported health status compared to their White c…
View article: Using the COVID-19 pandemic to reimagine global health teaching in high-income countries
Using the COVID-19 pandemic to reimagine global health teaching in high-income countries Open
The COVID-19 pandemic has changed how we live, work and communicate. Global health teaching is no exception. Across universities, professors like us have had to quickly redesign our courses, and deliver them virtually, even as the pandemic…
View article: Ready to Practice Indigenous Health Research? An Integrative Framework of Indigenous Health Research Competencies for NEIHR Network Evaluation, Training, and Selection
Ready to Practice Indigenous Health Research? An Integrative Framework of Indigenous Health Research Competencies for NEIHR Network Evaluation, Training, and Selection Open
Background: National Environments for Indigenous Health Research (NEIHR) are funded across Canadian provinces to enhance capacities for Indigenous health research. While capacities are required at political, organizational, and individual …
View article: Epilepsy in the Indigenous peoples in Canada, Australia, New Zealand, and the USA: a systematic scoping review
Epilepsy in the Indigenous peoples in Canada, Australia, New Zealand, and the USA: a systematic scoping review Open
Health Research Council of New Zealand.
View article: Menopausal symptom burden as a predictor of mid- to late-life cognitive function and mild behavioral impairment symptoms: A CAN-PROTECT study
Menopausal symptom burden as a predictor of mid- to late-life cognitive function and mild behavioral impairment symptoms: A CAN-PROTECT study Open
Background Recent evidence suggests the experience of menopausal symptoms (i.e., perimenopausal symptoms) may be associated with cognitive and behavioural changes. We investigated these two relationships in a sample of postmenopausal femal…
View article: Canadian Stroke Best Practice Recommendations: Vascular cognitive impairment, 7th edition practice guidelines update, 2024
Canadian Stroke Best Practice Recommendations: Vascular cognitive impairment, 7th edition practice guidelines update, 2024 Open
The Canadian Stroke Best Practice Recommendations (CSPR) 7th edition includes this new module on the diagnosis and management of vascular cognitive impairment (VCI) with or without neurodegenerative disease. An expert writing group and peo…
View article: Vascular risk factor associations with subjective cognitive decline and mild behavioural impairment
Vascular risk factor associations with subjective cognitive decline and mild behavioural impairment Open
Subjective cognitive decline and mild behavioural impairment identify older persons more likely to have early Alzheimer’s disease. Vascular co-pathologies may also contribute to new onset and persistent cognitive and behavioural symptoms l…
View article: Cognitive, Behavioral, and Functional Outcomes of Suspected Mild Traumatic Brain Injury in Community-Dwelling Older Persons Without Mild Cognitive Impairment or Dementia
Cognitive, Behavioral, and Functional Outcomes of Suspected Mild Traumatic Brain Injury in Community-Dwelling Older Persons Without Mild Cognitive Impairment or Dementia Open
smTBI at any point in the life course is linked to poorer cognition and behavior even in community-dwelling older persons without MCI or dementia. Older persons with smTBI may benefit from early dementia risk assessment using tools that me…
View article: Evaluation of a longitudinal Indigenous health elective in family medicine
Evaluation of a longitudinal Indigenous health elective in family medicine Open
Background: In response to the Truth and Reconciliation Commission of Canada Calls to Action 22 to 24 around health, the Department of Family Medicine at the University of Calgary piloted a novel Indigenous Health Longitudinal Elective (IH…
View article: Redefining professionalism to improve health equity in competency based medical education (CBME): A qualitative study
Redefining professionalism to improve health equity in competency based medical education (CBME): A qualitative study Open
Purpose There is a pressing need to address all forms of anti-oppression in medicine, given systemic harm and inequities in care and outcomes for patients and health care professionals from equity-deserving groups. Revising definitions of…
View article: Advancing Indigenous primary health care research and education capacity: a qualitative study in Alberta, Canada
Advancing Indigenous primary health care research and education capacity: a qualitative study in Alberta, Canada Open
Background/Purpose The study explores the perspectives of family physicians in Alberta regarding Indigenous health research education within the framework of primary health care (PHC). Recognizing the key role of PHC in healthcare system, …
View article: Indigenous maternal and infant outcomes and women's experiences of midwifery care: A mixed‐methods systematic review
Indigenous maternal and infant outcomes and women's experiences of midwifery care: A mixed‐methods systematic review Open
Background The impact of midwifery, and especially Indigenous midwifery, care for Indigenous women and communities has not been comprehensively reviewed. To address this knowledge gap, we conducted a mixed‐methods systematic review to unde…
View article: Exploring Transitions in Care Among Patients with Head and Neck Cancer: A Multimethod Study
Exploring Transitions in Care Among Patients with Head and Neck Cancer: A Multimethod Study Open
Background: Patients with head and neck cancers (HNC) experience many transitions in care (TiC), occurring when patients are transferred between healthcare providers and/or settings. TiC can compromise patient safety, decrease patient sati…
View article: First Nations Patients’ Experience Receiving Care for Cleft Lip and Palate in a Multidisciplinary Clinic Setting
First Nations Patients’ Experience Receiving Care for Cleft Lip and Palate in a Multidisciplinary Clinic Setting Open
Purpose: Our small-scale qualitative study sought to explore the experiences of Indigenous patients receiving care for cleft lip and/or palate at a multidisciplinary clinic. There currently are no published studies that demonstrate the exp…
View article: The association between applicant gender and racial or ethnic identity and success in the admissions process at a Canadian medical school: a prospective cohort study
The association between applicant gender and racial or ethnic identity and success in the admissions process at a Canadian medical school: a prospective cohort study Open
Background: Canadian data suggests that Black candidates may be less successful than other groups when applying to medical school. We sought to comprehensively describe the racial and/or ethnic identity, gender identity, sexual orientation…
View article: Colonial drivers and cultural protectors of brain health among Indigenous peoples internationally
Colonial drivers and cultural protectors of brain health among Indigenous peoples internationally Open
Despite relatively higher rates of dementia among Indigenous populations internationally, research into drivers of disparities in brain health and cognitive function has tended to focus on modifiable risk factors over cultural understandin…
View article: The Canadian platform for research online to investigate health, quality of life, cognition, behaviour, function, and caregiving in aging (CAN-PROTECT): study protocol, platform description, and preliminary analyses
The Canadian platform for research online to investigate health, quality of life, cognition, behaviour, function, and caregiving in aging (CAN-PROTECT): study protocol, platform description, and preliminary analyses Open
Background Preventing or reducing the risk of cognitive decline and dementia is of great public health interest. Longitudinal data from diverse samples are needed to properly inform clinicians, researchers, and policy makers. CAN-PROTECT i…
View article: Access, Relationships, Quality and Safety (ARQS): a qualitative study to cocreate an Indigenous patient experience tool for virtual primary care
Access, Relationships, Quality and Safety (ARQS): a qualitative study to cocreate an Indigenous patient experience tool for virtual primary care Open
Background Perspectives from Indigenous peoples and their primary care providers about the quality and impacts of virtual primary care for Indigenous patients are currently limited. This study engaged Indigenous patients and their primary …
View article: Experiences of People Living with Dementia and their Care Partners in Participating in Outdoor Activities
Experiences of People Living with Dementia and their Care Partners in Participating in Outdoor Activities Open
Background There is increasing evidence for non‐pharmacological interventions to prevent dementia and delay disease progression. Outdoor recreational activities, such as visits to local parks, may help improve behavioural symptoms of demen…
View article: Informing critical indigenous health education through critical reflection: A qualitative consensus study
Informing critical indigenous health education through critical reflection: A qualitative consensus study Open
Objective: To examine experiences of anti-Indigenous racism in a Canadian medical school and inform the development of critical and action-oriented Indigenous health education necessary to pave the way for reconciliation within health syst…
View article: Evaluating transformative health leadership education for Indigenous health: a mixed methods study
Evaluating transformative health leadership education for Indigenous health: a mixed methods study Open
Background There is an urgent need to improve structural competency and anti-racism education across health systems. Many leaders in health systems have the ability and responsibility to play a significant role in policy change and transfo…