Samir K. Sinha
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View article: Maximizing Ageing Using Volunteer Engagement (MAUVE): one health system’s journey to spread a volunteer-based intervention for acutely ill older adults – a prospective observational study
Maximizing Ageing Using Volunteer Engagement (MAUVE): one health system’s journey to spread a volunteer-based intervention for acutely ill older adults – a prospective observational study Open
Objectives Older inpatients face a higher risk of delirium, falls and functional decline during hospital stays. Volunteer programmes have been shown to improve patient outcomes in single settings, but little is known about their implementa…
View article: Building a Rational Clinical Information System for Older Adults in Acute Care: The Role of the interRAI Acute Care Suite
Building a Rational Clinical Information System for Older Adults in Acute Care: The Role of the interRAI Acute Care Suite Open
Prior research has identified gaps in the ability of hospital systems to efficiently and meaningfully characterize older adults with complex health needs. We recruited community-dwelling older adults presenting to 10 Emergency Departments …
View article: Caregiver Burden and 30-Day Emergency Department Revisits
Caregiver Burden and 30-Day Emergency Department Revisits Open
Importance Caregivers of community-dwelling older adults play a protective role in emergency department (ED) care transitions. When the demands of caregiving result in caregiver burden, ED returns can ensue. Objective To develop models des…
View article: Volunteer Programs for Hospitalized Older Adults in North America, Europe, and Australia: A Scoping Review
Volunteer Programs for Hospitalized Older Adults in North America, Europe, and Australia: A Scoping Review Open
Due to the rapidly aging population, hospitals are increasingly caring for more older patient. Implementing volunteer programs focused on providing care to hospitalized older adults is a way for hospitals to better support them. Despite th…
View article: Predictors of suicidality in critical care ICU patients after discharge: A cross-sectional study
Predictors of suicidality in critical care ICU patients after discharge: A cross-sectional study Open
Background: Suicidality is a critical concern among patients recovering from intensive care unit (ICU) admissions due to their heightened vulnerability to psychological stressors and psychiatric illness. Quantitative studies specifically e…
View article: Using the Staircase Approach to increase movement: a systematic search and review to inform a novel sedentary behaviour intervention for older adults
Using the Staircase Approach to increase movement: a systematic search and review to inform a novel sedentary behaviour intervention for older adults Open
Introduction Traditional approaches to supporting older adults in adopting and maintaining an active lifestyle have largely failed. The previously proposed “Staircase Approach” offers a new foundation for developing interventions and publ…
View article: Growing Older Together: A Brief Report Comparing the Long-Term Care Systems in Australia and Canada
Growing Older Together: A Brief Report Comparing the Long-Term Care Systems in Australia and Canada Open
Context: Australia and Canada are both currently working to improve their long-term care systems to, respectively, meet the growing needs of their ageing populations. Perspective: International long-term care system comparisons between sim…
View article: Characteristics of hypertension and its impact on cognitive functions in older adults: a cross-sectional study
Characteristics of hypertension and its impact on cognitive functions in older adults: a cross-sectional study Open
Background Hypertension is a potentially modifiable risk factor for cognitive decline. Understanding the variables of hypertension related to cognitive functions will help in mitigating the risk. Objective The study aims to assess the char…
View article: Patterns of referral to interprofessional services among frail older adults presenting to emergency departments in Canada
Patterns of referral to interprofessional services among frail older adults presenting to emergency departments in Canada Open
Background Geriatric Emergency Department (ED) Guidelines recommend optimizing transitions of care for older patients with complex needs. In this study, we investigated referral patterns to interprofessional services, including occupationa…
View article: Attitudes, Beliefs, and Self-Reported Rates of Influenza and COVID-19 Vaccinations in the Canadian 2023–2024 National Influenza and Respiratory Viruses Survey
Attitudes, Beliefs, and Self-Reported Rates of Influenza and COVID-19 Vaccinations in the Canadian 2023–2024 National Influenza and Respiratory Viruses Survey Open
Background: We conducted a cross-sectional, online survey of adult Canadian residents to evaluate their attitudes and beliefs about vaccination against respiratory viruses, particularly influenza and coronavirus 2019 (COVID-19). Methodolog…
View article: Resilience for working in Ontario home and community care: registered practical nurses need the support of themselves, family and clients, and employers
Resilience for working in Ontario home and community care: registered practical nurses need the support of themselves, family and clients, and employers Open
The process of building and maintaining resilience by RPNs working in the home and community care sector was guided by the day-to-day experiences of providing care for clients and the conditions of being a mobile health care provider. Howe…
View article: Caregivers’ burden of care during emergency department care transitions among older adults: a mixed methods cohort study
Caregivers’ burden of care during emergency department care transitions among older adults: a mixed methods cohort study Open
Objective Improving care transitions for older adults can reduce emergency department (ED) revisits, and the strain placed upon caregivers. We analyzed whether caregivers felt a change in burden following a care transition, and what may be…
View article: Impact of an intergenerational program to improve loneliness and social isolation in older adults initiated at the time of emergency department discharge: study protocol for a three-arm randomized clinical trial
Impact of an intergenerational program to improve loneliness and social isolation in older adults initiated at the time of emergency department discharge: study protocol for a three-arm randomized clinical trial Open
Background Social isolation and loneliness (SIL) worsens mortality and other outcomes among older adults as much as smoking. We previously tested the impact of the HOW R U? intervention using peer support from similar-aged volunteers and d…
View article: A Leave of Absence Might Not Be a Bad Thing: Registered Practical Nurses Working in Home Care During the COVID-19 Pandemic
A Leave of Absence Might Not Be a Bad Thing: Registered Practical Nurses Working in Home Care During the COVID-19 Pandemic Open
To describe the resilience and emotional intelligence of Registered Practical Nurses working in Home and Community Care during the COVID-19 pandemic. Specifically, to determine if there was a relationship between resilience and emotional i…
View article: The clinical use of personal hearing amplifiers in facilitating accessible patient–provider communication: A scoping review
The clinical use of personal hearing amplifiers in facilitating accessible patient–provider communication: A scoping review Open
Background Older adults with hearing loss struggle to communicate with care providers and experience higher mortality rates when hospitalized (Genther et al., 2015), even after controlling for age and comorbidities. Personal hearing amplif…
View article: Impact of a peer-support programme to improve loneliness and social isolation due to COVID-19: does adding a secure, user friendly video-conference solution work better than telephone support alone? Protocol for a three-arm randomised clinical trial
Impact of a peer-support programme to improve loneliness and social isolation due to COVID-19: does adding a secure, user friendly video-conference solution work better than telephone support alone? Protocol for a three-arm randomised clinical trial Open
Introduction The COVID-19 pandemic has forced the implementation of physical distancing and self-isolation strategies worldwide. However, these measures have significant potential to increase social isolation and loneliness. Among older pe…
View article: Implementation of the Acute Care for Elders Strategy to Improve the Quality of Care Transitions in Quebec and Ontario: a Retrospective Multiple Case Study
Implementation of the Acute Care for Elders Strategy to Improve the Quality of Care Transitions in Quebec and Ontario: a Retrospective Multiple Case Study Open
Background In 2016, two Canadian hospitals participated in a quality improvement (QI) program, the International Acute Care for Elders (ACE) Collaborative, and sought to adapt and implement a transition coach intervention (TCI). Both hospi…
View article: Impact of a Novel Multi-Specialist Telemedicine Consultation Program Model of Care for Homebound Older Adults
Impact of a Novel Multi-Specialist Telemedicine Consultation Program Model of Care for Homebound Older Adults Open
BACKGROUND: In 2015, a centralised Multi-Specialist Telemedicine (TM) Consultation Program was established to improve access to specialist care and enhance continuity of care for homebound older adults in Toronto, Canada. Community-dwellin…
View article: Commentary: Minding the Gap – Why Wage Parity Is Crucial for the Care of Older Canadians
Commentary: Minding the Gap – Why Wage Parity Is Crucial for the Care of Older Canadians Open
Zagrodney and colleagues (2023) have highlighted the pay differences that exist between those working in the home and community care (HCC) sector and other healthcare sectors. The authors argue that achieving wage parity could significantl…
View article: Exacerbated inequalities: A scoping review of the experiences of older persons during conflict situations
Exacerbated inequalities: A scoping review of the experiences of older persons during conflict situations Open
Background We conducted the first known comprehensive literature review to (1) identify, categorize, and summarize the existing knowledge about the experiences of older persons and their caregivers during conflict situations; (2) identify …
View article: Cost-utility analysis of a multispecialty interprofessional team dementia care model in Ontario, Canada
Cost-utility analysis of a multispecialty interprofessional team dementia care model in Ontario, Canada Open
Objectives To examine the cost-effectiveness of Multi-specialty INterprofessional Team (MINT) Memory Clinic care in comparison to the provision of usual care. Design Using a Markov-based state transition model, we performed a cost-utility …
View article: Development and validation of a hospital frailty risk measure using Canadian clinical administrative data
Development and validation of a hospital frailty risk measure using Canadian clinical administrative data Open
The CIHI HFRM is a valid tool showing good discriminatory power for several adverse outcomes. The tool can be used by decision-makers and researchers by providing information on hospital-level prevalence of frailty to support system-level …
View article: Characteristics and practice patterns of family physicians who provide home visits in Ontario, Canada: a cross-sectional study
Characteristics and practice patterns of family physicians who provide home visits in Ontario, Canada: a cross-sectional study Open
A small subset of home visit physicians provided a large proportion of home visits in Ontario. These home visits may be addressing a gap in access to primary care for certain patients, but could be contributing to lower continuity of care.
View article: Report on fraying resilience among the Ontario Registered Practical Nurse Workforce in long‐term care homes during <scp>COVID</scp>‐19
Report on fraying resilience among the Ontario Registered Practical Nurse Workforce in long‐term care homes during <span>COVID</span>‐19 Open
Aim Registered Practical Nurses (RPNs) are frontline healthcare providers in Ontario long‐term care (LTC) homes. Throughout COVID‐19, RPNs working in LTC homes experienced prolonged lockdowns, challenging working conditions, and inadequate…