PROGRESS REPORT CANADIAN DEMENTIA KNOWLEDGE TRANSLATION NETWORK FUNDING PERIOD OF REPORT: APRIL 1, 2011 TO MARCH 31, 2012 PRINCIPAL INVESTIGATOR: KENNETH ROCKWOOD CONTACT INFORMATION: KENNETH.ROCKWOOD@DAL.CA 1421- 5955 VETERANS’ MEMORIAL LANE HALIFAX, NOVA SCOTIA B3H 2E1 (902) 473-8631 DATE OF REPORT: MAY 11, 2012 Table of Contents SECTION 1: MANAGEMENT ............................................................................................................ 1 1.1. Governance/organizational structure .............................................................................. 1 1.2. Evidence of Regional, Provincial and International Linkages to CDKTN .......................... 2 1.3. Website and Key Communication Media......................................................................... 2 SECTION 2: TRAINING AND EDUCATION ....................................................................................... 5 2.1. Building Capacity in the AD&D Research Community ..................................................... 5 2.2. Building Capacity in the Knowledge User Community..................................................... 6 2.3. Postdoctoral Training and Mentoring Activities .............................................................. 7 2.4. Research Projects and Activities Addressing Ethnic, Gender and Sex ............................. 7 2.5. Research Projects and Activities Addressing Ethics ......................................................... 7 SECTION 3: KNOWLEDGE TRANSLATION OUTCOMES .................................................................. 8 3.1. Applications of research knowledge to KT&E .................................................................. 8 3.2. KT activities to link Researchers, trainees and knowledge users .................................... 9 SECTION 4: RESEARCH .................................................................................................................. 10 4.1. Research and Projects Supported by Grant Funds ........................................................ 10 SECTION 5: PARTNERSHIPS .......................................................................................................... 12 SECTION 6: COMMENTS ............................................................................................................... 14 Appendix 1a GOVERNANCE/ORGANIZATIONAL STRUCTURE .................................................................................................... i 1b Membership of CDKTN Management Committee ............................................................................................... ii 1c CDKTN National Advisory Board ......................................................................................................................... iii 1d Canadian Dementia Resource and Knowledge Exchange (CDRAKE) Steering Committee ................................. iv 1e CDKTN Network Personnel: ................................................................................................................................. v 1f CDKTN: A Network Integrated Effort and Focus.................................................................................................. vi 1g Evaluation-Based Strategic Planning for CDKTN .............................................................................................. viii 1h Google Analytics www.lifeandminds.ca ........................................................................................................... xiii 1i National E-Newsletter ....................................................................................................................................... xvi 1j Weekly Media Monitoring Reports .................................................................................................................. xvii 1k Membership of Canadian Dementia Knowledge Translation Network .......................................................... xviii 1l Website Analytics for www.dementiaknowledgebroker.ca ........................................................................... xxviii 1m CDKTN development pictured in a timeline. ...................................................................................................xxix 1n CDKTN posters ................................................................................................................................................. xxx 1o CDRAKE Online Events Collateral.....................................................................................................................xxxi 2a Building Capacity in the AD&D Research Community .................................................................................... xxxv 2b Knowledge User – Webinars......................................................................................................................... xxxvii 2c Research Projects Building Capacity among Care Givers ............................................................................... xxxix 2d Knowledge User – Media, Articles and Interviews ............................................................................................. xl 2e Knowledge User – Projects .............................................................................................................................. xliii 2f Knowledge User – Conference Events .............................................................................................................. xlvi 2g Knowledge User – Posters and Additional Presentations .............................................................................. xlviii 2h Visiting Scholars and Research Conducted ...................................................................................................... xlix 2i Visiting Scholars Program ...................................................................................................................................... l 4a CDKTN Knowledge Translation Training Grant Program ..................................................................................... li 5a Partnership Projects and Outcomes .................................................................................................................. liv 6a Review of CIHR 35725 Grant Deliverables ~ Status .............................................. Error! Bookmark not defined. SECTION 1: MANAGEMENT 1.1. Governance/organizational structure Established on March 31, 2008, the Canadian Dementia Knowledge Translation Network (CDKTN) was created to respond to challenges experienced by both paid and unpaid care partners of individuals with dementia, including timely access to research-based evidence, best practices in dementia care and services and access to the appropriate resources and dementia-related supports that meet their needs. Responding to this need, CDKTN has been organized in three strategic themes: 1) Education and Training in Knowledge Translation and Exchange, 2) Canadian Dementia Resource and Knowledge Exchange, and 3) Patient and Care Partner Centred Knowledge Translation. Appendix 1a provides a chart of Network organizational structure. The National Network is managed by an eleven member Management Committee which oversees daily operations through conference calls/web-based meetings and face-toface meetings each year (Appendix 1b). In total, four Management Committee meetings were conducted by teleconference between April 1, 2011 and March 31, 2012. Advising the Management Committee is a 14 member National Advisory Board (NAB) (Appendix 1c). No NAB meetings were held between April 1, 2011 and March 31, 2012. Daily operations of CDKTN involving network personnel occurred through operational meetings facilitated by the CDKTN project office that allowed for planning and implementation of network activities, e.g. regional and national workshops and conferences, building network recognition through web initiatives and videos, exploring opportunities for new funding and budget reviews. Virtual meetings occurred during this reporting period in connection with events, projects and conference involvement. Additionally, CDKTN’s Theme 2 Canadian Dementia Resource and Knowledge Exchange (CDRAKE) continued to operate the National CDRAKE Steering Committee during this year (Appendix 1d). Membership included representatives from various constituents critical to knowledge exchange, such as policy makers, researchers, educators, providers and representatives from consumer organizations. Three meetings were held during this reporting period. Personnel assigned to the operations of each Theme and Node are referenced in Appendix 1e. In total, the Network employs four full-time and eight part-time personnel. Each research theme lead has a budget and a full-time network assistant dedicated to their project deliverables focused on KT activities and collaborations. The two provincial nodes both have a budget and a part-time network assistant to help them foster new opportunities and partnerships for KT, including workshops within and among the different regions in Canada. CDKTN operates and performs as an integrated Network effort to provide training for researchers, broker resources and translate research work into practice for families, patients and care partners. A description of the focus for each of these Themes is available under Appendix 1f. CDKTN is evaluated annually with the latest comprehensive scan completed in February 2012. The evaluation examines structure and governance, development and implementation, as well as activities and utilization. The most recent CDKTN evaluation has generated information that is being used to guide the strategic planning of the network. Strategic planning will target two key areas: 1) Network processes, 1|Page operations and sustainability; and 2) Achievement of anticipated network outcomes. A Summary of the 2012 evaluation is available in Appendix 1g. 1.2. Evidence of Regional, Provincial and International Linkages to CDKTN Evidence of national linkage of CDKTN is provided in the MC, NAB, and CDRAKE committee members list, referenced earlier, and under section 5: Partnerships with details of each relationship. Theme partnership efforts are supplemented with provincial node partnerships. At the provincial level, the nodes encourage knowledge sharing and fostering network connections among groups that may otherwise been excluded. CDKTN has a national scope and resources. 1.3. Website and Key Communication Media CDKTN currently has three websites; one for research members’ intranet which was launched at the proposal phase (http://intranet.cdktn.ca), a public website (www.lifeandminds.ca), which was launched in June 2009 and a knowledge bank website information brokering tool, Dementia Knowledge Broker (www.dementiaknowledgebroker.ca), launched January 2011. The link to www.lifeandminds.ca can also be accessed from www.neuroethicscanada.ca, the home page for the Theme 1 at UBC’s National Core for Neuroethics. CDKTN’s website, www.lifeanminds.ca significantly increased its traffic flow in 2012. The majority of traffic derived from three sources; direct at 43.6%, referring sites at 36.8%, followed by search engines at 19.36 %. In May 2011, Twitter and Flickr accounts were established. As of March 31, 2012, there were a total of 602 tweets, we are following 1,620 accounts and have 575 followers. The Flickr account has 9 galleries, representing conference and media events. CDKTN uses Google Analytics to report and analyze traffic to the site (Appendix 1h). From 2011-2012, the total visits to www.lifeandminds.ca was 6, 881. CDKTN National Network communication efforts evolved over the last year to include adding a media section to the website to host videos showcasing KT research and activities. The media section also hosts presentations and other media items to inform visitors, gather feedback and direct future KT & E efforts. The Network website also features a quarterly online newsletter (Appendix 1i), continuing to develop the communication services of CDKTN and allows members to access information. The newsletter features the latest news on dementia, research, social media activities, resources, events and conferences. Supporting a national perspective on news and activities, CDKTN scans the media environment weekly and reports on news in a Media Monitoring Report (Appendix 1j) to all members and partners as well as links the report to the research members’ intranet and www.lifeandminds.ca. CDKTN Research Members’ Intranet: http://intranet.cdktn.ca Memberships are continuously gathered for CDKTN members’ intranet at http://intranet.cdktn.ca. This web-based portal is available to all network members to facilitate communication, sharing and collaboration. CDKTN members are assigned login information and an online profile is created for the user. A welcome letter is sent out to new members to inform them of the benefits of membership and how they can connect to various resources such as news, event announcements and messages. The intranet enables research members to collaborate with other researchers, educators, policy makers and care partners in dementia care. At the time of the CIHR proposal, there were 99 registered research 2|Page network members; by March 2010 membership had more than doubled to 212 and by October 31, 2011 had more than doubled again to 587 members. As of March 31, 2012, the Research Members’ Intranet consists of 774 members from 333 separate organizations (plus a further 107 ‘other’ organizations) across 31 countries. Countries contributing to the CDKTN Research Members’ database include Argentina, Australia, Brazil, Canada, China, Denmark, Egypt, Finland, Ghana, Guatemala, India, Ireland, Israel, Italy, Jamaica, Japan, Netherlands, Nigeria, Peru, Portugal, Puerto Rico, Saudi Arabia, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad, United Kingdom and the United States. (Other organizations consist of non-research associations such as life insurance, consulting, service providers, etc.). A full list of CDKTN Network members is listed in Appendix 1k. CDRAKE www.dementiaknowledgebroker.ca The “Dementia Knowledge Broker” or the “DKB” was established in January 2011 as a custom knowledge exchange platform to facilitate knowledge flow and networking in the dementia sector. With an emphasis on dialogue and exchange, the Dementia Knowledge Broker (DKB) is structured to empower people to find and share knowledge and resources, engage in conversation with one another, and to maximize the opportunity for collaboration and co-creation between people, groups and organizations that share a common vision: to help people affected by Alzheimer’s disease and related dementias. The focus of 2011-2012 has been on nurturing this integrated platform as well as establishing our online events/recordings. The Dementia Knowledge Broker has enabled exchange across the dementia sector including the delivery of Online Events, Q&A Forum, Resource Exchange, Blog, Document Collaboration and more. This platform complements the national network website, www.lifeandminds.ca, and the Alzheimer Knowledge Exchange Resource Centre (www.akeresourcecentre.org). Between the platform’s launch in January 2011 up to March 31, 2012, the DKB received 28,079 visits, 91,802 page views, 4,441 downloads, 8,768 clicked links (outgoing), 24 blog articles and 560 twitter followers (Appendix 1l). Print and Collateral Materials CDKTN continued to develop conference materials and publications during 2011-2012 based on recommendations from members and feedback during prior events. A timeline of CDKTN’s growth featuring key mile stone activities was developed and presented during the 2012 CCD conference poster presentation (Appendix 1m). CDKTN also updated theme posters which debuted at ADI 2012 (Appendix 1n). The Knowledge Exchange theme built and launched an integrated online knowledge exchange platform (www.dementiaknowledgebroker.ca). Community engagement activities were anchored by this platform and in order to engage the community with this new tool, monthly e-News (The CDRAKE Pulse) highlighted upcoming online events, discussions in the Q&A, new blog posts and documents shared. Examples of the communication materials are referenced in Appendix 1o. Additional promotional efforts were achieved through targeted invitations for monthly online events, which connected the community to resources made available by the presenters. In July 2011, the online event offering grew to include event recordings, which are now archived for the community to playback and share with friends, family, 3|Page and colleagues in the past events section of the DKB: http://www.dementiaknowledgebroker.ca/pastevents. 4|Page SECTION 2: TRAINING AND EDUCATION Throughout 2011-12, CDKTN built capacity by educating the research community and knowledge user community through 5 training events and webinars, developing a dementia grant writing curriculum module, and hosted 4 visiting researchers and one post-doctoral fellow. The provincial nodes promoted CDKTN thematic activity to researchers and knowledge users at the community level. These collective efforts are referenced in Appendix 2a. 2.1. Building Capacity in the AD&D Research Community CDKTN has and continues to develop innovative educational programming to support the diverse and unique learning needs of the dementia research community. In 2011-12, three live, interactive workshops were delivered in Vancouver by Theme 1. A total of 56 registrants signed up for these workshops. To expand the geographical reach of the educational activities, a webinar titled: ‘Dementia Research and Care in Social Media: Creating New KT Opportunities’ was held in March 2012. The webinar objectives were to examine the importance of social media and to gain insight into how social media can be used as a tool for relaying messages about dementia research and care. A total of 57 participants from across 8 provinces attended the webinar; 28 (response rate 49%) completed the webinar evaluation. Feedback revealed three quarters of the respondents indicated they would use information from this webinar in their future work, and more than two-thirds said they learned from attending the session. In light of this positive feedback and with the majority of respondents (93%) indicating they would attend a future CDKTN webinar, further webinars are being planned for 2012, starting with a webinar on conducting effective media relations in June of 2012. Capacity in the research community was built through the delivery of educational and training activities including the Post-Doctoral Fellowship and the Visiting Scholars Program. For example, the KT for Dementia Researchers: Grant Writing Strategies workshop provided tools and shares expert insights as to how KT can be successfully incorporated into dementia grant proposals. Participants indicated that they have gained a greater understanding of dementia KT concepts and how to write KT in their dementia grant applications (42% and 67% respective increase in participant self-perceived knowledge). The vast majority (83%) would also use information from the workshop in their future dementia grant applications. The evaluation data will be used to refine and further inform the 2012 reiteration of this workshop. CDKTN Theme 1 continues to standardize curricula for a new brand of dementia KT based on workshop evaluations and the results of literature reviews, an environmental scan and interviews with dementia experts. Curriculum on dementia KT and grant writing strategies have been developed and development of an online dementia KT program is currently underway. The Quebec Provincial Node built capacity in the research community through the funding of PhD student Genevieve Arsenault-Lapierre to research how to communicate basic science results to the general public. She is now pursuing further post-doctoral research on aging, stress and cognition at the University of Calgary. 5|Page CDKTN continues to build capacity in the researcher community through grant funding for projects that support and include knowledge translation activities. These are referred to in greater detail under Section 4: Research Projects. 2.2. Building Capacity in the Knowledge User Community CDKTN has been involved in a number of workshop and conference presentations aimed at care providers, researchers and family caregivers of persons with dementia. These included: Beattie, B.L., Brief, E., Butler, R., Mackie, J., Illes, J. Whose mutation is it? Alzheimer’s Association International Conference on Alzheimer’s Disease, 2011, Paris, France. Beattie, B.L., J. Robillard, J. & P. McKnight. Becoming media savvy: creating traction for dementia research and care. 9th Annual BC Geriatric Services Conference, 2011, Vancouver. Brief, E., Beattie, B.L., Butler, R., Illes, J. Genetic prediction of AD in indigenous communities: Intercultural ethical implications. Alzheimer’s Disease International Conference, 2011, Toronto. Peters, K.R., Beattie, B.L., Feldman, H.H., Illes. J. Clinical trials in early-onset familial Alzheimer Disease: An ethics analysis. 6th Canadian Conference on Dementia, 2011, Montreal. Additional presentations and workshops directed at researchers and students included: Cook, Cheryl – informal discussions with students: Summer program in Aging (SPA), hosted by Quebec network for research on aging with the Institute of Aging/CIHR. SPA is a summer school for 50 selected PhD and postdoctoral students, coming from the various provinces of Canada. Giles, C: Lecture - Quebec Research Days ~ “Conducting KT for different research themes and projects” provided a vision of the steps and difficulties to generate meaningful KT information. The lecture was presented to students and researchers of the Quebec Network for research on aging. CDRAKE presented at the Canadian Association of Gerontology 40th Annual Scientific and Educational Meeting & Pan Am Congress, in October 2011 in Ottawa Ontario on National Change: Learning from local and provincial experiences related to behavioural support systems (Harris M, Clark S, Lusk E, Le Clair K). The audience included approximately 20 researchers, policy makers and care providers. CDRAKE online events bring together knowledge producers and users across the dementia community. From April 1st 2011- March 31st 2012, CDRAKE hosted 27 webinars reaching 5,300 live participants and accessed 1,865 times post event for recording playbacks (Appendix 2b). Capacity is also being built in the caregiver community through research projects which investigated influences to patient symptom changes to better inform care partners and improving resources to inform and advise about driving and dementia. A description of projects aimed at building caregiver awareness and capacity are summarized in Appendix 2c. Theme 3 Patient and Care Partner Centred Knowledge Translation has increased capacity amongst knowledge users through 5 media articles posted to www.lifeandminds.ca; social media activities include 602 tweets to @LifeandMinds; 9 gallery postings to Flickr; 4 videos posted to YouTube; 25 website articles (promoting exercise, events, research); 42 Media Monitoring Reports (sharing news from across the country as it relates to Alzheimer’s and Dementia); 11 interviews from leading Geriatricians (about programs, resources etc.); 8 current patient and caregiver projects (towards efforts such as dementia awareness, fitness and frailty and reviewing the usefulness of KT tools developed); 6 6|Page pending patient and caregiver projects (to provide access to resources, guides to Alzheimer symptoms from the perspective of those living with the disease and access to what’s going on in research); and six presentations, 16 booth and resources exhibits and one poster presentation. The details of each activity are available under Appendix 2d-f. Furthermore, members of the Management Committee have contributed to each theme’s mandate. For example, a further five presentations and five posters have expanded knowledge on subjects such as the needs of First Nations Communities and knowledge exchange in rural networks, etc. A list of these additional efforts is available under Appendix 2g. 2.3. Postdoctoral Training and Mentoring Activities CDKTN recognizes and supports postdoctoral training as well as mentoring of students, researchers and care partners. During the last year, two visiting scholars were supported by CDKTN. In an effort to stimulate academic environments and provide support for researchers to learn and use KT strategies, Theme 1 hosts a competitive Visiting Scholars Program (Appendix 2h) that provides opportunities for trainees to explore, practice and master KT in action. Four applicants have completed the program to date. A description of the Visiting Scholar Program is available in Appendix 2i. 2.4. Research Projects and Activities Addressing Ethnic, Gender and Sex Community-based research with Aboriginal communities Partnering with Aboriginal communities to develop practical and culturally appropriate genetic testing resources for early-onset familial Alzheimer Disease. Conducting collaborative research with Aboriginal communities to ensure that genetic testing research conducted at the academic and clinical levels and the products produced as a result, are evidence-based, consider the ethical, social, cultural and economic implications and meet the needs of the affected communities. Pending: Forbes, D., Abram, J., Blake, C., Finkelstein, S., Gibson, M., Morgan, D.G., Markle-Reid, M., & Thiessen, E. (2012). Dementia Care Knowledge Needs of a First Nation Community: A Success Story. Oral presentation prepared for Alzheimer's Association International Conference, July 14-19, 2012, Vancouver, BC. 2.5. Research Projects and Activities Addressing Ethics Ethics is a bridging theme and thread throughout Theme 1 research and training work. Research Project with Trent University: Progress in Neurobiology ~ issues related to ethical problems in neurodegenerative disease recognition and treatment including strategies to bridge knowledge gaps and research directions. 7|Page SECTION 3: KNOWLEDGE TRANSLATION OUTCOMES 3.1. Applications of research knowledge to KT&E CDKTN has applied research knowledge through six national projects emerging from applied research knowledge. Examples of applications of research knowledge to address the health services gaps between research and practice in AD&D diagnosis, treatment and care include: Collaborating with Dr. Tiffany Chow’s, When Dementia is in the House which launched on November 15, 2011 and supports the needs of children in a home with a dementia patient, and to create multimedia educational materials to address these needs (http://www.lifeandminds.ca/whendementiaisinthehouse/). Collaborating with Drs. Marie-Jeanne Kergoat, Sylvie Belleville, & Doris Clerc on web videos sharing caregivers’ experiences & wisdom concerning institutionalization & end-of-life issues (in French). Collaborating with Dr. Francine Ducharme on the development of a pamphlet addressing strategies to optimize adjustment to institutionalization for the families and caregivers of an individual who has been placed in long term care (Prendre soin de moi! Interventions auprès des familles de personnes âgées en milieu d’hébergement/Taking Care of Myself! An intervention program for families of seniors in nursing homes. 23,459 pamphlets distributed in Quebec. 5000 elsewhere in Canada). Partnering with Aboriginal communities to develop practical and culturally appropriate genetic testing resources for early-onset familial Alzheimer Disease. Project: Facilitated E-Learning Series - The Public Health Agency of Canada and the Canadian Dementia Resource and Knowledge Exchange (CDRAKE) partnered in the management of a collaborative process to design, plan and implement a series of four facilitated education sessions in the Engaging Health Care Providers: Frailty, Dementia and Disasters E-Learning Pilot Project. This project includes three phases: Date Title 14/Feb/12 Emergency Preparedness Facilitated E-Learning Series Live Participants 34 21/Feb/12 Emergency Preparedness Facilitated E-Learning Series 30 28/Feb/12 Emergency Preparedness Facilitated E-Learning Series 31 6/Mar/12 Emergency Preparedness Facilitated E-Learning Series 25 *Registration was capped at 40 participants. Project: A Canadian Networking the Networks Initiative: Behavioural Support Systems: Knowledge Translation Phase - Following the national launch of the National Behavioural Support Systems Guiding Principles and Recommended Components resource, CDRAKE has partnered with the Mental Health Commission of Canada and the Canadian Coalition for Seniors’ Mental Health to identify opportunities for collaborative activities related to the translation of complimentary resources into practice. 8|Page 3.2. KT activities to link Researchers, trainees and knowledge users Attracting a high caliber Post-Doctoral Fellow and three dementia researchers (national and international) to the Visiting Scholars Program and linking them to established researchers and practitioners in the field and each other. Conducting collaborative research with Aboriginal communities to ensure that genetic testing research conducted at the academic and clinical levels and the products produced as a result, are evidence-based, consider the ethical, social, cultural and economic implications and meet the needs of the affected communities. Designing workshops that promote interactivity between facilitators and audience members through the use of iClickers, for example. Extending webinar registration to a wide potential audience (e.g. dementia and neurological researchers and students, healthcare professionals and AD and D non-profit organisations). Collaborating with Dr. Pierrette Gaudreau, director of the Reseau Quebecoise de Recherche en Vieillissement on the Insitute of Aging’s Summer Program in Aging (SPA 2011) which took place May 29-June 2, 2011 in Bromont, Quebec and brought together 60 students and researchers to discuss topics and strategies in research in aging and share experiences from working in the field. Project: CDRAKE Online Events - Leveraging the success of the innovative Alzheimer Knowledge Exchange (AKE) Knowledge Dissemination series, the CDRAKE team explored and trialed new technologies to design, implement and facilitate an online series tailored to the CDRAKE community and with the goal of recording events to support increased knowledge accessibility. Reference: Clark, S and Lusk, E. CDRAKE Online Event Series: Concept, Process, Implementation, Facilitation, and Recording for Enhanced Knowledge Accessibility, 2011. See listing of CDRAKE Year 4 online events in Section 2.2. 9|Page SECTION 4: RESEARCH 4.1. Research and Projects Supported by Grant Funds Overall, CDKTN has established a strong presence and committed community of researchers, bolstered by opportunities such as the CDKTN Knowledge Translation Training Grant Program, which is designed to encourage researchers to incorporate KT tools, methods and dissemination strategies into their research projects. Since its inception, a total of 30 research projects have been funded. The results of researcher activities supported by this funding incorporate or specifically create new tools in order to spread dementia care knowledge to a wider and diverse audience. The majority of the funding recipients (87%) have disseminated their research findings; 13% have not yet disseminated their findings as their studies are still in progress at the time of this report. Consistent with the requirement for these funding proposals, all of the projects have plans for dissemination; traditional dissemination strategies were most commonly identified (e.g. conference presentation/abstracts and reports to funders/stakeholders). 2011-12 Open Request for Applications CDKTN partnered for the fourth year with the Alzheimer Society of Canada (ASC) to hold an open competition for researchers with a specific focus on integrating KT in their research. The competition closed in November 2011 and review results are under embargo at the time of this report. 2011-12 Closed Request for Applications for CDKTN members (Excluding CDKTN co-applicants): In November 2011 CDKTN, in partnership with the Alzheimer Society of Canada issued a closed RFA for the Education and Training Knowledge Translation Award Program by special invitation to members of the Canadian Dementia Knowledge Translation Network. The Nova Scotia Health Research Foundation was engaged to conduct the peer review process and to recommend successful applications. Based on these recommendations, the Management Committee approved funding for five projects. Approved for funding are: - Dementia Care Interactive Knowledge Sharing Summit in Partnership with a First Nation Community – Dorothy Forbes: To enhance the use of best available dementia care evidence within First Nations communicates and rural settings. The project is aimed at improving community knowledge regarding the signs, symptoms, treatment and dissemination of dementia knowledge using information gathered during a Dementia Care Interactive Knowledge Sharing Summit on the Oneida Nation of the Thames reserve in Ontario to comprehend traditional practices and understandings. This KT project will contribute to implementation science by enhancing understanding of how best to disseminate researchbased evidence in partnership with a First Nations community. - Stories of our Past: A dementia knowledge translation project with elders and children – Wendy Hulko: To produce a video and story book for children based on story-telling sessions of Native Elders. This is part of an ongoing project which is creating stories about 10 | P a g e caring for Elders with memory loss, in order to teach nurses in Interior Health about culturally safe care of Elders. This funding will focus the project on children directed materials and youth to promote transfer of knowledge between generations. There is a lack of resources for Aboriginal children on dementia. - Knowledge exchange with the Rural Dementia Action Research (RaDAR) Team: An Action Plan for Mild Cognitive Impairment and dementia care in rural and remote Saskatchewan Debra Morgan: To hold a one-day Action Planning meeting to share the findings from the Saskatchewan Health Quality Council (HQC) in care and services analysis, to develop research, KTE and policy recommendations to include in the final HQC project report. The recommendations will provide the basis for an action plan to guide the RaDAR team’s ongoing research, KTE and policy-related activities which are aimed at improving care and support for rural and remote people with dementia. - Research-Based Theatre as a Knowledge Exchange Vehicle for Home-based Dementia Care Iris Gutmanis: To produce and evaluate a DVD of a screenplay that has an accompanying facilitation guide. The Screenplay is based on prior work titled, “Advocating for Hilda” and uses findings from 52 qualitative interviews to identify four interpersonal care processes that shape dementia care. - A tool for early detection of nutrition risk among community-dwelling older adults with early-stage Alzheimer disease to guide decision-making among both frontline health professionals and family caregivers - Bryna Shatenstein: To develop a checklist-based algorithm for detecting and targeting nutritional problems in home dwelling older adults with Alzheimer’s Disease. Previous research will be synthesized using approaches by health professionals for detecting under-nutrition in older adults in the outpatient setting to develop this algorithm. As a deliverable for funding, each successful applicant provides a final report and provides available knowledge translated research to CDKTN for showcasing. Appendix 4a provides a detailed list of reports and KT materials that have been provided to CDKTN from the three previous years of research funding. All reports are posted to www.lifeandminds.ca, shared on www.dementiaknowledgebroker.ca and circulated through the Research Members’ Intranet (http://intranet.cdktn.ca). The reporting of trainee awards and in-kind funds is referenced in Appendix 4a. 11 | P a g e SECTION 5: PARTNERSHIPS The Network has been involved in partnerships with various organizations and networks with respect to furthering dementia-related KT. Over 2011-12, CDKTN has developed and maintained ten regional, eight national and six international partnerships. A summary list of the partnerships including the projects and outcomes associated with each are found below while a detailed list is referenced in Appendix 5a. A detailed accounting of partnership cash and in-kind contributions is available in Appendix 5b. Regional Partnerships Alzheimer Society of BC Projects & Outcomes Knowledge Brokering: link visiting research scholars and promote CDKTN educational tools and resources. Michael Smith Foundation for Health Research Knowledge Brokering: link foundation members and network to CDKTN educational tools and resources. Ontario Alzheimer Knowledge Exchange Knowledge Brokering: Police Services and Dementia: This 2-Part series highlighted challenges and promising practices to support police interacting with persons with dementia - Police Interaction with Persons Affected by Alzheimer’s Disease, June 15, 2011, 226 participants - Identifying Vulnerable Seniors: An “in-the-field" dementia screening tool for police officers, June 29 2011, 271 participants Knowledge Brokering: Healthy Living and Dementia 3-Part Online Event Series: This series was designed for those interested in learning about healthy living and dementia. Each session offered a different, yet complimentary perspective on this topic including health promotion, selfmanagement and how to live well with dementia. - Health Promotion and Dementia: Creating a Health Promotion Framework Through Participatory Engagement, Jan 12, 1012, 264 participants - Self Management and Dementia, Jan 19, 2012, 233 participants - How I Live Well, Jan 12, 2012, 197 participants Tapestry Foundation for Health Care Knowledge Brokering: host a CDKTN workshop on media relations at the 9th Annual BC Geriatric Services Conference. Promote educational offerings through Tapestry Network Trent University Research Project: Progress in Neurobiology ~ issues related to ethical problems in neurodegenerative disease recognition and treatment including strategies to bridge knowledge gaps and research directions. National Partnerships Alzheimer Knowledge Exchange CDRAKE Details Knowledge Brokering: develop a Community of Practice (CoP) on the topic of Self-Management in Dementia to address misconceptions and ensure effective use of self-management support strategies by health and social service providers and others who support people living with dementia by: - Bringing together those with an interest in advancing selfmanagement in dementia 12 | P a g e - Increasing awareness about self-management in dementia Identifying existing self-management interventions and deciding how they could be used or adapted in the context of dementia Developing learning opportunities and tools to promote the use of self-management interventions that support people living with dementia to play an active role in their own care. Alzheimer Society Canada Canadian Association for Neuroscience CIHR Knowledge Brokering: link members, visitors and network partners to CDKTN educational tools and resources Research Projects Funding: partner to promote research in dementia care and knowledge translation in Canadian Aboriginal communities, KT for dementia researchers: Grant writing strategies workshop contributor Mental Health Commission of Canada Canadian Coalition for Seniors’ Mental Health CDRAKE Public Health Agency of Canada CDRAKE Knowledge Brokering: A Canadian Networking the Networks Initiative ~ Behavioural Support Systems knowledge translation phase will identify opportunities for collaborative activities related to the translation of complimentary resources into practice. Knowledge Brokering: Facilitated E-learning series, four sessions engaging Health Care providers ~ Frailty: Dementia and Disasters International Partnerships A Changing Melody International (MAREP & CDRAKE & intl. partners TBD) Details Knowledge Brokering: Online broadcast and recording to engage groups from across Canada to participate in the first ever International “A Changing Melody” conference for/by persons with dementia and their caregivers. CIHR Vancouver Foundation North Growth Foundation Mexico Knowledge Brokering: Translating communication tools for dementia at end-of-life into Spanish for testing and uptake in Mexico as part of the Wellness in Alzheimer’s Disease project. The project translated communication tools for dementia at end-of-life into Spanish for testing and uptake in Mexico (funded by CDKTN-UBC Visiting Scholars Program and through in-kind support from Mexico). Dementia Service Development Centre, Stirling, UK Research Project & Knowledge Brokering: CDKTN has partnered with an international dementia services provider to create a flexible training package for general dementia awareness, aimed at a variety of nonfrontline care groups in the private and public sector, who we refer to as Public Contact Service Personnel, in North America, based largely on modified content developed by Dementia Services Development Centre, Stirling, UK. UK CLAHRC Research Project & Knowledge Brokering has partnered with CDKTN to write a research proposal to determine the active ingredients in knowledge exchange between researchers and decision makers (managers). CDKTN will conduct a literature review, facilitate three UK workshops with managers and researchers and train local knowledge brokers in KT workshop facilitation to build capacity. 13 | P a g e SECTION 6: COMMENTS The Canadian Dementia Knowledge Translation Network (CDKTN) was created in response to the challenges experienced by both paid and unpaid care partners of individuals with dementia. These challenges include timely access to research-based evidence, best practices in dementia care and services and access to the appropriate resources and dementia-related supports that meet their needs. CDKTN is critical to strengthening dementia awareness in Canada, particularly in the absence of a national strategy for dementia. Established on March 31, 2008 through a 5-year CIHR grant (CIHR Grant 35725) CDKTN is a network for the translation and exchange of research in Alzheimer’s disease and dementia. It consists of a collaborating group of academic institutions, academic leaders in dementiarelated biomedical, clinical, psychosocial, health services and population health research, Alzheimer Societies, care providers (paid and unpaid) and persons with dementia. Please refer to Appendix 7a for a table outlining the tracking and current status of CDKTN Grant deliverables from 2008-2013. Since its launch, CDKTN has provided a mechanism for prioritizing and resolving gaps between research and practice through building capacity for KTE and increasing access to quality dementia-related resources. Although there are many researchers and clinicians across the country whose work makes a significant impact related to dementia care, they often operate in isolation from one another. In response to this challenge, CDKTN has built a framework for collaboration amongst its members. This national network strengthens the existing capacity for knowledge to be disseminated, exchanged and translated, facilitating the movement of knowledge to practice and enabling evidence-informed decision-making. CDKTN has engaged thousands of researchers, practitioners and policy makers through research communities, grant opportunities, online exchange platforms, webinars, conference presence and in-person exchanges. CDKTN provides an efficient infrastructure for supporting KTE across stakeholder groups. It is evident that the sharing of knowledge and resources, linking people and ideas enables CDKTN to engage in dynamic and interactive relationships in which research is enriched by input from knowledge users. By bringing together researchers, students and practitioners, CDKTN helps researchers translate their work into practice and pass it on to those who need it most – people living with dementia, their families and partners in care. 14 | P a g e APPENDIX 1a GOVERNANCE/ORGANIZATIONAL STRUCTURE CIHR Institute of Aging National Advisory Board CDRAKE Steering Committee Management Committee CDKTN Project Office Dalhousie University Administration Education and Training Research Theme Canadian Dementia Resource and Knowledge Exchange Research Theme Patient and Caregiver Research Theme Education and Training Grants Provincial Nodes Network Research Projects Network Research Projects Network Research Projects Management of awards and advancing of funds Partnerships and relationships i|Page APPENDIX 1b Membership of CDKTN Management Committee Member Kenneth Rockwood Kenneth Le Clair Judy Illes/Lynn Beattie Janice Keefe Howard Chertkow Carole Estabrooks Dorothy Forbes Debbie Benczkowski Paul Stolee Jacqueline Tetroe Role & Organization Chair and Patient & Caregiver Theme Lead, Dalhousie University CDRAKE Theme Lead, Queen’s University Education and Training Theme Lead, UBC Provincial Node, Mount Saint Vincent University Provincial Node, McGill University CRC in Knowledge Translation, University of Alberta Associate Professor, University of Alberta Acting CEO, Alzheimer Society of Canada Evaluation Advisory Group Lead, University of Waterloo Ex-officio member, CIHR nominee ii | P a g e APPENDIX 1c CDKTN National Advisory Board Member Alain Gendron Angeles Garcia Bernard Prigent Sandra Black Howard Feldman Howard Chodos Jim Mann John Morris Judith Shamian June Andrews Linda Mealing Marie France Tourigny-Rivard Paul Tuttle Role & Organization Medical Advisor, Neuroscience and Pain, AstraZeneca Canada President, Consortium of Canadian Centres for Clinical Cognitive Research Vice-President and Medical Director, Pfizer Canada Research Director, Brain Sciences Program, Sunnybrook Health Sciences Centre Vice-President and Scientific Director of the Fonds de la Recherche en Santé du Quebéc Director of the Mental Health Strategy, Mental Health Commission of Canada Advocate and Board Member, ASC Director, Alzheimer’s Disease Research Center, Memory and Aging Project at Washington University School of Medicine President, Victorian Order of Nurses (VON) Director, Dementia Services Development Centre, Stirling, UK CIHR ex officio member Chair, Seniors Advisory Committee, Mental Health Commission of Canada President, Extendicare Inc. iii | P a g e APPENDIX 1d Canadian Dementia Resource and Knowledge Exchange (CDRAKE) Steering Committee Member Ken Le Clair Megan Harris Sarah Clark Elizabeth Lusk Dorothy Forbes Kim Wilson Maggie Gibson Monica Bull Sherry Dupuis Janice Keefe Lili Liu Carrie McAiney Lynn Beattie David Harvey Julia Baxter Mary Schulz Paul Stolee Lynn McCleary Judy Iles Tracey Comeau Jack Henderson Role and Organization CDRAKE Theme Lead CDRAKE KT Planning and Development Lead CDRAKE KT Resource Mobilization Lead CDRAKE KT Conceptual Design Lead Management Committee CDKTN; Associate Professor, University of Alberta Executive Director Canadian Coalition for Seniors Mental Health Psychologist, Veterans Care Program, St. Joseph’s Health Care, London Provincial Mental Health Consultant for Seniors Director of Murray Alzheimer Research and Education Program Provincial Node Lead; Director of Nova Scotia Centre on Aging Professor & Chair, Department of Occupational Therapy, University of Alberta Health Service Research & Evaluation at Dept. of Psychiatry, McMaster University; Part of Geriatric Psychiatry Program at St. Joseph’s Hospital Education and Training Theme Lead Chief Member Services Officer, Alzheimer Society of Ontario; Colead, Alzheimer Knowledge Exchange Program Coordinator, Geriatric Psychiatry Outreach Alzheimer Society of Canada Evaluation Advisory Group, University of Waterloo Associate Professor, Department of Nursing, Brock University Education and Training Theme Lead Central Health Newfoundland Alzheimer Society Kingston, cares for person with dementia iv | P a g e APPENDIX 1e CDKTN Network Personnel: Theme 1: Lynn Beattie, Theme Leader Judy Illes, Theme Leader Tanuja Barker, Researcher (PT)* Janice Matautia, Administrator (PT) Julie Robillard, Postdoctoral Fellow (PT) Theme 2: Kenneth Le Clair, Theme Leader Sarah Clark, Resource Mobilization Lead (PT) Elizabeth Lusk, KT Conceptual Design Lead (PT) Editor www.dementiaknowledgebroker.ca Theme 3: Kenneth Rockwood, Theme Leader Cathy MacNutt, Project Director (PT) Cynthia Giles, Project Manager (FT)* Sarah Kehoe, Project Office Research Assistant (FT) Geralyn MacLellan, Financial Officer (FT) Jocelyn Adams, Research Assistant – Communications (FT) Nodes: Janice Keefe, Provincial Node Leader Mary Leslie, Research Assistant (PT) Howard Chertkow, Quebec Node Leader Victor Whitehead, Research Assistant (PT) *PT- Part-time *FT – Full-time v|Page APPENDIX 1f CDKTN: A Network Integrated Effort and Focus Theme 1: Education and Training This program delivered interactive workshops, using live and technology-enabled learning strategies. Network activities aimed at education and training in KT have focused on dementia KT-related research, such as genetic counselling in Aboriginal communities, incentives and barriers to KT, identification of KT needs of dementia researchers, and KT training in Canada. To date, these research efforts have resulted in a total of 7 publications and 10 conference presentations. Theme leaders are currently involved in six research projects related to dementia KT and a quarter of a Postdoctoral Fellow’s time is devoted to dementia KT. Theme 1 also successfully launched a Visiting Scholars Program. During 2011, four researchers completed the program and since inception, five researchers have successfully completed the Visiting Scholars Program. Since 2009, Theme 1 has developed two KT curricula on topics related to the “why, what, who and how” of KT, inclusion of KT strategies in research design and grant writing strategies for dementia KT. Between April 1, 2011 and March 31, 2012, three interactive workshops, 1) KT for Dementia Researchers - Grant Writing Strategies; and 2) A Clinical Neuroethics Medical Humanities Night; and 3) a conference-based concurrent session, Becoming Media Savvy: Creating Traction for Dementia Research and Care and a webinar) Dementia Research and Care in Social Media: Creating KT Opportunities, was delivered to 113 participants. The workshops and webinar were designed to promote discussion and uptake of knowledge translation in dementia research and care. Workshop and webinar evaluations for all education sessions have been very positive. For example, participants at the KT for Dementia Researchers: Grant Writing Strategies workshop indicated that they would use information from the workshop in their future grant applications. Furthermore, participants indicated that they had gained a greater understanding of dementia KT concepts and had then written KT into their dementia grant applications (42% and 59% respective increase in participant self-perceived knowledge). Theme 2: Canadian Dementia Resource and Knowledge Exchange CDRAKE has continued to focus during 2011-2012 on various activities aimed at developing and implementing research and KTE partnerships, workshops and presentations, online presentations, publications, network model development and branding, network growth, pilot research projects, knowledge brokering and more recently, sustainability planning. Leveraging the successes of the Ontario-based Alzheimer Knowledge Exchange (AKE) model, CDRAKE connects with people across Canada and enhances access to relevant knowledge through high-quality, reliable and robust technology, facilitated by talented knowledge brokers. CDRAKE facilitates access to knowledge for continuous quality improvement, stimulates and supports the sharing of innovations, builds and supports partnerships and fosters direct links vi | P a g e between knowledge users and producers. In partnership with the Alzheimer Society of Canada (ASC), CDRAKE delivers an online event series, which effectively connects people across the health care system to persons living with dementia and their partners in care, leaders and innovations. In this way, CDRAKE gives voice to timely information, experiences and resources and enhances the capacity to put new knowledge into practice through facilitated exchange. To-date, CDRAKE has engaged 8,951 participants across Canada via the online event series. These events are archived online in a catalogue of past events. During 2011-2012, CDRAKE developed and implemented 28 online events with a total of 7,165 individuals in attendance. CDRAKE also produced 7 publications including white papers, peerreviewed and eNews publications aimed at advancing the science and practice of KT; total distribution: 3,243 individuals; CDRAKE partnered on 3 research and KTE projects (externally funded) with 5 partner organizations, networks or individuals; 1 pilot research project on KTE innovations have been funded by CDRAKE and as of March 31, 2012, the CDRAKE community consisted of 1,252 members, an increase of 33% from 2010/2011. Theme 3: Patient and Caregiver Linking dementia patients and partners in care with knowledge, information and evidenceinformed tools, Theme 3 provides opportunities to increase understanding of disease symptoms, best practices and available supports. In so doing, Theme 3 also explores the lived experiences of persons and their care partners to help identify and resolve gaps between research and practice, prevention, treatment, care and support. Since April 1, 2011, Patient and Caregiver theme has been involved in a number of workshop and conference presentations aimed at care providers and family caregivers of persons with dementia. Conference presentations were focused on dementia KT. Seven research projects conducted in this theme area have focused on: fluctuations in dementia symptoms, driving, knowledge synthesis of topics of interest to dementia caregivers, technology strategies for education and caregiver assessment. In 2011, CDKTN evaluated the value of written and musical narratives, videos, theatre and commissioned music that reflect the everyday experiences as a gateway to educating the general public about the signs and symptoms of Alzheimer’s disease and about dealing with Alzheimer’s in their communities. The results of this investigation will be available in July 2012. CDKTN also funded and hosts the website “When Dementia is in the House”, released nationally on November 15, 2011. A space for tweens and teens who have a parent or grandparent with dementia, “When Dementia is in the House” was developed by Tiffany Chow, MD, Baycrest, and Katherine Nichols to educate children living with someone who has dementia, on caregiving, with a focus on frontotemporal dementia (FTD). This website is based on Dr. Chow’s research, including advice from adolescents who have been dementia care partners. Parents can find guidance on talking to their children about dementia and how to balance parenting with caring for someone with dementia (Appendix E). vii | P a g e APPENDIX 1g Evaluation-Based Strategic Planning for CDKTN The most recent CDKTN evaluation has generated information that can be used to guide the strategic planning of the network. Strategic planning can be targeted to two key areas: 1) Network processes, operations and sustainability; and 2) Achievement of anticipated network outcomes. 1. Network Processes and Operations Creech and Ramji1 in their framework for assessing knowledge networks, provide a guide to developing formative and summative evaluation indicators. Data collected on these indicators to date can inform the development of a strategic plan regarding network processes and operations. Network Processes and Operations Summary of Key Evaluation Evidence Strategic Recommendations Formative areas of investigation Structure and governance Impact of structure/ governance on network progress and effectiveness Existence of a clear and shared sense of purpose Turnover in leadership Existing structure is well received, particularly separation of operations and advisory capacities, expert representation, and role of provincial nodes Identified challenges: o Limited communication within and between governance structures o Limited understanding of the activities of each governance structures o Limited understanding of the role of the Provincial Nodes o Limited financial independence (involvement of third party paymaster) o Too great an emphasis on operations within MC Perceptions that the network membership does not have a clear understanding of the mission of network and their potential role/ involvement in the network. Goals and objectives of CDRAKE are clear; limited understanding of Theme 1 and 3 Perception exists that the turnover in leadership for Theme 1 impacted progress Improve network functioning with: More regular NB and MC meetings More face-to-face meetings of MC Develop a communication strategy to better inform all members of the activities of NB, MC and Provincial Nodes and network progress in general; use a variety of communication tools and vehicles Increase promotion of the network as a whole, rather than individual theme areas Allow Project Staff greater independence in managing network operations Develop a succession plan for leadership turnover; consider a rotating leadership model Investigate network models (e.g., not-forprofit corporation) to facilitate easier and smoother access to funding Efficiency Effectiveness of decisionmaking processes, network coordination, communication and procedures Network effectiveness is threatened by: Limited network involvement with theme steering committees Limited accountability mechanisms Limited or irregular attendance at the National Board and Management Committee meetings Time constraints and competing priorities of those involved in network leadership Limited engagement of network members, clinicians and frontline workers Limited representation across all areas of the country There is limited understanding by members of NB, MC and membership of the extent to which Expand membership within Steering Committees to include members from other themes Develop accountability measures to ensure each theme delivers on stated objectives/ goals Develop strategies to facilitate greater attendance at meetings Develop outreach and promotion strategies to better engage members, clinicians and frontline staff and increase representation across the country Ensure activities of each theme are guided by CDKTN logic model and aimed at achieving 1 Creech, H., & Ramji, A. (2007). Knowledge Networks: Guidelines for Assessment. International Institute for Sustainable Development [on-line]. Available: www.iisd.org viii | P a g e network objectives are being achieved. Resources and sustainability Existence of necessary human and financial resources to operate successfully and sustain activities Lack of a strategic direction and sustainability planning; limited attention paid to future planning Limited number of provincial nodes Perception exists that there is an ineffective distribution of resources (due to lack of a strategic plan) Inadequate tracking of network activities/funded programs Summative areas of investigation Life-Cycle analysis Performance in relation to stage of development in comparison to other networks at similar stages Network effectiveness Achievement of goals and objectives Impact of collaborations on stakeholders Production and sharing of new knowledge 2. Perception exists that five years is not enough time to develop the network; it will take more time to establish the network and have it fully entrenched across all key stakeholder groups. Establishment of network (structures, websites) took longer than anticipated General perceptions that the network is “where is should be” (on-target) in its life-cycle but has the potential to fall behind if it does not increase collaboration, improve communication or develop a sustainability strategy. Limited cross-theme collaboration (themes working in silos) Limited opportunities for engagement of graduate students in network activities CDRAKE instrumental to current KTE activities; communication challenges impact sharing of information from other themes CDKTN funded projects focus on traditional methods of dissemination of results (conference presentations, abstractions, reports to funders) – limited novel KT strategies network goals Make strategic planning an immediate priority for the network Increase number of provincial nodes to better facilitate collaborations and to enable greater representation from across the country Develop a long-term direction for the network to dictate the distribution of resources towards the achievement of deliverables Better tracking of network activities and resource allocation through management office Focus on sustainability planning with an eye to improving collaboration and communication within the network (particularly between themes) Develop strategies to improve cross-theme collaboration by: o Ensuring cross-theme representation on theme steering committees o Increasing the number of provincial nodes o Providing incentives to themes (e.g., funding contingent on cross theme collaboration) o Develop opportunities for greater student involvement in the network through funding, training, and knowledge sharing opportunities Develop greater expectations for KT and E for funded projects – emphasis on the development of strategies for sharing information with clinicians, frontline workers and consumers; ensure funded projects are aligned with anticipated outcomes of the network/ goals of the network; better promotion of funded projects through network communication platforms Achievement of Anticipated Outcomes The evaluation of the CDKTN has been consistent with the Promoting Action on Research Implementation in Health Services (PARIHS) framework,2,3 which proposes that sustained implementation of research knowledge is dependent on three key elements: context, evidence and facilitation. For the CDKTN, context would include the structure and resources of the network and theme groups, as well as the context of settings where knowledge 2 Kitson, A., Harvey, G., & McCormack, B. (1998). Enabling the implementation of evidence based practice: a conceptual framework. Quality in Health Care, 7, 149-158. 3 Rycroft-Malone, J., Kitson, A., Harvey, G., McCormack, B., Seers, K., Titchen, A. Estabrooks, C. (2002). Ingredients for change: Revisiting a conceptual framework. Quality and Safety in Health Care, 22, 174-180. ix | P a g e could be translated into practice and policy. Evidence includes how evidence (research evidence as well as clinical experiences and the perspectives of persons with dementia and their care partners) is viewed, valued, and used by the network and the activities it supports. Facilitation includes the methods for supporting interaction and exchange in the network (best practices and strategies for KTE), as well as facilitation of research translation in the theme areas and practice/ policy settings. These three elements in relation to the achievement of anticipated outcomes, specified in the CDKTN logic model, are outlined in the following table. Anticipated Outcomes More dementia experts trained in KT&E and better KT&E trained experts (a brand of “dementia collaborators”) Summary of Key Evaluation Evidence A culture (attitude) shift so KT&E are considered essential research activities and organizational function Perceptions that the CDKTN has increased profile of KT, increased awareness and understanding of the knowledge to action cycle, and increased awareness of the importance of KT in dementia-related research Increased clinical and social relevance of research Enhanced dissemination via novel means (technology-based, artsbased) CDKTN funded projects have emphasized clinical and social relevance of research CDKTN has funded projects which use novel KT strategies and should continue to do so The networks own strategies for KTE are limited; lifeandminds.ca website is not functioning/ engaging people at an optimal level. Increased and enhanced knowledge translation and exchange (increased capacity for research use) Strengthened linkages and exchange among industry, 4 Strategic Recommendations Generally, there is limited understanding of the extent of KT training provided by Theme 1; concerns exist that that training is currently limited to UBC and is not happening at a national/ network level Lack of cross theme collaboration related to KTE training CDRAKE has been instrumental in increasing opportunities for dementia focused knowledge exchange with emphasis on the 7 Ps of KE4 CDRAKE events and activities have been extremely well received and have been perceived as providing high quality information that is relevant to practice; CDRAKE has increased access to tools and resources that users would otherwise not have access to. Although CDKTN membership includes representation from industry, clinicians, Promote KTE training at a more national level Develop specific CDKTN sponsored/ focused KT training program; consider use of technology to facilitate greater access (e.g., e-learning strategies). Create a working group to liaise with existing training delivery structures (e.g. summer institutes), match KTE experts/knowledge brokers with content experts, develop curricula, and build KTE into methods courses and texts. Support KTE as a component of an organization’s culture* through: o Promotion of the use of different KTE strategies through workshops for organizations (including academic and community organizations). o Creation of a “how to” KTE manual with reference to varying contexts, populations, and methods. o Engagement of KTE champions. o Encouragement of organizations to “model” successful CDKTN KTE strategies. Place greater weight on funding applications that use novel strategies for KT Restructuring of lifeandminds.ca website to make it more dementia-friendly (consider design, colour, and graphics in re-design) Greater promotion of lifeandminds.ca website Continue to support CDRAKE as a critical force for KTE. Increase promotion of CDRAKE to frontline workers and organizations working directly with persons with dementia. Increase the national profile of dementia by actively disseminating dementia research through media outlets including radio, television, and internet as well as conferences, workshops and reports. This provides an opportunity to promote the field, celebrate successes, underscore ongoing challenges and needs, and reflect on the efforts of CDKTN members and partners. Develop strategies and tools to better engage policy makers in CDKTN. Consider using Lusk E and Harris M. Community of Practice Orientation Guide. Gestalt Collective. Canada; 2011. x|Page Anticipated Outcomes Summary of Key Evaluation Evidence researchers, clinicians, policymakers, persons with dementia and their formal and informal care partners Improved language of care in keeping with best practices There is no existing evidence of the extent to which this outcome has been achieved Greater system support for use of knowledge in practice Enhanced services and supports for persons with dementia and their families There is no existing evidence that the network is impacting system support for use of knowledge in practice. CDKTN is perceived as being in a good position to have a significant impact on KTE and system and care enhancements but current challenges (as identified above and in the evaluation) have impeded progress toward these outcomes. CDRAKE has been instrumental in increasing access to knowledge and promoting evidence based care. Existing lifeandminds.ca website is perceived as not being senior friendly or functioning at optimal capacity as a vehicle for knowledge exchange. There is limited existing evidence of the extent to which these outcomes have been achieved. There is anecdotal evidence based on interviews with frequent CDRAKE users that CDRAKE has: o Increased access to information o Increased knowledge on a variety of topics related to dementia o Changed clinical practice and service delivery o Increased opportunities for networking and sharing knowledge resources o Supported the provision of education (for educators). Attempts to assess the impact of the network on citizen and care partner access to and use of information were not successful. Enhanced evidence-based care Enhanced knowledge and skills of care partners Enhanced services and supports for persons with dementia and their families Increased availability of knowledge for researchers, clinicians, care partners and persons with dementia Increased knowledge of best dementia care practices Accelerated application (knowledge translation) of research findings to dementia care Increased citizen and care partner access to and use of information tools/resources about dementia Greater system support for use of knowledge in practice Strategic Recommendations policy makers and persons with dementia and their care partners, their representation and active involvement in the network is limited. functional framework developed by Lomas and Brown5 to offer insight into the design of tools and activities, as well as to develop decision makers’ skills to improve the use of research in policymaking processes. Promote the network to all key stakeholder groups through the development of a strategic communication plan to raise awareness of the network, establish a platform for information sharing, and access various target audiences. Develop an evaluation plan to measure success at achieving anticipated outcomes; consider use of goal attainment scaling.6 Key Findings of the Environmental Scan: Based on the findings, a number of network-wide and theme-specific recommendations, goals and strategies have been developed related to guiding the review of CDKTN’s strategic plan and the future of CDKTN, The recommendations include the following key short-term action items: Develop a strategic plan for the network to include: Plans for partnership development to secure ongoing funding for the network; 5 Lomas, J., & Brown, A.D. (2009). Research and advice giving: A functional view of evidence-informed policy in a Canadian Ministry of Health. Millbank Quarterly, 87(4), 903-926. 6 Stolee, P., Rockwood, K., Fox, R.A., Streiner, D.L. (1992). The use of Goal Attainment Scaling in a geriatric care setting. Journal of the American Geriatrics Society 40, 574-578. xi | P a g e An outline of key network activities over the next 3–5 years to achieve network objectives, focusing on: o network wide activities, not just activities of individual theme areas o facilitation of greater inter-theme collaborations o building of local, provincial and national partnerships in collaboration with provincial nodes o reflection on information gathered to date (environmental scan, evaluation) to guide planning with a view to addressing key network processes and operational issues, as well as activities aimed at achieving network outcomes; Communication strategy to keep NB, MC, and network members informed of network objectives, progress and activities and to facilitate a greater understanding of the network and how members can become engaged; and, Plans for the distribution of resources towards the achievement of deliverables. Promote the network at a national level with the publication of a position paper on the network Focus on the development, implementation, current state and future plans for the network Develop a communications strategy to address existing challenges related to communications Invest in reconstruction of lifeandminds.ca website to make it more senior and dementia-friendly Consider hiring a position focused primarily on network communications and promotion/ marketing activities Work with evaluation team to develop an evaluation plan for the upcoming year focusing on: Gathering information to inform the strategic plan for the network; Network structure and processes – progress/improvements; and, Achievement of anticipated outcomes, including: o Input from consumers and all relevant key stakeholder groups o Use of goal attainment scaling to measure achievement of outcomes. xii | P a g e APPENDIX 1h Google Analytics www.lifeandminds.ca CDKTN www.lifeandminds.ca The CDKTN public website, www.lifeandminds.ca, consists of four major sections: 1. Media; showcases videos, presentations and other media elements 2. Research: highlights recent efforts by researchers. It announces KT funding awards and resulting research project reports, and links visitors to the three CDKTN themes 3. News: shares media links to news articles from across Canada and internationally, features articles on research conducted, 4. Events: shares upcoming conferences, lectures and events of interest to visitors. Organizations external to CDKTN request their events be posted to our calendar. Website Traffic Dates: April 1, 2011-March 31, 2012 Summary: All traffic sources sent a total of 7,027 Top traffic sources included were direct, Google and CBC 7,027 visits came from 65 countries xiii | P a g e xiv | P a g e APPENDIX 1i National E-Newsletter The E-Newsletter is generated quarterly by the CDKTN project office to capture events, news, research highlights and other key activities occurring in Canada. The E-Newsletter is posted to www.lifeandminds.ca, circulated on www.dementiaknowledgebroker.com and posted to the Research Members’ Intranet. xvi | P a g e APPENDIX 1j Weekly Media Monitoring Reports ~ Summary Example xvii | P a g e APPENDIX 1k Membership of Canadian Dementia Knowledge Translation Network The Research Members’ Intranet consists of 774 members from 333 separate organizations (plus a further 107 ‘other’ organizations) across 31 countries. Countries contributing to the CDKTN Research Member database include Argentina, Australia, Brazil, Canada, China, Denmark, Egypt, Finland, Ghana, Guatemala, India, Ireland, Israel, Italy, Jamaica, Japan, Netherlands, Nigeria, Peru, Portugal, Puerto Rico, Saudi Arabia, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad, United Kingdom and the United States. Other organizations consist of non-research associations such as life insurance, consulting, service providers, etc. Organization Abbott Addition Services ADI Limited Nova Scotia Afexa Life Sciences Aging Technology Services Ahmadu Bello University Ain Shams University Alberta Health and Wellness Alberta Health Services ALMA Alzheimer Foundation of America Alzheimer Knowledge Exchange Ontario Alzheimer Nederland Alzheimer Scotland Alzheimer Society United Kingdom Alzheimer's Association of Israel Alzheimer Society Canada Alzheimer Society Algoma Alzheimer Society Belleville Alzheimer Society Calgary Alzheimer Society Cornwall Alzheimer Society Dufferin County Alzheimer Society Elgin Alzheimer Society Grey-Bruce Alzheimer Society Guelph Alzheimer Society Hamilton Alzheimer Society Huron Alzheimer Society Kingston Members 2 1 1 2 1 1 1 1 12 1 1 3 2 2 1 1 6 1 1 1 3 1 3 1 1 5 1 2 Country US Canada Canada Canada US Nigeria Egypt Canada Canada US US Canada Netherlands UK UK Israel Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada xviii | P a g e Organization Alzheimer Society Kitchener-Waterloo Alzheimer Society Lanark Alzheimer Society Leeds-Grenville Alzheimer Society London Alzheimer Society Montreal Alzheimer Society Niagara Alzheimer Society Ottawa Alzheimer Society Oxford Alzheimer Society Peel Alzheimer Society Perth County Alzheimer Society Peterborough Alzheimer Society Sarnia-Lambton Alzheimer Society Sault Ste Marie Alzheimer Society Sudbury Alzheimer Society Thunder Bay Alzheimer Society Windsor Alzheimer Society York Region Alzheimer Society of Alberta & Northwest Territories Alzheimer Society of Bangladesh Alzheimer Society of Jamaica Alzheimer Society of Nova Scotia Alzheimer Society of Ontario Alzheimer Society of PEI Alzheimer Society of Trinidad Alzheimer’s Disease Research Centre Alzheimer’s National Board Alzheimer’s Society UK Andrews of Stratford Andrews of Summerside Annapolis Valley Health Authority Artists’ Health Centre Toronto Western Hospital Association Alzheimer de P.R. AstraZeneca Canada Atlantic Baptist Nursing Home Atlantic Institute on Aging Australia National University Medical School Barts and the London NHS Trust Members 2 1 1 1 2 2 1 1 1 1 2 1 1 1 3 1 1 1 Country Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada 1 2 12 6 1 2 1 1 3 1 1 2 1 India Jamaica Canada Canada Canada Trinidad Canada Canada UK Canada Canada Canada Canada 1 1 1 1 1 Puerto Rico Canada Canada Canada Australia 1 UK xix | P a g e Organization Bay Pines Health Care System Baycrest BCS Group Beach Grove Home BGH Sunset Unit Bedford Sackville Mental Health BGH Sunset Unit Brainfitness Bridgepoint Health Briston-Myers Squibb Broadmead Care Society Brock University Bruyere Ottawa Memory Disorder Clinic Calgary West Central Primary Care Network Canada Mortgage and Housing Corporation Canadian Agency for Drugs and Technologies Canadian Association of Occupational Therapists Canadian Centre for Health and Safety in Agriculture Canadian Dental Association Canadian Institute of Health Research Canadian Mental Health Association Canadian Nurses Association Canadian Red Cross Cape Breton District Health Authority Capital District Health Authority NS Capital Care Caregivers Nova Scotia CCA Link Program CDKTN Project Office Cedarstone CEDRA Centennial Centre for Mental Health Centracare Health System Centre de Sante Mental Communiautaire Centre for Assistive Technology Members 1 7 1 2 1 1 1 1 2 1 1 3 2 1 Country US Canada Canada US Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada 1 Canada 3 Canada 1 Canada 1 Canada 1 3 1 1 1 2 43 2 3 1 9 1 1 1 1 1 1 Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada US Canada US xx | P a g e Organization Centre Hospitalier Universitaire de Montreal Centre Universitaire-Hospitalitier Vitalité Centro de Did Jesi Changhua Christian Hospital Chiang Mai University CHUBU University Circle of Care Cognistat Colchester East Hants Health Authority Colville Manor Community Mental Health Services Ontario Consortium of Canadian Centres for Clinical Cognitive Research (C5R) Continuing Care Continuing Care Cornwall Society Cox Senior Medical Centre Creative Space Credit Valley Hospital Crisis Intervention Cumberland Health Authority NS Dalhousie University Dartmouth General Hospital Delta View Life Environment Centre Dementia Collaborative Research Centre Dementia Royal Free Hospital Dementia Services Development Centre Stirling Department of Health and Wellness Dementia Guide Inc. Clinical Donald Berman Maimonides Geriatric Centre Dongzhimen Hospital BUCM Dr. Everett Chalmers Regional Hospital Dr. John Gillis Memorial Lodge Drager DriveABLE Dublin City University Members 1 Country Canada 1 1 1 1 1 1 1 1 1 2 Canada Argentina China Thailand Japan Canada Canada Canada Canada Canada 1 Canada 1 1 1 1 1 2 1 3 19 1 2 1 1 1 Canada Denmark Canada Canada UK Canada Canada Canada Canada Canada Canada Australia UK UK 3 1 1 Canada Canada Canada 2 1 1 1 1 1 Canada Canada Canada Canada Canada Ireland xxi | P a g e Organization Dykeland Lodge DZNE (Deutsches Zentrum fur Neurodegenerative Erkrankugen) Eastern Health Eastern Suburbs Outpatients Essential Dental Hygiene Services Extendicare Canada Flower Foundation Cosmos House Forget-Me-Not Fraser Health Authority GE Healthcare Geriatric Psychiatry Community Services of Ottawa Gerontology Institution Glen Haven Manor Glenrose Rehab Hospital Goa Medical College Good Samaritan Telecare Government of Yukon Grand River Hospital – Kitchener Ontario Griffin University Guysborough Antigonish Strait Health Authority Halton Healthcare Hamilton Family Health Team Hamilton Health Sciences Hamilton Physiotherapy Health Association of Nova Scotia Health PEI Healthcare Insights LLC Highview Residences Hillside Pines Home for Special Care HKADA Home Care Plus Ltd. Home Instead Senior Care Horizon Health Network Hospice Northwest Palliative Care Hospital das da Faculdade de Medicina da Universidade I.S.T.S. The Simultaneous Interpretation Members 1 1 Country Canada Denmark 1 1 1 1 1 1 1 1 1 Canada Australia Canada Canada UK Canada Canada Canada Canada 1 1 2 1 1 1 1 1 2 Canada Canada Canada Portugal Canada Canada Canada Australia Canada 1 1 2 1 3 2 1 2 1 1 1 5 1 1 1 Canada Canada Canada Canada Canada Canada US Canada Canada UK Canada Canada Canada US Brazil 1 Canada xxii | P a g e Organization Specialists Inglis House Instituto de la Memoria Interior Health International Alliance of Patients’ Organization Iran Alzheimer Association International Ivy Meadows Continuing care Centre NS IXICO JBN Medical Jewish Eldercare Centre Jewish General Hospital Johmon-no-Sato Nursing Home Joseph Brant Memorial Hospital Karolinska Institutet Kawartha Regional Memory Clinic KEMH Hospital King Saud Bin Abdulaziz University for Health Sciences Kings Regional Rehab Centre KMPT Kyoto Tachibana University Lakeridge Health – Rouge Valley Health System Langone Medical Center – Center of Excellence LSU Neuroscience Centre Maplewood Manor Massachusetts Institute of Technology Master’s of Publich Health Lakehead University McGill University McMaster University Memorial University of Newfoundland Mental Health Commission of Canada Mills Ministry of Health and Long Term Care Montreal Neurological Institute Mount Royal University Mount Saint Vincent University Members Country 1 1 1 1 US Peru Canada UK 1 1 1 1 1 4 1 1 1 2 1 1 Iran Canada UK Canada Canada Canada Canada Canada Sweden Canada US Saudi Arabia 1 1 2 1 Canada UK Japan Canada 1 US 1 1 1 1 US Canada US Canada 9 6 2 3 1 1 1 1 6 Canada Canada Canada Canada Canada Canada Canada Canada Canada xxiii | P a g e Organization Musquodoboit Valley Home for Special Care Nakile Home for Special Care NS New Dawn College New York Institute of Technology NKS Olaviken North East Specialized Geriatric Services North Okanagan Hospice Society North York General Hospital Northside Community Guest Home Northwood Ethics Association NS Northwood Intouch Northwood Nova Scotia Nova Scotia Community College NS Department of Community Services NS Department of Health NS Department of Justice NS Hearing and Speech Centre Oakwood Terrace Ocean View Manor Society Ontario Community Support Association Ontario March of Dimes Ontario MD Orchard Court Orillia Soldiers’ Memorial Hospital Osaka University Other Organizations P.S.W. Parkwood Hospital Pediatric Oncology Group of Ontario Pfizer Canada PhoeniX Technologies Incorporated PEI Department of Health Prince George Regional Hospital Project Lifesaver Providence Care Public Health Agency of Canada Queen Elizabeth Hospital Red Deer Alberta Regional hospital Regional of Waterloo Social Services Members 1 Country Canada 1 1 1 1 1 1 5 1 1 2 11 3 1 6 2 1 1 1 1 1 1 1 1 1 107 1 1 1 3 1 1 1 1 10 2 1 1 1 Canada Canada US Sweden Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Canada Japan Various Canada Canada Canada Canada Canada Canada Canada US Canada Canada Canada Canada Canada xxiv | P a g e Organization Registered Nurses Association of Ontario Research Strategy Group Inc. Resident Care East Cumberland Ledge Revera Inc. Riverside Lions Seniors Residences RJF Health Care Robarts Research Institute Royal Ottawa Hospital Royal Ottawa Mental Health Centre Rush Alzheimer’s Disease Centre SafeGuard Saint Elizabeth Rehab Saint Vincent’s Nursing Home Saskatoon Health Region Seniors Resources in North Toronto Shannex Inc. Shelton Hospital Simon Fraser University Sobey’s Pharmacy South Cumberland Community Care Centre South Shore District Health Authority NS South West Health Seniors Services South West Nova District Health Authority St Joseph’s Health Care St. Francis Xavier St. George’s University of London St. Joseph’s Care St. Joseph’s Hospital Saint John St. Luke’s Hospital St. Martha’s Regional Hospital St. Mary’s General Hospital St. Mary’s University St. Michael’s Hospital St. Paul’s Hospital Foundation St. Vincent’s Nursing Home Stanton Territorial Hospital Strive Health Management Consulting Inc Members 1 1 1 2 1 1 1 2 2 1 1 1 1 1 1 7 1 1 1 1 Country Canada Canada Canada US Canada Canada Canada Canada Canada US Canada Canada Canada Canada Canada Canada UK Canada Canada Canada 3 1 1 Canada Canada Canada 6 1 1 1 1 2 1 1 2 1 1 1 1 1 Canada Canada UK Canada Canada US Canada Canada Canada Canada Canada Canada Canada Canada xxv | P a g e Organization Sunnybrook Health Sciences Centre Taiwan Alzheimer’s Disease Association The Good Samaritan Society The Lodge at Broadmead Thompson Rivers University Timeless Medical Toronto Public Library Toronto Rehabilitation Institute Universidad de Sao Paulo University de Moncton University de Montreal University de Sherbrooke University College Falmouth University College London University of Alberta University of Arkansas University of Barcelona University of Bologna University of British Columbia University of Buffalo University of Calgary University of Central Florida University of Helsinki University of Laval University of Manitoba University of Missouri-Columbia University of New Brunswick University of Ottawa University of Saskatchewan University of Stirling University of Toronto University of Victoria University of Virginia University of Waterloo University of Western Ontario University of Worcester University of Zurich USC/RLANRC V.A.C. Vancouver Coastal Health Members 6 1 1 1 1 3 1 3 1 2 11 3 1 1 10 1 1 1 13 2 4 1 1 1 2 1 2 2 5 2 8 1 3 9 11 1 1 1 1 2 Country Canada China US Canada Canada Canada Canada Canada Brazil Canada Canada Canada Canada Canada Canada Canada Spain Italy Canada US Canada US Finland Canada Canada US Canada Canada Canada UK Canada Canada US Canada Canada UK Switzerland US Canada Canada xxvi | P a g e Organization Vancouver General Hospital Vancouver Island Health Authority Veterans Affairs Canada Victorian Order of Nurses VOSAW We Care Health Services LP Wedgewood Manor Wikwemikong Health Centre Winchester Medical Centre Windsor Elm’s Village Yee Hong Centre Zoomer Media Members 2 2 1 8 1 1 1 1 1 2 1 1 Country Canada Canada Canada Canada Ghana Canada Canada Canada US Canada Canada Canada xxvii | P a g e APPENDIX 1l Website Analytics for www.dementiaknowledgebroker.ca Lusk, E. The Dementia Knowledge Broker for the Canadian Dementia Resource and Knowledge Exchange: http://www.dementiaknowledgebroker.ca (launched January 11, 2011) Timeframe: April 1, 2011-March 31, 2012 xxviii | P a g e APPENDIX 1m CDKTN development pictured in a timeline and presented in poster format during conferences and booth exhibits. xxix | P a g e APPENDIX 1n CDKTN Posters (re-designed from earlier collateral of floor standing posters) xxx | P a g e APPENDIX 1o CDRAKE Online Events Collateral Invitation & Registration Connection Details/Reminder Thank You/Follow-up to participants xxxi | P a g e CDRAKE Online Event Series (jointly branded): Invitation & Registration Connection Details/Reminder Thank You/Follow-Up to participants xxxii | P a g e The CDRAKE Pulse (eNews) xxxiii | P a g e Broadcast Recording through UStream xxxiv | P a g e APPENDIX 2a Building Capacity in the AD&D Research Community Workshop / Presentations The workshop on KT for dementia researchers: Grant writing strategies in 2011 provided tools and shared expert insights as to how KT can be successfully incorporated into dementia grant proposals. The workshop content will be refined and delivered via a webinar format in 2012 # of registrants 15 Workshop date September 2011 The Geriatric Services Conference 2011 workshop session on Becoming media savvy - Creating traction for dementia research and care allowed an expert panel on dementia research, media relations and social media to share their knowledge and field questions about successful strategies to relay messages about dementia research and care to a broad audience 25 October 2011 The Clinical Neuroethics Medical Humanities Night held in January in Vancouver focused on neurodegenerative disease in Canadian Aboriginal People. 16 January 2012 The webinar on Dementia research and care in social media: Creating New KT Opportunities in March 2012 provided the opportunity to discuss the use of social media as a dissemination tool for dementia research in further detail and this will be followed up with a webinar on media relations in June 2012. 57 March 2012 Giles, C: lecture Quebec Research Days ~ “Conducting KT for different research themes and projects” provided a vision of the steps and difficulties to generate meaningful KT information. The lecture was presented to students and researchers of the Quebec Network for research on aging. 45 October 2011 xxxv | P a g e CDRAKE presented at the Canadian Association of Gerontology 40th Annual Scientific and Educational Meeting & Pan Am Congress, in October 2011 in Ottawa Ontario on National Change: Learning from local and provincial experiences related to behavioural support systems (Harris M, Clark S, Lusk E, Le Clair K). The audience included approximately 20 researchers, policy makers and care providers. 20 October 2011 xxxvi | P a g e APPENDIX 2b Knowledge User – Webinars Building Capacity in Knowledge Users - Webinars Date Title Live Participants 91 Recording Playbacks* 6/Apr/11 Advocacy and the Impact of Public Engagement on Government Policy 21/Apr/11 Frailty, Disasters & Dementia: What health providers need to know 182 9/May/11 Fragilité, désastres et démence : Ce que les intervenants doivent savoir 24 19/May/11 Défense des intérêts des familles et des personnes atteintes de la maladie d’Alzheimer 70 24/May/11 253 6/Jun/11 Early Onset Dementia – Three Different Journey’s with Early Onset & Information on Early Onset Support Groups Speak Up: Start the conversation about end-of-life care 15/Jun/11 Police Interaction with Persons Affected by Alzheimer’s Disease 226 28/Jun/11 Middle Stages of Dementia: Supporting persons with dementia and their families 242 29/Jun/11 271 21/Jul/11 Identifying Vulnerable Seniors: An 'in-the-field" dementia screening tool for police officers Understanding Responsive Behaviours as a Way to Enhance Care 429 144 1/Aug/11 Late Stage Dementia: Overview 395 149 25/Aug/11 Speak Up! Start the conversation on end-of-life care 264 88 19/Sep/11 Palliative and Therapeutic Harmonization: A new model for end of life care in frail older adults 289 114 26/Sep/11 Early Onset Dementia - Four Different Journey’s With Early Onset Dementia *Repeat Session* 157 200 20/Oct/11 Person Centered Culture 227 368 14/Nov/11 Creating Culture Change in LTC Homes in Canada: A Person Centred Approach 189 163 29/Nov/11 Les Droits des Ainés en Résidence 44 17 5/Dec/11 Supporting Caregivers of Older Adults: Tools and Resources for Service Providers, Program Planners and Policy Makers 125 94 12/Jan/12 Health Promotion and Dementia: Creating a Health Promotion Framework Through Participatory Engagement 264 79 18/Jan/12 Importance of an Early Diagnosis 194 87 19/Jan/12 Self Management and Dementia 233 101 336 xxxvii | P a g e 23/Jan/12 ABCD of CJD 156 84 26/Jan/12 How I Live Well 197 164 14/Feb/12 Emergency Preparedness Facilitated E-Learning Series 34 N/A 21/Feb/12 Emergency Preparedness Facilitated E-Learning Series 30 N/A 28/Feb/12 Emergency Preparedness Facilitated E-Learning Series 31 N/A 6/Mar/12 Emergency Preparedness Facilitated E-Learning Series 25 N/A 27/Mar/12 Frontotemporal Dementia: Facing the Challenges for Patients, Family Members, and Clinicians 322 13 * event recording started July 21, 2011 To access past events visit: www.dementiaknowledgebroker.ca/past-events xxxviii | P a g e APPENDIX 2c Research Projects Building Capacity among Care Givers Good Days/Bad Days is an investigation of how people with non-Lewy-body, mild-moderate dementia and their caregivers describe fluctuations in their symptoms from one day to the next. This study seeks to discover which symptoms and changes are implicated by patients and caregivers and which questioning methods elicit the most descriptive and useful information about this phenomenon. Analysis of brief clinical interviews with over 30 patients and caregivers carried out in the first phase of the study will be presented at Alzheimer's Association International Conference in Vancouver in July 2012, and suggest that changes in mood, ability to complete daily tasks and ability/willingness to communicate are common indicators of good/bad days in AD. Data collection for the second phase of this study, funded by a CIHR Catalyst Grant, is set to begin in May. In this phase, Dr. Rockwood’s team will conduct in-depth interviews with caregivers of patients with moderate AD, inquiring about “normal” symptom expression in contrast to periods of time when the patient is characterized as notably better or worse. This research may result in the development of a tool or guide that can be used to help patients, caregivers and health care providers better recognize and track this phenomenon. Driving and Dementia: CDKTN partnered with Dr. Paige Moorhouse, Principal Investigator to raise awareness about the issue of driving with dementia and to provide and evidence based recourse for family caregivers and physicians. The website, www.notifbutwhen.ca, was launched in March 2010 and operated over 2011-12 as a repository of relevant research, educational information, tools and other resources sourced from the Alzheimer Society of Nova Scotia, The Nova Scotia Registry of Motor Vehicles and various other stakeholders. The site continues to be accessed by about 200 visitors each month with an average of 5 pages of information accessed per visit. Knowledge Synthesis - Meta-ethnography of paid dementia care workers' perspectives on their jobs. Dr. Kenneth Rockwood and other co-applicants and knowledge users completed a CIHR funded synthesis of the literature around the perspectives of paid dementia care workers on the jobs they do. Being meta-ethnographic, the study looked at qualitative research from a variety of settings and types of paid dementia care workers (e.g. registered nurses, physicians, care assistants) in any country. Five overarching themes were reported: approach to care, education and training, emotional impact of the work, organizational factors, and relationships on the job. Interplay of the theme areas shows the importance of dementia-specific education and training in terms of the approach to care and emotional impact of the work. This report concluded that closing the gap between policy and practice is critical, but achieving this will require much attention paid to dementia-specific education for all workers, including care leaders. The results of this review were presented at the Alzheimer Europe Conference in Warsaw, Poland in October 2012 and a manuscript has been submitted for publication. xxxix | P a g e APPENDIX 2d Knowledge User – Media, Articles and Interviews Media Relations CDKTN Media/Press Releases: o CTV Atlantic o The Montreal Gazette (CDKTN Workshops) o Geriatric Medicine Research Blog (Dalhousie University) o Living Well Magazine (Press release for Mobility and Balance paper release in Jan. 2012 o CNN (Dr. Rockwood’s Age related memory loss more common in men) Press articles added to the site: o When Dementia is in the House(Toronto Commercial News - Chinese Edition - Nov. 2011) o Website helps teens cope with dementia in the family (CTV News - Nov. 2011) o Dementia will only become more common (The Chronicle Herald - Oct. 2011) o Small Health Woes Increase Dementia Risk (New York Times - July 2011) o General Health May Tell Your Alzheimer’s Risk (CNN July 2011) o Surprising Factors That Could Up Alzheimer’s Risk: Study (Huffington Post - July 2011) o Frailty Prevalence May Rise Throughout Adulthood (US News and World Report - July 2011) o Taking Better Care of Seniors in the ER (CBC Radio – White Coat, Black Art - March 2011) o When Dementia is in the House, Baycrest (November, 2011) Page views on www.lifeandminds.ca 2,114 visits (December-February 2012) Social Media Twitter (@LifeandMinds): (May 2011-present) -Following:1,620 -Tweets: 602 -Followers: 575 YouTube (2009-present) - CTV Atlantic interviews Dr. Kenneth Rockwood Flickr: Canadian Dementia Knowledge Translation Network (July 2011present) -9 galleries (July 2011-present) -5 new CDKTN galleries (Sept 22, 2011-present) CDKTN social media has visual presence on www.lifeandminds.ca Life and Minds (www.lifeandminds.ca) is now social media friendly. Capability of having “Twitter (@LifeandMinds), YouTube and Flickr) on our media tab. xl | P a g e Articles and videos posted to www.lifeandminds.ca Alzheimer Disease International Conference 2012 (March, 2012) Make a memory and walk for a purpose (March, 2012) Age related memory loss more common in men(CNN - Jan 2012), Tracking seniors' mobility critical (The Chronicle Herald - Dec. 2011), Halifax study shows need for mobility tests on seniors(Global News Dec. 2011) CBC Information Morning: Christina Martin (Artist in Residence) (Sept 22, 2011) and Dr. Kenneth Rockwood (Sept 22, 2011) “Heart & Soul Summer Arts Camp” (Feb 21, 2012) “Aging in Individuals and Populations/Mathematical Modeling” (presentation by Dr. Arnold Mitnitski on Feb. 21, 2012-Dalhousie University) CDKTN Newsletter (Jan. 2012) http://www.lifeandminds.ca/videos/ Canadian Conference on Dementia Poster (October 2011) Globe – Alzheimer Café story posted – March 1, 2011 Mobility and Balance Press Release printed in Living Well Magazine organized through CDHA Nova Scotia (Feb. 2012) Christina Martin (CTV Atlantic), Feb. 7, 2012 Dr. Kenneth Rockwood (CTV Atlantic) March 2, 2012 “Launching When Dementia is in the House” (Nov 15, 2011) “RFA: Training Awards and Research Grants” (Oct, 2011) “10th Annual Kathryn Allen Weldon Public Lecture” recap (Oct, 2011) “World Alzheimer’s Day” (Sept 21, 2011) “Conference Update: CCD” - November 17 “RFA: Training Awards and Research Grants” (Oct, 2011) “10th Annual Kathryn Allen Weldon Public Lecture” recap (Oct, 2011) “World Alzheimer’s Day” (Sept 21, 2011) “Conference Update: CCD” - November 17 Videos: o What is KT? o Geriatric Medicine Research: Cognition, Frailty, Balance and Mobility, Social Vulnerability o Dancing Inside: An Alzheimer's Story Media Monitoring Distributed to CDKTN research members (available on CDKTN Intranet) 42 media reports distributed (example referenced in Appendix 1j) Interviews Dr. Rockwood was interviewed by CBC’s Colleen Jones (radio and television interview) on Staying Active in Later Life on April 17, 2012 Dr. Melissa Andrew was interviewed by the Chronicle Herald on March 16, Dementia Plan needed for Nova Scotia on March 16, 2012 Christina Martin (CDKTN/GMR) Artist in Residence was interviewed by CTV’s Maria Panopalis on February 7th, 2012 ( On site at the VMB, CDKTN PR representative was on site) CTV Interview with Dr. Kenneth Rockwood/Kathryn Allen Weldon xli | P a g e Lecture 2010 CBC Information Morning: Christina Martin (Artist in Residence) (Sept 22, 2011) and Dr. Kenneth Rockwood (Sept 22, 2011) CTV Dr. Rockwood interviewed by Steve Murphy (Sept 22,2011) “What Grandma Meant to say” - The material has been reviewed and recommendations for action submitted. Ms. Sulzenko was interviewed on June 29, and a Q&A style article is being written for www.lifeandminds.ca. Following the posting of the article, an audio clip from the interview will be made available under the media tab of the website. Dr. Rockwood CTV evening news (July 13, 2011) taped and received copy from CTV producer Bill Dicks (www.lifeandminds.ca). Sep 20th - CBC Dr. Rockwood Information Morning “What if everything causes dementia?” Sep 21st - CBC Christina Martin Information Morning “Artist in Residence Program” Sep 21st - CTV (Bill Dicks) reporter on site at the Spatz theatre September 21 xlii | P a g e APPENDIX 2e Knowledge User – Projects Projects: KT that educates the public about the signs and symptoms of AD Project to evaluate CDKTN media tools, videos, drama films, interviews, music. Knowledge users will work with adult educators and marketing experts to make recommendations for future work and presentation. Artist in Residence Program Christina Martin has been selected as the ‘Artist in Residence’ for GMR/CDKN during 2011-12. Meeting with patients, families, researchers and care providers to learn about the disease from those affected by it, Christina will write a minimum of three (3) songs for GMR/CDKTN that will focus on creating lyrics and music to be used as a teaching resource that will transfer knowledge about Alzheimer’s and dementia to the public. These songs will be circulated and promoted by CDKTN. o Launched July 2011; o C. Martin gathers song material by visiting with support groups such as Willow Lode in Tatamagouche. Three songs are being written. o C. Martin is launching the Artist in Residence webpage on her music site in March 2012. o Request from the Alzheimer Society of PEI to use the Christina Martin song at their Walk for Memories fundraiser. Dr. Gray Video Video production on the life of Dr. Gray and his contribution to Geriatric Medicine in Newfoundland and Labrador. o The video is completed. Dementia Videos (Meg Federico – English) (Édith Fournier – French) To gather knowledge user feedback on the value and impact of personal stories to educate or grow awareness of the signs / symptoms of Alzheimer’s and dementia. To determine if the stories reflect research and practitioner experiences. o Responses included recommendations to show one entire video instead of 6 separate clips; provide more context around the characters to make the story easier to follow. o Requests were received for more videos about Dementia – What else does a family have to deal with? o A full report on survey responses is available and will be included in the research and information gathering for the project “KT that educates the public”. o Meg Federico – Welcome to the Departure Lounge is a series of 6 filmed readings in English. Activity on www.lifeandminds.ca link: The Red Tag – 79 views The Phone Call – 64 views It Doesn’t Resemble Living – 23 views Huginn and Muninn – 121 views Breakfast with Walter – 31 views A Thousand Miles Away – 49 views o Edith Fournier – J'ai commencé mon éternité is a series of 6 filmed xliii | P a g e readings in French. Activity on CDKTN’s YouTube account: Clip 1 – Elle égrène ses heures – 55 views Clip 2 – La crise conjugale – 24 views Clip 3 – Le besoin d’aide – 13 views Clip 4 – La mémoire et l’identité – 33 views Clip 5 – Néanmoins, VIVRE – 22 views Clip 6 – L’hebergement – 19 views Tiffany Chow – “When Dementia is in the House” To better enable children to cope with Dementia in their homes by understanding their knowledge needs, enable care giving by young children and adjusting caregiver expectations and interest. o Webpage was launched November 15th o The webpage continues to be well received and since its launch, has generated over 4712 page views as of April 31, 2012 -Assisted Baycrest with press release and promotion -Articles and CDKTN mentioned: Brandon Sun, The Cape Breton Post, CBC, CTV (National), Today Commercial News, The Star and The Globe and Mail CDKTN National ENewsletter In an effort to continue to develop communication pathways, raise the Network’s profile among researchers and users, CDKTN now delivers a quarterly E-newsletter to enhance the existing website and raise the visibility of CDKTN activities, partner presence, current news and resources for site visitors and members. The E-newsletter will focus on distributing the latest CDKTN news, events, media monitoring, social media and related CDKTN activity updates through the research member’s intranet http://intranet.cdktn.ca as well as informing the general public through www.lifeandminds.ca. Dementia Awareness Training: CDKTN has partnered with an international dementia services provider to create a flexible training package for general dementia awareness, aimed at a variety of non-frontline care groups in the private and public sector, which we refer to as Public Contact Service Personnel, in North America, based largely on modified content developed by Dementia Services Development Centre, Stirling, UK. Fitness and Frailty The Fitness and Frailty project responds to a CIHR grant deliverable that requires CDKTN to facilitate exchange of knowledge between a prominent researcher and knowledge user s using the www.lifeandminds.ca as dissemination tool. This project will coordinate interviews with Dr. Rockwood and Colleen Jones of CBC to report on the value of staying active in later life. o The project included an interview from Dr. Rockwood speaking to the benefits of staying active, how this slows the disease progress of dementia, and what patients and their families can do to stay active. Interview posts are hosted www.lifeandminds.ca, articles for the CDKTN newsletter are circulated along with a blog posting in Geriatric Medicine Research and www.dementiaknowledgebroker.com. o The anticipated outcome is that the interviews and articles generate conversation and empower users to apply new or existing knowledge. We are connecting the general public to research in dementia and xliv | P a g e encouraging the development of more fitness programs for older adults. Projects Pending: Website – Addition of French language option Funding was not awarded for this project. CDKTN project office is identifying a new funding opportunity for this effort. KT Tools to encourage dissemination and access to resources/current materials Grant funding pending CIHR decision June 2012 Educating Atlantic Canadians about available Alzheimer and dementia information, resources and knowledge sharing tools CDKTN Research Members Database June 2012 To provide CDKTN network members with a tool for posting and sharing their published papers. To provide the public with access to the searchable database of published research and solicit their feedback on perceived gaps in research. CDKTN Database “Symptoms of Alzheimer’s and list of community resources” June 2012 To create a database of the experience of dementia from the perspective of those living with it. CDKTN Public Relations and Communication Plan July 2012 The efforts are in the initiation stage. The team includes representatives from the CDKTN Project Office and one each from Themes and Nodes o Objective: coordinate internal and external efforts to promote CDKTN activities, outputs and to highlight leadership, publications, event involvement, public speaking etc. Standardizing KT September 2012 This initiative meets a professional need set a standard of consistent KT operation from project conceptualization through a review process that assesses KT opportunities and components, and finalizes in increased KT output. The project will develop innovative models to KT&E, develop these models as vehicles for translating research and disseminating knowledge. o A well-developed KT standard will lead to the development of a National “How to KT” Program and curriculum for researchers and academic organizations – a component of CDKTN’s 5-year plan. This is strategic positioning CDKTN to host a national “How to KT” conference in 2014 in partnership with Geriatric Medicine Research, Dalhousie University. o Currently, researchers have no prescribed process to follow for preproject assessment, KT opportunities identifiers for ongoing projects, or a review of translatable KT from completed projects. xlv | P a g e APPENDIX 2f Knowledge User – Conference Events Conference & Events (All events are attended from a National CDKTN perspective and event reports are available through the CDKTN Project Office) Alzheimer Society of Nova Scotia – Early Diagnosis Forum April 2012 CDKTN booth exhibit at the conference. Forum was focused around early diagnosis and allowed the general public to speak on their personal experiences and strategies. Guest speakers provided support for people affected by Alzheimer’s disease and also gave a number of resources. Geriatric Medicine Research, CDKTN both had a booth at the Forum. ADI March 2012 CDKTN booth exhibit at the conference. Event was attended by delegates from the Alzheimer Association, carers, educators, medical journalists, nurses, persons with dementia, physicians, researchers and students. International partnership established with Dr. Justine Schneider and CDKTN is writing a proposal to determine what are the active ingredients in knowledge exchange between researchers and decision makers. CDKTN will facilitate three UK workshops with Managers and researchers and train local knowledge brokers to build capacity. Northwood Public Lecture January 2012 CDKTN booth exhibit at the conference. PATH clinic presented on end of life care. New members were caregivers and patients affected by Alzheimer’s disease. Alzheimer Nova Scotia Provincial Conference CDKTN booth exhibit at the conference and attended educational sessions. New members were from the general public and majorities were caregivers. November 2011 Canadian Conference on Dementia CDKTN booth exhibit and key note speech from Dr. Kenneth Rockwood. Membership was strong and received 62 new research members from this event alone. October 2011 Canadian Association of Gerontology Annual Scientific and Education Meeting and 4th Pan –American Congress of the International Association of Gerontology and Geriatrics October 2011 CDKTN booth exhibit and key note presentation by Dr. Kenneth Rockwood. Making the Connection CDKTN booth exhibit. New members included health professionals from rural PEI. Positive feedback and strong interested in CDKTN. October 2011 CDHA Health and Wellness Fair Capital Health Week September 2011 Driving and Dementia Lecture September 2011 CDKTN booth exhibit. New members were mostly CDHA employees interested in learning more about CDKTN research. The booth attracted students completing their masters at Dalhousie University. CDKTN booth exhibit. Research presentation speakers included Drive Able, Dr. Paige Moorhouse (CDKTN KT Training Award recipient), Laura Hamilton, Research Graduate Student and government officials. Held at the Royal Bank Theatre, open to the general public. xlvi | P a g e CARP (Canadian Association of Retired People) September 2011 Kathryn Allen Weldon Lecture September 2011 McMaster Symposium September 2011 IPA September 2011 ICAD July 2011 CDKTN booth exhibit. Dr. Kenneth Rockwood made panel presentation. Event focused on developing a dementia strategy for Nova Scotia. Event attendees were caregivers affected by Alzheimer’s disease CDKTN booth exhibit. Dr. Kenneth Rockwood’s annual public lecture. Attended by members of the general public, students and health professionals. CDKTN booth exhibit. Oral presentation to inform about issues disseminating information online and the efforts of CDKTN to make information available through CDKTN’s websites. Other panel members included NICE and BAYCREST. Event attendees were researchers, professionals, care providers, policy makers, academic institutions, and business. Poster presentation: “Improving the quality of life for those with Dementia and their care partners exchange and translation of knowledge and research” Oral Presentation: Knowledge Translation that puts research-based information in the hands of knowledge users. FICCDAT June 2011 CDKTN booth exhibit. FICCDAT attendance: 1500 people. The majority of exhibitors were from the technological sector. The conferences’ main focus was on patients with physical disabilities, (i.e.: accessibility, electric wheelchairs and new technology for caregivers etc.). CDKTN fell into the ‘caregivers and aging’ sector of FICCDAT. Northwood Research Symposium June 2011 CDKTN booth exhibit at a one-day clinical conference aimed at front-line caregivers to provide examples of research being conducted in this local. The aim is to promote research in Long Term Care. CAHSPR May 2011 CDKTN booth exhibit. A Strong focus on health policy. Majority of new members were government officials, students and researchers. Nova Scotia Centre on Aging Advisory Board April 2011 Presentation to NSCA Advisory Board concerning the nature of knowledge translation, and the activities and goals of CDKTN. Changing Melodies Forum April 2011 CDKTN booth exhibit. There was a focus on the effects of dementia and how patients and care providers are coping with the disease. Attendees gave personal responses, which gave an intimate perspective. xlvii | P a g e APPENDIX 2g Knowledge User – Posters and Additional Presentations Forbes, D., Abram, J., Blake, C., Finkelstein, S., Gibson, M., Morgan, D.G., Markle-Reid, M., & Thiessen, E. (2012). Dementia Care Knowledge Needs of a First Nation Community: A Success Story. Oral presentation. Alzheimer's Association International Conference, July 14-19, 2012, Vancouver, BC. Blake, C., Forbes, D., Finkelstein, S., Gibson, M., Morgan, D., Markle-Reid, M., Leskovar, C., Culum, I., & Thiessen, E. (1012). Knowledge needs and knowledge exchange in rural dementia care networks. poster presentation Art.hur Labatt Family School of Nursing and the Iota Omicron Chapter of Sigma Theta Tau International Honor Society of Nursing: Celebrating 25 Years of Excellence in Nursing Research Dissemination 1987-2012, London, ON, May 4, 2012. Jansen, L., McWilliam, C., Forbes, D., & Forchuk, C. (2012). Knowledge to action: Translation through relating. Saskatchewan Registered Nurses' Research Conference, Regina, SK, May 2012. Morgan, D., Walls-Ingram, S., Cammer, A., Crossley, M., Forbes, D., Innes, A. O’Connell, M., & Stewart, N. (2012). The “need to know”: The value of assessment and diagnosis for caregivers of individuals with dementia referred to a Rural and Remote Memory Clinic. Poster presentation. 27th International Conference of Alzheimer’s Disease International, London, UK, March 7-10, 2012. Jansen, L., McWilliam, C., Forbes, D., & Forchuk, C., (2011). In-home knowledge translation: The family caregiver’s experience. Oral presentation. 40th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology & 4th Pan American Congress of the IAGG, October 21-23, 2011, Ottawa, ON. Forbes, D., Blake, C., Finkelstein, S., Morgan, D., Markle-Reid, M., Gibson, M., Culum, I., Leskovar, C., OseiWaree, J., & Thiessen, E. (2011). Relationships that facilitate and impede knowledge exchange among rural health care providers and family caregivers of persons with dementia. Oral presentation. 40th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology & 4th Pan American Congress of the IAGG, October 21-23, 2011, Ottawa, ON. Finkelstein, S., Gibson, M., Forbes, D., Markle-Reid, M., Morgan, D., Leskovar, C., Blake, C., & & Culum, I. (2011). Knowledge needs and knowledge exchange in rural dementia care networks. 15th International Congress Reinventing Aging through Innovation Care, Research, and Technology, Colloquium on LongTerm Care: Perspectives from the Community and the Nursing Home: International Psychogeriatric Association Conference. Poster. September 6-9, 2011. The Hague, The Netherlands. Forbes, D., Blake, C., Salonen, E., Finkelstein, S., Morgan, D.G., Markle-Reid, M., Gibson, M., Culum, I., Leskovar, C., & Little, B. (2011). What is required to ensure quality dementia care in rural settings? Alzheimer’s Association International Conference on Alzheimer’s Disease. Poster. July 16-21, 2011, Paris, France. Jansen, L., McWilliam, C., Forbes, D., & Forchuk, C. (2011). Family caregivers' experience of in-home knowledge translation. Oral presentation. Festival of International Conferences on Caregiving, Disability, Aging and Technology (FICCDAT). June 5-8, 2011, Toronto, ON. xlviii | P a g e APPENDIX 2h Visiting Scholars and Research Conducted Visiting Researcher/Student Research Conducted Background Dr. Marcel Arcand (Fall/Winter 2011-2012 CDKTN Visiting Scholar) New educational KT material for health care practitioners and researchers about end-of-life care in advanced dementia. Professor, Family Medicine, University of Sherbrooke, Quebec, and the Sherbrooke Research Center on Aging. Dr. Teresa Juarez Interventions that promote functional capacity and quality of life in persons with dementia, as well as families and health service providers. Health Service Research Unit Aging Area Instituto Mexican del Seguro Social Dr. Rosalinda Sanchez Drug-drug interactions at the time of hospital admission and their effect on hospital stay of geriatric patients Associate Researcher, Instituto Mexicano del Seguro Social 2004 Dr. Kevin Peters Ethical risks of predicting AD Associate Professor, Trent University xlix | P a g e APPENDIX 2i Visiting Scholars Program The Visiting Scholars Program funds 2-6 month fellowships for investigators, academic faculty and clinicians to conduct research, and deliver other scholarly products such as case reviews and books, or produce innovative multimedia materials in dementia or knowledge translation research in Canada. This is an outstanding opportunity to participate in world class research in dementia KT and interact with high caliber scholars at the Neuroethics Core & the UBC Hospital Clinic for Alzheimer Disease and Related Disorders. Applicants for these competitive fellowships must hold an MD and/or PhD degree. l|Page APPENDIX 4a CDKTN Knowledge Translation Training Grant Program Reports from Research Projects Funded 2009, 2010, 2011 2008 Cary Brown, University of Alberta, “Observing and Reporting Pain: Evaluating an Educational Workshop to Assist Family Caregivers to Identify and Communicate Pain in Persons with Dementia” M. Medelhoueneou, Laval University “Exposition aux contaminants environementaux et risqué d’atteintes cognitive au sein de la population âgées du Canada Mary-Lou Halabi, University of Alberta, “Observing and Reporting Pain: Evaluating an Educational Workshop to Assist Family Caregivers to Identify and Communicate Pain in Persons with Dementia” Carole Estabrooks, University of Alberta, “Optimizing the Functional Mobility of People with Dementia Living in Nursing Homes” Carole Estabrooks, University of Alberta,” A Systematic Review of Reviews on Instruments Measuring Quality of Life for Older Adults with Dementia” Sherry Dupuis, University of Waterloo,” Mobilizing Knowledge for Persons with Dementia and Families at Diagnosis: A Participatory Research Project” Angeles Garcia, Queen’s University, “Maximizing family physician uptake of new knowledge on dementia – follow-up techniques for workshops of the CCCDTC3” Holly Reimer, University of Guelph, “Promoting person centred mealtime care practices in nursing homes” 2009 G. Arsenault-Lapierre, McGill University, Longitudinal study of the neuropsychological, neuroanatomical and salivary cortisol profiles of individuals with “Mild Cognitive Impairment” Bryna Shatenstein, Université de Montréal, ‘“Demystifying guidance on diet and AD: an educational initiative for community-dwelling older adults with AD and their caregivers” Carrie McAiney, McMaster University “Canadian Behavioural Support System Project: Strengthening Integrated Care for Persons with Complex and Challenging Behaviours” Cary Brown, University of Alberta, “Sleep: A critical but overlooked aspect of dementia management study” Dorothy Forbes, University of Alberta, “Policy, Program and Practice Dialogue Summit: Rural Home Care’s Use of Research evidence to Inform Dementia Care” Iris Gutmanis, St. Joseph’s Health Care London, "Using Theatre to Explore Long-Term Care Home Health Care Provider Needs” li | P a g e Maggie Gibson, Parkwood Hospital, “Development, Evaluation and Dissemination of a Bilingual Workshop for Dementia Care Providers Entitled: “Frailty, Dementia and Disasters: What Health Care Providers Need to Know” Dr. Sherry Dupuis, University of Waterloo: Murray Alzheimer Research and Education Project Supporting Persons with dementia Alongside Their Care Partners: Exploring SelfManagement Support for Dementia Care” Dr. Paige Moorhouse, Dalhousie University and Capital District Health Authority: Division of Geriatric Medicine “Palliative and Therapeutic Harmonization (PATH):Developing knowledge translation tools for caregivers of frail adults with dementia” Dr. Melissa Andrew, Dalhousie University and Capital District Health Authority: Division of Geriatric Medicine “Implementation and Evaluation of a Comprehensive Geriatric Assessment Designed for Use in long Term Care Settings (LTC-CGA)” 2010 Alexandra Jouk, University of Victoria, “Driving and Dementia: Adapting an applied theatre resource for use with caregivers” Laurie Mallery, QEII Health Sciences Centre Division of Geriatric Medicine, “Palliative and Therapeutic Harmonization in Long Term Care” Trish Bilski, Veterans’ Services CDHA, “Evaluation of Knowledge Translation in Dementia Care Education” Mary McNally, Dalhousie University Faculty of Dentistry, “Brushing up on Mouth Care: Caregiver centered knowledge translation to address the complex care needs of persons with dementia” Debra Morgan, College of Medicine, University of Saskatchewan, “Rural and Remote Dementia Care: Implementation and Evaluation of a Knowledge Exchange Initiative” Iris Gutmanis, St. Joseph’s Health Care London, “Exploring Theatre Based Knowledge Exchange Strategies” Cary Brown, University of Alberta, “Exploring how Knowledge Users Become Aware of the Online Resource – Understanding Pain in Person with Dementia – and Their Evaluation of This Resource” Tiffany Chow, Rotman Research Institute, Baycrest, “When Dementia is in the House” 2011 Dementia Care Interactive Knowledge Sharing Summit in Partnership with a First Nation Community – Dorothy Forbes: To enhance the use of best available dementia care evidence within First Nations communicates and rural settings. The project is aimed at improving community knowledge regarding the signs, symptoms, treatment and dissemination of dementia knowledge using information gathered during a Dementia Care Interactive Knowledge Sharing Summit on the Oneida Nation of the Thames reserve in lii | P a g e Ontario to comprehend traditional practices and understandings. This KT project will contribute to implementation science by enhancing understanding of how best to disseminate research-based evidence in partnership with a First Nations community. Stories of our Past: A dementia knowledge translation project with elders and children – Wendy Hulko: To produce a video and story book for children based on story-telling sessions of Native Elders. This is part of an ongoing project which is creating stories about caring for Elders with memory loss, in order to teach nurses in Interior Health about culturally safe care of Elders. This funding will focus the project on children directed materials and youth to promote transfer of knowledge between generations. There is a lack of resources for Aboriginal children on dementia. Knowledge exchange with the Rural Dementia Action Research (RaDAR) Team: An Action Plan for Mild Cognitive Impairment and dementia care in rural and remote Saskatchewan - Debra Morgan: To hold a one-day Action Planning meeting to share the findings from the Saskatchewan Health Quality Council (HQC) in care and services analysis, to develop research, KTE and policy recommendations to include in the final HQC project report. The recommendations will provide the basis for an action plan to guide the RaDAR team’s ongoing research, KTE and policy-related activities which are aimed at improving care and support for rural and remote people with dementia. Research-Based Theatre as a Knowledge Exchange Vehicle for Home-based Dementia Care - Iris Gutmanis: To produce and evaluate a DVD of a screenplay that has an accompanying facilitation guide. The Screenplay is based on prior work titled, “Advocating for Hilda” and uses findings from 52 qualitative interviews to identify four interpersonal care processes that shape dementia care. A tool for early detection of nutrition risk among community-dwelling older adults with early-stage Alzheimer disease to guide decision-making among both frontline health professionals and family caregivers - Bryna Shatenstein: To develop a checklist-based algorithm for detecting and targeting nutritional problems in home dwelling older adults with Alzheimer’s Disease. Previous research will be synthesized using approaches by health professionals for detecting under-nutrition in older adults in the outpatient setting to develop this algorithm. liii | P a g e APPENDIX 5a Partnership Projects and Outcomes ~ detailed table Regional Partnerships Alzheimer Society of BC Projects & Outcomes Knowledge Brokering: link visiting research scholars and promote CDKTN educational tools and resources. Canadian Provincial partners Knowledge Brokering: Registrants from 8 provinces have signed up for the March 2012 dementia research and care in social media webinar Michael Smith Foundation for Health Research Knowledge Brokering: link foundation members and network to CDKTN educational tools and resources. Ontario Alzheimer Knowledge Exchange Knowledge Brokering: Police Services and Dementia: This 2-Part series highlighted challenges and promising practices to support police interacting with persons with dementia - Police Interaction with Persons Affected by Alzheimer’s Disease, June 15 2011, 226 participants - Identifying Vulnerable Seniors: An 'in-the-field" dementia screening tool for police officers, June 29 2011, 271 participants Knowledge Brokering: Healthy Living and Dementia 3-Part Online Event Series: This series was designed for those interested in learning about healthy living and dementia. Each session offered a different, yet complimentary perspective on this topic including health promotion, selfmanagement and how to live well with dementia. - Health Promotion and Dementia: Creating a Health Promotion Framework Through Participatory Engagement, Jan 12 1012, 264 participants - Self Management and Dementia, Jan 19, 2012, 233 participants - How I Live Well, Jan 12, 2012, 197 participants RQRV Knowledge Brokering: Quebec SPA event Tapestry Foundation for Health Care Knowledge Brokering: host a CDKTN workshop on media relations at the 9th Annual BC Geriatric Services Conference. Promote educational offerings through Tapestry Network Trent University Research Project: Progress in Neurobiology ~ issues related to ethical problems in neurodegenerative disease recognition and treatment including strategies to bridge knowledge gaps and research directions. UBC Knowledge Brokering: Aging, Mobility and Cognitive Function Laboratory – workshops and webinar presentations Knowledge Brokering: Health Research Resource Office (HeRRO) – grant liv | P a g e writing and dementia KT workshops Knowledge Brokering: Support Programs to Advance Research Capacity (SPARC) – grant writing and dementia KT workshops Knowledge Brokering: Department of Physical Therapy workshop presentations “Grant writing and dementia KT workshops” Vancouver Sun National Partnerships Alzheimer Knowledge Exchange CDRAKE Details Knowledge Brokering: develop a Community of Practice (CoP) on the topic of Self-Management in Dementia to address misconceptions and ensure effective use of self-management support strategies by health and social service providers and others who support people living with dementia by: - Bringing together those with an interest in advancing selfmanagement in dementia - Increasing awareness about self-management in dementia - Identifying existing self-management interventions and deciding how they could be used or adapted in the context of dementia - Developing learning opportunities and tools to promote the use of self-management interventions that support people living with dementia to play an active role in their own care. Alzheimer Society of Canada CDRAKE Knowledge Brokering: workshop panellist and upcoming webinar presenter Knowledge Brokering: Webinar Series of online events on timely and relevant topics related to dementia care highlighted by ASC to connect their staff and people across the dementia sector to timely information and resources to help inform practice. From April 1st 2011- March 31st 2012 the following events were held: - Advocacy and the Impact of Public Engagement on Government Policy, Apr 6 2011, 91 participants - Défense des intérêts des familles et des personnes atteintes de la maladie d’Alzheimer, May 19 2011, 70 participants - Early Onset Dementia – Three Different Journey’s with Early Onset & Information on Early Onset Support Groups, May 24, 2011, 253 participants - Middle Stages of Dementia: Supporting persons with dementia and their families, June 28 2011, 242 participants - Understanding Responsive Behaviours as a Way to Enhance Care, July 21, 2011, 429 participants, 144 recording playbacks - Late Stage Dementia: Overview, Aug 1 2011, 395 participants, 149 recording playbacks - Palliative and Therapeutic Harmonization: A new model for end of life care in frail older adults, Sep 19 2011, 289 recordings, 114 recording playbacks - Early Onset Dementia - Four Different Journey’s With Early Onset Dementia *Repeat Session*, Sep 26 2011, 157 participants, 200 lv | P a g e - - recording playbacks Person Centered Culture, Oct 20 2011, 277 participants, 368 recording playbacks Creating Culture Change in LTC Homes in Canada: A Person Centred Approach, Nov 14 2011, 189 participants, 163 recorded playbacks Les Droits des Ainés en Résidence, Nov 29 2011, 44 participants, 17 recorded playbacks Importance of an Early Diagnosis, Jan 18 2012, 194 participants, 87 recorded playbacks ABCD of CJD, Jan 23 2012, 156 participants, 84 recorded playbacks Frontotemporal Dementia: Facing the Challenges for Patients, Family Members, and Clinicians, Mar 27 2012, 322 participants, 13 recorded playbacks Alzheimer Society Canada Canadian Association for Neuroscience CIHR Knowledge Brokering: link members, visitors and network partners to CDKTN educational tools and resources Research Projects Funding: partner to promote research in dementia care and knowledge translation in Canadian Aboriginal communities, KT for dementia researchers: Grant writing strategies workshop contributor CIHR Vancouver Foundation Knowledge Brokering: promote research in dementia care and knowledge translation in Canadian Aboriginal communities Fourth Canadian Consensus Conference on Dementia Quebec Provincial Node Mental Health Commission of Canada Canadian Coalition for Seniors’ Mental Health CDRAKE Knowledge Brokering: organizing a broad spectrum of knowledge translation activities arising from this meeting Knowledge Brokering: A Canadian Networking the Networks Initiative ~ Behavioural Support Systems knowledge translation phase will identify opportunities for collaborative activities related to the translation of complimentary resources into practice. Public Health Agency of Canada CDRAKE Knowledge Brokering: Facilitated E-learning series (4) sessions engaging Health Care providers ~ Frailty: Dementia and Disasters International Partnerships A Changing Melody International (MAREP & CDRAKE & intl. partners TBD) Details Knowledge Brokering: Online broadcast and recording to engage groups from across Canada to participate in the first ever International “A Changing Melody” conference for/by persons with dementia and their caregivers. lvi | P a g e CIHR Vancouver Foundation North Growth Foundation Mexico Knowledge Brokering: Translating communication tools for dementia at end-oflife into Spanish for testing and uptake in Mexico as part of the Wellness in Alzheimer’s Disease project. The project translated communication tools for dementia at end-of-life into Spanish for testing and uptake in Mexico (funded by CDKTN-UBC Visiting Scholars Program and through in-kind support from Mexico). Chulalongkorn University Faculty of Medicine, Thailand Instituto Mexicano del Seguro Social Epidemiologic and Health Service Research Unit, Mexico Dementia Service Development Centre, Stirling, UK Visiting Research Scholar: Visiting Research Scholar: Research Project & Knowledge Brokering: CDKTN has partnered with an international dementia services provider to create a flexible training package for general dementia awareness, aimed at a variety of nonfrontline care groups in the private and public sector, who we refer to as Public Contact Service Personnel, in North America, based largely on modified content developed by Dementia Services Development Centre, Stirling, UK. UK CLAHRC Research Project & Knowledge Brokering has partnered with CDKTN to writing a research proposal to determine the active ingredients in knowledge exchange between researchers and decision makers (managers). CDKTN will conduct a literature review, facilitate three UK workshops with Managers and researchers and train local knowledge brokers in KT workshop facilitation to build capacity. lvii | P a g e APPENDIX 6a Goal Reference Doc. Deliverable Completed In Progress Pending Comments Environmental Scans 1. Conduct an environmental scan CIHR Grant 35725 Pg 12c, 12g,h,I, k Identify areas of membership expertise/strengths (dementia and KT) (Evaluation Planning Group) Identify gaps in expertise Conducted as part of the environmental Identify strategies and opportuntiies to address gaps in expertise (Evaluation Planning Group) Identify current best practices in KT&E training in academic settings (Theme 1) Conducted as part of the environmental Conduct a comprehensive search of major computerized bibliographic databases (Theme 1) Conduct an internet search of existing KT training events, workshops, programs (Theme 1) Perform key informant interviews with leading experts in KT and KT training. (Theme 1) Gather information about potential teaching partnerships (Theme 1) Conducted as part of the environmental scan and publications referred to above. Conducted as part of the environmental Reported in the following deliverables, including two peerreviewed publications: Illes, J., Chahal, N. & B. L. Beattie (2011). A landscape for training in dementia knowledge translation (DKT), Gerontology & Geriatrics Education, 32:3, 260-272. Chahal, N. & Illes, J. (2011). Dementia knowledge translation: A directed search for online resources, Interactive Journal of Medical Research. UBC Division of Continuing Professional Development (2011). Environmental scan: Current issues in dementia knowledge translation, Internal UBC Report. April 2011. Conducted as part of the environmental scan and publications referred to above. Conducted as part of the environmental scan and publications referred to above. Gathered and continues to be developed as part of educational development and delivery. The UBC CDKTN team has developed teaching partnerships with representatives from the following organizations: Tapestry Foundation for Health Care Michael Smith Foundation for Health Research UBC Division of Neurology UBC Support Programs to Advance Research Capacity lxvii | P a g e Goal Reference Doc. Deliverable Completed In Progress Pending Comments Major Network Programs: Education & Training 2. Standardize CIHR Grant 35725 - Pg curricula and 12c, 12h training (SPARC) UBC Health Research Resource Office (HeRRO) CIHR UBC Dept of Physical Therapy UBC Aging, Mobility and Cognitive Function Laboratory Vancouver Sun. Identify existing knowledge exchange networks – formal and informal (Theme 2) Identify KT&E champions across disciplines and health sectors (Theme 2) Identify best practices and strategies in KE communication methods appropriate to target audiences (Theme 2) Identify factors that facilitate effective KE (Theme 2) Identify challenges and potential solutions for effective KE (Theme 2) Identify effective technologies for KE (Theme 2) Identify immediate KE needs of knowledge users (Theme 2) Conduct internet search of existing KE networks, events, activities and tools (Theme 2) KE environmental scan elements will be used to inform the devleopment of CDRAKE and provide baseline data to the evaluation of CDRAKE (Theme 2) Identify networks, programs, servics and initiatives focused on dementia related KT&E (i.e. First Link Program, P.I.E.C.E.S Together etc.) (Theme 2) CDRAKE performed this activity in the development of Dementia Knowledge Broker. Develop standardized curricula for a new brand of ‘dementia KT collaborators’ Standardized curricula have been and continue to be developed based on workshop evaluations (see below for list) and the results of the previously described literature CDRAKE performed this activity in the development of Dementia Knowledge Broker. CDRAKE performed this activity in the development of Dementia Knowledge Broker. CDRAKE performed this activity in the development of Dementia Knowledge Broker. CDRAKE performed this activity in the development of Dementia Knowledge Broker. CDRAKE performed this activity in the development of Dementia Knowledge Broker. CDRAKE performed this activity in the development of Dementia Knowledge Broker. Completed – this is reported in the environmental scan Completed by P.Stolee as part of the environmental scan Completed – this is reported in the environmental scan lxviii | P a g e Goal Reference Doc. Deliverable programs in KT&E (Theme 1) Completed In Progress Pending Comments review, environmental scan, and interviews with dementia experts. A proposal to hold a symposium highlighting the significant impact of knowledge exchange and translation for an aging population at the 2012 Alzheimer’s Identify strategies for stimulating academic environments to provide support and mechanisms for use of dementia knowledge Develop curricula that teaches trainees to: Identify research gaps Focus research questions Association International Conference is also in progress. The UBC CDKTN team has successfully launched a Visiting Scholars Program and interactive dementia KT workshops. The latter includes conference-based education using live and technology-enabled learning strategies. Workshops delivered to date: Weaving KT through research design in dementia. Presenters: B. L. Beattie, E. Brief & E. Dwosh. Moderated by J. Illes. UBC Workshop, Vancouver, June 2010. KT for dementia researchers: Grant writing strategies. Presenters: B. L. Beattie, T. Liu-Ambrose, L. Li. & J. Eng. Moderated by J. Illes. UBC Workshop, Vancouver, September 2011. Becoming media savvy: Creating traction for dementia research and care. Presenters: B. L. Beattie, J. Robillard, J. & P. McKnight. Moderated by B. L. Beattie, L. 9th Annual BC Geriatric Services Conference, Vancouver, October 2011. A Clinical Neuroethics Medical Humanities Night is scheduled for Vancouver in January 2012, with a focus on neurodegenerative disease in Canadian Aboriginal People. E. Brief, J. Mackie, & J. Illes (in press). Incidental Findings in Genetic Research: A Vexing Challenge for Community Consent, Minnesota Journal of Law, Science and Technology. The UBC CDKTN workshop on KT for dementia researchers: Grant writing strategies provides tools and shares expert insights as to how KT can be successfully incorporated into dementia grant proposals. Evaluation lxix | P a g e Goal Reference Doc. Deliverable related to gaps Develop protocols, methodologies, tools for use in care settings Make the KT curriculum and materials available on the CDKTN website www.lifeandminds.ca 3. Knowledge Translation Training opportunities CIHR Grant 35725 - Pg 12c, g, h Provide opportunities for trainees to explore, practice and master KT in action (Theme 1) Completed In Progress Pending Comments data will be used to refine and further inform the next reiteration of this workshop in March 2012. The Weaving KT through research design in dementia workshop demonstrated KT principles, specifically the concepts of synthesis, dissemination, exchange, and ethically sound application in an Indigenous care setting. The UBC CDKTN team has delivered and is in the process of developing other webinar workshops that will be promoted and made available through the CDRAKE website. Publications are available on the National Core for Neuroethics website (neuroethicscanada.ca) and all curricula that are developed will be made available on the CDKTN website. Part of RFA grant program. An International / National Visiting Research Scholars program has been launched and four participants have successfully completed the program to date. CDRAKE will develop a cooperative exchange program for graduate students participating in the network. Support traditional training (graduate and post doctoral students) (Theme 1) Provide alternative, innovative and flexible training to increase KT researcher capacity (especially in rural and remote areas) (Theme 1) The UBC CDKTN team has developed partnerships with the Vancouver Foundation and CIHR to promote research in dementia care and knowledge translation in Canadian Aboriginal communities. Part of RFA grant program. 50% of a Post-Doctoral Fellow’s time is dedicated to dementia KT Workshops have been designed to promote interactivity between facilitators and audience members featuring, for example, iClickers. A webinar workshop on social media and KT opportunities in dementia research and care is planned for March 2012. lxx | P a g e Goal 4. Provide Funding Opportunities for KT Training Reference Doc. CIHR Grant 35725 -Pg 12h Completed Deliverable In Progress Pending Comments Offer virtual, on-line mentorship opportunities (Theme 1) On-line mentoring opportunities will be considered as part of the online dementia KT program that is being developed Create funding opportunities for postdoctoral, doctoral, masters and undergraduate level students. (Theme 1) CDKTN conducts two funding opportunities annually. The open competition is available to all researchers conducting research with KT emphasis. The closed competition is available to CDKTN Research Network Members only and is a mechanism for driving membership, supporting member project collaboration, support of trainees attending CCD and SPA and KT activities. The Clinical Neuroethics program at UBC offers funded research opportunities in neurology and the clinical neurosciences, including dementia KT. Major Network Programs: Dementia Resource and Knowledge Exchange 5. Develop a CIHR Grant 35725 - Pg Develop a network to nationally integrate national KE 12c, 12i provincially sensitive information, network facilitate knowledge exchange and create links among stakeholders 6. Knowledge CIHR Grant 35725 - Pg Convene national conferences(Theme 2) Translation and 12c, 12i Exchange Faciliate workshops and other forums Conferences to build mutual awareness in KE across industries and sectors 7. Research KT&E CIHR Grant 35725 - Pg Faciliate development industry partnerships 12c, 12i of research between all key partnerships to stakeholders identify priorities for (Theme 2) KE and strategies with: academic researchers, clinicians, policy makers, www.dementiaknowledgebroker.ca National conference in Ottawa in 2010 Networking the networks 2012 Project Pending (Theme 3) Industry Partnership in Research: example GE/ New Technologies & Services for Elder Populations KT&E Research Partnership “Montessori Methods for Dementia in NS” pending funding lxxi | P a g e Goal Reference Doc. Completed Deliverable In Progress Pending Comments care partners 8. Pilot research CIHR Grant 35725, 12i Identify and prioritize knowledge and projects related resource needs of knowledge users to KE through research projects (Theme 1) 9. Develop an CIHR Grant 35725 -Pg Provide national mechanism for electronic 12c, 12i disseminating information and resources, repository of showcasing new innovations information, resources, innovations (Theme 2) Major Network Programs: Person and Care Centered Knowledge Translation 10. Identification of CIHR Grant 35725 -Pg Scan local, regional and national Research 12c, 12j conferences, direct input from persons Priorities (Theme with dementia, their families, care 3) partners using qualitative and quantitative methods to idnetify research priorities 11. Person and CIHR Grant 35725 - Pg Identify creative and innovative models to Relationship 12c, 12j KT&E. Centred Models for KT&E (Theme Develop models as vehicles for translating 3) research findings and disseminating to knowledge users Raise awareness for existing KT strategies and tools Conducted as part of the environmental scan and publications referred to earlier. www.dementiaknowledgebroker.com CDKTN network gathers feedback from conference participants, workshop members, patients and care partners for their priorities in knowledge creation. CDKTN project office to summarize in a report. 2012 Project Pending KT Translation (Mobilization) Project, GRM/CDKTN Theme 3 2012 Project Pending (Theme 3) “Montessori Methods for Dementia in NS” Gail Elliot McMaster University workshop with LTC home (Northwood). Pending funding Canadian Red Cross follow up project in the EP and seniors area. Connection with Dr. Gibson (RFA winner 2010) and Judah Goldstein, GMR Disseminate innovations, evaluate their effectiveness lxxii | P a g e Goal Reference Doc. Deliverable 12. Pilot Research Projects (Theme 3) CIHR Grant 35725 - Pg 12j Develop clinically, person-centered and relationship based research projects Evaluate effectiveness of resulting KT tools and strategies Network Development 13. Establish a nationallyfocused network 14. Create and strengthen the links, facilitate two-way exchange between researchers and Knowledge users CIHR Grant 35725 - Pg 12c, 12j CIHR Grant 35725 - Pg 12k Form a Steering Committee for each CDKTN Theme each chaired by a scientific lead Completed In Progress Pending Comments Dramas and innovative research based stories – “Dancing Inside”, Artist in Residence, Red Cross Care Partner videos, What is KT DVD, French and English Dementia Videos, An interview with Dr. Rockwood, Geriatric Medicine Research: Cognition, Frailty, Balance, Mobility, Social Vulnerability. Plans for showcasing these tools include dissemination at conferences, uploading to CDRAKE Knowledge Broker, making available on www.lifeandminds.ca, circulating to research partners on intranet. Evaluate effectiveness includes review by workshop of knowledge users Project KT that Educates the public June 2011-May 2012; survey for feedback on www.dementiaknowledgebroker.ca, survey on www.lifeandminds.ca National Advisory Board Management Committee Theme 1 – Education and Training Theme 2 – Knowledge Exchange and Brokering Theme 3 – Patient and Caregivers Quebec Node Provincial Node (all other Canadian Provinces) Theme 1 steering committee is comprised of J. Illes and B. L. Beattie and has input from postdoctoral fellow J. Robillard and the UBC Division of Continuing Professional Development (UBC CPD). Theme 2 has struck a steering committee. Provide list of Steering Committee Members and organizations Theme 3 has chosen to use a variety of measures to strengthen links including focus groups, public lectures, workshops to strengthen links with a wide range of researchers and knowledge users. lxxiii | P a g e Goal Reference Doc. Deliverable Develop a straegic plan of identifying and building relationships for the Network to influence decision makers and policy Conduct regular national and regional forums/meetings/ conferences to provide opportunity for input for face-to-face member involvement, Strategic planning, evaluation Use current technology for collaboration Enhance existing retrieval and feedback mechanisms for the sharing and exchange of knowledge Use KT&E conferences/forums as significant communication vehicles for the Network Continue to develop the capabilities and communication services of the Network websites Completed In Progress Pending Comments Management Committee meetings occur monthly/every 2nd month depending on member availability, level of activity, planning activity. These include face-to-face and teleconferencing meetings. National Advisory Board meetings occur twice annually. One face-to-face meeting and one teleconference meeting Go-to Meeting, projectmanager.com, communication hub/collaboration software www.dementiaknowledgebroker.com 2012 Project Pending (Theme 3) CDKTN member Research Database Conferences, workshops, other forums have been used as communication vehicles. CDKTN is represented at each activity with one or more of: booth, presentation oral, presentation poster, workshop facilitation, panel speaker. A full list of engagements is available in the annual progress reports. www.lifeandminds.ca now includes twitter, flicker, media, special announcements 2012 Project Pending Funding (Network) Website - Addition of French Language Website to be the centralized knowledge transfer core of CDKTN CDKTN Research Members Intranet receives regular posts and messages, members are encourages to post research questions, visit files such as bi-weekly media reports www.dementiaknowledgebroker.ca is the centralized knowledge transfer core for non-research members CDKTN Research Members Intranet is the centralized knowledge transfer core for research members who have lxxiv | P a g e Goal Reference Doc. Completed Deliverable In Progress Pending Comments different needs and communication requirements. Capitalize on knowledge exchange of existing evidence and creation of new evidence through research projects to enhance knowledge use in practice. Use KE strategies, web-based technologies, collaboration spaces and webcasts. www.dementiaknowledgebroker.ca webinars, community of practice discussions, articles. CDKTN Research Members Intranet is the file repository for RFA award reports and KT deliverables for access by other members. www.lifeandminds posts research reports and KT deliverables for public information and site visitor feedback in the event the public can identify a gap in research, suggest follow up research questions, provide feedback on the research conducted 2012 Project Pending (Theme 3) Fitness 2012 – Interviews with Colleen Jones, Dr. Rockwood and research partners, care partners etc. Webcast of interview, links to supporting research, KT activities and further dissemination efforts. Pay special attention to the exchange of knowledge and research projects addressing : population differences 15. Accelerate application and uptake of CIHR Grant 35725 - Pg 12l Each theme will translate, exchange and apply new and existing knowledge, Population differences Gender Culture & ethnicity Ethical implication of research Theme 1 Theme 2 Theme 1 Research Projects: Wellness in Alzheimer’s Disease (funded by CIHR, the Vancouver Foundation and the North Growth Foundation); translation of communication tools for dementia ad end-of-life to Spanish for testing and uptake in Mexico (funded by CDKTN-UBC Visiting Scholars Program and through in-kind support from Mexico). Communication and aging (Fellowship grant under review at ASOC); ethical framework for early biomarker clinical trials. Research project 2011. Details available in annual progress reports. Details available in annual progress reports. lxxv | P a g e Goal Reference Doc. knowledge to address health services gaps between Research and Practice in AD&D diagnosis, treatment and care. Create knowledge for immediate needs through pilot research projects. Completed Deliverable close gaps between research and practice, create knowledge that has immediate application. Theme 3 Link researchers to other key stakeholders KT&E projects through training new researchers will focus on knowledge gaps identified by clinicians, dementia patients, care partners and opportunities for application 16. Build capacity in the AD&D research community to better translate knowledge to the user community CIHR Grant 35725 -Pg 12l 17. Build capacity in the knowledge user community to better use CIHR Grant 35725 - Pg 12l Create a database of the experience of dementia from the perspective of those living with it. This resource will identify health service needs and research topics. Identify best practices in KT&E training (Theme 1) Inform development of standardized curricula and training in KT&E (Theme 1) Offer training programs for diverse settings emphasizing KT&E research activities and organizational functions (Theme 1) Develop person-centered model that empowers users to apply new and existing knowledge In Progress Pending Comments Workshop “how to conduct knowledge translation”. Details available in annual progress reports. www.dementiaknowledgebroker.ca researcher led webinars and communities of practice. RFA’s awarded based on independent reviewer recommendations. Management Committee prioritizes based on feedback from conference participants, network contacts, knowledge user feedback etc. Awards made to those projects addressing gaps in knowledge and practice. Report on RFA’s awarded available through CDKTN Project Office. 2012 Project Pending (Theme 3) ‘Alzheimer symptoms’ Database on www.lifeandminds.ca Conducted literature reviews and partnering with experts and relevant organizations to identify the best KT&E training strategies in order to deliver interactive and technology-enabled training strategies. 2012 Project Pending (Theme 3) “KT Translation (Mobilization Project” GMR/CDKTN will partner to research and develop a KT translation model as an easy to follow process and procedure for evaluating research for KT elements, identifying future KT efforts arising from the initial work; performing integrated KT, identifying where and how to involve knowledge users in the research activities; how to disseminate findings; how to evaluate impact of KT efforts, uptake of information and measurements of success. 2012 Project Pending (Theme 3) General Public access Research Member Database through link on www.lifeandminds.ca to access and be able to lxxvi | P a g e Goal Reference Doc. Deliverable research Evaluate the effectiveness of these models, tools and strategies Identify KT&E best practices to inform strategies to promote a learning culture at individual, organization and system levels Network Sustainability 18. Establish a CIHR Grant 35725 - Pg sustainability 12m plan for continued functioning, development of longer-term deliverables, securing funding. Network Evaluation of Performance 19. Develop CIHR Grant 35725 - Pg Evaluation 12n Planning Group led by Dr. Paul Stolee, Associate Professor and Graham Trust Research Chair in Health Informatics, University of Waterloo Completed In Progress Pending Comments review, provide feedback, apply knowledge, identify gaps in research. KT that Educates the Public Project. July 2011-July 2012 2011 Project Pending Sustainability Develop a sustainable evaluation framework for the Network and training programs including outcome indicators, benchmarks for success, identified sources of information, data collection methods and tools, strategy for communication and exchange of evaluation findings Conduct formative evaluation in Year One Report available through Dr. Stolee Evaluation Planning Group Conduct summative evaluations including Goal Attainment Scaling Benchmarking success indicators for the development of the Network Environmental Scan assigned to Evaluation team 2008 Footnote: A tick in both the ‘completed’ and ‘in progress’ columns indicates that this objective has been completed, but continues to undergo refinement according to demand, user feedback, and workshop evaluations. lxxvii | P a g e