Cassidy, Christine

Permanent URI for this collectionhttps://hdl.handle.net/10222/79286

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Open Access
Barriers and facilitators of transitions from pediatric to adult health care in Nova Scotia.
(Maritime SPOR SUPPORT Unit, 2022-05-06) Cassidy, Christine; Pidduck, Jacklynn; Higgins, Amanda; Anderson, Scott; Best, Shauna; Curran, Janet; Grant, Amy; Kontak, Julia; MacDonald, Sarah; MacKinnon, Lindsay; Mireault, Amy; Rowe, Liam; Walls, Rose; Jeffers, Elizabeth
Open Access
Characterizing nurses’ and pharmacists’ role in addressing vaccine hesitancy and/or refusal: A scoping review protocol
(2021) Cassidy, Christine; Stratton, Lillian; Taylor, Beth; Steenbeek, Audrey; Langley, Jodi; Isenor, Jennifer
Background: Nurses and pharmacists are key in addressing vaccine hesitancy among patients. Little is known regarding the implementation of effective intervention into their practice, this has further implications with a need for a COVID-19 vaccine to have long-term control of the virus. The purpose of this study is to identify, characterize, and map the existing knowledge of nurses and pharmacists on vaccine hesitancy interventions/strategies and their perceived barriers and enablers to addressing vaccine hesitancy among patients. Methods: Our review will follow the Joanna Briggs Institute methodology for scoping reviews. We will include both published and unpublished grey literature and search the following databases from: MEDLINE, CINAHL, EMBASE, Web of Science, PsycInfo, ProQuest Dissertations & Theses Global databases, Google Scholar, and websites from professional bodies and other organizations. Two reviewers will independently screen and extract relevant sources with a third reviewer to resolve any discrepancies. We will narratively describe quantitative data and conduct a thematic analysis of qualitative data. Presentation of Results: Data on barriers/enablers and strategies/interventions will be analyzed using the Behaviour Change Wheel (BCW). Extracted data will be presented in a tabular form that aligns with the objectives. Two reviewers will conduct the data classification using a pre-defined coding manual based on definitions and guidance from the BCW. Ethics and Dissemination: No ethical approval is required for this study. We will share the results in a peer-reviewed, open access publication. Data will be publicly available data repository located at Dalhousie University.
Open Access
Using a Learning Health System Framework to Examine COVID-19 Pandemic Planning and Response [Preprint]
(PLOS ONE, 2021) Cassidy, Christine; Sim, Meaghan; Somerville, Mari; Crowther, Daniel; Sinclair, Douglas; Elliott Rose, Annette; Burgess, Stacy; Best, Shauna; Curran, Janet
Background: The COVID-19 pandemic has presented a unique opportunity to explore how health systems adapt under rapid and constant change and develop a better understanding of health system transformation. Learning health systems (LHS) have been proposed as an ideal structure to inform a data-driven response to a public health emergency like COVID-19. The aim of this study was to use a LHS lens to identify assets and gaps in health system pandemic planning and response during wave one of the COVID-19 pandemic. Methods: An integrated knowledge translation approach guided this concurrent triangulation mixed methods study. We examined relevant organizational documents and system performance data generated between January 1st, 2020 and August 31st, 2020 using directed content analysis and descriptive statistics. Additionally, we conducted qualitative semi-structured interviews with health care providers, patients and families, leadership and management teams, and health centre support staff. Lastly, we used a triangulation matrix to compare and contrast summaries of all quantitative and qualitative data and identify health-system receptors and research-system supports relevant to the seven characteristics of the LHS. Results: We identified six key priorities relevant to the pandemic response during wave one, including access to health care, personal protective equipment, visitor restrictions, pandemic assessment centre (PAC), working from home, and food services. We identified several health system assets within the LHS characteristics, including appropriate decision supports and aligned governance. Opportunities for improvement were identified in the LHS characteristics of engaged patients and timely production and use of research evidence. Conclusion: The LHS provided a useful framework to examine COVID-19 pandemic response measures. We highlighted opportunities to strengthen the LHS infrastructure for rapid integration of evidence and patient experience data into practice and policy for future pandemic planning and response.
Open Access
Pediatric ambulatory care service delivery models: A scoping review protocol
(2020-05) Cassidy, Christine; Drake, Emily K.; Taylor, Kristin; Gallant, Joanne; Best, Shauna; Burgess, Stacy; Gillespie, Eileen; Larocque, LeeAnn; Murray, Tanya; Carter, Karen; McKibbon, Shelley; Curran, Janet
Objective: The objective of this review is to identify and characterize models of ambulatory care for pediatric patients. Introduction: Ambulatory care services have seen significant growth over the years and an increase in the complexity of outpatients. Collaborative care models are needed to address the complexity of pediatric ambulatory patients and increasing demand on ambulatory care resources. Efforts are needed to better understand the literature on ambulatory care models, including how best to structure and deliver ambulatory care services in an integrated, collaborative approach to promote optimal patient- and family-centred care. Inclusion criteria: This scoping review will consider studies focused on models of ambulatory care, service delivery models, or staffing models aimed at integrating and delivering ambulatory care for pediatric patients. All illness presentations for the pediatric population will be included. Studies that focus on emergency and perioperative care services and ambulatory care clinics that function in siloes will be excluded. Methods: A search will be conducted in four databases (CINAHL, MEDLINE, EMBASE, Web of Science) and multiple sources of grey literature. No date limit will be set. Titles and abstracts will be screened by two independent reviewers for assessment against the inclusion criteria. All potentially relevant papers will be retrieved in full and screened against the inclusion criteria. A pre-defined data extraction tool developed by the reviewers will be used. Extracted data will be presented in tabular form with an accompanying graphic and narrative summary.
Open Access
Development of a Behavior Change Intervention to Improve Sexual Health Service Use Among University Undergraduate Students: Mixed Methods Study Protocol
(JMIR Publications Inc, 2017) Cassidy, Christine; Steenbeek, Audrey; Langille, Donald; Martin-Misener, Ruth; Curran, Janet
Background: University students are at risk for acquiring sexually transmitted infections and suffering other negative health outcomes. Sexual health services offer preventive and treatment interventions that aim to reduce these infections and associated health consequences. However, university students often delay or avoid seeking sexual health services. An in-depth understanding of the factors that influence student use of sexual health services is needed to underpin effective sexual health interventions. Objective: In this study, we aim to design a behavior change intervention to address university undergraduate students’ use of sexual health services at two universities in Nova Scotia, Canada. Methods: This mixed methods study consists of three phases that follow a systematic approach to intervention design outlined in the Behaviour Change Wheel. In Phase 1, we examine patterns of sexual health service use among university students in Nova Scotia, Canada, using an existing dataset. In Phase 2, we identify the perceived barriers and enablers to students’ use of sexual health services. This will include focus groups with university undergraduate students, health care providers, and university administrators using a semistructured guide, informed by the Capability, Opportunity, Motivation-Behaviour Model and Theoretical Domains Framework. In Phase 3, we identify behavior change techniques and intervention components to develop a theory-based intervention to improve students’ use of sexual health services. Results: This study will be completed in March 2018. Results from each phase and the finalized intervention design will be reported in 2018. Conclusions: Previous intervention research to improve university students’ use of sexual health services lacks a theoretical assessment of barriers. This study will employ a mixed methods research design to examine university students’ use of sexual health service and apply behavior change theory to design a theory- and evidence-based sexual health service intervention. Our approach will provide a comprehensive foundation to co-design a theory-based intervention with service users, health care providers, and administrators to improve sexual health service use among university students and ultimately improve their overall health and well-being.
Open Access
Designing intervention strategies to improve sexual health service use among university undergraduate students: A mixed methods study guided by the Behaviour Change Wheel
(Springer Nature, 2019) Cassidy, Christine; Steenbeek, Audrey; Langille, Donald; Martin-Misener, Ruth; Curran, Janet
Introduction University undergraduate students are within the population at highest risk for acquiring sexually transmitted infections, unplanned pregnancy, and other negative health outcomes. Despite the availability of sexual health services at university health centres, many students delay or avoid seeking care. In this study, we describe how the Behaviour Change Wheel was used as a systematic approach to design an intervention to improve sexual health service use among university undergraduate students. Methods This paper describes the intervention development phase of a three-phased, sequential explanatory mixed methods study. Phases one and two included a quantitative and qualitative study that aimed to better understand students’ use of sexual health services. In phase three, we followed the Behaviour Change Wheel to integrate the quantitative and qualitative findings and conduct stakeholder consultation meetings to select intervention strategies, including intervention functions and behaviour change techniques. Results Key linkages between opportunity and motivation were found to influence students’ access of sexual health services. Stakeholders identified six intervention functions (education, environmental restructuring, enablement, modelling, persuasion, and incentivization) and 15 behaviour change techniques (information about health consequences, information about social and environmental consequences, feedback on behaviour, feedback on outcomes of behaviour, prompts/cues, self-monitoring of behaviour, adding objects to the environment, goal setting, problem solving, action planning, restructuring the social environment, restructuring the physical environment, demonstration of the behaviour, social support, credible source) as relevant to include in a toolbox of intervention strategies to improve sexual health service use. Conclusions This study details the use of the Behaviour Change Wheel to develop an intervention aimed at improving university students’ use of sexual health services. The Behaviour Change Wheel provided a comprehensive framework for integrating multiple sources of data to inform the selection of intervention strategies. Stakeholders can use these strategies to design and implement sexual health service interventions that are feasible within the context of their health centre. Future research is needed to test the effectiveness of the strategies at changing university students’ sexual health behaviour.

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