Browsing by Author "Oelke, Nelly D."

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    A participatory case study of primary healthcare for aboriginal peoples in an urban setting
    (2010) Oelke, Nelly D.; Thurston, Wilfreda Enid
    This thesis provides planners with a quantifiable basis for developing design guidelines for pedestrian access to LRT stations. Approximately 1,800 peak hour LRT users were interviewed about their LRT trip. Pedestrians were asked to point out on a map their approximate origin or destination. From this information, walking distance guidelines were developed. Catchment area maps were produced and the relationship between reported walking time and measured walking distance was observed. The research strongly indicates that people walk further to reach an LRT station then they walk to reach a bus stop. Using bus walking standards will underestimate LRT walking distances by about half. The average walking distance to suburban stations is 649 m with a 75th percentile distance of 840 m. At CBD stations the average walking distance is 326 m and the 75th percentile distance is 419 m.
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    Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility Study
    (2017-07-16) Teo, Michelle; Mohan, Bindu; Oelke, Nelly D.
    Background. Fibromyalgia (FM) is a complex disease posing challenges for primary care providers and specialists in its management. Aim. To evaluate the development and implementation of a comprehensive, integrated, community-based model of care for FM. Methods. A mixed methods feasibility study was completed in a small urban centre in southern British Columbia, Canada. Eleven adults with FM and a team of seven health care providers (HCPs) participated in a 10-week intervention involving education, exercise, and sleep management. Monthly “team-huddle” sessions with HCPs facilitated the integration of care. Data included health questionnaires, patient interviews, provider focus group/interviews, and provider surveys. Results. Both patients and HCPs valued the interprofessional team approach to care. Other key aspects included the benefits of the group, exercise, and the positive focus of the program. Effectiveness of the model showed promising results: quality of care for chronic illness, quality of life, and sleep showed significant () differences from baseline to follow-up. Conclusions. Our community-based model of care for FM was successfully implemented. Further testing of the model will be required with a larger sample to determine its effectiveness, although promising results were apparent in our feasibility study.
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    Engaging with patients in research on knowledge translation/implementation science methods: a self study
    (2022-08-08) MacLeod, Martha L. P.; Leese, Jenny; Garraway, Leana; Oelke, Nelly D.; Munro, Sarah; Bailey, Sacha; Hoens, Alison M.; Loo, Sunny; Valdovinos, Ana; Wick, Ursula; Zimmer, Peter; Li, Linda C.
    Abstract Background In 2017, the British Columbia (Canada) SUPPORT (SUpport for People and Patient-Oriented Research) Unit created six methods clusters to advance methodologies in patient and public oriented research (POR). The knowledge translation (KT)/implementation science methods cluster identified that although there was guidance about how to involve patients and public members in POR research generally, little was known about how best to involve patients and public members on teams specifically exploring POR KT/implementation science methodologies. The purpose of this self-study was to explore what it means to engage patients and the public in studies of POR methods through the reflections of members of five KT/implementation science teams. Methods Informed by a collaborative action research approach, this quality improvement self-study focused on reflection within four KT/implementation science research teams in 2020–2021. The self-study included two rounds of individual interviews with 18 members across four teams. Qualitative data were analyzed using a thematic analysis approach followed by a structured discussion of preliminary findings with the research teams. Subsequently, through two small group discussion sessions, the patients/public members from the teams refined the findings. Results Undertaking research on POR KT/implementation science methodologies typically requires teams to work with the uncertainty of exploratory and processual research approaches, make good matches between patients/public members and the team, work intentionally yet flexibly, and be attuned to the external context and its influences on the team. POR methodological research teams need to consider that patients/public members bring their life experiences and world views to the research project. They become researchers in their own right. Individual and team reflection allows teams to become aware of team needs, acknowledge team members’ vulnerabilities, gain greater sensitivity, and enhance communication. Conclusions The iterative self-study process provided research team members with opportunities for reflection and new understanding. Working with patients/public team members as co-researchers opens up new ways of understanding important aspects of research methodologies, which may influence future KT/implementation science research approaches.
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