Graduate Theses & Dissertations

Virtual Voices
A consistent provincial approach to capacity planning for rehabilitative care had been identified as a critical gap in the field of health care in Ontario (Rehabilitative Care Alliance, 2015a). In response, the rehabilitative care alliance (RCA) developed a needs based hip fracture capacity planning canvas together with persons and families. This research utilized computer assisted participation (CAP) to gather additional perspectives from Virtual Voices via an on-line survey. The results of the Virtual Voices survey were compared to Ontario’s RCA hip fracture patient focus group findings. CAP facilitated more voices and more ideas through virtual engagement. The survey method required 97% (10.6 hours) less time than the focus group. The Virtual Voices respondents provided validation of the focus groups’ confirmation of the rehabilitative care needs, locations and most core team members as well as identified new ideas. The results support the implementation of a needs-based capacity plan that enables individualized care planning. This research provides a blueprint for the ongoing engagement of persons and families in the co-creation of a sustainable rehabilitative care system. A dashboard and e-health app would enable ongoing co-design, monitoring and evaluation. Author Keywords: Computer Assisted Participation (CAP), Computer Assisted Survey, Hip Fracture, Rehabilitative Care Needs, Virtual Collaboration, Virtual Engagement
Identifying Indigenous Determinants of Health
The primary research question of this study was to explore the key factors influencing Indigenous health through an investigation of Inuit health in Nunavik. This research used an exploratory sequential mixed-methods design. The qualitative phase of this project employed interviews with Inuit health experts in Nunavik. The quantitative phase involved an analysis of the regional Inuit health dataset to identify predictors of Inuit self-rated health. Qualitative results identified a number of key social, cultural, environmental, and individual determinants of health in the region. Analysis of the quantitative data identified significant associations between variables such as age, physical activity, and peacefulness of the community and self-rated health. Considered in combination, the qualitative and quantitative results of this study indicate the potential value of determinants such as food security, education, and connection to land as important to Indigenous health. The analysis demonstrates that our understanding of health in an Indigenous context has to expand to include determinants beyond physical health. Author Keywords: determinants of health, Indigenous, Inuit, Nunavik, self-rated health

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