Christo El Morr

Christo El Morr
York University · School of Health Policy and Management

PhD

About

98
Publications
51,095
Reads
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839
Citations
Citations since 2016
66 Research Items
703 Citations
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Introduction
Dr. El Morr is an Associate Professor of Health Informatics at the School of Health Policy and Management at York University and a Research Scientist at North York General Hospital, Toronto. His research covers Health Informatics and Global eHealth with a focus on Virtual Care, Health Virtual Communities and Machine Learning for Health. His work in Global eHealth addresses Human and Disability Rights, Equity, and Gender Based Violence.
Additional affiliations
January 2013 - June 2016
York University
Position
  • Managing Director
July 2005 - present
York University
Education
September 1993 - January 1997
Université de Technologie de Compiègne
Field of study
  • Biomedical Engineering

Publications

Publications (98)
Conference Paper
Full-text available
With an aging population, the number of patients presenting with a variety of chronic diseases is increasing. Three of the biggest factors impacting the delivery of healthcare are our aging population, rising labor costs and the complexity of diseases. Patients are living longer, but they have more illnesses to manage. These factors place an additi...
Conference Paper
Full-text available
This paper will discuss the assessment of the use of the LACE tool at North York General Hospital (NYGH). The LACE tool estimates the readmission risk of patients. This paper describes the tool and a modified LACE score implementation and use at NYGH. We also describe our statistical analysis for the LACE effectiveness in order to inform future dec...
Article
Full-text available
The phenomenal adoption rate of mobile phone technology in different societies turned these phones into a common commodity. Telecom companies started recently offering the Third Generation (3G) services. Yet, the lack of content and the support of killer applications will continue to be a concern, especially if the 3G mobile phone technology fully...
Chapter
Full-text available
The number of citizens with chronic diseases is increasing and is expected to grow more in the next few decades; consequently, the cost of healthcare delivery will increase, and it becomes vital for societies to investigate ways to decrease healthcare cost. On the other hand, mobile technologies are becoming widespread; besides, virtual communities...
Conference Paper
Virtual communities have emerged since the Web has become a popular tool for the mass. Mobile Virtual Communities (MVCs) have been recently gaining more momentum in research and industry, and are expected to be the next step in the development of virtual communities. On the other hand, the trend in healthcare delivery is to empower patients to take...
Chapter
Full-text available
The Wikibase environment is provided by the Wikimedia foundation. It provides a suite of tools and a collaborative environment and implements Semantic Web techniques to model and store data. It has been shown that the Wikibase environment is well adapted to store and manage documents with their meta-data and that it can be associated with a search...
Article
Full-text available
Artificial Intelligence (AI) for health has a great potential; it has already proven to be successful in enhancing patient outcomes, facilitating professional work and benefiting administration. However, AI presents challenges related to health equity defined as an opportunity for people to reach their fullest health potential. This paper discusses...
Article
We have conducted a systematic review on the use of virtual care for mental health purposes in Canada during COVID-19. Our review shows that existing infrastructures in Canada need to be adapted for eMental Health services to be offered proactively to the population. Equity is key for successful implementation.
Article
Full-text available
Background Shock wave lithotripsy (SWL), ureteroscopy, and percutaneous nephrolithotomy are established treatments for renal stones. Historically, SWL has been a predominant and commonly used procedure for treating upper tract renal stones smaller than 20 mm in diameter due to its noninvasive nature. However, the reported failure rate of SWL after...
Article
Mental health illnesses are rampant among university students. Symptoms of depression, anxiety, stress, and burnout are experienced in undergraduate and graduate levels especially among medical students. This systematic review explores the effectiveness of online mindfulness intervention on medical students. The review provide evidence that online...
Article
Full-text available
Introduction The high frequency of COVID-19 has had an impact on the psychological health of all countries and socioeconomic groups around the world, with refugees suffering the brunt of the burden. The aim was to assess the relationship between fear of COVID-19 and depression, anxiety, stress, and PTSD among Syrian refugee parents residing in the...
Chapter
The Accessibility for Ontarians with Disabilities Act (AODA) is a law mandating that organizations in Ontario must comply to accessibility standards for people with disabilities. However, there is no tool to report accessibility complaints and track them. To that effect, mobile applications can be effective to make report and monitor accessibility...
Article
Full-text available
Background Medical school typically presents students with a combination of academic and personal stressors that may lead to substandard mental health wellbeing. Meditation practices such as mindfulness facilitate a greater awareness of one's thoughts and feelings, thereby decreasing emotional reactivity. The use of mindfulness-based interventions...
Article
Full-text available
Background: University students are experiencing higher levels of distress and mental health disorders than before. In addressing mental health needs, web-based interventions have shown increasing promise in overcoming geographic distances and high student-to-counselor ratios, leading to the potential for wider implementation. The Mindfulness Virtu...
Article
Full-text available
Background: The lack of availability of disability data has been identified as a major challenge hindering continuous disability equity monitoring. It is important to develop a platform that enables searching for disability data to expose systemic discrimination and social exclusion, which increase vulnerability to inequitable social conditions....
Preprint
BACKGROUND The lack of availability of disability data has been identified as a major challenge hindering continuous disability equity monitoring. It is important to develop a platform that enables searching for disability data to expose systemic discrimination and social exclusion, which increase vulnerability to inequitable social conditions. OB...
Preprint
BACKGROUND Shock wave lithotripsy (SWL), ureteroscopy, and percutaneous nephrolithotomy are established treatments for renal stones. Historically, SWL has been a predominant and commonly used procedure for treating upper tract renal stones smaller than 20 mm in diameter due to its noninvasive nature. However, the reported failure rate of SWL after...
Article
Full-text available
This research study explored the mental health seeking behaviour of racialized and non-racialized female students at a large size public university located in Ontario, Canada. A sample consisting of 570 students participated in the cross-sectional survey. The majority (n = 413, 84.1%) were identified as Canadian racialized female students. The rema...
Article
There has been a growing body of evidence suggesting that chronic care integration strategies can improve healthcare outcomes and decrease costs. In fact, according to the World Health Organization (2002), there is an opportunity to improve health care for chronic conditions and to curtail the growth in healthcare expenditures through integration a...
Chapter
Full-text available
Human rights monitoring for people with disabilities is in urgent need for disability data that is shared and available for local and international disability stakeholders (e.g., advocacy groups). Our aim is to use a Wikibase for editing, integrating, storing structured disability related data and to develop a Natural Language Processing (NLP) enab...
Chapter
Mental health challenges such as stress, anxiety and depression are on the rise worldwide. Health virtual communities (VCs) is a rising paradigm that has proven to be efficient and effective in delivering mental health interventions that address self-management, diagnosis and treatment targeting people facing mental health challenges. However, curr...
Preprint
BACKGROUND University students are experiencing higher levels of distress and mental health disorder. In addressing mental health needs, web-based interventions have shown increasing promise to overcome geographic distances and high student-to-counselor ratios, with a potential for widespread implementation. The Mindfulness Virtual Community (MVC)...
Article
Full-text available
Background: Background: University students are experiencing higher levels of distress and mental health disorders. In addressing mental health needs, web-based interventions have shown increasing promise to overcome geographic distances and high student-to-counselor ratios, leading to the potential for wider implementation. The Mindfulness Virtua...
Article
Full-text available
Background: Intimate Partner Violence is a "global pandemic". Meanwhile, information and communication technologies (ICT), such as the internet, mobile phones, and smartphones, are spreading worldwide, including in low- and middle-income countries. We reviewed the available evidence on the use of ICT-based interventions to address intimate partner...
Preprint
UNSTRUCTURED A student mental health crisis is increasingly acknowledged and will only intensify with the COVID-19 crisis. Given accessibility of methods with demonstrated efficacy in reducing depression and anxiety (eg, mindfulness meditation and cognitive behavioral therapy [CBT]) and limitations imposed by geographic obstructions and localized e...
Preprint
BACKGROUND : A student mental health crisis is increasingly acknowledged and will only intensify with the COVID-19 crisis. While the accessibility of methods with demonstrated efficacy in reducing depression and anxiety, (e.g. mindfulness meditation and cognitive behavioural therapy (CBT)), is limited by geographic obstructions and localized expert...
Article
Full-text available
Background: A student mental health crisis is increasingly acknowledged and will only intensify with the COVID-19 crisis. Given accessibility of methods with demonstrated efficacy in reducing depression and anxiety (e.g., mindfulness meditation and cognitive behavioural therapy [CBT]) and limitations imposed by geographic obstructions and localize...
Article
Full-text available
Background: Innovative interventions are needed to address the increasing mental health needs of university students. Given the demonstrated anxiolytic and antidepressant benefits of mindfulness training, we developed an 8-week, Web-based Mindfulness Virtual Community (MVC) intervention informed by cognitive behavioral therapy (CBT) constructs. Ob...
Article
The Accessibility for Ontarians with Disabilities Act (AODA) is a law mandating that organizations in Ontario must comply to accessibility standards for people with disabilities. However, there is no tool to report accessibility complaints and track them. To that effect, mobile applications can be effective to make report and monitor accessibility...
Article
Full-text available
Mental illnesses are on the rise on campuses worldwide. There is a need for a scalable and economically sound innovation to address these mental health challenges. The aim of this study was to explore university students’ needs and concerns in relation to an online mental health virtual community. Eight focus groups ( N = 72, 55.6% female) were con...
Preprint
BACKGROUND The rising prevalence of mental health problems in university students may be overwhelming traditional university mental health services. Given the demonstrated anxiolytic and antidepressant benefits of mindfulness, we developed an eight-week online Mindfulness Virtual Community (MVC) intervention. Twelve psycho-educational videos on top...
Article
Background: Innovative interventions are needed to address the increasing mental health needs of university students. Given the demonstrated anxiolytic and antidepressant benefits of mindfulness training, we developed an 8-week, Web-based Mindfulness Virtual Community (MVC) intervention informed by cognitive behavioral therapy (CBT) constructs. O...
Article
Full-text available
Background Young adults starting college or university education encounter multiple stressors related to transitional life-stage and novel environments. Current studies reveal high rates of symptoms related to common mental health problems like depression, anxiety and stress. However, limited knowledge exists on the determinants on these problems a...
Book
This book offers a practical introduction to healthcare analytics that does not require a background in data science or statistics. It presents the basics of data, analytics and tools and includes multiple examples of their applications in the field. The book also identifies practical challenges that fuel the need for analytics in healthcare as wel...
Conference Paper
Full-text available
The Integrated Funding Model (IFM) is designed to measure the impact of a bundled model of health care for patients with Congestive Heart Failure (CHF) for a period of 60 days post discharge. CHF is a primary reason for patient admissions. The goal of this study is to gain insight into the effectiveness of the IFM pathway intervention on health car...
Chapter
This chapter introduces the healthcare environment and the need for data analytics and business intelligence in healthcare. It overviews the difference between data and information and how both play a major role in decision-making using a set of analytical tools that can be either descriptive and describe events that have happened in the past, diag...
Chapter
This chapter provides an overview of the descriptive, predictive, and prescriptive analytics landscape. Data mining is first introduced, followed by coverage of the role of machine learning and artificial intelligence in analytics. Supervised and unsupervised learning are compared, along with the different applications that fall under each. The cha...
Article
Mental health challenges such as stress, anxiety and depression are on the rise worldwide. Health virtual communities (VCs) is a rising paradigm that has proven to be efficient and effective in delivering mental health interventions that address self-management, diagnosis and treatment targeting people facing mental health challenges. However, curr...
Chapter
A detailed logistic progression application to illustrate regression analysis
Chapter
This chapter introduces the concept of data visualization and its role in helping readers understand and interpret data and spot valuable information such as trends and exceptions. The different graphical elements and charts are introduced with examples of healthcare visualizations created using different software tools. This chapter overviews the...
Chapter
This chapter provides an overview of the analytics landscape, including descriptive, diagnostic, predictive, and prescriptive analytics, which are explained in detail with clear examples. A data analytics model that enumerates the steps undertaken during analytics as well as an information management and computing strategy is described.
Chapter
This concluding chapter focuses on three trends that will affect the future direction of healthcare analytics. Artificial intelligence (AI), which was covered earlier, will be revisited along with the Internet of Things (IoT). The chapter then introduces the concept of big data with its characteristics, known as Vs. The chapter then covers key bene...
Article
Full-text available
The aim of this systematic review is to summarize studies in different settings that used Information and Communication Technologies (ICT) to address intimate partner violence (IPV). We've conducted a systematic review using PRISMA guidelines using the following databases: PubMed, CINAHL, PsycINFO, and Web of Science. Inclusion criteria were ICT-ba...
Article
The Integrated Funding Model (IFM) is designed to measure the impact of a bundled model of health care for patients with Congestive Heart Failure (CHF) for a period of 60 days post discharge. CHF is a primary reason for patient admissions. The goal of this study is to gain insight into the effectiveness of the IFM pathway intervention on health car...
Article
Full-text available
Background: Non-communicable diseases (NCDs) account for 85% of deaths in Lebanon and contribute to remarkable morbidity and mortality among refugees and underserved populations. This study assesses the perspectives of individuals with hypertension and/or diabetes in rural areas and Palestinian refugee camps towards a population based mHealth inte...
Book
The first of its kind, this engaging textbook unpacks health informatics from a uniquely Canadian perspective. With a bottom up approach, author Christo El Morr identifies how health informatics influences and affects a range of Canadian healthcare stakeholders including populations, patients, doctors, nurses, managers, clinicians, and governments....
Article
Full-text available
Background Rural areas and refugee camps are characterized by poor access of patients to needed noncommunicable disease (NCD)–related health services, including diabetes and hypertension. Employing low-cost innovative eHealth interventions, such as mobile health (mHealth), may help improve NCDs prevention and control among disadvantaged populations...
Article
Full-text available
Objectives: Assess the effect of selected low-cost eHealth tools on diabetes/hypertension detection and referrals rates in rural settings and refugee camps in Lebanon and explore the barriers to showing-up to scheduled appointments at Primary Healthcare Centers (PHC). Methods: Community-based screening for diabetes and hypertension was conducted...
Book
Virtual communities have gained popularity in many growing fields and have continued to expand into healthcare environments. Analyzing the impact these communities have can help provide more effective methods to support patients and community members. Novel Applications of Virtual Communities in Healthcare Settings is a crucial scholarly reference...
Chapter
The current chapter systematically reviewed literature on online mindfulness interventions. Electronic databases were searched from 2005 to July 2016. The aim was to examine the nature of online mindfulness interventions, design features, and their effectiveness in improving symptoms of depression, anxiety, and stress. The review of selected studie...
Article
Introduction: We evaluated the Checklist of Unit Behaviors (CUB) questionnaire in a novel mental health setting: a day hospital within a large acute care general hospital. The CUB measures two factors, Avoidance or Approach, of the patients' engagement with the treatment milieu within the previous 24 hours. Aim: A Confirmatory Factor Analysis (C...
Chapter
The need for technology-based therapy and psycho-education to treat depression, anxiety, and other mental illnesses is in high demand as populations face many barriers when dealing with mental health. Technology-based programs, such as mobile Health (mHealth), open the door as an alternative to traditional therapy for those who would not otherwise...
Chapter
Virtual communities (VCs) evaluation research looked into different aspects of evaluation such as usability, effectiveness, and impact. However, these measurements do not take into account some particularities of the Health Virtual Communities (Health VCs), such as the impact of the patient’s health condition on software usability and the effect of...
Article
Full-text available
Background: The LACE index was designed to predict early death or unplanned readmission after discharge from hospital to the community. However, implementing the LACE tool in real time in a teaching hospital required practical unavoidable modifications. Objective: The purpose of this study was to validate the implementation of a modified LACE in...
Article
Background Prevalence of peripheral arterial disease (PAD) has dramatically increased in both developing, as well as developed countries. However, significant knowledge and practice gaps persist. In Canada, efforts to improve this knowledge level are lacking. In this study, we examine PAD knowledge in Toronto, and evaluate a pilot intervention to a...
Article
Full-text available
Mental health is a pervasive challenge in the population and especially for university/college students on campuses across North America. Anxiety, stress and depression are on the rise and a scalable, economically sound innovation is essential to address these mental health challenges. The research team has conducted 8 focus groups in April to May...
Poster
Full-text available
Peripheral Arterial Disease (PAD) is an important public health problem worldwide. It is a widely prevalent condition affecting 800,000 Canadians, of which twelve to twenty-nine percent are elderly. Finding an eHealth tool to a-education the public about peripheral Arterial Disease (PAD) is an important aspect of raising awareness of the disease. P...
Conference Paper
Full-text available
Information Technology (IT) in the healthcare system bring great benefits to patients and healthcare providers, and hospitals. However, IT systems have their own health safety risks for patients and possibly users. These risks need to be investigated. At North York General Hospital, Toronto, Canada, a software tool that measures the patients? risk...
Article
Full-text available
This paper will discuss the assessment of the use of the LACE tool at North York General Hospital (NYGH). The LACE tool estimates the readmission risk of patients. This paper describes the tool and a modified LACE score implementation and use at NYGH. We also describe our statistical analysis for the LACE effectiveness in order to inform future dec...
Book
Healthcare providers require timely and accurate information about their patients. As such, a great amount of effort and resources are spent to ensure that the right information is presented to the right people at the right time. Research Perspectives on the Role of Informatics in Health Policy and Management focuses on the advancements of Health I...
Conference Paper
Full-text available
Holistic disability rights monitoring is essential in order to translate rights on paper into rights in reality for people with disabilities. At the same time, evidence-based knowledge produced through holistic monitoring has to be made accessible to a broad range of groups - researchers, representatives of disability community, people with disabil...
Article
Full-text available
Holistic disability rights monitoring is an imperative approach to permit translation of rights on paper into rights in reality for people with disabilities. However, evidence-based knowledge produced through such a holistic monitoring approach has to be accessible to a broad range of stakeholders, e.g., groups such as: researchers, representatives...
Book
Emergent technologies, including ambient intelligence and pervasive computing, promise a considerable advance in the way people use virtual communities, and new, innovative applications are making virtual communities more dynamic and usable than ever. Virtual Community Building and the Information Society: Current and Future Directions offers a hol...
Chapter
Full-text available
This paper reports the results of an investigation into the life cycle model needed to develop information systems for group of people with fluid requirements. For this purpose, we developed a modified spiral model and applied to the analysis, design and implementation of a virtual community for a group of researchers and organizations that collabo...