Dana Howse

• Doctor of Public Health
• Research Associate at Memorial University of Newfoundland

Introduction: Case management (CM) is an effective integrated model of care for patients with chronic conditions and complex care needs, given the focus on improving patient engagement in healthcare and improving self-management skills. While CM often leads to positive outcomes, little is known about the factors which promote or hinder implementati...

Background Data on the social determinants of health could be used to improve care, support quality improvement initiatives, and track progress toward health equity. However, this data collection is not widespread. Artificial intelligence (AI), specifically natural language processing and machine learning, could be used to derive social determinant...

Case management (CM) is an intervention for improving integrated care for patients with complex care needs. The implementation of this complex intervention often raises opportunities for change and collective leadership has the potential to optimize the implementation. However, the application of collective leadership in real-world is not often des...

Background Healthcare organizations are increasingly exploring ways to address the social determinants of health. Accurate data on social determinants is essential to identify opportunities for action to improve health outcomes, to identify patterns of inequity, and to help evaluate the impact of interventions. The objective of this study was to re...

Objective With the onset of the COVID-19 pandemic, telehealth case management (TCM) was introduced in primary care for patients requiring care by distance. While not all healthcare needs can be addressed via telehealth, the use of information and communication technology to support healthcare delivery has the potential to contribute to the manageme...

BACKGROUND Data on the social determinants of health could be used to improve care, support quality improvement initiatives, and track progress toward health equity. However, this data collection is not widespread. Artificial intelligence (AI), specifically natural language processing and machine learning, could be used to derive social determinant...

Introduction Growing evidence supports patient engagement (PE) in health implementation research to improve the quality, relevance and uptake of research. However, more guidance is needed to plan and operationalize PE before and throughout the research process. The aim of the study was to develop a logic model illustrating the causal links between...

Background Case management is one of the most frequently performed interventions to mitigate the negative effects of high healthcare use on patients, primary care providers and the healthcare system. Reviews have addressed factors influencing case management interventions (CMI) implementation and reported common themes related to the case manager r...

Withdrawal statement “The authors have withdrawn this manuscript owing to one of the authors, Lynn Thompson, no longer standing by her participation in this work. Therefore, the authors do not wish this work to be cited as reference for the project. The remaining authors have since published the work in BMC Primary Care: Adekoya, I., Delahunty-Pike...

Background: Studies have highlighted common challenges and barriers to patient engagement in research, but most were based on patient partners or academic researchers' experiences. A better understanding of how both groups differentially experience their partnership could help identify strategies to improve collaboration in patient engagement rese...

Context. Case management interventions (CMIs) are recognized to improve patients' experience of integrated care, to promote better utilization of healthcare resources, and to reduce emergency department visits, hospitalizations and health care costs. However, contextual factors influencing implementation of CMIs in primary care settings in Canada s...

Context. There is growing evidence supporting patients' engagement (PE) in primary care research to improve the quality, relevance, and uptake of research. However, guidance is still needed to plan and operationalize this engagement during the research process. Objective. To develop a logic model illustrating empirically the causal links between co...

Background Adults with chronic conditions who also suffer from mental health comorbidities and/or social vulnerability require services from many providers across different sectors. They may have complex health and social care needs and experience poorer health indicators and high mortality rates while generating considerable costs to the health an...

Background: Patient-reported outcome measures (PROMs) are widely recognized as important tools for achieving a patient-centred approach in health research. While PROMs are subject to several stages of validation during development, even questionnaires with robust psychometric properties may challenge patient comfort and understanding. Aim: Build...

Background: Patient-reported outcomes measures (PROMs) are widely recognized as important tools for achieving a patient-centered approach in health research. While PROMs are subject to several stages of validation during development, even questionnaires with robust psychometric properties may pose problems for targeted patients. Challenges can rise...

A logic analysis of patient engagement in implementation research: Lessons learned from a multi-site case management intervention in primary care Click here to view NAPCRG 2020 presentation: https://youtu.be/WR2tb_v1YKM

In January 2013, SSEC Canada Ltd. pled guilty to three charges under Alberta’s Occupational Health and Safety Act after two of its temporary foreign workers died and two more were seriously injured on the worksite. A fine of $1,225,000—the largest ever ordered in Alberta—was paid to the Alberta Law Foundation, which administered the funds to the Al...

Growing literatures on the political economy of occupational health and safety and on the political economy of contemporary fisheries need to be better integrated to help us see how neoliberal globalization and overfishing are interacting with gender, race and class relations in regional fish harvesting and processing workplaces to affect occupatio...

The aim of this research was to identify the number and characteristics of adults under the age of 65 with a diagnosis of traumatic brain injury (TBI) living in long-term care homes (nursing homes, homes for the aged and charitable homes) in Ontario, Canada. Methods: The study used a cross-sectional design. Secondary data analysis of a comprehensiv...

This study examines the issue of living environments for persons with acquired brain injury (ABI), with the aim of identifying factors that enable or act as barriers to appropriate living environments. A qualitative study involving 31 semi-structured interviews conducted with 56 key informants representing various relevant sectors: institutional, c...

There have been few attempts to bridge the literatures on the social science of the body and the social science of occupational safety and health. Bridging this divide requires a reconciliation of the conflicting treatments of the body found in these literatures – the social body in the literature on the social science of the body and the invisible...

Risk factors and prevalence of occupational asthma (OA) and occupational allergy (OAl) in the snow crab-processing industry have been poorly studied. To estimate the prevalence of OA and OAl in snow crab-processing workers and determine their relationship with exposure to snow crab allergens and other potential risk factors. A total of 215 workers...

Hirst, S., Spencer, C., Beaulieu, M., Charpentier, M., Harbison, J., McDonald, L., Podnieks, E., & Howse, D. (2008). Institutional Abuse and Neglect: A Canadian Resource. Booklet prepared for the project: A way forward: Promising Approaches to Abuse Prevention in Institutional Settings. 35 p

McDonald, L., Beaulieu, M., Charpentier, M., Harbison, J., Hirst, S., Podnieks, E., & Howse, D. (2008). A Way Forward: Promising Approaches to Abuse Prevention in Institutional Settings. Regional Forums: Exploring the Issues. Report presented to the Public Health Agency of Canada. 28 p.

McDonald, L., Beaulieu, M., Charpentier, M., Harbison, J., Hirst, S., Podnieks, E., & Howse, D. (2008). A Way Forward: Promising Approaches to Abuse Prevention in Institutional Settings. Final Report. Report presented to the Public Health Agency of Canada. 45 p.

Fish and shellfish processing employs many thousands of people globally, with shellfish processing becoming more important in recent years. Shellfish processing is associated with multiple occupational health and safety (OHS) risks. Snow crab occupational asthma (OA) is work-related asthma associated with processing snow crab. We present a gender a...

The aim of the study was to determine the prevalence of snow crab sensitisation and occupational asthma. Prevalence study of symptoms, pulmonary function testing and allergy testing to crab was conducted in four crab plants of different design in Newfoundland and Labrador, Canada. Plants workers in four crab plants were interviewed and offered skin...

This study was conducted to learn from snow crab plants workers and others involved in the industry their knowledge and beliefs of health issues and potential solutions. This is a survey in four communities with different crab plant designs in Newfoundland and Labrador, Canada. At the start of a meeting to discuss crab asthma participants were requ...

Rats with perirhinal cortex lesions were compared with sham controls on a conditional discrimination in which saccharin was paired with LiCl in context 1, but paired with saline in context 2. Perirhinal-lesioned rats were slightly slower to acquire the discrimination but reached control levels by the end of acquisition. Both groups showed transfer...

Typescript. Hons. Diss. (B.A.)--Memorial University of Newfoundland. Includes bibliographical references (leaves 24-26).