Implementation of the ‘Physical Activity & Exercise Tool-kit’ as standard practice of quality diabetes care in Atlantic Canada

Presenter: Jonathon Fowles
Dr. Jonathon Fowles is an exercise physiologist whose work in the Centre of Lifestyle Studies at Acadia University covers a number of avenues investigating exercise in athletes, the elderly and persons with chronic disease or disability, including cardiovascular disease, diabetes and obesity. Dr. Fowles was the primary author of the "Diabetes Physical Activity and Exercise Toolkit" published by the Diabetes Care Program of Nova Scotia (2nd Edition, 2010) which was disseminated to diabetes care providers throughout Atlantic Canada to help support exercise counselling as a key component of quality diabetes care. The ‘Toolkit’ is now endorsed by the Canadian Diabetes Association, and Jonathon is currently working with the Canadian Diabetes Association, the Diabetes Care Program of Nova Scotia as well as provincial and regional health Boards, to develop practical strategies for health professionals to promote and implement exercise programs for the prevention and management of chronic disease. Dr. Fowles is also the Chair for the Canadian Society for Exercise Physiology Health and Fitness Program, which sets the 'Gold Standard' for exercise science and personal training certifications in Canada, and was on the steering committee for the development of Canada' new Physical Activity Guidelines released in January of 2011.

Jonathon Fowles, Professor
School of Recreation Management & Kinesiology
Acadia University AAC 487-5 SRMK Wolfville, NS B4P 2R6 T: 902-585-1560 jonathon.fowles@acadiau.ca

A community-based healthy lifestyle patient-centred education program for middle (30-59) and older (60+) adults with prediabetes

Presenter: Isabelle Giroux
Isabelle Giroux is a Registered Dietitian (RD) and a Professional Home Economist (PHEc). She obtained a PhD in Pharmacology and Toxicology and a Master of Science in Foods and Nutrition. She has been teaching Clinical Nutrition at Brescia University College since 2000 as part of the Division of Food and Nutritional Sciences. Isabelle is a dynamic researcher who collaborates with many partners and members of the community, and she is also a leader and a mentor for the Brescia Food and Nutrition students. Dr. Giroux’s main research projects centre on diabetes prevention. Dr. Giroux created with the Diabetes Education Centre of St. Joseph’s Health Care London in 2007 the “Prediabetes Initiative and Partnership” to assist individuals diagnosed with diabetes to increase their awareness of their risk factors to develop Type 2 diabetes and learning about a healthy lifestyle, hopefully helping them to delay or prevent Type 2 diabetes. Dr. Giroux is also the lead dietitian part of the interdisciplinary health team and researchers of the R. Samuel McLaughlin Foundation - Exercise and Pregnancy Laboratory at The University of Western Ontario, led by Dr. Michelle F. Mottola. Dr. Giroux received the Brescia University College Award for Teaching Excellence in 2004 and has been on the Dean Honour Roll of Teaching every year (2000 to 2011). She is the author of Applications and Case Studies in Clinical Nutrition which was published in 2008. In December 2008, Dr. Giroux was nominated by Marlene Wyatt, Director of Professional Affairs of Dietitians of Canada, and selected for a Dietitians of Canada “Vision 2020 leader award”. Dr. Giroux is presently serving her profession by acting as the President of RDFO (French Network of Ontario Dietitians) and President of RDFC (Dietitians of Canada French Network) since June 2007.

Isabelle Giroux, Associate Professor
Brescia University College Division of Food and Nutritional Sciences Room 109, Ursuline Hall 1285 Western Road London, ON N6G 1H2 T: 519-432-8353 ext. 28255 F: 519-858-5137 igiroux@uwo.ca

Diabetes and Mental Health Peer Support Project Building Knowledge, Skills and Bridges

Presenter: Scott Mitchell
Scott Mitchell is Director of Knowledge Transfer at the Canadian Mental Health Association, Ontario. Since joining CMHA in 2002, he has been responsible for the CMHA Ontario website (www.ontario.cmha.ca), Mental Health Notes e-newsletter, Network magazine and other publications. He manages special projects including Minding Our Bodies (www.mindingourbodies.ca) and the Diabetes and Mental Health Peer Support Project (www.diabetesandmentalhealth.ca). Scott is also a co-founder and coordinating committee member of the Ontario Knowledge Transfer and Exchange Community of Practice (www.ktecop.ca).

Scott Mitchell, Director, Knowledge Transfer
Canadian Mental Health Association, Ontario 180 Dundas Street West, Suite 2301 Toronto, ON M5G 1Z8 T: 416-977-5580 ext. 4136 F: 416-977-2264 smitchell@ontario.cmha.ca

Identification of predictors of success for lifestyle modification in overweight pre-diabetic subjects

Presenter: Marie-France Langlois
Dr. Langlois trained at the Université de Sherbrooke where she obtained her MD in 1990 and then specialized in Internal Medicine (1994) and Endocrinology (1995). She completed a research fellowship at the Beth Israel Deaconess Medical Center, Harvard University (1995-1997). Dr. Langlois currently practices as an endocrinologist and Director of the Ambulatory Metabolic Unit, which includes diabetes, obesity and lipid disorders clinics, at the Centre Hospitalier Universitaire de Sherbrooke. She is also Professor of Medicine, Biochemistry and Physiology at the Faculté de médecine et des sciences de la santé of the Université de Sherbrooke. She currently holds a National-Scientist award of the Fonds de la recherche en santé du Québec and received the young investigator award of the Canadian Society of Endocrinology and Metabolism. Her research interests include the mechanisms of action of nuclear receptors and the regulation of adipogenesis, the treatment and prevention of obesity and diabetes, and health system organization in the area of cardio-metabolic disease prevention and management. Her research projects are currently funded by the Canadian Institutes of Health Research (CIHR), FRSQ, Ministry of Health of Quebec, Heart and Stroke Foundation of Canada, Lawson Foundation and Canadian Diabetes Association (CDA). She is author or co-author of more than 150 articles and abstracts and regularly sits on per-review Committees. She is in charge of the Canadian Obesity Network Clinical Obesity Preceptorship Program.

Marie-France Langlois, Endocrinologist
Professor of Medicine, Physiology & Biochemistry Faculty of Medicine & Health Sciences Centre Hospitalier Universitaire de Sherbrooke 3001, 12e avenue Nord Sherbrooke QC J1H 5N4 T: 819-564-5223 F: 819-564-5244 Marie-France.Langlois@USherbrooke.ca

The Alliance for Canadian Health Outcomes Research in Diabetes (ACHORD)
Healthy Eating & Active Living for Diabetes in Primary Care Networks (HEALD-PCN)

Presenter: Steven Johnson
Dr. Steve Johnson is an Assistant Professor in the Faculty of Health Disciplines at Athabasca and is a collaborative research partner with the Alliance for Health Outcomes Research in Diabetes at University of Alberta. Dr. S. Johnson is an emerging scholar in the area of diabetes self-management with a specific focus on diet and physical activity. He is a co-investigator with Dr. Jeffrey Johnson on the Healthy Eating and Active Living for Diabetes in Primary Care Networks (HEALD-PCN), which is funded by the Lawson Foundation.

Steven Johnson, Assistant Professor, Faculty of Health Disciplines
Athabasca University 7331 Essex Road Sherwood Park, AB T8H 0L1 T: 877-848-6903 sjohnson@athabascau.ca

Digital Access through Web 2.0 Networking (DAWN)Virtual multicultural community engagement

Presenter: Kendall Ho
Dr. Kendall Ho is a practicing emergency medicine specialist. He is the founding Director, eHealth Strategy Office, University of British Columbia Faculty of Medicine, and was the immediate past Associate Dean of the Division of Continuing Professional Development and Knowledge Translation (UBC CPD-KT). He is the executive director of the Technology Enabled Knowledge Translation Investigative Centre (TEKTIC) interdisciplinary research team in B.C. He is a member of the Royal College of Physicians and Surgeons of Canada’s Professional Development Committee. Dr. Ho is a Board member on the Canadian Virtual Health Library, and also a Board member on COACH, Canada’s Health Informatics Association. Dr. Ho’s academic and research interests are in technology enabled knowledge translation (TEKT) – the use of information technologies to accelerate the incorporation of latest health evidence into routine practice. Specific directions within TEKT include telehealth, patient safety, public engagement, and evidence based policy translation in eHealth. He is a recipient of a number of provincial, national, and international research grants in eHealth and eLearning, collaborates with provincial, national, and international policy makers in eHealth, and publishes related papers and textbook chapters in these subjects. Internationally, Dr. Ho is a collaborator with the World Health Organization eHealth Observatory. He is the Vice President of the International Association of Humanitarian Medicine. He is a member of the Universitas 21 Health Sciences United Nations Millennium Development Goals Education Committee and was the immediate past chair of that committee. He is a visiting professor at the Hong Kong University Faculty of Medicine School of Public Health, and an honorary professor at the Korea University Department of Medicine Education.

Kendall Ho, Director, EHealth
Strategy Office Faculty of Medicine University of British Columbia 855 West 10th Avenue Vancouver, BC V5Z 1L7 T: 604-875-4111 ext. 69153 F: 604-875-5083 kendall.ho@ubc.ca

The Effectiveness of the Diabetes Self-Management Program in a Canadian Setting

Presenter: Patrick McGowan
Patrick McGowan is an Associate Professor with the University of Victoria - Centre on Aging, and an Associate Professor of Sociology. He received a doctorate degree in Health Promotion Research at the University of British Columbia in 1996 under the supervision of Dr. Lawrence Green. Dr. McGowan’s research career over the last 30 years has mainly focused on several aspects of health education programs for persons experiencing chronic health conditions, especially self-management programs and strategies. He has been implementing and researching self-management programs relating to particular chronic health conditions such as: diabetes, arthritis, osteoarthritis, and tuberculosis. As well, he has been researching the feasibility, viability, acceptability and effectiveness of a variety of programs. This research is being conducted at the community level (including small Aboriginal communities), and at provincial, national and international levels. Dr. McGowan is also involved in the training of health care professionals to be able to practice self-management support strategies with patients. Dr. McGowan participates in provincial, federal and international initiatives. He is based in Delta, BC, where he directs the University of Victoria, Centre on Aging – Ladner Office.

Patrick McGowan,Associate Professor
University of Victoria – Centre on Aging Director of Self-Management Programs Suite 210, 4907 Chisholm Street Delta, BC V4K 2K6 T: 604-940-3574 F: 604-940-2099 pmcgowan@uvic.ca

Please contact Dr. Mottola for details on her presentation: A Nutrition & Exercise Lifestyle Intervention Program (NELIP) for Women with Gestational Diabetes

Presenter: Michelle Mottola
Dr. Mottola is a Professor with a Joint Position in the School of Kinesiology, Faculty of Health Sciences and the Dept. of Anatomy and Cell Biology, in the Schulich School of Medicine and Dentistry. She is the Director of the R. Samuel McLaughlin Foundation – Exercise and Pregnancy Laboratory, at The University of Western Ontario, which is the only lab in North America that specializes in the area of exercising pregnant and postpartum women. She is an Associate Scientist at the Children’s Health Research Institute and a Fellow of the American College of Sports Medicine (FACSM). She is an anatomist and exercise physiologist who has conducted research on the effects of maternal exercise on both the mother and the developing fetus, and now more recently into the postpartum period. Her research has led to a co-authorship on the PARmed-X for Pregnancy, which contains Canadian exercise guidelines for pregnant women, published by the Canadian Society for Exercise Physiologists (CSEP) and Health Canada (2002); and endorsed by the Society of Obstetricians & Gynecologists of Canada in 2003, and ACSM in 2004. She has received over $1.5 million for research on exercise during pregnancy and has published over 65 papers on this topic. She has given over 135 invited talks in the area of exercise during pregnancy or postpartum. Dr. Mottola was a member of the Expert Advisory Group on the National Nutrition Pregnancy Guidelines for Health Canada. Her current research focuses on the impact of exercise during pregnancy on chronic disease risks such as obesity, diabetes and cardiovascular disease for both mother and the offspring. She is currently investigating the effects of a family-based Nutrition & Exercise Lifestyle Intervention Program (NELIP) on overweight and obese pregnant and postpartum women and women diagnosed with gestational diabetes and their offspring.

Michelle Mottola, Director
R. Samuel McLaughlin Foundation Exercise and Pregnancy Lab, Rm 2245, 3-M Centre
University of Western Ontario, London, ON N6A 3K7, T: 519-661-2111 ext. 85480 F: 519-661-2008 mmottola@uwo.ca;
http://www.uwo.ca/fhs/bio/profile/mottola_m.html

Children’s Health and Activity Modification Program (C.H.A.M.P.)
A community-based lifestyle intervention for obese children at risk for type 2 diabetes and their families

Presenter: Erin Pearson
Erin Pearson is a doctoral candidate in the Health and Rehabilitation Sciences Program at The University of Western Ontario. Erin's research interests lie in the areas of health and exercise psychology with a specific focus on the prevention and treatment of obesity, and applying theoretical foundations in order to understand health behaviours. In her research program funded by the Social Sciences and Humanities Research Council of Canada, Erin is examining health-related physical activity and dietary behaviours among university students with obesity through the application of various behaviour modification tools and techniques that integrate goal setting, Motivational Interviewing, and Co-Active Life Coaching. Erin is the Program Coordinator for CHAMP, a group-based lifestyle intervention for obese children at risk for type 2 diabetes and their families, as well as the outgoing-chair of the Canadian Obesity Network, UWO Chapter.

Erin Pearson, Ph.D. Candidate (Health Promotion)
Health & Rehabilitation Sciences Program CHAMP Program Co-ordinator University of Western Ontario London, ON N6G 1H1 T: 519-661-2111 ext. 82218 epearso5@uwo.ca

Ensuring Adequacy of Care for Home Care Clients with Diabetes

Presenter: Michelle Todoruk-Orchard
Michelle Todoruk-Orchard graduated from the University of Manitoba with her Baccalaureate Degree in Nursing in 1987 and her Masters of Nursing in Gerontology in 2000. In order to better address the health care needs of the Home Care population in Winnipeg, Michelle continued her education and in 2006 she completed the Canadian Enterstomal Therapy Program and then in 2007, she became a Certified Diabetes Educator. Michelle has been the Clinical Nurse Specialist (CNS) with the WRHA Home Care Program for the past 10 years and has over 24 years nursing experience in community, acute care and long term care settings.

Michelle Todoruk-Orchard, Clinical Nurse Specialist
Winnipeg Regional Health Authority Home Care Program 2 – 490 Hargrave St. Winnipeg, MB R3A 0X7 T: 204-940-2175 F: 204-957-0884 mtodoruk@wrha.mb.ca

Improving Diabetes Prevention in Women with Previous Gestational Diabetes

Presenter: Lorraine Lipscombe
Dr. Lorraine Lipscombe received her Medical Degree from McGill University in 1998. She completed her Internal Medicine training in 2002, her fellowship in Endocrinology and Metabolism in 2003, and her Master’s of Science in Clinical Epidemiology in 2005, all at the University of Toronto. Dr. Lipscombe is currently an Endocrinologist and Research Scientist at Women’s College Hospital, an Assistant Professor at both the Departments of Medicine and Health Policy Management and Evaluation at the University of Toronto, and an Adjunct Scientist at the Institute for Clinical Evaluative Sciences. Dr. Lipscombe’s research program focuses on the care and outcomes of diabetes, with specific interests in the relationship between diabetes and cancer, prevention and care of diabetes in women, and drug safety for older persons with diabetes. She currently holds a Clinician-Scientist award from the Canadian Diabetes Association/Canadian Institutes for Health Research.

Lorraine Lipscombe, Staff Physician, Endocrinology & Metabolism
Women’s College Hospital 790 Bay Street Toronto, ON M5G 1N8 T: 416-323-6400 ext. 4506 lorraine.lipscombe@wchospital.ca