BRAID / MDSi
University of Alberta
8308 - 114 St.,
Phone: (780) 407-1627
Fax: (780) 407-1715
BRAID Research Collaborations
CIRCLE SLICK ADSS (Alberta Diabetes Atlas) NEAHR/ACADRE ADI (Aboriginal Diabetes Initiative) NDSS ACHORD IHE EMSDPP ADWP
CIRCLE (Canadian First Nations Diabetes Clinical Management Evaluation Study)
CIRCLE was a 3-year national (coast-to-coast) diabetes research study looking at diabetes-related health service usage in First Nations communities, and rates of reported diabetes-related complications in First Nations communities. Dr. Ellen Toth served as site investigator for the Alberta region.
SLICK (Screening for Limbs, I-eyes, Cardiovascular and Kidney complications in Alberta First Nations)
SLICK is funded by the Aboriginal Diabetes Initiative (seee ADI, below), and is operated by Health Canada. The program provides complications screening to diabetes patients in Alberta First Nations Communities, travelling to all 44 Alberta First Nations twice a year. Dr. Ellen Toth was involved with the initial implementation of SLICK.
ADSS (Alberta Diabetes Surveillance System) -
ALBERTA DIABETES ATLAS
ADSS builds on the National Diabetes Surveillance System (NDSS, see below), which all provinces and territories participate in. ADSS is a key component of the Alberta Diabetes Strategy 2003-2013, and was created to disseminate information on the incidence, prevalence and mortality of diabetes and its complications and comorbidities in Alberta. The IHE and ACHORD (see below) work closely with Alberta's Population Health Strategies and Surveillance Branches to produce a comprehensive, standardized database for diabetes surveillance in Alberta. ADSS is lead by Dr. Jeff Johnson and other ACHORD Investigators. Dr. Ellen Toth is a member of the ADSS - Diabetes and First Nations People Working Group.
NEAHR / ACADRE (Network Environment for Aboriginal Health Research / Aboriginal Capacity and Developmental Research Environments)
Aboriginal health is a key area for research and knowledge sharing, to address the ongoing health disparities in Canada’s Aboriginal peoples. The NEAHR/ ACADRE program addresses the major issue facing Aboriginal health research: namely, insufficient capacity to carry out relevant research in this emerging field.
ADI (Aboriginal Diabetes Initiative)
ADI is one of four components to Health Canada's "Canadian Diabetes Strategy".ADI funding covers care and treatment costs for Aboriginals living on-reserve, and supports prevention/health promotion activities for on- and off-reserve Aboriginal people throughout the country. Programs which emphasize holistic approaches and strive to be culturally appropriate are now in place across the country.
ADI is overseen by a national steering committee with representation from national Aboriginal organizations (Assembly of First Nations, Inuit Tapiriit Kanatami, Métis National Council, Congress of Aboriginal Peoples, Native Women's Association of Canada) as well as the National Aboriginal Diabetes Association.
ADI divided into two components:
First Nations On-reserve and Inuit in Inuit Communities Program (FNOIIC)
The FNOIIC program is administered through regional offices in partnership with First Nations and Inuit Communities in the region. For information on regional programming. Contacts for Regional Program Offices
MOUIPP (Métis, Off-reserve Aboriginal and Urban Inuit Prevention and Promotion Program)
MOAUIPP provides funding for culturally-relevant diabetes prevention and health promotion projects for Métis, off-reserve Aboriginal and urban Inuit people. The MOAUIPP program is delivered by an application-driven process. Organizations or associations can apply for funding through a national Request for Applications process.
NDSS (National Diabetes Surveillance System)
To-date, there has been a lack of ongoing, systematic, validated Canadian analysis for basic prevalence and other diabetes information. The National Diabetes Surveillance System (NDSS) - under the Public Health Agency of Canada (PHAC) - is the mechanism developed to provide improved data about diabetes. It is a network of regionally distributed diabetes surveillance systems that compile administrative health care data relating to diabetes and send aggregate anonymous data to Health Canada for national analyses. Dr. Ellen Toth is a member of NDSS's Sicentific Working Group.
ACHORD (Alliance for Canadian Health Outcomes Research in Diabetes)
The Alliance for Canadian Health Outcomes Research in Diabetes (ACHORD) is an emerging team in diabetes research. ACHORD focuses on the clinical epidemiology, economic and health-related quality of life aspects of diabetes and its comorbidities and complications. ACHORD's aim is to provide research which will lead to improved management of diabetes in Canada, from both clinical and health policy perspectives. ACHORD is based at the University of Alberta, School of Public Health, Department of Public Health Sciences in Edmonton. Dr. Ellen Toth is an ACHORD Investigator.
IHE (Institute of Health Economics)
Located in Edmonton, the Institute of Health Economics (IHE) is a non-profit "centre for excellence" committed to producing, gathering, and disseminating health research findings from health economics, health policy, health technology assessment and comparative effectiveness to improve the delivery of health care and support a sustainable future. Dr. Ellen Toth is an IHE Research Fellow.
EMSDPP (Eastern Metis Settlements Diabetes Prevention Project)
An initiative implemented in 2006 by the four Eastern Metis Settlements (Buffalo Lake, Kikino, Elizabeth, Fishing Lake) in northeastern Alberta. EMSDPP’s goal was to create Aboriginal health resources and capacity within the Settlements with respect to type 2 diabetes prevention. The program included the introduction of a diabetes prevention curriculum in the schools serving the Settlements. This project has completed, and a project evaluation will be released soon.
ADWP (Aboriginal Diabetes Wellness Program)
ADWP was established in 1994, under the Capital Health Aboriginal Health umbrella, and operates at the Royal Alexandra Hospital in Edmonton. ADWP serves First Nations, Inuit and Métis people. The program integrates Western medical knowledge with Aboriginal spirituality, medicines and traditional teachings. ADWP promotes diabetes self-management that is culturally sensitive, and promotes a holistic approach to integrating the mind, body, spirit and emotions.
ADWP’s 5 components target patients and their support
1. a 3-day program that incorporates diabetes education and management;
2. a 3-day follow-up program that provides additional skills;
3. a 1- to 3-day outreach program for urban and rural centres;
4. Professional Relationships in Aboriginal Diabetes Education (PRIADE), a 3-1⁄2 day cultural sensitivity workshop for healthcare professionals
Dr. Ellen Toth serves as ADWP's Medical Director, and Medical Lead for the Capital Health Aboriginal Health program.