Arcand Lab

123.456.7890

For Patients

Clinical Research

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SUBHEADING

Our overall clinical research goal assesses barriers and facilitators to adopt and implement clinical nutrition guidelines. The later research supports study population level behavioural dietary interventions (development and assessment) to help reducing chronic disease risk in Canadians.

Our clinical research examines dietary interventions that can improve the health of the general population and among those with chronic disease. There is a particular emphasis on dietary interventions for individuals with cardiovascular diseases, including heart failure and hypertension. 

Many of our studies apply implementation science concepts and frameworks to understand and improve the real-world implementation of clinical nutrition guidelines. Likewise, the use of technology as a way to support patients and health care providers in implementation is of high interest. 

 

Studies on the use of eHealth applications for the dietary management of hypertension. 
Our research has explored the implementation of dietary recommendations in primary care. This research found that the use of technology in the form of novel nutrition eHealth interventions is considered a leading facilitator in supporting health care providers in supporting their patients with dietary modification. Therefore, our research has emphasized the use of technology in clinical practice.

Our research has included the execution of systematic reviews to understand the impacts of mobile health applications on adherence and clinical outcomes in hypertension and cardiovascular disease. We have also conducted pilot studies to understand the impact of the Sodium Calculator eHealth tool on sodium knowledge, attitudes and behaviours of the general public, which has informed studies in the clinical setting. The Sodium Calculator is an interactive web-based screening tool to help Canadians instantaneously assess the amount and sources of sodium in their diet. The 26-question screener has been used by more than 300,000 Canadians. Our pilot research has shown that the Sodium calculator improves sodium knowledge, attitudes, and intended behaviours when used by Canadians at home and in medical clinics with healthcare providers. In the clinical setting, a recent study examined the feasibility of integrating the Sodium Calculator into the busy clinical workflow in primary care, which included an embedded qualitative study to more deeply explore perceptions of physicians views related to the delivery of dietary advice for hypertension, and the use of eHealth tools to support this process.

Studies to the nutritional management of heart failure
Our early research included the clinical and epidemiological evaluation of dietary sodium among heart failure patients. Among patients with heart failure, we have assessed overall dietary adequacy, the levels of dietary sodium that contribute to adverse clinical outcomes (e.g., ADHF hospitalizations), and the best methods to assess sodium intake among patients who take loop diuretics. This work informed the methods applied in the SODIUM-HF clinical trial.

Currently, this research applies both quantitative and qualitative methods to prospectively examine patient and healthcare provider needs, motivations, challenges, barriers and drivers to the use of mobile apps to support HF management. This research also includes the development and evaluation of a mobile app to support patients with heart failure in modifying and adhering to diet recommendations. This research is funded by the Canadian Institutes for Health Research.

Examining the use of weight inclusive approaches among Registered Dietitians in Canada.
This novel research describes the varying practice approaches and strategies that Registered Dietitians use when working with higher weight clients. Specifically, this research conducts an in depth analysis of the use of weight inclusive approaches (i.e., counseling approaches that do not emphasize weight loss) by Canadian dietitians. This research also seeks to understand the barriers and drivers to the adoption and implementation of these approaches in practice.

Validation of RxFood
RxFood is a patient-facing dietary assessment mobile application that was developed and is owned by RxFood Corporation (formerly known as Inner Analytics Inc.). RxFood is a highly innovative mobile application that uses photographs and artificial intelligence to assess the amount and types of food and nutrients a person consumes. Our team is conducting an arm’s length study to assess the validity and usability of RxFood against weighted food records (gold standard). This research is funded by the Ontario Centres of Innovation. See the protocol registration here.

Interested in joining a study?

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See what past patients think

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– Patients Name