New Brunswick Institute for Research, Data and Training Publications
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The collection of research from the New Brunswick Institute for Research, Data and Training (NB-IRDT) spans diverse topics crucial to public policy, health, education, and social wellbeing in New Brunswick. Research topics include healthcare utilization outcomes, immigrant retention, teacher recruitment, socioeconomic determinants of health, environmental impacts on public health, among many others, providing a deeper understanding of the factors influencing the prosperity and health of New Brunswick communities.
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Browsing New Brunswick Institute for Research, Data and Training Publications by Subject "Applied Health Services Research"
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Item Academic, health and healthcare utilization outcomes in New Brunswick grade school students prescribed long-acting stimulants for the management of ADHD: An administrative data study(New Brunswick Institute for Research, Data and Training, 2024-04-01) Folkins, Chris; McDonald, TedAttention-deficit/hyperactivity disorder, also known as ADHD, is a common neurodevelopmental disorder that interferes with individual functioning or development and is often characterized by an ongoing pattern of three particular symptoms: inactivity, hyperactivity and impulsivity. ADHD is the most commonly diagnosed mental disorder among children and youth. Research shows that school-aged children and youth are being diagnosed with ADHD with increasing frequency, and with this rise in diagnoses comes an increase in prescription medications used to treat the symptoms of this disorder. To help alleviate symptoms, many families turn to long-acting stimulants as a prescribed treatment method. Unlike short-acting stimulants, which typically start working within 30-45 minutes and wear off in 3-6 hours, long-acting stimulants are designed to work in phases, through an extended release into the bloodstream throughout the day. Long-acting stimulants have been the topic of extensive research, and studies show they improve core symptoms of ADHD – such as inattention and hyperactivity – making them the gold standard for medical treatment of ADHD. However, their ability to improve functional outcomes associated with ADHD – such as reduced academic achievement or increased risk of injury – is less well understood. Children and youth with ADHD face challenges that could inhibit their ability to excel academically or make them more likely to be hospitalized. To help measure the impacts of ADHD and of treatment with long-acting stimulants, this study uses linked administrative data records to examine academic, health and healthcare utilization outcomes in New Brunswick grade school students (Kindergarten through Grade 12) with ADHD. It compares outcomes between students with ADHD who are being treated with long-acting stimulants, students with ADHD who are not being treated and students without ADHD.Item Breathe: A cost-effectiveness evaluation of breath-based lung cancer screenings(New Brunswick Institute for Research, Data and Training, 2022-09) Emery, Herb; Cameron, Jillian; Dutton, Daniel J.; Singh, Paramdeep; Chan, Alvin; McDonald, TedCurrent incidence rates of lung cancer in the United States show that per 100,000 population, lung cancer will occur in 49 women and 60 men. Nearly half a million individuals in the United States were diagnosed with lung cancer between 2013 and 2017, and Canadian prevalence rates are similar: nearly 30,000 people are diagnosed with lung cancer each year. Mortality due to lung cancer is significant as well: approximately 130,000 people in the US and 21,000 people in Canada die annually due to lung cancer. Costs for treatment are also substantial, totaling about $2 billion per year in Canada, or approximately $70,000 per case. The high cost per case of cancer arises from many factors, central among them the advanced stage at diagnosis of many tumors leading to expensive therapies and treatments, costs for formal and informal caregivers, and life-years lost. The incidence and high mortality and costs associated with lung cancer show that lowering both the percentage of people receiving lung cancer diagnoses and the costs of treating lung cancer are important issues for our healthcare systems.Item Choosing wisely: Imaging for lower back pain(New Brunswick Institute for Research, Data and Training, 2022-01) Emery, Jillian; DeVries, Gwenyth; McDonald, Ted; Somayaji, ChandyAs part of a global movement that began in the United States in 2012, Choosing Wisely Canada was launched in 2014 to help reduce unnecessary tests and treatments in healthcare. One of its recommendations is to not do imaging for lower back pain unless ‘red flags’ – or conditions that warrant diagnostic imaging – are present. In 2015, the Canadian Medical Imaging Inventory indicated that New Brunswick (NB) had the third-highest number of average CTs (computed tomography scans) per 1,000 population. In 2020, a revised report suggested NB had the highest number in the entire country. To date, there has been no detailed breakdown of the diagnostic imaging performed in NB to inform of past trends or advise on future directions; the Choosing Wisely New Brunswick steering committee therefore prioritized the investigation of accessible health data. This study aims to address this issue by linking lumbar spine imaging data with population demographics data at the New Brunswick Institute for Research, Data and Training to look for variations in lumbar spine imaging patterns in NB between 2012 and 2019. We investigate regional volumes and types of imaging and identify the volume of lower back pain imaging that aligns with indicators of red flag conditions.Item Climate change sensitivity profiles for New Brunswick Health Council Communities: Bathurst: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Bouctouche: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Campbellton: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Caraquet: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Dalhousie: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Dieppe: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Douglas: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Edmundston: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Florenceville-Bristol: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Fredericton: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Grand Bay-Westfield: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Grand Falls: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Hillsborough: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Kedgwick: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Minto: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Miramichi: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, TraceyItem Climate change sensitivity profiles for New Brunswick Health Council Communities: Moncton: February 28, 2022(New Brunswick Institute for Research, Data and Training, 2022-02-28) Magalhaes, Sandra; Rogers, Kyle; Wade, Tracey