Funding Recipients
2023-2024 New Initiative and Innovation Awards
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Principal Investigator: Sara Guilcher (LDFP)
Co-Principal Investigator: Aisha Lofters (DLSPH)
Summary of Research: We are exploring factors that influence the collection and reporting of patients' experiences with their medications to help improve quality of care and health service delivery. In understanding the barriers and facilitators, we hope to identify how to support the integration of a patient-reported experience measure for medication into routine care.
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Principal Investigator: Samir Gupta (DLSPH)
Co-Principal Investigator: Jamie Kellar (LDFP)
Summary of Research: The Electronic Asthma Management System for Pharmacies (eAMS-Pharm) provides computerized clinical decision support to pharmacists, empowering them to bridge asthma care gaps by presenting them with patient-specific guideline-recommended treatment optimizations within their workflows. This project will optimize the eAMS-Pharm through user focus groups, and pilot the system in pharmacies.
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Principal Investigator: Aaron Drucker (DLSPH)
Co-Principal Investigator: Mina Tadrous (LDFP)
Summary of Research: A minor ailment prescribing service was launched in Ontario pharmacies in 2023. Five of the 19 minor ailments that pharmacists are eligible to manage are skin conditions. Quality prescribing for skin conditions can improve outcomes and reduce the burden on the healthcare system, but it is unclear whether pharmacists have the necessary skillset. We will assess pharmacist management of minor skin ailments. Results can then be used to develop educational tools for pharmacists.
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Principal Investigator: Shelly Bolotin (DLSPH)
Co-Principal Investigator: Alison Thompson (LDFP)
Summary of Research: Our goal is to fill knowledge gaps on vaccine coverage among children of immigrants and gaps on vaccination knowledge, attitudes, and beliefs among immigrant parents/guardians. We will also fill gaps on whom these communities trust for vaccine information, contributing to evidence on the expanded role for pharmacists as trusted vaccinators.
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Principal Investigator: Bradley Langford (DLSPH)
Co-Principal Investigator: Miranda So (LDFP)
Summary of Research: To tackle the public health threat from resistant bacteria, we explore ways to increase the impact of community pharmacists in ensuring antibiotics are used properly – antibiotic stewardship – to preserve their ability to treat infections. Our project begins with a literature review, and will be followed by surveys and interviews with pharmacists, patient partners, caregivers, and physicians.
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Principal Investigator: Monica Aggarwal (DLSPH)
Co-Principal Investigator: Lisa Dolovich (LDFP)
Summary of Research: Ontario Health Teams represent a significant evolution in healthcare delivery, striving to integrate services and improve patient outcomes across Ontario, Canada. Currently, there is a critical gap in effective governance models that facilitate collaboration between primary care providers (e.g., family doctors, nurse practitioners) and pharmacy teams, which is essential for achieving patient-centered care and the quintuple aim. Our study seeks to address this gap by developing a governance model informed by a rigorous literature review and key stakeholder interviews. Expected outcomes include better-integrated care and improved healthcare delivery within Ontario Health Teams.
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PrincipalInvestigator: Jaris Swidrovich (LDFP)
Co-Principal Investigator: Carol Strike (DLSPH)
Summary of Research: This project will assist in determining what can be achieved in community pharmacy settings to mitigate the harms of an unregulated drug supply and advocate for safer use practices in rural areas, specifically in the districts of Algoma, Thunder Bay, and Sudbury, where opioid-related toxicity deaths are the highest in Ontario.
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PrincipalInvestigator: Paul Grootendorst (LDFP)
Co-Principal Investigator: Alex Hoagland (DLSPH)
Summary of Research: In addition to traditional drug dispensing-related services, pharmacists now provide pharmacist healthcare (“PHC”) services such as vaccinations, medication reviews, and minor ailments assessments. Pharmacy owners will provide these services if they are profitable. These profits depend on pharmacy ownership type, size, membership in a banner or corporate chain, and the number of pharmacies in the banner or chain. We investigate the role of these factors on PHC service volume using a novel Ontario pharmacy-level dataset that combines public insurance claims data with pharmacy ownership and other characteristics.
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Principal Investigator: Zubin Austin (LDFP)
Co-Principal Investigator: Abi Sriharan (DLSPH)
Summary of Research: As Artificial Intelligence (AI) becomes more routinely used in healthcare, there is urgency in ensuring it is used safely, effectively, and in the best interests of patients. Regulatory bodies are responsible for ensuring those who practice a profession and provide professional services and health care meet requirements and expectations. This project is examining roles, responsibilities, and opportunities of regulatory bodies to ensure safe and responsible adoption of AI in pharmacy practice.
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Principal Investigator: Tara Gomes (LDFP)
Co-Principal Investigator: Sara Allin (DLSPH)
Summary of Research: Flash Glucose Monitoring systems (FGMs) are a novel diabetes management device used for glucose testing and are funded by the Ontario Drug Benefit (ODB) program. Our study explores whether access to these devices through the ODB is timely for patients who need them and whether these devices improve clinical outcomes. We will also look at whether differences exist based on immigration status and pharmacist interventions.
2022-2023 New Initiative and Innovation Awards
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Principal Investigator: Mina Tadrous (LDFP)
Co-Principal Investigator: Kevin Schwartz (DLSPH)
Summary of Research: The minor ailments prescribing service has been provided to Ontarians by community pharmacists for over 18 months. It is timely to evaluate the experiences of patients and pharmacists in both receiving and providing the service. This study determines whether the service is meeting patient health needs and whether pharmacists feel well supported to provide this service.
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Principal Investigator: Sara Allin (DLSPH)
Co-Principal Investigator: Jennifer Lake (LDFP)
Summary of Research: This study compares how Ontario and Quebec have integrated community pharmacists in primary care to suggest policies, especially with new provincial priorities and/or federal funding. The research will:
· Scan current policies & programs;
· Interview community pharmacists to understand their views; and
· Talk with interested parties for lessons.
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Principal Investigator: Lusine Abrahamyan (DLSPH)
Co-Principal Investigators: Lisa Dolovich (LDFP), Petros Pechlivanoglou (DLSPH)
Summary of Research: MedsCheck for Diabetes is a pharmacist-led, publicly funded program in Ontario to provide education and medication review to patients with diabetes. This study, for the first time, will evaluate the effectiveness of this program, using comprehensive data sources and rigorous methods. The study will have direct policy implications in Ontario and Canada and help improve patient care.
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Principal Investigator: Beth Sproule (LDFP)
Co-Principal Investigator: Allison Crawford (DLSPH)
Summary of Research: Canada faces a mental health crisis exacerbated by COVID-19. Our project evaluates the needs of primary care pharmacists caring for patients with mental illness and substance use related challenges, and supports them through a virtual community of practice inclusive of the perspectives of people with lived and living experience.
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Principal Investigator: Fiona Miller (DLSPH)
Co-Principal Investigator: Zubin Austin (LDFP)
Summary of Research: The Pharmacy Options for System-level Interventions To Improve EnVironmental Sustainability (POSITIVES) study aims to generate actionable knowledge on climate conscious pharmacy practice to inform pharmacists, regulators and educators. Through a review of evidence and practice together with qualitative interviews with expert informants, the study team will create a comprehensive overview of climate conscious pharmacy practice opportunities in primary healthcare and gather Canadian and international pharmacists’ perspectives on climate conscious pharmacy practice, opportunities and barriers.
2023-2024 NIHS Trainee Awards
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Trainee: Araniy Santhireswaran, PhD candidate, Pharmaceutical Sciences
GraduateSupervisor: Mina Tadrous
Summary of Research: Drug shortages are a growing burden on patient care, the healthcare system, and pharmacy practice. Araniy’s PhD project investigates their impact on drug access and clinical outcomes, aiming to develop a predictive model that will guide policy measures and help conserve drug access during times of shortage.
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Trainee: Martin Ho, PhD candidate, Pharmaceutical Sciences
Graduate Supervisor: Mina Tadrous
Summary of Research: As the patents for biologic drugs such as insulin expire, biosimilars are entering the market. Biosimilars cost much less than innovator biologics. However, clinicians and patients may be hesitant to use biosimilars. To inform pharmacists on how to best support insulin users, we will assess the real-world effectiveness and safety of insulin biosimilars in Ontario.
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Trainee: Ria Garg, PhD candidate, Pharmaceutical Sciences
Graduate Supervisor: Tara Gomes
Project summary: In response to opioid toxicity epidemic and high prevalence of opioid agonist treatment discontinuation, methadone prescribing guidance has rapidly evolved in the absence of clinical evidence. This project aims to use Ontario healthcare data to study evolving methadone prescribing patterns and assess the safety and effectiveness of new treatments approaches.
2022-2023 NIHS Trainee Awards
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Trainee: Shaleesa Ledlie, PhD candidate, Pharmaceutical Sciences
GraduateSupervisor: Tara Gomes
Summary of Research: People who use drugs report significant challenges interacting with the healthcare system, due to stigma and discrimination. Although hospitalizations present
opportunities for support, connection to care following discharge remains low. Our findings will highlight areas for improvement within hospital settings and how enhanced connections to community-based care impacts clinical outcomes.
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Trainee: Yasmin Aboelzahab, Pharmaceutical Sciences
Graduate Supervisor: Lisa Dolovich
Summary of Research: Newcomer international students in Canada face significant challenges transitioning to the new healthcare system. Our study examines these issues and explores how pharmacists can help them. By interviewing students and developing specialized services, we aim to improve their healthcare experience, support their transition, and improve access to healthcare services.
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Trainee: Lauren Tailor (PhD at PHS)
Graduate Supervisors: Prof. Sonia Grandi and Prof. Hilary Brown
Summary of Research: This research aims to enhance understanding of the cardiometabolic safety of antidepressants during pregnancy. By offering evidence-based information on mental health medications for mothers and their children, Lauren strives to empower healthcare providers, pregnant individuals, and their families to make informed choices. This work aspires to improve prenatal mental health and maternal and offspring cardiometabolic outcomes, reduce stigma, and influence healthcare policies.
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Trainee: Daniel Eisenkraft-Klein (PhD at PHS)
Graduate Supervisor: Prof. Robert Schwartz
Summary of Research: This project is investigating pharmacists' perspectives on and knowledge of novel nicotine products, including e-cigarettes and nicotine pouches. This research will inform understandings of how pharmacists make decisions around novel nicotine products when provide smoking cessation services.
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Trainee: Daphne To (PhD at IHPME)
Graduate Supervisors: Prof. Noah Ivers and Prof. Mina Tadrous
Summary of Research: This project aims to develop an intervention to support pharmacists to effectively deliver minor ailments services (MAS). It uses a mixed methods design to describe pharmacist characteristics associated with variation in MAS delivery, understand modifiable factors driving variation in MAS delivery, and identify implementation strategies that may support pharmacists.