Medicine20.net User Profile: Joseph Cafazzo

Joseph Cafazzo (joseph_cafazzo)
University Health Network
 
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Accepted Abstracts

Medicine 2.0'09 (Toronto, Canada)

Designing a User-Centric Remote Patient Monitoring System to Facilitate Heart Failure Self-Care
Emily Seto, Heather Ross, Joseph A Cafazzo*, Kevin Leonard

Background: Self-care among the heart failure patient population is generally poor and most heart failure patients have low self-efficacy in performing self-care practices. Non-adherence, such as to daily weight measurements and diet, has been found to be a major cause of morbidity and preventable hospital admissions of heart failure patients. Studies suggest that as many as one third to one half of heart failure hospitalizations are preventable. Remote patient monitoring is a potential t...

Medicine 2.0'11 (Stanford University, USA)

Mobile Phone-Based Remote Patient Monitoring for Heart Failure Management: a Randomized Controlled Trial
Emily Seto, Kevin J Leonard, Joseph A Cafazzo*, Caterina Masino, Jan Barnsley, Heather J Ross

Background Remote patient monitoring of heart failure patients has been shown to be able to improve health outcomes. Mobile phones are becoming increasingly ubiquitous and economical, but the feasibility and efficacy of an mHealth remote monitoring system is still unknown. The objective of this randomized controlled trial was to determine the effects of a user-centric mobile phone-based remote monitoring system on heart failure outcomes, self-care, and clinical management. Methods One hun...

A Mobile Phone-Based Self-Management System for Adolescents with Type I Diabetes
Mark Casselman*, Nathaniel Hamming, Kevin Tallevi, Joseph Cafazzo*

Background More than 80% of primary care visits and two thirds of medical admissions into hospital emergency departments are related to chronic diseases. Effective chronic disease management can result in improved health outcomes and increased quality of life. One of the most common chronic diseases affecting children, adolescents, and adults is type 1 diabetes mellitus (T1DM). World-wide data have repeatedly demonstrated that therapeutic targets are not met among adolescents with T1...

Medicine 2.0'12 (Boston, USA)

A Mobile Clinical Collaboration System for Inter-Professional Team Based Care in an Outpatient Setting
Wayne H Ho*, Peter Weinstein, Diane De Sousa, Christopher Flewwelling, Amna Husain, Trevor Jamieson, Robert Wu, Joseph A Cafazzo*, Kevin Armour, Irfan Dhalla

Background: Poor communication is one of the most common underlying causes of medical error. As there is no systemized approach to clinical collaboration, complex patients are particularly vulnerable to adverse medical events due to poor collaboration across the spectrum of health care providers. Objective: In order to address this coordination gap, the development of a secure, mobile, device-agnostic, clinical messaging system for the collaborative care of complex patients was undertaken...

A Consumer-Focused Mobile Application for Prevention and Management of Heart and Stroke Risk Factors
Shivani Goyal*, Diane De Sousa, Cassie Mcdaniel*, Stephanie So, Joseph Cafazzo*, Wayne Ho*, Ahmad Zbib

Background: Heart disease and stroke remain the leading cause of death and disability worldwide, causing almost 30% of all deaths. The majority of the world’s adult population have at least one risk factor for cardiovascular disease, such as obesity, diabetes, smoking, alcohol, physical inactivity, high blood pressure, and cholesterol. As the population ages and is increasingly affected by these risk factors, more individuals will develop heart disease and stroke. However, in a large numbe...

The Embedded Designer: The Next Big Step for Healthcare Systems
Cassie Mcdaniel*, Kevin Armour, Joseph Cafazzo*

Premise: As much as it is the surgeon’s job to perform surgery, the nurse’s job to nurse patients back to health, and the pharmacist’s job to manage medications, there is one position still making its way into the annals of healthcare workers: the designer. Designers have the unique skill sets to realize the vision of improved systems, so why aren’t there more designers working in the healthcare arena? Currently, very little in healthcare is deliberately designed. Ad hoc, ineffi...

Medicine 2.0'13 (London, UK)

Diabetes During Pregnancy: Effect of MHealth Remote Monitoring of Blood Glucose on Glycemic Control – A Randomized Controlled Trial
Joseph A Cafazzo*

Purpose/Objective of the Project: Gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) during pregnancy are associated with higher incidence of perinatal complications and neonatal death. The control of blood glucose (BG) reduces these risks. Methodology/Approach: We developed and piloted a BG mHealth remote monitoring system based on a smartphone platform. BG readings from a Bluetooth-enabled glucometer were automatically transmitted by smartphone to application s...

Uptake of a Consumer-Focused MHealth Application for the Prevention of Cardiovascular Risk Factors
Emily Seto*, Peter Picton, Shivani Goya, Ahmad Zbib, Joseph Cafazzo*

Background: Heart disease and stroke are a leading cause of hospitalization and death worldwide. Approximately nine in ten adults have at least one risk factor for cardiovascular disease, such as obesity, diabetes, smoking, alcohol, physical inactivity, high blood pressure, and cholesterol. However, through lifestyle behaviour modification, individuals can reduce their risk of cardiovascular disease by up to 80%. As such, the Heart and Stroke Foundation of Canada engaged the Centre for Global...

Electronic Coaching with Type 2 Diabetic Patients from an Economically Disadvantaged Urban Area
Noah Wayne*, Joseph Cafazzo*, Paul Ritvo*

Background: Multiple data sources indicate economically disadvantaged populations have higher risks for chronic disease complications, with Type 2 Diabetes a primary concern. Because adoptions of healthier lifestyle behaviors can reduce Diabetes risks and complications, and associated healthcare expenditures, the challenge for healthcare practitioners is to effectively assist patients in adopting and longitudinally adhering to disease-preventive behaviors. Smartphone interventions can supply ...

Adapting a Heart Failure Telemonitoring System for Use in a Homecare Nursing Model: Lessons Learned for Adapting Healthcare Information Technology to Different Care Models
Emily Seto*, Cheryl Reid-Haughian, Jonathan Tomkun, Caterina Masino, Deb Mulholland, Joseph A Cafazzo*

Background: Various care models exist for individuals with heart failure in Canada. Their care can be delivered by a cardiologist, a multi-disciplinary team at a heart function clinic, a primary care physician, a homecare nursing service provider, or a combination of the above. Healthcare information technology shown to have success with one care model may produce different results in an alternative care model. Objective: The objective of this work was to adapt and evaluate a mobile ph...

Medicine 2.0'14 Summit & World Congress (Maui, Hawaii, USA)

A Real-Time Smartphone-Based Pain Management App for Adolescents With Cancer: Establishing System Requirements and a Pain Care Algorithm Based on Literature Review, Interviews, and Consensus
Lindsay Jibb*, Bonnie J Stevens, Paul C Nathan, Joseph Cafazzo, Emily Seto, Jennifer Stinson*

Background: Pain is one of the most common and distressing symptoms for adolescents with cancer. Pain negatively affects adolescent quality of life, impedes cancer recovery, results in adolescent and family distress, and is associated with long-term morbidity. Pain related to cancer also represents a significant cost burden to the healthcare system and families, with pain being the most common reason for cancer patients to utilize emergency health services. Objective: Given the prevalence...

Medicine 2.0'14 Europe (Malaga, Spain)

“Loop” as a Window: Analytics and Social Network Theory to Understand Teams of Care
Trevor Jamieson*, Peter Weinstein, Jennifer Stinson, Bhadra Lokuge, Allison Kurahashi, Renée Desjardins, Wayne Ho, Joseph Cafazzo, Amna Husain*

Background: Loop is a secure online tool for ongoing, dynamic team-based communication centered on the patient for the purpose of collaboration in their care. Loop assembles the patient's actual team of care, and adds the patient and informal caregivers as key team members. In areas such as cancer care and palliative care the teams of health care professionals (HCP) involved are often complex, fragmented, non-static and geographically dispersed. To capture the entire team, Loop is cross-setti...

Medicine 2.0'14 Summit & World Congress (Maui, Hawaii, USA)

A Social Networking Tool For Collaborative Care For Patients, Caregivers and Health Care Professionals
Jennifer Stinson*, Amna Husain*, Margaret van Wyk, Bhadra Lokuge, Kurahashi Allison, Peter Weinstein, Renee Desjardins, Trevor Jamieson, Eyal Cohen, Adam Rapoport, Joseph Cafazzo, Wayne Ho

Background: Adolescents and young adults with cancer, as well as children with complex health needs are considered medically complex, requiring the care and skills of various healthcare professionals (HCP) who are often based in different places or settings. Effective communication between HCP across institutions is critical to achieving optimal health outcomes; however currently there is no organized system for this purpose, which places the burden of coordination of care on patients and the...

Medicine 2.0'14 Europe (Malaga, Spain)

A Social Networking Tool For Collaborative Care For Patients, Caregivers and Health Care Professionals
Amna Husain*, Jennifer Stinson, Margaret van Wyk, Bhadra Lokuge, Kurahashi Allison, Peter Weinstein, Renee Desjardins, Trevor Jamieson*, Eyal Cohen, Adam Rapoport, Joseph Cafazzo, Wayne Ho

Background: Adolescents and young adults with cancer, as well as children with complex health needs are considered medically complex, requiring the care and skills of various healthcare professionals (HCP) who are often based in different places or settings. Effective communication between HCP across institutions is critical to achieving optimal health outcomes; however currently there is no organized system for this purpose, which places the burden of coordination of care on patients and the...

Full Paper Publications

interactive Journal of Medical Research (i-JMR)

Improving Hospital Care and Collaborative Communications for the 21st Century: Key Recommendations for General Internal Medicine
Robert C Wu, Vivian Lo, Peter Rossos, Craig Kuziemsky, Kevin J. O’Leary, Joseph A Cafazzo, Scott Reeves, Brian M Wong, Dante Morra
Interact J Med Res 2012;1(2):e9

Journal of Medical Internet Research

Design of an mHealth App for the Self-management of Adolescent Type 1 Diabetes: A Pilot Study
Joseph A Cafazzo, Mark Casselman, Nathaniel Hamming, Debra K Katzman, Mark R Palmert
J Med Internet Res 2012;14(3):e70

Improving Diabetes Management With a Patient Portal: Qualitative Study of a Diabetes Self-Management Portal
Sara Urowitz, David Wiljer, Kourtney Dupak, Zachary Kuehner, Kevin Leonard, Emily Lovrics, Peter Picton, Emily Seto, Joe Cafazzo
J Med Internet Res 2012;14(6):e158

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