Day 1 :
- Leukoaraiosis, a common ischemic finding of MRI, reduces the driving safety performances of healthy older drivers
Location: Sydney 1-2
Session Introduction
K Park
Kochi University of Technology, Japan
Title: Leukoaraiosis, a common ischemic finding of MRI, reduces the driving safety performances of healthy older drivers
Biography:
Kaechang Park is a medical doctor specializing in brain healthcare and has been interested in the relationship between brain and driving performance, especially for older drivers because Japan is a super-aged country, where preventing accidents caused by older drivers is an urgent national issue. Brain Dock is a brain checkup using MRI, a preventive medicine that is prevalent uniquely in Japan. Aging brain without dementia is radio-graphically characterized by brain atrophy and leukoaraiosis, a common ischemic lesion diagnosed by MRI. To elucidate the relationship, he uses large-scale MRI data obtained from Brain Dock.
Abstract:
Leukoaraiosis, a common ischemic finding of MRI, reduces the driving safety performances of healthy older drivers
Kaechnag Park
Kochi University of Technology, Japan
Abstract
Leukoaraiosis, a common ischemic lesion diagnosed using Magnetic Resonance Imaging (MRI), can influence Driving Safety Performance (DSP). Older drivers with leukoaraiosis are unaware of its existence in the brain because of being asymptomatic. Japan is a super-aged country, where preventing accidents caused by older drivers is an urgent national issue. We investigated the subcortical and periventricular leukoaraiosis regions that were most involved in DSP decline. The driving skills of 101 drivers (49 men, 52 women; mean age, 77.88 ± 3.77 years) without dementia were assessed by official driving instructors, using actual vehicles on a closed-circuit course. Parietal and occipital (but not frontal or temporal) leukoaraiosis volumes were significantly correlated with decreased DSP scores regardless of age, especially when turning right at intersections, which needs more attention than turning left because left-side driving is legally enforced in Japan. Occipital leukoaraiosis was also involved via a decline in dynamic visual cognitive function. MRI-based assessment of leukoaraiosis volume and localization may enable the identification of older drivers prone to DSP deterioration. Risk factors for leukoaraiosis include smoking and lifestyle-related diseases such as hypertension. Thus, brain healthcare in the elderly with MRI-diagnosed leukoaraiosis may be particularly useful for the risk management of traffic crashes caused by them in Japan [Figure 1].
Figure 1. Luekoaraiosis (LA) in the parietal and occipital lobes and Brain Atrophy (BA) were significantly correlated with Driving Safety Performance (DSP) and Dynamic Visual Cognition (DVC). P: Parietal lobe; Shaded zone, BA: Grey zone, periventricular, LA: dashed lines, significant correlations with DVC; solid lines, significant correlations with DSP.
Biography
Kaechang Park is a medical doctor specializing in brain healthcare and has been interested in the relationship between brain and driving performance, especially for older drivers because Japan is a super-aged country, where preventing accidents caused by older drivers is an urgent national issue. Brain Dock is a brain checkup using MRI, a preventive medicine that is prevalent uniquely in Japan. Aging brain without dementia is radio-graphically characterized by brain atrophy and leukoaraiosis, a common ischemic lesion diagnosed by MRI. To elucidate the relationship, he uses large-scale MRI data obtained from Brain Dock.
Dawne Barbieri
Vice President of Clinical Services and Research, Ontario Shores Centre for Mental Health Sciences
Title: A micro approach to a macro issue: Microcredentials as a strategy to advance the mental health workforce
Biography:
Dawne Barbieri is the Vice President of Clinical Services and Research at Ontario Shores Centre for Mental Health Sciences. Ms. Barbieri holds a Bachelor of Science in Nursing from the University of Toronto and a Master of Arts in Education from Central Michigan University. Throughout her career in healthcare, Ms. Barbieri has held several senior leadership positions including oversight for Interprofessional Practice, Research, and Education and Co-Lead of the Centre for Education at North York General Hospital in Toronto and Chief Nursing Executive, Vice-President and Site Executive at William Osler Health System in Brampton, Ontario. Ms. Barbieri has been a surveyor with Accreditation Canada since 2005 and has participated in both national and international accreditation surveys. She is currently pursuing a Doctoral degree in Health Administration at Central Michigan University.
Abstract:
A micro approach to a macro issue: Microcredentials as a strategy to advance the mental health workforce
Dawne Barbieri, Vice President of Clinical Services and Research, Ontario Shores Centre for Mental Health Sciences
Abstract
Statement of the Problem: There is a lack of specialized mental health (MH) training in nursing curriculum in college and university programs1. Integration of MH into nursing curriculum2 and models focusing on clinical competency3 are essential for addressing this ever-growing need, and mitigating perception of the stigma of mental illness4. Methodology & Theoretical Orientation: To address the growing gap between demand for services and sufficient nursing capability and capacity, Ontario Shores and TALENT have launched a program to develop 27 MH microcredentials (MC). Topics were determined by a national survey of nurses and nurse leaders. Each MC is developed by an interprofessional team including a Clinical Librarian, Subject Matter Experts (nurse, psychologist, psychiatrist), Professional Practice, and Senior Structural Designer. Each MC goes through a four-stage beta-testing process. MC delivery is facilitated asynchronously by a Skills Coach. Completed MCs include Foundations in MH, Mental Status Assessment, Pharmacology and Medicine
Knowledge, Trauma Informed Care, MH and Ethics, Recovery, and Therapeutic Communication, Relationships & Boundaries. Each MC is subject to three testing phases focused on content, structure, technology, and learner experience. Novel to this project is the assessment of product and feature lovability based on the Kano Model of Delight5. Findings: First round offerings of MCs generated 147 registered learners. Twenty-nine learners were surveyed; 87.5% expressed higher or much higher competencies after the course; 80.0% experienced delight during the MC experience; 64.3% believed the MC they have taken will contribute to improved patient care and development of new nurses. Conclusion & Significance: The uptake of the mental health MCs suggests a significant demand for this important capacity building resource. Workshop attendees will learn 1) the process for developing and evaluation MCs, 2) lessons learned, 3) future directions, 4) integrating MCs into professional development and clinical practice, and 5) how to access the MCs.
Biography
Dawne Barbieri is the Vice President of Clinical Services and Research at Ontario Shores Centre for Mental Health Sciences. Ms. Barbieri holds a Bachelor of Science in Nursing from the University of Toronto and a Master of Arts in Education from Central Michigan University. Throughout her career in healthcare, Ms. Barbieri has held several senior leadership positions including oversight for Interprofessional Practice, Research, and Education and Co-Lead of the Centre for Education at North York General Hospital in Toronto and Chief Nursing Executive, Vice-President and Site Executive at William Osler Health System in Brampton, Ontario. Ms. Barbieri has been a surveyor with Accreditation Canada since 2005 and has participated in both national and international accreditation surveys. She is currently pursuing a Doctoral degree in Health Administration at Central Michigan University.