Projects

Current

  • Cannabis in Pregnancy & Breastfeeding [2019-2022]

    I am leading a pan-Canadian study of how women make decisions about using cannabis products during pregnancy and breastfeeding.

     

    Cannabis is the most commonly used non-prescribed substance in pregnancy, but we know very little about the maternal and neonatal outcomes of use, have little evidence about motivations for cannabis use, and a clear prevalence of use in Canadian women has not been established. These gaps in information present a challenge of prenatal health care providers who seek to counsel women to make informed decisions about cannabis use during pregnancy and breastfeeding, and to facilitate harm reduction strategies.

     

    The project begins with two systematic reviews of evidence on pregnant people and health care providers’ experiences, opinions, and beliefs about this topic. You can view a keynote presentation on this first systematic review here.

     

    In the second phase of the project, we interviewed 52 pregnant and lactating people about how they made decisions to continue, cease, or change their cannabis use. Our first publication, on reasons for cannabis use throughout perinatal stages, was published by the Canadian Medical Association Journal. Additional analyses on how pregnant people use information to make these decisions, consider and act to mitigate risk, and interact with healthcare providers will follow.

     

    The final stage of this project involves speaking with prenatal health care providers about the challenges they experience when counselling pregnant and lactating people about cannabis use.

     

     

    Contact: Janelle Panday (pandayj@mcmaster.ca)

     

    Funded by the Canadian Institutes of Health Research

  • Canadian Patient Partner Study (CPPS) [2019-2022]

    With Dr. Julia Abelson, I am co-leading a pan-Canadian study of patient partners and advisors within the health system.

     

    This three year study will look at how the patient partner role has been conceptualized and operationalized across the health system. The aim of this study is to address a critical gap in the patient engagement field, which is our lack of understanding of the origins, motivations, defining features, anticipated contributions, and experiences of the patient partner and advisor role in the Canadian health system.

     

    This project begins with a critical interpretive synthesis of existing evidence on this topic, which is currently under review. Our survey of over 500 Canadian patient partners has been completed and analysis is ongoing. Project updates will be available through the: Public and Patient Engagement Collaborative

     

    Contact: Janelle Panday (pandayj@mcmaster.ca) or Laura Tripp (mccamml@mcmaster.ca)

     

    Funded by the Canadian Institutes of Health Research

  • Researching the Impact of Service provider Education (RISE)

    [2019-2023]

    With Drs. Melissa Kimber and Donna Stewart, I am co-leading an evaluation of the impact of Family Violence education materials.

     

    This cross-Canada project will implement and evaluate the VEGA materials, which aim to help health and social service providers recognize and respond to people who have experienced Family Violence.

     

    We are currently completing an environmental scan of existing resources. A description of the project is available here.

     

    Contact: Ilana Allice (allicei@mcmaster.ca)

     

    Funded by the Public Health Agency of Canada

  • Impact of the Certificates of Added Competence on Family Medicine practice in Canada

    [2018-2020]

    With Dr. Lawrence Grierson, I am co-leading an evaluation of the Certificates of Added Competence (CAC), an education credential provided by the College of Family Physicians of Canada (CFPC) to recognize Family Physicians with enhanced skills in particular clinical areas.

     

    This project focuses on the CACs for Palliative Care, Care of the Elderly, Sports and Exercise Medicine, and Family Practice Anesthesia. This research consisted of a multiple embedded case study of 6 different groups of Family Physicians across Canada, followed by a nation-wide survey of Family Physicians to confirm the propositions we developed in the qualitative work.

     

    Our report to the CFPC is available here and our first paper on the impact of CACs is available through CMAJ Open. Additional manuscripts about the particular CACs will be forthcoming.

     

    Contact: Meredith Vanstone (vanstomg@mcmaster.ca)

     

    Conducted in partnership with the College of Family Physicians of Canada

  • Mistreatment, Abuse & Power in the Clinical Learning Environment

    [2017-2020]

    In collaboration with colleagues and graduate students, I conduct a program of research examining the use of power within the clinical learning environment. This work has generated multiple theses and publications on the following issues in the clinical learning environment:

     

     

    “Power, Hierarchy, Mistreatment & Abuse in the clinical environment: Welcome to the dark side of medical education."

    Merit Rounds, October 2018

     

    "Tackling abusive behaviours in the clinical workplace."

    McMaster's Health Leadership Academy, September 2019

     

    Contact: Meredith Vanstone (vanstomg@mcmaster.ca)

     

    Funded by the Health Leadership Academy and Canadian Association of Medical Education

Completed

Meredith Vanstone,

Associate Professor, Department of Family Medicine

DBHSC 5001F, McMaster University

100 Main St. W., Hamilton, ON L8P 1H6

Meredith.Vanstone@mcmaster.ca

  • With Drs. Melissa Kimber and Donna Stewart, I am co-leading an evaluation of the impact of Family Violence education materials.

     

    This cross-Canada project will implement and evaluate the VEGA materials, which aim to help health and social service providers recognize and respond to people who have experienced Family Violence.

     

    We are currently completing an environmental scan of existing resources. A description of the project is available here.

     

    Contact: Ilana Allice (allicei@mcmaster.ca)

     

    Funded by the Public Health Agency of Canada