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Wednesday, June 17 • 11:00am - 12:30pm
Health - Shannon Ryan-Carson, Helena Hernansaiz-Garrido, Sayma Malik

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Abtract #95
A Novel Community-Based Intervention To Enhance Health Promotion, Risk Factor Management And Chronic Disease Prevention
Presenter: Shannon Ryan-Carson
Chronic disease is a highly expensive but preventable problem to the healthcare system. Evidence suggests that impacting modifiable behaviours and risk management factors in the areas of physical inactivity, unhealthy diet, stress, and obesity can alleviate the burden of chronic disease problem to a large extent. Despite this recognition, the challenge is embedding these recognized priorities into the community and in primary care in a sustainable and meaningful manner. Primary Health Care (PHC) in Capital Health responded to this challenge by developing and implementing a free, interprofessional and community-based service, namely, the Community Health Teams that offers health and wellness, risk factor management, wellness navigation and behaviour-based programming.  In this presentation, the development and implementation of the CHTs will be discussed. Preliminary outcomes for the model are significant and promising.

Abstract #184
Differences In The Use Of Coping Strategies In High- And Low-Resilience Individuals From Four different Health-Related Conditions
Presenter: Helena Hernansaiz-Garrido Co - Presenters: Rocío Rodríguez-Rey, Jesús Alonso-Tapia, Miguel Ángel Ruiz-Díaz, Carmen Nieto-Vizcaíno
Shown resilience vary in degree across situations, and although coping strategies have been conceptualised as ‘styles’, different situations trigger different degrees of coping strategies use. 
The aim of the study was relating use of coping strategies to resilience outcomes in different problem situations. Individuals who were HIV+ (N=60), had cancer (N=22), had children with cancer (N=62) or were healthy (N=249; total N=393) completed the subjective contextual resilience scale (SCRS) –which considers five problem areas– and a contextual coping scale (CCS) that comprised eight strategies. We obtained a high- and a low-resilience group for each sample and conducted ANOVAs to study what coping strategies differed in degree of use between the high and low resilience groups in each sample.
Results show that HIV+ high- and low-resilience groups differed in their use of all strategies except for problem-solving and thinking-avoidance strategies. Cancer groups differed only in rumination, and parents groups did in rumination, self-blaming, positive-thinking and thinking-avoidance. Lastly, healthy groups differed in rumination, emotional expression, self-blaming and positive-thinking.
In conclusion, some strategies are more important for certain types of problem situations, so different interventions should be implemented depending on the specific problem.

Abstract #221
Are Stress, Distress and Resilience Associated with Renal Complications in Youth with Type 2 Diabetes? Preliminary Results from the iCARE Cohort Study
Presenter: Sayma Malik 
Are stress, distress and resilience associated with renal complications in youth with type 2 diabetes? Preliminary results from the iCARE cohort study.
Malik S, Dart AB, Sellers EA, Wicklow B, Dean H, Walker J, Chateau D, Blydt-Hansen TD, McGavock J
Youth with type 2 diabetes (T2DM) are at high risk for renal failure in early adulthood. The iCARE study is evaluating the association between psychological factors and albuminuria (early marker of kidney complications) in a cohort of First Nations youth with T2DM. Methods:Youth with T2DM 10-25 years of age were recruited from the Manitoba Diabetes Education Resource for Children and Adolescents. A case-control study (cases with and controls without albuminuria) was performed to assess the association between perceived stress (PSS-14), distress (K6), and resilience (RSCA) with the presence of albuminuria. Results: 122 youth with T2DM have been recruited to date (40 with albuminuria and 82 without). No differences were seen in BMI z-scores or perceived stress, between cases and controls. Youth with albuminuria displayed higher A1c (worse glycemic control), elevated systolic blood pressure, and more significant psychological distress.  Resiliency (specifically mastery) was the same between groups, however associated with better glycemic control. Conclusions:Psychological distress is independently associated with albuminuria in youth onset T2DM, in addition to poor glycemic control and hypertension. Lower levels of distress and higher levels of mastery are associated with better glycemic control.

avatar for Helena Hernansaiz-Garrido

Helena Hernansaiz-Garrido

Ph. D Candidate, Universidad Autónoma de Madrid
Helena Hernansaiz-Garrido is a Ph.D candidate at Universidad Autónoma de Madrid, Spain, who develops her work in the area of resilience in health issues, particularly with People Living with HIV. She is also interested and engaged in research related to associated stigma and lack... Read More →

Sayma Malik

Assistant Professor and Clinical Psychologist, University of Manitoba
Sayma Malik is a clinical psychologist and assistant professor in the Department of Clinical Health Psychology, College of Medicine, Faculty of Health Sciences at the University of Manitoba. She received her doctorate in Clinical Psychology at the California School of Professional... Read More →


Jesús Alonso-Tapia

Professor at Universidad Autónoma de Madrid Jesús Alonso-Tapia is a full-time Professor in Psychological and Educational Assessment at the Universidad Autónoma de Madrid. Specialized in Motivation, self-regulation, resilience and learning assessment, he received the First National... Read More →

Carmen Nieto-Vizcaíno

Ph.D at Universidad Autónoma de Madrid Carmen Nieto-Vizcaíno is a Ph.D teacher in the Experimental Psychology Department at the Universidad Autónoma de Madrid. She is interested in the study of basic processes in children with developmental difficulties, especially in children... Read More →

Rocío Rodríguez-Rey

Rocío Rodríguez-Rey is a Health Psychologist and a Ph.D candidate in the Department of Biological and Health Psychology at the Universidad Autónoma de Madrid, Spain. Her field of interest is resilience, mental health, and posttraumatic growth in children who suffer from severe... Read More →

Miguel Ángel Ruiz-Díaz

Ph.D at Universidad Autónoma de Madrid Miguel Ángel Ruiz-Díaz is a Ph.D teacher in Multivariate Techniques at the Universidad Autónoma de Madrid. He has collaborated in the development and adaptation to Spanish language of several quality of life measures.

Wednesday June 17, 2015 11:00am - 12:30pm EDT
Vroom Room A&A Lower Floor, King's College

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