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Clinical Research

Bringing Discoveries to the "Bedside"

Dr. Anna Maria Chudyk

Dr. Anna Maria Chudyk

Health Services & Structural Determinants of Health Research

 

Research Focus

Dr. Anna M. Chudyk’s research focuses on the application of participatory approaches to the study and optimization of health and/or mobility (including physical activity). The study populations that most interest her include the general older adult population, as well as subgroups defined by receipt of therapy services; the presence of musculoskeletal, cardiovascular or chronic (i.e., diabetes) conditions; and/or low socioeconomic status. She has an extensive background in biostatistics and experience performing secondary analyses of data. However, Dr. Chudyk’s true passion lies in participatory research. She firmly believes that populations that are directly impacted by research have invaluable experiential knowledge that ought to be incorporated into and drive the work. As such, her program of research has become increasingly focused on patient-oriented research, including patient engagement (i.e., patient and public involvement, patient involvement, and stakeholder engagement) in research.

Techniques used

Dr. Anna M. Chudyk’s research incorporates a diverse range of quantitative (e.g., pilot studies, environmental audits, cross-sectional, longitudinal, randomized controlled trials) and qualitative (e.g., focus groups, one-on-one interviews) study designs. She uses a mix of self-report (e.g., questionnaires, mail-out and online surveys), objective (e.g., performance measures such as Short Physical Performance Battery), and direct (e.g., accelerometry, global positioning systems, intercept surveys) measures to assess health and mobility outcomes. The approaches she uses to engage patients and other stakeholders vary according to the characteristics of a given project and the preferences and interests of patients and other stakeholders. These may include, for example, one-off consultations, the formation of advisory panels and integration of patients and other stakeholders into the core research team.

About Dr. Anna M. Chudyk

As of July 1, 2020, Dr. Anna. M Chudyk will be supported by a prestigious three-year Patient-Oriented Research Award– Transition to Leadership Stream fellowship from the Canadian Institutes of Health Research. This Postdoctoral Fellowship will be held within the College of Nursing (University of Manitoba). Prior to this, Dr. Chudyk was a Postdoctoral Fellow in the Department of Family Medicine (University of Manitoba) and Faculty of Medicine (University of British Columbia, 2017). She obtained a Bachelor Honors Specialization degree (BHSc, 2006) and a Masters of Epidemiology and Biostatistics (MSc, 2008) from the University of Western Ontario and a Ph.D. in Experimental Medicine (2016) from the University of British Columbia. While an early career researcher, she has already established an excellent funding and publication record. To illustrate, during her graduate studies, Dr. Chudyk was awarded a Frederick Banting and Charles Best Canada Graduate Scholarship (MSc) and a Vanier Canada Graduate Scholarship (Ph.D.). Her h-index is found here.

For more information, please contact:

Dr. Anna M. Chudyk
Postdoctoral Fellow
Department of Family Medicine, University of Manitoba

Asper Clinical Research Institute
CR3023, 369 Tache Avenue, Winnipeg MB, R2H 2A6
Email: anna.chudyk@umanitoba.ca

In Detail

Dr. Anna M. Chudyk is developing a program of research at the University of Manitoba and St. Boniface Research Center (SBRC) that currently includes three over-lapping projects that aim to:

  1. Narrow the gap between theory and applications of patient engagement in research;
  2. Incorporate patient-oriented research within an existing clinical research program at SBRC;
  3. Co-develop a platform for patient-oriented research within SBRC.

An overview of each project is found below.

  1. Narrowing the gap between theory and applications of patient engagement in research

Patient engagement in research is a research approach that involves meaningful and active collaborations between researchers and patients throughout the phases of a research project. It is recognized as a promising approach to the building of a sustainable, accessible, and equitable healthcare system and to improved health outcomes within Canada. For this project, Dr. Chudyk and Dr. Annette Schultz (also an SBRC researcher) are leading an interdisciplinary collaborative of researchers that represent academic, patient, clinician, and community stakeholder groups. What unites them is a strong belief in the fact that those affected by a health condition or issue should be actively involved in the generation of solutions to it. To this end, the focus of their work revolves around the development of the theory and scholarship that underlies patient engagement in research; measurement of, and reflection on, current practices surrounding patient engagement in research; and application of these learnings to clinical research and ultimately the care that patients receive. Specifically, they have undertaken a mixed-methods research project that aims to answer 2 over-arching research questions:

Q1: How is patient engagement in research being enacted in Canada?

Q2: How do we move the field of patient engagement in research forward?

To answer these questions, they are conducting a cross-sectional study that measures patient engagement activities and impacts across Canada (through the use of an online survey and qualitative interviews) and applying these findings to stimulate dialogue among Canadian experts in patient engagement in research (through the organization of a 2-day meeting that brings together researchers and patient-researchers from across Canada).

This work is funded through the University of Manitoba (University Collaborative Research Program) and George and Fay Yee Centre for Health Innovation (Patient and Public Engagement Award).

  1. Incorporate patient-oriented research within an existing clinical research program at SBRC

Early Recovery After Surgery (ERAS) is a multimodal and multidisciplinary approach to the perioperative care of patients undergoing major surgery, first developed and implemented in colorectal surgery. In 2019, evidence-based ERAS guidelines were established for perioperative care in cardiac surgery (ERAS-CS). They include 22 potential interventions, divided into preoperative, intraoperative, and postoperative phases of recovery and were developed primarily through the input of cardiac surgeons, anesthesiologists, and intensivists. For this project, Dr. Chudyk has partnered with a clinical research group within SBRC (Principal investigators = Drs. Rakesh Arora and Todd Duhamel) to develop a sustainable implementation plan for ERAS-CS that is informed by patient values. The specific aims of this work include:

A1: To expand ERAS-CS to include patient and caregiver-informed recommendations; and

A2: To revise the information provided to patients undergoing cardiac surgery (i.e., patient-centred guidelines) to reflect ERAS-CS and patient-informed recommendations.

To meet these aims, the research group (which includes 2 past cardiac surgery patients) has undertaken a scoping review of patient and caregiver priorities and outcomes as they relate to care received in the perioperative period of cardiac surgery. Upon completion of the scoping review, the group will bring together past cardiac surgery patients and caregivers in a meeting that aims to arrive at consensus around what to include in the expanded guidelines (as guided by the scoping review and attendees’ lived experiences). These findings will then be applied to developing a sustainable implementation plan for ERAS-CS within St. Boniface hospital, in collaboration with an advisory panel comprised of past cardiac surgery patients and their caregivers.

This project is funded by the University of Manitoba (Annual GFT Research Grant Competition) and George and Fay Yee Centre for Health Innovation (Preparing for Research by Engaging Public & Patient Partners (PREPPP) Award).

  1. Co-develop a platform for patient-oriented research within SBRC

This project aims to increase capacity for patient-oriented research at SBRC through co-development (i.e., design, implementation, and evaluation) of a system/culture that enhances patient-oriented research capacity (i.e., patient-oriented research platform). The co-development of the patient-oriented research platform will follow the Capacity Development Framework process. Details about this project will be updated here as the project develops. Tentatively, the project may involve the formation of a collective of researchers, patients, and caregivers that will: establish a mutual research agenda, terms-of-reference and mechanisms that ensure group cohesion; identify current patient-oriented research capacity (including development needs and priorities, as described by concrete objectives, targets and activities), and create and implement a capacity-development action plan.

Publications – Published Refereed Papers

Ashe MC, Michalowsi VI, Chudyk AM, Gerstorf D, Madden KM, Hoppmann CA. Linked lives: Exploring gender and sedentary behaviors in older adult couples. JAG 2019; https://doi.org/10.1177/0733464819868060.

Ashe MC, Ekegren C, Chudyk AM, Fleig L, Gill TK, Langford D, Martin-Martin L, Ariza-Vega P. Telerehabilitation for community-dwelling middle-aged and older adults after musculoskeletal trauma: A systematic review. AIMS Medical Science 2018; 5(4): 316-336. 

Chudyk AM, Waldman C, Horrill T, Demczuk L, Shimmin C, Stoddard R, Hickes S, Schultz ASH. Models and frameworks of patient engagement in health services research: A scoping review protocol. Res Involv Engagem 2018; 4(1):28.

Nouraei H, Chudyk AM, Cook WL, Guy P, Brasher P, Puyat JH, Ashe MC. Recovery of physical function after hip fracture: Analysis of secondary outcomes from a randomized controlled trial. AIMS Medical Science 2018; 5(3): 268–283.

Chudyk AM, McKay HA, Winters M, Sims-Gould J, Ashe MC. Neighborhood walkability, physical activity, and walking for transportation: A cross-sectional study of older adults living on low Income. BMC Geriatr 2017; 17:82.

Chudyk AM, Sims-Gould J, Ashe MC, Winters M, McKay HA. Walk the Talk: Characterizing mobility in older adults living on low income. Can J Aging 2017; 36(2):141-158.

Chudyk AM, McAllister MM, Cheung HK, McKay HA, Ashe MC. Are we missing the sitting? Agreement between accelerometer wear time validation methods used with older adults’ data. Cogent Med 2017; 4: 1313505.

Sheehan K, Sobolev B, Chudyk AM, Stephens T, Guy P. Patient and system factors of mortality after hip fracture: A scoping review. BMC Musculoskelet Disord 2016; 17: 166.

Engel L, Chudyk AM, Ashe M, McKay H, Whitehurst D, Bryan S. Older adults’ quality of life–Exploring the role of the built environment and social cohesion in community-dwelling seniors on low income. Soc Sci Med 2016; 164: 1-11.

Chudyk AM, Winters M, Moniruzzaman M, Ashe MC, Sims-Gould JS, McKay H. Destinations matter: The association between where older adults live and their travel behaviour. J Transp Health 2015; 2(1): 50-57.

Moniruzzaman M, Chudyk AM, Paez A, Winters M, Sims-Gould J, McKay H. Travel behavior of low income older adults and implementation of an accessibility calculator. J Transp Health 2015; 2(2): 257-268.

Chudyk AM, Winters M, Gorman E, McKay HA, Ashe MC. Agreement between virtual and in-the-field environment audits of Assisted Living sites. J Aging Phys Act 2014; 22(3): 414-420.

Gorman E, Chudyk AM, Hoppmann CA, Hanson HM, Guy P, Sims-Gould J, Ashe MC. Exploring older adults’ patterns and perceptions of exercise after hip fracture. Physiother Can 2013; 65(1): 86-93.

Chudyk AM, Ashe MC, Gorman E, Al Tunaiji HO, Crossley KM. Risk of hip fracture in adults with hip or knee osteoarthritis: A systematic review. Clin Rheumatol 2012; 31(5): 749-757.

Gorman E, Chudyk AM, Madden KM, Ashe MC. Bone health and Type 2 Diabetes Mellitus: A systematic review. Physiother Can 2011; 63(1): 8-20.

Chudyk AM, Petrella RJ. The effects of exercise on cardiovascular risk factors in Type 2 Diabetes Mellitus: A meta-analysis. Diabetes Care 2011; 34(5): 1228-1237.

Chudyk AM, Shapiro S, Russell-Minda E, Petrella RJ. Self-monitoring technologies for Type 2 Diabetes and the prevention of CV complications: Perspectives from end users. J Diabetes Sci Technol 2011; 5(2): 394-401.

Russell-Minda E, Jutai J, Speechley M, Bradley K, Chudyk AM, Petrella RJ. Health Technologies for Monitoring Diabetes and Reducing CV Complications: A Systematic Review. J Diabetes Sci 2009; 3(6):1460-1471. CIHR grant #CCT-83029.

Chudyk AM, Jutai J, Petrella RJ, Speechley M. Systematic review of hip fracture rehabilitation practices in the elderly. Arch Phys Med Rehabil 2009; 90(2): 246-262.

Petrella RJ, Chudyk AM. Exercise Prescription in the Older Athlete as it Applies to Muscle, Tendon, and Arthroplasty. Clin J Sport Med 2008; 18(6): 522-530.

 

Publications – Published Contributions to a Collective Work and Chapters

Stuckey MI, Chudyk AM, Petrella RJ (2009). Anthropometry in Aged 55-75 Year Olds in Response to Exercise. In Preedy VR. (ed) Handbook of Anthropometry: Physical Measures of Human Form in Health and Disease, New York: Springer (2012). 

 

Presentations as Guest Speaker (Public or Invited Lectures)

Chudyk AM, Stoddard R, Hickes S. Patient engagement: Addressing the gaps between theory and practice. Presented at SPOR Summit 2018, Ottawa, ON (November 2018).

Chudyk AM. Investigating the margins: Postdoctoral experiences conducting aging research. Presented at the Students Targeting Aging Research Meeting, Winnipeg, Canada (March 2018)

Chudyk AM. Secrets of active ageing. Presented at the Kitsilano Community Centre Monthly Older Adult Lunch/Meeting, Vancouver, BC (June 2017).

Chudyk AM. Sample size and statistical power: A user’s guide. Presented at the CML 2017 Research Session, Vancouver, BC (June 2017).

Chudyk AM. Application of the Walk the Talk Study’s findings to BC Housing developments/re-developments. Presented to BC Housing’s Developmental Services and Assets Strategies teams. Burnaby, BC (November, 2013).

Chudyk AM, Winters M., Ashe M.C., Moniruzzaman M.D., Sims-Gould J., Gutteridge K., McKay H. The where, why and how of older adults’ local travel behaviour: A study of community-dwelling older adults residing in Metro Vancouver. Presented at the Canadian Association on Gerontology Annual Scientific and Educational Meeting, Halifax, NS (October 2013).

Chudyk AM, Hamilton L, Craven C, Winters M, Ashe MC, McKay HA, Sims-Gould J. A framework for community-based research partnerships: An illustration from a built environment and mobility study conducted with older adults of low SES. Presented at the Canadian Association on Gerontology Annual Scientific and Educational Meeting, Vancouver, BC (October 2012).

Guy P, Chudyk AM. Developing a hip fracture registry: combining evidence-based and empirical approaches. Presented at the Fragility Fracture Network Global Congress. Berlin, Germany (September 2012).

Chudyk AM. Overview and preliminary findings of the Walk the Talk Study. Presented to BC Housing staff involved with the Shelter Aid for Elderly Renters program. Burnaby, BC (July, 2012).

Chudyk AM, Guy P. Dataset creation process. Presented to local and international stakeholders at the BC Hip Fracture Registry Dataset Creation Meeting, Vancouver, BC (April 25, 2012).

Chudyk AM, Ashe MC. Research in falls prevention and physical activity. Presented at the AMICA Retirement Community. West Vancouver, BC (May 27, 2010).

Chudyk AM, Guy P. The development of a hip fracture registry. Presented at the 3rd Semi-Annual CIHR Vancouver Integrated Study of Aging (VISA) Symposium, Vancouver, BC (August 5, 2010).

Chudyk AM, Gorman E, Ashe MC. Searching for Evidence. Presented at the University of British Columbia Human Kinetics 461 class. Vancouver, BC (November 14, 2009).

 

                                Publications – Conferences

Chudyk AM, Waldeman C, Demczuk L, Shimmin C, Schultz A. Reflecting on models and frameworks of patient engagement. Available online: https://www.cahspr.ca/web/uploads/conference/2018-05-29_Tuesday_Poster_Schedule.pdf.

Chudyk AM, Hoppmann CA, Gerstorf D, Madden K, Ashe MC. Sedentary Behaviour, Body Composition and Inflammation in Older Canadian Couples. Available online: http://wcaa2016.com.au/download/J4995%20JAPA%2024_Supplement.pdf.

Nouraei H, Chudyk AM, Cook WL, Guy P, Brasher P, Ashe MC. Recovery of Physical Performance after Hip Fracture: An analysis of a secondary outcome for a parallel group, randomized controlled trial. Available online: http://fragilityfracturenetwork.org/files/ffn2016_final_programme.pdf.

Chudyk AM, Hoppmann CA, Gerstorf D, Madden K, Ashe MC. Sedentary Behaviour, Body Composition and Inflammation in Older Canadian Couples. Available online: http://wcaa2016.com.au/download/J4995%20JAPA%2024_Supplement.pdf.

Nouraei H, Chudyk AM, Cook WL, Guy P, Brasher P, Ashe MC. Recovery of Physical Performance after Hip Fracture: An analysis of a secondary outcome for a parallel group, randomized controlled trial. Available online: http://fragilityfracturenetwork.org/files/ffn2016_final_programme.pdf.

Guy P, Chudyk AM. Developing a hip fracture registry: combining evidence-based and empirical approaches. Available online: http://congress.cpb.de/fileadmin/user_upload/MAINbilder/ffn12/FFN_2012_Book_Of_Abstracts_.pdf.

Chudyk AM, Gorman E, Ashe MC, Winters M. Comparing the reliability of virtual vs. “on the ground” environment audits of 4 Assisted Living Sites. Available online: http://www.edra.org/sites/default/files/pdfs/EDRA43_conf_program_FINAL_lowres.pdf.

Chudyk AM, Sims-Gould J, Donaldson M, Winters M, McKay H, Ashe M. Seniors, their environment, and outdoor mobility: a systematic review. Available online: http://www.cagacg.ca/files/ASEM-RSEA2011_Abstracts_FINAL.pdf.

Sims-Gould J, Chudyk AM, Lusina SJ, Ashe MC, Winters M, Scott V, Frank L, McKay H. Talking the Walk: A Knowledge Translation and Exchange Framework. Available online: http://www.cagacg.ca/files/ASEM-RSEA2011_Abstracts_FINAL.pdf.

Chudyk AM, Ashe MC, McKay HA, Khan M, Liu-Ambrose T. Does the frequency of resistance training effect proximal femur mineral bone density in community-dwelling senior women? Med Sci Sports Exerc; 43(5S): 352.

Ashe MC, Gorman E, Leia C, Khan KM, Chudyk AM, Sims-Gould J, McKay H, Best A. Realist Review of Knowledge Translation Strategies for Older Adults’ Falls Prevention Exercise Programs in the Community. Available online: http://www.physiotherapy.ca/PublicUploads/229099Abstracts11.pdf

Chudyk AM, Russell-Minda E, Petrella RJ. Exercise and Type 2 Diabetes and Metabolic Syndrome. Med Sci Sports Exerc 2009; 41(5S): 437. CIHR grant #CCT-83029.

Russell-Minda, E, Jutai J, Bradley K, Chudyk AM, Petrella RJ. Health Technologies for Monitoring Diabetes and Reducing CV Complications: A Systematic Review. J Diabetes 2009; 1(S1): A206. CIHR grant #CCT-83029.

Russell-Minda E, Jutai J, Chudyk AM, Shapiro S, Petrella RJ. Self-Monitoring Technologies for Type II Diabetes and the Prevention of CV Complications: Results from Focus Groups. J Diabetes 2009; 1(S1): A226.

Coulson S, Jutai J, Chudyk AM, Shapiro S, Petrella RJ. Stakeholder Perspectives on Devices Used for Risk Monitoring in Type II Diabetes. J Diabetes Sci Technol 2009; 3(2): A38. CIHR grant #CCT-83029.

 

Papers and Poster Sessions Presented at Meetings (Unpublished Conference Abstracts)

Chudyk AM, Waldman C, Horrill T, Demczuk L, Shimmin C, Stoddard R, Hickes S, Schultz A. Models and frameworks of patient engagement in health services research: A scoping review protocol. Poster presented at Health Leisure & Human Performance Research Insitute Research Day. Winnipeg, MB (May 2018).

Chudyk AM, McAllister MM, Cheung HK, McKay HA, Ashe MC. Agreement between accelerometer wear time validation methods used with older adults’ data. Poster presented at: 4th Annual PERFROM Centre Research Conference. Montreal, QC (May 2017).  

 

Others’ Select Presentations

Engel L, Ashe MC, Chudyk AM, McKay HA, Whitehurst DG, Bryan S. Exploring the Impact of the Built Environment on Older Adults’ Quality of Life. International Society for Quality of Life Research, Vancouver, BC (October 2014).

Gutteridge K, Winters M, Sims-Gould J, Haggis C, Chudyk AM, McKay HM. Learning from the Ideal: Older adult’s travel behaviour in a walkable neighbourhood. International Medical Geography Symposium, Michigan State University, Lansing, Michigan (July 2013).

Gutteridge K, Winters M, Chudyk AM, Ashe MC, Sims-Gould J, McKay HM. Use of Global Positioning Systems (GPS) in Characterizing the Outdoor Mobility of Older Adults. Canadian Association on Gerontology Annual Scientific and Educational Meeting, University of British Columbia, Vancouver, BC (October 2012).

Awards

Select Awards

2020 – Current. Patient-Oriented Research Award – Transition to Leadership Stream, Canadian Institutes of Health Research (CIHR).

2018 – First place in Health, Leisure and Performance Institute’s Research Day Poster Competition, University of Manitoba.

2012 – 2015. Vanier Canada Graduate Scholarship, CIHR.

2012 –  Doctoral Award – Frederick Banting and Charles Best Canada Graduate Scholarships (declined for Vanier Award), CIHR.

2012 – Silver Quill Award, Canadian Physiotherapy Association.

2012 – SciVerse ScienceDirect Archives of Physical Medicine and Rehabilitation Top 25 Hottest Articles.                        

2011 – 2015. Four-Year Fellowship, University of British Columbia.

2007 – 2008. Frederick Banting and Charles Best Canada Graduate Scholarship, CIHR.

2007 – Ontario Graduate Scholarship (declined for Canada Graduate Scholarship award), Ontario Student Assistance Program.            

Funding

 Grants Funded

2020-2022: George and Fay Yee Centre for Health Innovation; Preparing for Research by Engaging Public & Patient Partners (PREPPP) Award: $4000.

Title: Expanding the Enhanced Recovery After Surgery (ERAS) guidelines to include the patient voice.

Principal Applicant: Arora R.

Co-Applicants: Chudyk AM, Schultz A, Duhamel T.

 

2020-2021: CIHR; Catalyst Grant – Patient-Oriented Research: $100,000.

Title: Elevating the uses of storytelling approaches within Indigenous health research: A patient-engaged scoping review study involving Indigenous people and settlers.

Principal Applicants: Rieger KL (NPA) and Gazan S. (Principal Knowledge User).

Co-Applicants: Buss M, Cook L, Copenace S, Garson C, Hornan B, Horton M, Howard S, McPherson K, Rattray J, Bennett M, Chudyk AM, Hack TF, Horrill T, Linton J, Martin DE, Phillips-Beck W, & Schultz A.

 

2020-2021: University of Manitoba; Annual GFT Research Grant Competition: $14,996.

Title: Determining Effectiveness of Using Patient Engagement Panels to Successfully Implement Enhanced Recovery after Cardiac Surgery Guidelines in Manitoba.

Principal Applicant: Arora R.

Co-Applicants: Chudyk AM, Schultz A, Duhamel T.

 

2019-2022: Heart and Stroke Foundation of Canada; Grant-in-aid: $295,548.

Title: PROTein to Enhance outComes of (pre)frail paTients undergoing Cardiac Surgery — the PROTECT-CS study.

Principal Applicant: Arora R.

Co-investigators: Duhamel T, Chudyk AM, Schultz A, van Ineveld C, Kehler DS, Afilalo J, Tangri N.

 

2019 – 2021: University of Manitoba; University Collaborative Research Program: $24,988.

Title: Investigating the enactment of patient engagement in SPOR funded studies: A pan-Canadian mixed methods study.

Principal Applicants: Schultz A and Chudyk AM.

Co-Applicants: Duhamel T, McCleary N, Shimmin C, Stoddard R, Hickes S, and Hogg W.

 

2019 – 2020: George and Fay Yee Centre for Health Innovation; George and Fay Yee Centre for Health Innovation Patient and Public Engagement Award: $2000.

Title: Enhancing recovery after cardiac surgery by engaging patients in research development.

Principal Applicant: Duhamel T.

Co-Applicants: Chudyk AM, Arora R, Schultz A.

 

2018 – 2019: George and Fay Yee Centre for Health Innovation; George and Fay Yee Centre for Health Innovation Patient and Public Engagement Award: $2000.

Title: Reflecting on models and frameworks of patient engagement.

Principal Applicant: Chudyk AM.

Co-Applicant: Schultz A.

 

2017– 2018: CIHR; Travel Awards – Institute Community Support: $900.

Title: Anna Chudyk’s SPA 2017 Application.

Principal Applicant: Chudyk AM.

2011–2012: CIHR; Meetings, Planning, & Dissemination Grants: $7836

Title: A Canadian Hip Fracture Registry: Finding the “right” things to measure.

Principal Applicant: Guy P.

Co-Applicants: Chudyk AM, Ashe M, Lefaivre KA.