Browsing by Author "Clements, Ryan"

Now showing 1 - 3 of 3
  • Thumbnail Image
    ItemOpen Access
    A protocol for the formative evaluation of the implementation of patient-reported outcome measures in child and adolescent mental health services as part of a learning health system
    (2024-07-15) McCabe, Erin; Dyson, Michele; McNeil, Deborah; Hindmarch, Whitney; Ortega, Iliana; Arnold, Paul D.; Dimitropoulos, Gina; Clements, Ryan; Santana, Maria J.; Zwicker, Jennifer D.
    Abstract Background Mental health conditions affect one in seven young people and research suggests that current mental health services are not meeting the needs of most children and youth. Learning health systems are an approach to enhancing services through rapid, routinized cycles of continuous learning and improvement. Patient-reported outcome measures provide a key data source for learning health systems. They have also been shown to improve outcomes for patients when integrated into routine clinical care. However, implementing these measures into health systems is a challenging process. This paper describes a protocol for a formative evaluation of the implementation of patient-reported measures in a newly operational child and adolescent mental health centre in Calgary, Canada. The purpose is to optimize the collection and use of patient-reported outcome measures. Our specific objectives are to assess the implementation progress, identify barriers and facilitators to implementation, and explore patient, caregivers and clinician experiences of using these measures in routine clinical care. Methods This study is a mixed-methods, formative evaluation using the Consolidated Framework for Implementation Research. Participants include patients and caregivers who have used the centre’s services, as well as leadership, clinical and support staff at the centre. Focus groups and semi-structured interviews will be conducted to assess barriers and facilitators to the implementation and sustainability of the use of patient-reported outcome measures, as well as individuals’ experiences with using these measures within clinical care. The data generated by the patient-reported measures over the first five months of the centre’s operation will be analyzed to understand implementation progress, as well as validity of the chosen measures for the centres’ population. Discussion The findings of this evaluation will help to identify and address the factors that are affecting the successful implementation of patient-reported measures at the centre. They will inform the co-design of strategies to improve implementation with key stakeholders, which include patients, clinical staff, and leadership at the centre. To our knowledge, this is the first study of the implementation of patient-reported outcome measures in child and adolescent mental health services and our findings can be used to enhance future implementation efforts in similar settings.
  • Thumbnail Image
    ItemOpen Access
    Examining the Legal Compatibility and Regulation of Distributed Ledger Technology in Facilitating Decentralized Energy in Nigeria
    (2022-12-08) Olugbemi, Akinbobola Olukayode; Clements, Ryan; Van de Biezenbos, Kristen; Christian, Gideon
    Nigeria has a huge electricity access deficit that has plagued the country for long time. This deficit has been estimated to cut out about 43.5% of Nigerians from access to electricity. To solve this challenge, the government has tried out different solutions, albeit with the same results. The Nigerian electricity industry was privatized in 2005 after the Electric Power Sector Reform Act was passed, yet, the electricity grid and components, regulation remained centralized, with recurring electricity grid collapses, corruption issues, poor data retention and poorly planned and executed government policies towards solving the issues. With the privatization and continuing grid collapses, this thesis proposes the decentralization of the electricity industry in Nigeria. More importantly, this thesis proposes that for easy monitoring, and elimination of human manipulation (through the issues of corruption, non-payment for electricity services and the outright “forgetting” of obligations by parties), distributed ledger technology or blockchain should be integrated to the distributed generation process. The integration of blockchain into the process will provide for peer-to-peer electricity trading system, data storage, retention and distribution, renewable energy certificate verification, improve payment integration and allow real-time monitoring of electricity generated, distributed, used while allowing for accurate projections on energy use. This thesis considers the legal implications and impediments for this integration.
  • Thumbnail Image
    ItemOpen Access
    Green Bonds and Renewable Energy: A Proposal for a Green Bond Program in Alberta
    (2021-09-23) Lawal, Maryam; Tscherning, Rudiger; Clements, Ryan; Koskinen, Yrjo
    Our planetary emergencies have necessitated a major overhaul of the global energy system. The heightened determination to pursue aggressive emission reduction targets calls for more effective approaches and policies. At the heart of this discussion is the concept of green bonds. As a result of the interconnectedness of finance, infrastructure, and environmental sustainability, it is imperative to study the underlying variables that advance the issuance of green bonds to mitigate the adverse effects of climate change. The study, using an interdisciplinary and doctrinal legal research approach, investigates green bonds situated in the context of green finance as a vehicle for mobilizing capital to support renewable energy integration efforts. The research also examines the use of green bonds as a strategy for achieving country-specific nationally determined contributions under the Paris Agreement. It considers how green bonds can influence Canada’s energy transition goals, with a particular focus on Alberta, a carbon-intensive province. In light of this, the thesis examines the potential impact of green bonds on Alberta’s renewable energy transition goals, and its oil and gas industry. The research recommends the development of an Alberta Green Bond Policy and Taxonomy to standardize and provide better clarity in the market. These recommendations are particularly important for early-stage issuers who are desirous of tapping into the market, and to enable investor’s make informed decisions while also ensuring enhanced transparency to alleviate concerns of greenwashing.