狐狸视频

U of T鈥檚 Lawson Centre for Child Nutrition names new chair in patient engagement

Portrait of Jonathan Maguire
鈥淚 would like to see networks of families, which could join research teams to help us do research better so that we all learn from each other,鈥 says Jonathon Maguire about patient engagement (photo courtesy of St. Michael鈥檚 Hospital Foundation)

Jonathon Maguire is the new Lawson Chair in Patient Engagement in Child Nutrition at the 狐狸视频.

Maguire, an associate professor of paediatrics and nutritional sciences at U of T and a staff pediatrician and scientist with at Unity Health Toronto, will hold the chair over a five-year term through the .

鈥淚鈥檓 very grateful to the university and the Lawson Centre for choosing to support patient engagement in the research process,鈥 says Maguire. 鈥淚t鈥檚 forward-thinking because it will enable children and families to co-design research with us and help us produce results that are most meaningful to them.鈥

Patient-oriented research has garnered strong interest from medical researchers recently. The approach shares some of the goals of applied and practice-based research, but differs in that patients provide input throughout the research process 鈥 on which questions they want answered, the content and format of findings they are most likely to use, and even on how to share research results broadly with the public.

Maguire has worked to develop that process for more than a decade as a co-principal investigator of , the largest children鈥檚 cohort study in Canada. That group has generated several findings of note for parents, including that 10 per cent of the TARGet Kids! cohort have low iron levels, 30 per cent are low in vitamin D and one quarter are at risk for future health problems on account of body weight.

鈥淲e are delighted to welcome Jonathon to this role. He has a well-connected and established research program in patient-oriented research and will hit the ground running,鈥 says Daniel Sellen, director of the Lawson Centre and of anthropology and global health at U of T. 鈥淗e and his team are asking relevant research questions to help practitioners and families agree on healthy and feasible child-feeding options in a rapidly changing dietary and child-care landscape.鈥

In the near term, Maguire hopes to involve more patients in research, in the form of a family advisory panel set up through the Lawson Centre. 鈥淚 would like to see networks of families, which could join research teams to help us do research better so that we all learn from each other,鈥 he says.

Creating that process is difficult, Maguire stresses. 鈥淚f this approach was easy, you would see it more often. It takes a lot of listening, thought and effort to understand the priorities of young families and patients and to familiarize them with the research process. But the reward is well worth the effort.鈥

A recent case in point is parent and physician perspectives on fat content in cow鈥檚 milk. The current guidelines recommend that children switch to reduced-fat milk after the age of two. But many countries have seen a huge rise in childhood obesity since the introduction of those guidelines in the 1990s, and some recent studies suggest that high-fat milk can help reduce obesity, perhaps by increasing satiety.

鈥淚t seems unbelievable that in this age we don鈥檛 know for sure what types of cow鈥檚 milk are best for kids,鈥 says Maguire. 鈥淰iews vary widely among parents and physicians. By sitting down and talking with them, we learned about some of the reasons why.鈥

Many patients rely on guidance from health-care providers, Maguire and his colleagues found. Providers in turn rely on professional guidelines, which in this case were not based on the best evidence.  The researchers .

鈥淭he study confirmed what we had suspected for some time,鈥 says Maguire. 鈥淧rofessional recommendations become reinforced over many years, and it鈥檚 talking with patients and families that can show us why the train may be on the wrong track.鈥

Maguire is now working with other colleagues on a clinical trial that will test which type of milk works best for weight control. With better evidence in hand, Maguire hopes that tangible recommendations from clinicians will influence parents鈥 choices.

鈥淭his is exactly the kind of multidisciplinary, practitioner scholarship needed to strengthen patient engagement in child nutrition,鈥 says Sellen. 鈥淓verybody gains from involving patient ideas and experience, and we think this is one of several fresh approaches to protecting and improving child nutrition in Canada and globally.鈥

Better patient engagement will help further address multiple issues in child nutrition, Sellen says 鈥 from micronutrient deficiencies and obesity to malnutrition, unhealthy food environments and region-specific policy challenges.

鈥淚 look forward to seeing what we can achieve together through the leadership this new chair will provide,鈥 he says.

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