Â鶹ɫÇ鯬

Social Determinants of Health in Neuroscience Interdisciplinary Teams

The Social Determinants of Health in Neuroscience Interdisciplinary TeamsÌýwill develop guidance on integrating the Social Determinants of Health (SDoH) into specific areas of neuroscience research primarily carried out in human participants. Interdisciplinary teams will:Ìý

  • Develop specific advice on how to appropriately integrate the SDoH into one particular area of neuroscience per team;
  • Develop guidance that is multi-tiered, providing users with a sliding scale of options for SDoH integration to facilitate uptake (e.g., bronze, silver and gold levels of SDoH integration);
  • Work collaboratively with other funded teams and the Umbrella Team to share knowledge and ensure complementarity across guidance materials being produced.


The duration of each grant will be one year (non-renewable) from June 1, 2024 to May 31, 2025.Ìý

Funded Interdisciplinary Teams

CO-LEADS

PROJECT TITLE FUNDING RECEIVED START DATE
David Benrimoh
Jai Shah
Harnessing Social Determinants of Health in Digital Phenotyping $85,000 June 1, 2024
Boris Bernhardt
Robert-Paul Juster
Tracking social determinants of health in lifespan neuroimaging among diverse populations $100,000 June 1, 2024

Maiya Geddes
Nancy Mayo

Developing guidance for representative recruitment and the integration of social determinants of health in research on aging and Alzheimer’s disease $89,400 June 1, 2024
Kyle Greenway
Michael Lifshitz
Social Determinants of Health in Psychedelic Research: A Three-Phase Exploration of Barriers, Shaping of Reporting Guidelines, and Convening Experts for Consensus $119,242 June 1, 2024
Tasmia Hai
Jacob Burack
Social Determinants of Health in Pediatric Neuroimaging $90,986 June 1, 2024
Maxime Montembeault
Annette Leibing
Towards a better integration of social determinants of health in the measurement of cognition in aging $74,880 June 1, 2024
Jai Shah
Martin Lepage
The role of social determinants of health in the neuroscience and progression of psychotic illness: From mobilizing knowledge to improving next-generation research $90,000 June 1, 2024

Funded Projects Summaries

Harnessing Social Determinants of Health in Digital Phenotyping

Co-leads:ÌýDavid Benrimoh, Â鶹ɫÇ鯬; Jai Shah, Â鶹ɫÇ鯬

Co-investigators: Laurence Kirmayer, Â鶹ɫÇ鯬; Sara Jalali, Douglas Research Center; Deven Parekh, Douglas Research Center

Trainees: Ashley Choucroun, Â鶹ɫÇ鯬; Ivy Guo, Â鶹ɫÇ鯬; Parnia Akhavansaffar, Â鶹ɫÇ鯬; Matthew Raymond, Â鶹ɫÇ鯬; Vincent Paquin, Â鶹ɫÇ鯬; Manuel Soulard, Â鶹ɫÇ鯬

Summary: A significant challenge in mental healthcare is collecting the right information to make good care decisions. Until recently, this information has been obtained through clinical interviews, which only capture snapshots of a patient’s life. Digital phenotyping- using digital sensors to track behavior and provide more complete information about function in the real world- is a new way to provide real-time data that can guide care. To best use this technology, it will be important to understand how the meaning of these measures change based on people’s socioeconomic and cultural circumstances. For example, the interpretation of an activity measure might change based on whether or not someone with depression can afford food delivery. We will use literature review, and interviews with and data from a diverse set of patients, to develop guidelines for collecting and interpreting digital data in a way that benefits from understanding social determinants of health.

HBHL Research Theme: 1

AmountÌýreceived: $85,000

Tracking social determinants of health in lifespan neuroimaging among diverse populations

Co-leads: Boris Bernhardt, Â鶹ɫÇ鯬; Robert-Paul Juster,ÌýUniversité de Montréal

Co-investigators: Anna MacKinnon, Université de Montréal

Trainees: Judy Chen, Â鶹ɫÇ鯬; Mina Guérin, Université de Montréal

Summary: Social determinants of health (SDOH) play key roles in brain organization, development, and cognition. Ultimately, SDOH shape health and well-being throughout life. To date, SDOH factors are still largely neglected in neuroimaging studies. Capitalizing on HBHL pilot projects, we propose to track SDOH within three ongoing neuroimaging initiatives across the lifespan: (1) during the perinatal period on early childhood brain development, (2) during neurotypical and atypical brain development among older children and adults, and (3) during emerging adulthood into old age among sexual and gender diverse people. We hypothesize a marked effect of SDOH in the three initiatives. Within the HBHL network, we will collectively refine SDOH measurement across the lifespan with sex and gender as well as EDI considerations adapted for neuroscience. Our team includes experts in SDOH, developmental neuroscience, physiology, neuroimaging, and connectomics. Data and methods will be openly shared for rapid adoption, reproducibility, and broad impact.

HBHL Research Theme: 1,4

Amount received: $100,000

Developing guidance for representative recruitment and the integration of social determinants of health in research on aging and Alzheimer’s disease

Co-leads:ÌýMaiya Geddes, Â鶹ɫÇ鯬;ÌýNancy Mayo, Â鶹ɫÇ鯬

Co-investigators:ÌýMartin Guhn, University of British Columbia; Laurence Kirmayer, Â鶹ɫÇ鯬; Sylvia Villeneuve, Â鶹ɫÇ鯬; Neil Andersson, Â鶹ɫÇ鯬; Pedro Rosa-Neto, Â鶹ɫÇ鯬

Trainees: Vasvi Dhir, Â鶹ɫÇ鯬; Ezinne Ekediegwu, Â鶹ɫÇ鯬; Arnima Singh, University of British Columbia; Juhi Tulsi, Â鶹ɫÇ鯬; Stéfanie Tremblay, Â鶹ɫÇ鯬

Summary: This project brings together a team of collaborators with diverse experiences and expertise in neuroscience, Alzheimer’s disease and related dementias (ADRD), and social determinants of health (SDoH). Our team will include researchers, clinicians, trainees, individuals with lived experience of ADRD, and diverse community leaders and partners including from Indigenous and minoritized groups. Together, we will develop guidance on diverse and representative participant recruitment in research on aging and ADRD. In addition, we will develop a framework for SDoH measurement relevant to age- and disease-related brain health outcomes. This battery will be pertinent to the Canadian context, include novel person-centered measures, and adopt a lifespan approach to aging by considering the influence of early life experiences. Finally, we will integrate this guidance and battery in two Â鶹ɫÇ鯬 longitudinal Open Science cohorts on aging, PREVENT-AD and TRIAD, to advance our understanding of the impact of SDoH on neurodegenerative disease risk and prevention.

HBHL Research Theme: 1,2

Funding Received: $89,400

Social Determinants of Health in Psychedelic Research: A Three-Phase Exploration of Barriers, Shaping of Reporting Guidelines, and Convening Experts for Consensus

Co-leads: Kyle Greenway, Â鶹ɫÇ鯬;ÌýMichael Lifshitz, Â鶹ɫÇ鯬

Co-investigators: Phoebe Friesen, Â鶹ɫÇ鯬; Ana Gomez-Carrillo, Â鶹ɫÇ鯬; Alexandre Lehmann, Â鶹ɫÇ鯬

Trainees: Sara de la Salle, Â鶹ɫÇ鯬; Lena Adel, Â鶹ɫÇ鯬; Sara Gloeckler, Â鶹ɫÇ鯬; Chloé Pronovost-Morgan, Â鶹ɫÇ鯬; Nathan Fisher, Â鶹ɫÇ鯬

Summary: The study of psychedelic substances is a new frontier in neuroscience. Social Determinants of Health play a critical role in psychedelic research and practice by shaping an individual’s mindset and the drug-taking environment. This impact is significant because psychedelic experiences are closely tied to an individual's personal developmental trajectory and broader social-structural context. Calls to improve data collection and reporting have been hindered by practical constraints and lack of structured guidelines. Our project aims to provide a practical/pragmatic roadmap for integrating Social Determinants of Health into psychedelic neuroscience. Our approach will include (i) an exploration of existing barriers and potential solutions in consultation with experts, (ii) a systematic evaluation of existing practices, and (iii) a convening of experts for consensus through a ‘Set and Setting’ conference (Spring, 2025). Anticipated outcomes include tiered (gold/silver/bronze) reporting of Social Determinants of Health in psychedelic research and a continuous learning system for researcher-clinician collaborations.

HBHL Research Theme: 1

AmountÌýreceived: $119,242

Social Determinants of Health in Pediatric Neuroimaging

Co-leads: Tasmia Hai, Â鶹ɫÇ鯬;ÌýJacob Burack, Â鶹ɫÇ鯬

Co-investigators: Rachel Kronick, Â鶹ɫÇ鯬; Laurence Kirmayer, Â鶹ɫÇ鯬

Trainees: Amy Jolin, Â鶹ɫÇ鯬; Karen Arias, Â鶹ɫÇ鯬; Sarah Caimano, Â鶹ɫÇ鯬; Christina Ghaleb, Â鶹ɫÇ鯬; Ashley Toombs-heavisides, Â鶹ɫÇ鯬

Summary: Child development, especially among Indigenous and racialized communities, is heavily influenced by social determinants of health (SDH) like poverty, racism, and family stressors. These factors can impact a child's well-being, leading to increased hospitalizations, poorer health, and barriers to accessing primary care. Neuroimaging studies have shown how poverty and discrimination affect brain development, highlighting the need to address these issues in research. Our project aims to fill this gap by examining how SDH influence brain development in pediatric populations. We will conduct a literature review, develop guidelines for researchers, and conduct a pilot study with Indigenous and racialized youth. By integrating SDH considerations into neuroimaging research, we hope to improve outcomes and promote health equity for all children, acknowledging cultural diversity for more effective healthcare practices.

HBHL Research Theme: 1,4

Funding Received: $90,986

Towards a better integration of social determinants of health in the measurement of cognition in aging

Co-leads:ÌýMaxime Montembeault, Â鶹ɫÇ鯬;ÌýAnnette Leibing, Université de Montréal

Co-investigators:ÌýMachelle Wichelsky, Â鶹ɫÇ鯬; Isabelle Royal, CIUSSS Ouest-de-l’Île-de-Montréal

Trainees: Enqi Wang, Â鶹ɫÇ鯬; Parsa Afrooz, Â鶹ɫÇ鯬; Cynthia Lazzaroni, Â鶹ɫÇ鯬; Anna Marier, Université de Montréal

Summary: Our project aims to enhance the accuracy and fairness of cognitive assessments in older adults by integrating social determinants of health (SDoH) into neuropsychological evaluations. While age, sex/gender, and education are commonly considered in cognitive testing, other SDoH such as language, occupation, psychosocial stress and economic status are often overlooked. By conducting a systematic review, interviewing clinicians and patients, and developing comprehensive guidance, we seek to address this gap. Our approach will provide clinicians with a better understanding of their patients' life experiences and how SDoH impacts their cognitive health. Ultimately, this project aims to improve early detection of cognitive impairments, promote equitable healthcare outcomes, and support the well-being of older adults.

HBHL Research Theme: 1,2

Funding Received: $74,880

The role of social determinants of health in the neuroscience and progression of psychotic illness: From mobilizing knowledge to improving next-generation research

Co-leads: Jai Shah, Â鶹ɫÇ鯬;ÌýMartin Lepage, Â鶹ɫÇ鯬

Co-investigators:ÌýDavid Benrimoh, Â鶹ɫÇ鯬; Geneviève Sauvé, Douglas Research Centre; Mallar Chakravarty, Â鶹ɫÇ鯬; Jean-Baptiste Poline, Â鶹ɫÇ鯬; Srividya Iyer, Â鶹ɫÇ鯬; Laurence Kirmayer, Â鶹ɫÇ鯬; Amal Abdel-Baki, CHUM

Trainees: Vincent Paquin, Â鶹ɫÇ鯬; Matthew Danyluik, Â鶹ɫÇ鯬; Giuseppe D'Andrea, Douglas Research Centre; Ashley Toombs Heavisides, Â鶹ɫÇ鯬; Christina Ghaleb, Â鶹ɫÇ鯬

Summary: Through a comprehensive set of literature searches, this project will identify the role of social determinants of health in the progression of psychosis, especially during the earliest stages of illness when treatment can be most effective. We will have a particular focus on how social determinants relate to the evolution of early brain changes as measured by three key neuroscience technologies: neuroimaging, electroencephalography, and neurocognition. Working together with the umbrella grant and stakeholder advisory groups, we will translate this knowledge into guidance and recommendation geared towards researchers interested in future data collection, how to analyze datasets, and how to ensure that their research samples include populations with relevant social determinants.

HBHL Research Theme: 1

Funding Received: $90,000

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