Canadian Experience Research Articles

Medical Assistance in Dying, Palliative Care, Safety, and Structural Vulnerability.

As more jurisdictions consider legalizing medical assistance in dying or assisted death (AD), there is an ongoing debate about whether AD is driven by socioeconomic deprivation or inadequate supportive services. Attention has shifted away from population studies that refute this narrative, and focused on individual cases reported in the media that would appear to support these concerns. In this editorial, the authors address these concerns using recent experience in Canada, and argue that even if we accept these stories at face value, the logical policy response would be to address the root causes of structural vulnerability rather than attempt to restrict access to AD. In terms of concerns about safety, the authors go on to point out the parallels between media reports about the misuse of AD and reports of wrongful deaths due to the misuse of palliative care (PC) in jurisdictions where AD was not legal. Ultimately, we cannot justify having a different response to these reports when they apply to AD instead of PC, and nobody has argued that PC should be criminalized in response to such reports. If we are skeptical of the oversight mechanisms used for AD in Canada, we must be equally skeptical of the oversight mechanisms used for end-of-life care in every jurisdiction where AD is not legal, and ask whether prohibiting AD protects the lives of the vulnerable any better than legalization of AD with safeguards.

LEGAL PROSPECTS FOR THE DEVELOPMENT OF FOOD SECURITY IN THE ARCTIC ZONE OF THE RUSSIAN FEDERATION

The relevance of the issue studied in the article lies in the fact that the achievement of food security in the territories of the Arctic zone of the Russian Federation (hereinafter also AZRF), to which there is no year-round access by land transport, is a challenge for the state in matters of ensuring national security. One of the ways to achieve food security in the Russian Arctic is the northern delivery. The purpose of the study is to propose a number of directions for the development of Russian Arctic legislation based on the analysis of the legal documents of the Russian Federation, international legal documents, as well as the positive experience of Canada in the field of food security regulation. The article considers the positive experience of Canada in regulating public relations in the field of pursuing a centralized food security policy, as well as in organizing public greenhouses and gardens, and analyzes the possibility of applying these foreign development directions in the legislation of the Russian Federation. In the final part of the article, the author comes to the conclusion that it is necessary to apply a more systematic approach in the field of food security, linking legal documents adopted in various areas of public relations (health, social sphere, science and innovation in agriculture, development of transport infrastructure and rural settlements), into a single concept, a common action plan to achieve the global goal - food security. A separate place in this concept should be occupied by the processes of organizing the northern delivery and measures to develop their own agricultural production of vegetables and fruits in the territory of the Russian Arctic, according to the experience of Canada.

The Relationship between Individual Characteristics, Work Shift and Mental Workload with Work Fatigue in Nurses at Wava Husada Hospital

Nurses are one of the professions that have a high risk of work fatigue. Almost 80% of nurses in Canada experience work fatigue. Work fatigue occurs due to an imbalance between task demands and work capacity. This study included quantitative research with an analytical observational type of research. The research design used was cross-sectional. The population of this study was all inpatient nurses of Wava Husada Hospital with a sample of 136 respondents. The result showed that 12.5% of nurses experienced low category work fatigue, 69.1% of nurses experienced moderate category work fatigue, 16.9% of nurses experienced high category work fatigue and 1.5% of nurses experienced very high category work fatigue. There was a moderate relationship between age (r=0.509) and work fatigue. There was no relationship between sex (r=-0.055) and work fatigue and no relationship between length of service (r=0.127) and work fatigue. Then there was a moderate relationship between nutritional status (r=0.402) and work fatigue, a strong relationship between work shift (r=-0.547) with work fatigue and a moderate relationship between mental workload (r=0.360) and work fatigue. Gender and length of service are weakly associated with work fatigue. While age, nutritional status and mental workload are associated with moderate work fatigue, and work shift is strongly associated with work fatigue. Hospitals should periodically measure work fatigue to nurses and provide counselling and training related to work fatigue and prevention efforts.

Constitutional Abeyances: Reflecting on EU Treaty Development in Light of the Canadian Experience

The concept of constitutional abeyances, originally proposed by Foley (1989), describes aspects of a political system that are left deliberately ambiguous. Foley suggests that the maintenance and management of such areas of “settled unsettlement” are indispensable to prevent and resolve conflict about a polity’s constitutional order. The concept of constitutional abeyances has been used productively to analyze constitutional development in Canada, especially the country’s constitutional crises in the 1980s and 1990s. However, with very few exceptions, it has not been applied to analyze the EU and its treaty development. This article leverages the comparison to Canada to argue that a focus on constitutional abeyances, and their successful or unsuccessful institutional reproduction, provides fresh perspectives for analyzing European integration, including insights into the emergence of the EU’s current crises and principles that might guide a political response.

Beyond "Economic Immigration": Understanding the Role of Labor Market and Lifestyle Expectations in Technology Sector Newcomer Experiences in Canada.

Canada has long sought to disperse skilled immigration across the country, with the goal of promoting economic development, improving cultural diversity, and mitigating population decline. The Provincial Nominee Programs (PNPs) are one mechanism for achieving regionalized immigration: they allow Canadian provinces and territories to use labor market information (LMI) to identify in-demand skills and offer visas to newcomers who match local needs. However, even when LMI is accurate, many factors can prevent newcomer access to local labor markets, particularly in third-tier cities (populations of 100,000 to 500,000), including credential recognition, discrimination, and a lack of settlement infrastructure. This paper centers the stories of three newcomers to Canada, each with senior technology sector experience and arriving through PNPs into third-tier cities. Amidst well-established themes in settlement narratives, such as housing affordability, family, lifestyle, and the role of Local Immigration Partnerships (LIPs), this paper suggests that newcomers arriving under programs such as the PNPs may experience LMI congruence or incongruence: the degree to which expectations of a labor market (shaped by being selected for immigration based on particular in-demand skills) match or do not match newcomers' real experiences of labor market access. Policymakers and institutions that use LMI to guide decisions may consider two lessons from the narratives offered in this study: one, the continued importance of reducing barriers to labor market entry for newcomers, and two, the possibility that LMI congruence and accurate expectations play a role in retention.

Ted Lasso’s Goldfish Principle

This article maps the impacts of the coronavirus or COVID-19 pandemic on the daily life and wellbeing of university ice hockey athletes in Atlantic Canada. The study branched out from broader research on participants in all university sports in the region that fall under the national governing body, U SPORTS. The regional conference Atlantic University Sport (AUS) houses eleven member institutions, eight of which are varsity ice hockey teams, for total of approximately 300 athletes in both men’s and women’s competition. In the context of a small body of literature on the university athlete experience in Canada and the new challenges that the pandemic posed for modern life, this exploratory study sought to chronicle how the athletes encountered and endured the pandemic, including the cancellation of competition in the Fall of 2020 and beyond. This is a case study using a multidisciplinary lens. It was informed by a sociological account of disruption and relied on a patchwork of literature from education, psychology, sport management, and health studies. Data collection occurred through an online qualitative questionnaire and a content analysis of local mainstream media articles. It was then analyzed partly through a qualitative debrief interview with an athlete from the population. The study results will offer scholars, university sport administrators, and student services professionals an understanding of how university hockey athletes in the region made sense of the long-term uncertainty and frequent changes to their everyday lives, perhaps with a view to improving the quality of support and development programming that institutions offer in the future.

Spending reviews and the Government of Canada: From episodic to institutionalized capabilities and repertoires

AbstractFollowing surges of spending and staff hiring to address the COVID‐19 pandemic, the Trudeau government announced a strategic policy review in the 2022 Budget to secure savings of $6 billion. There has been little apparent progress by May 2023 and opaque communications. This is surprising because Canada was once considered an international exemplar for spending reviews, needs to learn from the pandemic experience, has a worrisome medium‐to‐long‐term federal spending trajectory, and the governance and economic context has rapidly evolved. This article identifies different kinds of spending reviews and design considerations, reviews Canada's experience with reviews since the early 1980s, considers recent OECD experience and exemplars, and argues that its spending reviews have become increasingly selective and closed. We suggest the Canadian government should institutionalize annual spending reviews, which can be scaled up or down, and that this points to more fundamental issues for reform and building a new governance culture.

Influenza vaccination and healthcare utilization in asthma: a Canadian experience

Influenza vaccination and healthcare utilization in asthma: a Canadian experience

NATIONAL SCREENING PROGRAM FOR COLORECTAL CANCER

Colorectal Cancer:Colorectal cancer is one of the preventable cancers in humans. From a simple polyp to cancer, it is a long journey and gives us a window of opportunity to intervene and prevent it. Historically, Pakistan has been considered a low-prevalence country for colorectal cancer but changing epidemiological patterns dictate that we should think of implementing bowel screening programs for early detection and risk reduction. More than 1.9 million new colorectal cancer (including anus) cases and 935,000 deaths were estimated to occur in 2020, representing about one in 10 cancer cases and deaths. (Globocan 2020). Colorectal Cancer is the 3rd most common cancer among men and 2nd most common cancer among women, worldwide. (1). CRC mortality rates have been declining in the USA and Canada, whereas in many countries like Latin America and the Caribbean (LAC), the mortality rates are increasing. This difference between Canada and the US with the rest of the countries in the Americas serves as an indication of differences that may exist in health care, including CRC screening, early detection, and treatment. There are perhaps lessons that can be learned from the USA and Canada experiences with CRC programs that can be used to address the growing burden of CRC in LAC

On the question of the establishment and development of languages education in Canada (XVII - the beginning of XXI century)

The article is devoted to the study of the theoretical and organizational foundations of language teaching in the Canadian education system in the context of globalization processes and multilingual society. The work presents a retrospective analysis of the formation and development of language teaching in the Canadian education system from the beginning of organized education to the beginning of the 21st century, highlights certain issues of state regulation in the field of language education in Canada. The socio-political context of the development of multilingualism in Canada is analyzed and the stages of formation and development of a multilingual society are determined.The work reveals the peculiarities of the organization of L1, L2 and FL learning at various levels of the Canadian education system. The conceptual ideas of language learning in Canadian pedagogical research are defined; the specifics of language training of citizens in the Canadian education system, taking into account the bilingual nature of society, are identified; the newest methods and trends in development of language education in Canada are reviewed.On the basis of a comparison of the language training practice in Ukraine and Canada, certain elements of the positive Canadian experience have been identified, which are expedient to use in the national education system in the conditions of the creation of the European context of language education.

Indigenous innovation and organizational change towards equitable higher education systems: the Canadian experience

Indigenous knowledges are largely absent from higher education institutions’ efforts to pursue excellence and innovation. Grounded in decolonization literature and institutional theory, this article examines how Indigenous peoples of Canada have engaged with innovation discourses in higher education. Through document analysis of 15 research-intensive Canadian universities and conversation with 13 Indigenous peoples, the article analyses political, functional, and normative pressures associated with Indigenous knowledges shaping Canadian universities. The article demonstrates how Indigenous groups have been able to push post-secondary institutions towards a normative shift in organizational structure. The article also shows how approaching innovation from decolonizing perspectives can provide a way forward for equitable higher education systems, advocating for re-imagining the dominant market economy, and focusing on learning from Indigenous worldviews that centre around reciprocity, ecological sustainability, and connection to land.

Structural Racism as an Ecosystem: An Exploratory Study on How Structural Racism Influences Chronic Disease and Health and Wellbeing of First Nations in Canada.

Indigenous peoples in Canada experience disproportionately higher rates of chronic disease than their non-Indigenous counterparts. Previous research has identified structural racism as a powerful determinant of health and wellbeing. Mounting evidence demonstrates that First Nations are disproportionately over-represented, compared to other Canadians, in several domains that have been used to measure structural racism in other countries. Despite growing concern of the impact of structural racism on health, there remains little empirical evidence on the impact structural racism has on chronic disease health outcomes of First Nations. This qualitative study examines the complex and intersecting ways in which structural racism can influence chronic disease health outcomes and the overall health and wellbeing of First Nations in Canada. In-depth semi-structured interviews were conducted with twenty-five participants, including subject matter experts in health, justice, education, child welfare, politics, and researchers in racism scholarship and First Nations who have lived experience with a chronic condition(s). Thematic analysis was used to analyze the data collected. Six themes on how structural racism influences chronic disease and the health of First Nations were identified: (1) multiple and intersecting pathways; (2) systems of failure, harm, and indifference; (3) impacts on access to healthcare; (4) colonial policies of structural deprivation; (5) increased risk factors for chronic disease and poor health; and (6) structural burden leading to individual-level outcomes. Structural racism creates an ecosystem that negatively impacts chronic diseases and the health of First Nations. The findings illuminate how structural racism can have micro-level influences at an individual level and can influence one's chronic disease journey and progression. Recognizing how structural racism shapes our environments may help to catalyze a shift in our collective understanding of the impact of structural racism on health.

Intimidation or harassment among family medicine residents in Saskatchewan: a cross-sectional survey.

Up to 98% of practicing family physicians, and over 75% of resident physicians in Canada experience abusive incidents. Despite the negative consequences of abusive incidents, few residents report these events to their supervisors or institution. We sought to estimate the prevalence of abusive incidents experienced or witnessed by Saskatchewan family medicine residents (FMRs) and identify their responses to these events. Anonymous survey invitations were emailed to all 110 Saskatchewan FMRs in Saskatchewan in November and December 2020. Demographic characteristics, frequency of witnessed and experienced abusive incidents, sources of incidents and residents' responses were collected. Incidents were classified as minor, major, severe, or as racial discrimination based on a previously published classification system. The response rate was 34.5% (38/110). Ninety-two percent (35/38) of residents witnessed a minor incident and 91.7% (32/36) of residents experienced a minor incident. Seventy-one percent (27/38) of residents witnessed racial discrimination while 19.4% (7/36) of residents experienced racial discrimination. Patients were the most common source of abusive incidents. Twenty-nine percent of residents reported abusive incidents to their supervisors. Most residents were aware of institutional reporting policies. Most Saskatchewan FMRs experienced or witnessed abusive incidents, but few were reported. This study provided the opportunity to reassess policies on abusive incidents, which should consider sources of abuse, confidence in reporting, and education.

Exploring quality improvement for diabetes care in First Nations communities in Canada: a multiple case study

BackgroundIndigenous peoples in Canada experience higher rates of diabetes and worse outcomes than non-Indigenous populations in Canada. Strategies are needed to address underlying health inequities and improve access to quality diabetes care. As part of the national FORGE AHEAD Research Program, this study explores two primary healthcare teams’ quality improvement (QI) process of developing and implementing strategies to improve the quality of diabetes care in First Nations communities in Canada.MethodsThis study utilized a community-based participatory and qualitative case study methodology. Multiple qualitative data sources were analyzed to understand: (1) how knowledge and information was used to inform the teams’ QI process; (2) how the process was influenced by the context of primary care services within communities; and (3) the factors that supported or hindered their QI process.ResultsThe findings of this study demonstrate how teams drew upon multiple sources of knowledge and information to inform their QI work, the importance of strengthening relationships and building relationships with the community, the influence of organizational support and capacity, and the key factors that facilitated QI efforts.ConclusionsThis study contributes to the ongoing calls for research in understanding the process and factors affecting the implementation of QI strategies, particularly within Indigenous communities. The knowledge generated may help inform community action and the future development, implementation and scale-up of QI programs in Indigenous communities in Canada and globally.

War, women and forced displacement

This article aims to provide an understanding of the lived experiences of a selected sample Ukrainian women who were forcibly displaced due to the 2022 war in Ukraine, and were able to come to Canada. Using personal narratives in gender and forced migration studies, this article explores how forcibly displaced Ukrainian women in Canada understand and articulate their own situations, circumstances, and contexts. The article narrates their stories of forced migration, including their life before and after the war, their lived experiences in Canada, and how they envision their future. The article highlights how the experiences of these selected women are distinct from men, and illustrates their agency and resilience in the contexts of war and forced displacement. The women also provide innovative policy recommendations to address their needs based on their experiences, and broadly the needs of forcibly displaced communities in Canada.

Intelligence Analysis and Policy Making: The Canadian Experience by Thomas Juneau and Stephanie Carvin

Thomas Juneau and Stephanie Carvin have produced an excellent and unique contribution to the intelligence studies field. Compared with research books on aspects of the U.S. intelligence community and perhaps to some extent Australia's intelligence community, works on Canada are still rare, and empirical studies such as this even rarer. The central theme is the role of intelligence analysis in policy-making within Canada from a contemporary institutional rather than “how to” perspective. The methodological approach draws on sixty-eight interviews with intelligence and policy-maker staff at all levels both current and former, which, along with the detailed analysis of secondary sources, provides an impressive foundation to explore how intelligence analysis has been used—or as they authors argue not used sufficiently by policy-makers in Ottawa. The semistructured interview approach used here is one I have used several times in my own research on intelligence governance and organizational reform across the “Five Eyes” intelligence communities over the last decade (see for example, Intelligence and Intelligence Analysis). Armed with a coherent methodological approach, the book thematically explores via five chapters the many structural/cultural barriers and even what they describe as sudden threats (or “electro-shock”) events that sometimes have resulted in improved connection between Canada's intelligence enterprise and the policy-makers it serves. All five chapters provide a coherent analysis of relevant themes, though I think chapter five (“Recommendations and the Way Ahead)” is the richest in terms of how these applied researchers offer prescriptions to the many problems of why intelligence analysis and products continue to be unseen as vital to policy deliberations in many parts of the government of Canada. The authors offer several useful recommendations for improving the overall governance and structure under which intelligence analysis occurs within agencies and across the intelligence community. For example, the focus on strengthening the analytical capabilities, leadership, and coordination of the Intelligence Assessment Secretariat (IAS) in a similar vein to what occurred in Australia (2018) when the Office of National Intelligence (ONI) was established could be a critical way forward for helping improve intelligence analysis excellence and influence with policy-makers. But as my own research suggests, the ONI after four years is still a work in progress on a range of the intelligence leadership and coordination functions it has responsibility for. Though as the authors rightly point out, Canadian intelligence reformers need to learn the good and bad lessons from Australia and be mindful of not “australiadizing” Canberra's solutions to Ottawa's problems (176). Other useful though potentially equally costly suggestions for improving intelligence analysis influence in the policy context included the long-debated consideration of Canada creating its own foreign (HUMINT) intelligence agency, and in the interim, CSIS taking up a greater role in foreign intelligence collection. There are also many other good ideas, but as the authors say, intelligence has not been a priority for policy-makers and any reforms have only occurred in “fits and starts” (172). But Canada's immediate and global security environment is now much less benign, and what is likely needed is a comprehensive independent review of the intelligence community—similar to the regular five yearly ones in Australia that take stock of the ever-changing security environment and how holistically meaningful reforms can take place. The authors show us in detail what recommendations in the area of intelligence analysis an independent reviewer would find useful. An excellent and timely contribution.

Application of Mediation in Resolving Elderly Family Issues in Malaysia: Lessons from Canada and Australia

Malaysia is expected to be an ageing country by 2030 when 15% of her populace will be in the category of the elderly. The elderly will face various issues and challenges, such as finance along with abuse and neglect. Generally, like in other disputes, the legal mechanism is the resort for resolution. However, litigation is less preferred in this type of cases as it does not address the emotional distress suffered by the parties involved. As such, litigation is not a suitable method as it may break the relationship between the parties. Conversely, mediation, a non-adjudicative dispute resolution mechanism, is considered a potential method of dispute settlement since it is effective in addressing the issues in a family conflict involving the elderly. Due to its effectiveness, the application of mediation as a means of resolving disputes has gained global attention. Considering its effectiveness, some countries, such as Australia and Canada, apply mediation in resolving family issues involving the elderly. The use of mediation in family disputes is not new in Malaysia, however, it is yet to be applied in elderly family disputes. The objective of this article is to explore the scope of the application of mediation in elderly family issues. As such, this study adopts the qualitative approach of research where primary and secondary sources of data were gleaned from various statutes as well as existing literature, respectively. In order to underline the potential of mediation in dispute resolution, the experiences of Australia and Canada have been shared in this article. The finding indicates that due to its intrinsic excellence and usefulness, mediation can excel in resolving the disputes related to the elderly. Therefore, the paper recommends embracing mediation as a feasible dispute settlement mechanism involving the elderly in a family setting in Malaysia.

The barriers to healthcare access and their impact on health outcomes for people medically uninsured in Canada: A scoping review

Objective: The objective of the scoping review was to summarize the current literature on the barriers to healthcare access and its impact on health outcomes for people who are medically uninsured (including those with precarious or no immigration status) in Canada; identify gaps in the existing knowledge; and highlight implications for practice and policy. Methods: We undertook a systematic search in the electronic databases of PsycInfo, MEDLINE (Ovid), CINAHL, ProQuest Nursing and Allied Health, Web of Science and ProQuest Dissertations and Theses Global. Inclusion criteria consisted of articles published in English reporting information about barriers to healthcare access or its impact on health among people with precarious immigration status in Canada. Relevant themes emerging from the included studies were reviewed by the research team and organized into three levels of barriers to accessing healthcare. Results: Ten articles were included in this scoping review. Our review found that individuals living with precarious or no immigration status and being denied public health insurance experienced significant obstructions to accessing healthcare services, the result of policy, interpersonal and intrapersonal-level barriers. These barriers include ineligibility for provincial or federal healthcare insurance, negative interactions with healthcare providers, fear of interacting with public services and lack of sufficient income to pay for out-of-pocket healthcare expenses. This resulted in unmet healthcare needs, negative and worsening health outcomes, avoidance of formal healthcare institutions and reliance on emergency care services caused by delays in help-seeking. Conclusions: People who are medically uninsured in Canada experience avoidable negative health outcomes, including higher risk of death because of barriers to access to healthcare. Provincial healthcare insurance should be available for these vulnerable groups to avoid unnecessary health problems and complications and to reduce the burden on the healthcare system. New (im)migrants should receive education on their right to receive health services, and healthcare providers must receive training on how to best support the health and wellbeing of this population.

Investing in Saving Lives: Designing Second-Stage Women’s Shelters on First Nation Reserves

Most Indigenous women in Canada (61%) experience intimate partner violence (IPV), which is significantly worse than the high rate of 44 percent for other women in Canada. Despite the great risk for IPV, only three unfunded second-stage shelters for more than 600 First Nation reserves exist in Canada to provide First Nation women and their children a safe home. Second-stage housing offers IPV survivors transitional homes for an extended period that provide safety and renewal after their initial emergency shelter stays. This article documents the need for safe, nurturing, and culturally appropriate second-stage shelters for Indigenous women and their families to heal and rebuild. The authors provide two second-stage prototype designs based on domestic environmental analysis and concepts of houselessness, home, and co-housing. We discuss how these designs are one step in an action plan to protect Indigenous women and stop the genocide of Indigenous Peoples by supporting cultural, economic, health, and social development. The literature review and design concepts form an agenda to have design goals for housing IPV survivors that answers the “Calls to Justice for Murdered and Missing Women” and expands this needed service to every reserve.

Development of a ParticipACTION App–Based Intervention for Improving Postsecondary Students’ 24-Hour Movement Guideline Behaviors: Protocol for the Application of Intervention Mapping

The Canadian 24-Hour Movement Guidelines for adults provide specific recommendations for levels of physical activity, sedentary behavior, and sleep (ie, the movement behaviors) required for optimal health. Performance of the movement behaviors is associated with improved mental well-being. However, most postsecondary students do not meet the movement behavior recommendations within the Canadian 24-Hour Movement Guidelines and experience increased stress and declining well-being, suggesting the need for an intervention targeting students' movement behaviors. We aimed to develop and implement a theory-informed intervention intended to improve the movement behaviors and mental well-being of first-year postsecondary students. The Intervention Mapping protocol was applied in the development and implementation of the intervention. Intervention Mapping entailed performing a needs assessment, determining the intervention outcomes, selecting theory- and evidence-based change methods and applications, preparing and producing intervention plans and materials, developing the implementation plan, and finally developing an evaluation plan. The Theoretical Domains Framework and the Behavior Change Wheel were also used in conjunction with the Intervention Mapping protocol to ensure a solid theoretical basis for the intervention. This protocol led to the development and implementation of a 6-week, theory-informed ParticipACTION app-based intervention aimed at helping first-year postsecondary students improve their movement behaviors and mental well-being. The developed app content provided students with information on each of the movement behaviors and behavioral strategies (ie, goal setting, action planning, monitoring, and coping planning). The use of Intervention Mapping allowed for the continuous involvement of various multidisciplinary partners and end users, ensuring that the intervention design and implementation was appropriate for the target audience. The feasibility, acceptability, and potential impact of the intervention will be examined in a subsequent proof-of-concept study at 2 Canadian university campuses. Participant recruitment occurred during September 2021, and the intervention was conducted from October to December 2021. The deadline for completion of the postintervention questionnaire by participants was mid-December 2021. The analysis of data examining the feasibility, acceptability, and potential impact of the intervention began in January 2022, with the publication of the proof-of-concept evaluation expected in 2023. Intervention Mapping with the Theoretical Domains Framework and Behavior Change Wheel was a useful approach to combine evidence and theoretical concepts to guide the design and implementation of a ParticipACTION app-based intervention targeting postsecondary students' movement behaviors and mental well-being. This process may serve as an example for other researchers developing multiple behavior change app-based interventions. Should the forthcoming evaluation demonstrate the intervention's acceptability, feasibility, and potential impact, the intervention may provide a scalable method of improving postsecondary students' movement behaviors and mental well-being. RR1-10.2196/39977.