15 results on '"Hudon, Catherine"'
Search Results
2. The Experience of Service Users with Session-Limited Psychosocial Interventions.
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Montiel, Corentin, Lauzier-Jobin, François, Radziszewski, Stephanie, Bordeleau, Julie, Beaudin, Annie, Roberge, Pasquale, Provencher, Martin D., Hudon, Catherine, Provencher, Hélène, and Houle, Janie
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RESEARCH ,HEALTH services accessibility ,CONSUMER attitudes ,MENTAL health ,QUALITATIVE research ,CONTENT analysis ,PSYCHOTHERAPY - Abstract
Copyright of Canadian Journal of Community Mental Health is the property of Canadian Periodical for Community Studies Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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3. Social workers coordination in primary healthcare for patients with complex needs: A scoping review
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Couturier, Yves, Lanoue, Sèverine, Karam, Marlène, Guillette, Maxime, and Hudon, Catherine
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Introduction Care coordination has been part of social work for some time. It has been recognized as contributing to care coordination for long-term care for the elderly and mental health but less is known about their contribution in primary care with patients with complex health and social needs. As social workers are increasingly present in primary healthcare, this scoping review aims to provide a synthesis of social workers’ coordination activities for patients with complex needs in primary healthcare.Methods CINAHL, Medline, Scopus, SocioIndex, Social Work Abstracts, and ProQuest databases were searched, from 2004 to 2020 for peer-reviewed literature. A thematic analysis using deductive and inductive approaches was used to conduct this scoping review.Results Eighteen studies on 11 different care coordination interventions were included. The care coordination activities have been classified into four categories: 1) activities that target the patient, family, and caregivers; 2) activities that target health and social care professionals and services; 3) activities that link the patient and family with health and social professionals and services; and 4) cross-cutting activities that support and enhance other activity.Discussion A variety of care coordination interventions conducted by social workers were identified, all of which included related but different activities. Still, the common aim is to reduce fragmentation of care. Social workers, because of their disciplinary skills characterized by linkages to nonmedical services, can make a significant contribution to the coordination of care in primary health care, in collaboration with nurses.
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- 2023
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4. Association between sustained opioid prescription and frequent emergency department use: a cohort study
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Racine-Hemmings, Francois, Vanasse, Alain, Lacasse, Anai¨s, Chiu, Yohann, Courteau, Josiane, Dépelteau, Andréa, and Hudon, Catherine
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BackgroundChronic non-cancer pain (CNCP) is common among frequent emergency department (ED) users, although factors underlying this association are unclear. This study estimated the association between sustained opioid use and frequent ED use among patients with CNCP.MethodsRetrospective cohort study using a Canadian provincial health insurer database (Régie d’Assurance Maladie du Québec). The database included adults with both ≥1 chronic condition and ≥ 1 ED visit in 2012 or 2013. Inclusion in the study further required a CNCP diagnosis, public drug insurance coverage and 1-year survival after the first ED visit in 2012 or 2013 (index visit). Multivariable logistic regression was used to derive ORs of frequent ED use (≥5 visits in the year following the index visit) subsequent to sustained opioid use (≥60 days opioids prescription within 90 days preceding the index visit), adjusting for important covariables.ResultsFrom 576 688 patients in the database, 58 237 were included in the study. Of these, 4109 (7.1%) had received a sustained opioid prescription and 4735 (8.1%) were frequent ED users in the follow-up year. Sustained opioid use was not associated with frequent ED use in the multivariable model (OR: 1.06, 95% CI 0.94 to 1.19). Novel associated covariables were benzodiazepine prescription (OR: 1.21, 95% CI 1.12 to 1.30) and polypharmacy (OR: 1.23, 95% CI 1.13 to 1.34).ConclusionsDue to confounding by social and medical vulnerability, patients with CNCP with sustained opioid use appear to have a higher propensity for frequent ED use in unadjusted models. However, sustained opioid use was not associated with frequent ED use in these patients after adjustment.
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- 2023
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5. The Experience of Service Users with Session-Limited Psychosocial Interventions
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Montiel, Corentin, Lauzier-Jobin, François, Radziszewski, Stephanie, Bordeleau, Julie, Beaudin, Annie, Roberge, Pasquale, Provencher, Martin D., Hudon, Catherine, Provencher, Hélène, and Houle, Janie
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This brief report focuses on the experience of service users in the context of a new public institutional framework limiting the number of psychosocial intervention sessions offered per person. Qualitative data of nine group discussions composed of 12 past service users and 12 professionals working in local community health centres were analyzed with content analysis. The study revealed that service users expressed mostly negative emotions and views attributed to session limits. This brief report suggests that rigid session-limited psychosocial interventions are perceived negatively and could have adverse consequences on recovery in vulnerable individuals.
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- 2022
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6. The Prenatal Primary Nursing Care Experience of Pregnant Women in Contexts of Vulnerability
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Hudon, Émilie, Hudon, Catherine, Chouinard, Maud-Christine, Lafontaine, Sarah, de Jordy, Louise Catherine, and Ellefsen, Édith
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The contexts of vulnerability are diversified and cover a wide range of situations where pregnant women are likely to experience threats or disparities. Nurses should consider the particular circumstances of women in contexts of vulnerability. We used a qualitative thematic synthesis to describe the experience of these women regarding their prenatal primary nursing care. We identified that the women's experience is shaped by the prenatal care. The fulfillment of their needs and expectations will guide their decision regarding the utilization of their prenatal care. We propose a theoretical model to guide nurses, promoting person-centered delivery of prenatal care.
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- 2022
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7. Fostering collective leadership to improve integrated primary care: lessons learned from the PriCARE program
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Hudon, Catherine, Lambert, Mireille, Aubrey-Bassler, Kris, Chouinard, Maud-Christine, Doucet, Shelley, Ramsden, Vivian R., Zed, Joanna, Luke, Alison, Bisson, Mathieu, Howse, Dana, Schwarz, Charlotte, Rubenstein, Donna, and Taylor, Jennifer
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Case management (CM) is an intervention for improving integrated care for patients with complex care needs. The implementation of this complex intervention often raises opportunities for change and collective leadership has the potential to optimize the implementation. However, the application of collective leadership in real-world is not often described in the literature. This commentary highlights challenges faced during the implantation of a CM intervention in primary care for people with complex care needs, including stakeholders’ buy-in and providers’ willingness to change their practice, selection of the best person for the case manager position and staff turnover. Based on lessons learned from PriCARE research program, this paper encourages researchers to adopt collective leadership strategies for the implementation of complex interventions, including promoting a collaborative approach, fostering stakeholders’ engagement in a trusting and fair environment, providing a high level of communication, and enhancing collective leadership attitudes and skills. The learnings from the PriCARE program may help guide researchers for implementing complex healthcare interventions.
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- 2024
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8. Occupational Adaptation of People Living With Fibromyalgia: A Systematic Review and Thematic Synthesis.
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Dépelteau, Andréa, Lagueux, Émilie, Pagé, Raphaël, and Hudon, Catherine
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CINAHL database ,PSYCHOLOGY information storage & retrieval systems ,OCCUPATIONAL prestige ,INFORMATION storage & retrieval systems ,MEDICAL databases ,SOCIAL support ,SYSTEMATIC reviews ,ATTITUDE (Psychology) ,GROUP identity ,SATISFACTION ,FIBROMYALGIA ,OCCUPATIONAL therapy ,OCCUPATIONAL adaptation ,MEDLINE ,AMED (Information retrieval system) - Abstract
Importance: Fibromyalgia (FM) is a chronic pain disorder that interferes with daily activities. Because occupational adaptation varies among people, there is a need to determine which factors can influence adaptation to FM in order to better intervene with them. Objective: To understand the occupational adaptation process of people living with FM. Data Sources: A systematic review of the literature was conducted in the AMED, CINAHL, MEDLINE, OTseeker, OTDBASE, and PsycINFO databases. Articles dated before September 2020 were searched using a strategy with the keywords fibromyalgia and occupation. Study Selection and Data Collection: This article follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Qualitative articles were included if they documented occupational aspects of participants with FM. Two independent reviewers screened the articles and performed the quality assessment using the Critical Appraisal Skills Program checklist. A thematic synthesis was conducted. Findings: Of the 560 articles identified, 347 remained after duplicates were removed. After screening titles and abstracts, 303 articles were rejected, and 44 articles were read in their entirety. Twelve qualitative articles were included in the review. The synthesis highlights that support from relatives is a key to successfully adapting to FM. Identity is crucial to a fulfilled life, and occupational competence is greatly affected by the experience of FM. Occupational adaptation is an issue for some people, but maintaining routines and integrating management strategies would help them to achieve it. Conclusions and Relevance: This review highlights the importance of considering the components of occupational adaptation while caring for people with FM. What This Article Adds: This systematic review identifies the factors influencing the occupational adaptation of people living with FM and emphasizes the importance of addressing those factors. [ABSTRACT FROM AUTHOR]
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- 2021
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9. Chronic pain and frequent use of emergency department: A systematic review.
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Dépelteau, Andréa, Racine-Hemmings, François, Lagueux, Émilie, and Hudon, Catherine
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Introduction: Emergency department (ED) overcrowding is an important issue in healthcare worldwide. A small group of patients account for a disproportionate number of ED visits and a few studies have suggested that chronic pain (CP) sufferers may be part of that group. The aim of this study was to review all studies having examined the association between CP and frequent use of ED services.Methods: A systematic review of the literature was performed. The CINAHL, PsycINFO, PubMed and Scopus databases were searched from January 1997 to August 2019, using a strategy containing the keywords frequent use, CP and ED. Two independent reviewers screened articles and assessed methodological quality using the Joanna Briggs Institute tool for prevalence studies. To be included in the review, studies had to: (1) document frequent use of ED services; (2) evaluate CP patients; and (3) use regression models. Studies were excluded if they addressed cancer pain; evaluated an intervention; or targeted an exclusively paediatric population. A narrative synthesis was conducted.Results: Of the 1182 articles identified, 927 remained after removing duplicates and 47 remained after the evaluation of titles and abstracts, which were read completely. Finally, five articles, published between 2004 and 2016, were included in the study. Every study showed that CP was associated with higher ED visits. Two studies documented that frequent users had a higher level of disability than non-frequent users, or that disability was associated with frequent use.Conclusions: This review suggests that CP is associated with frequent use of ED services. [ABSTRACT FROM AUTHOR]- Published
- 2020
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10. Risk of Frequent Emergency Department Use Among an Ambulatory Care Sensitive Condition Population
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Hudon, Catherine, Courteau, Josiane, Chiu, Yohann M., Chouinard, Maud-Christine, Dubois, Marie-France, Dubuc, Nicole, Elazhary, Nicolas, Racine-Hemmings, Francois, Dufour, Isabelle, and Vanasse, Alain
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Supplemental Digital Content is available in the text.
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- 2020
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11. Conditions musculo-squelettiques chroniques et comorbidités en soins de première ligne.
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Hudon C, Fortin M, Soubhi H, Hudon, Catherine, Fortin, Martin, and Soubhi, Hassan
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Copyright of Canadian Family Physician / Médecin de Famille Canadien is the property of College of Family Physicians of Canada and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2008
12. Chronic musculoskeletal conditions and comorbidities in primary care settings.
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Hudon, Catherine, Fortin, Martin, and Soubhi, Hassan
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MUSCULOSKELETAL emergencies ,PRIMARY care ,HEALTH outcome assessment ,NONSTEROIDAL anti-inflammatory agents ,FAMILY medicine - Abstract
Copyright of Canadian Family Physician / Médecin de Famille Canadien is the property of College of Family Physicians of Canada and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2008
13. Multimorbidity's many challenges
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Fortin, Martin, Soubhi, Hassan, Hudon, Catherine, Bayliss, Elizabeth A, and Akker, Marjan van den
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- 2007
14. Managing patients with multimorbidity: systematic review of interventions in primary care and community settings
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Smith, Susan M, Soubhi, Hassan, Fortin, Martin, Hudon, Catherine, and O’Dowd, Tom
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ObjectiveTo determine the effectiveness of interventions designed to improve outcomes in patients with multimorbidity in primary care and community settings.DesignSystematic review.Data sourcesMedline, Embase, CINAHL, CAB Health, Cochrane central register of controlled trials, the database of abstracts of reviews of effectiveness, and the Cochrane EPOC (effective practice and organisation of care) register (searches updated in April 2011).Eligibility criteriaRandomised controlled trials, controlled clinical trials, controlled before and after studies, and interrupted time series analyses reporting on interventions to improve outcomes for people with multimorbidity in primary care and community settings. Multimorbidity was defined as two or more chronic conditions in the same individual. Outcomes included any validated measure of physical or mental health and psychosocial status, including quality of life outcomes, wellbeing, and measures of disability or functional status. Also included were measures of patient and provider behaviour, including drug adherence, utilisation of health services, acceptability of services, and costs.Data selectionTwo reviewers independently assessed studies for eligibility, extracted data, and assessed study quality. As meta-analysis of results was not possible owing to heterogeneity in participants and interventions, a narrative synthesis of the results from the included studies was carried out.Results10 studies examining a range of complex interventions totalling 3407 patients with multimorbidity were identified. All were randomised controlled trials with a low risk of bias. Two studies described interventions for patients with specific comorbidities. The remaining eight studies focused on multimorbidity, generally in older patients. Consideration of the impact of socioeconomic deprivation was minimal. All studies involved complex interventions with multiple components. In six of the 10 studies the predominant component was a change to the organisation of care delivery, usually through case management or enhanced multidisciplinary team work. In the remaining four studies, intervention components were predominantly patient oriented. Overall the results were mixed, with a trend towards improved prescribing and drug adherence. The results indicated that it is difficult to improve outcomes in this population but that interventions focusing on particular risk factors in comorbid conditions or functional difficulties in multimorbidity may be more effective. No economic analyses were included, although the improvements in prescribing and risk factor management in some studies could provide potentially important cost savings.ConclusionsEvidence on the care of patients with multimorbidity is limited, despite the prevalence of multimorbidity and its impact on patients and healthcare systems. Interventions to date have had mixed effects, although are likely to be more effective if targeted at risk factors or specific functional difficulties. A need exists to clearly identify patients with multimorbidity and to develop cost effective and specifically targeted interventions that can improve health outcomes.
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- 2012
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15. Clinical, Physiological and Radiological Features in Asthma with Incomplete Reversibility of Airflow Obstruction Compared with Those of COPD
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Boulet, Louis-Philippe, Turcotte, Hélène, Hudon, Catherine, Carrier, Guy, and Maltais, François
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OBJECTIVES: To compare clinical features, pulmonary function and high-resolution computed chest tomography (HRCT) findings of asthmatic patients with a component of incomplete reversibility of airflow obstruction (AIRAO) with those of patients with smoking-induced chronic obstructive pulmonary disease (COPD).METHODS: Thirteen patients with COPD (six males and seven females, mean age 59 years, mean smoking 50.5 pack-years) and 14 patients with AIRAO (six males and eight females, mean age 52 years) despite optimal treatment, with no significant smoking history (mean 1.5 pack-years) and no significant environmental exposure or any other respiratory disease, were studied. Patients had respiratory questionnaires, pulmonary function tests, allergy skin-prick tests and an HRCT to evaluate possible parenchymal or bronchial abnormalities. Eight patients in each group also had exercise tests. All patients were stable at the time of the study.RESULTS: As expected, atopy was more prevalent in AIRAO (n=13) than in COPD (n=1) patients. Mean forced expiratory volume in 1 s (FEV1) and forced vital capacity (percentage of predicted value) were 39% and 61%, respectively, in COPD patients and 49% and 71%, respectively, in AIRAO patients; FEV1 improved by 18% in COPD patients and and by 22% in AIRAO patients after use of inhaled salbutamol. Mean functional residual capacity was greater in COPD patients than in AIRAO patients (178% versus 144% of the predicted value), while the mean carbon monoxide diffusing capacity of the lungs (DLCO) was lower in COPD patients than in AIRAO patients (62% versus 89% of the predicted value). Exercise tolerance was similar in both groups, as were postexercise changes in arterial oxygen pressure (PaO2). Emphysematous changes were observed in COPD patients and AIRAO patients who had evaluable HRCTs (10 versus two patients, although very mild in asthma), bronchial dilations (zero versus six patients), bronchial wall thickening (two versus eight patients) and an acinar pattern (one versus five patients). Mean thickness of the large airway wall to outer diameter (intermediary bronchus) ratio was 0.176 in COPD and 0.183 in AIRAO (P>0.05).CONCLUSIONS: Asthma may lead to physiological features similar to COPD but may be distinguished by demonstrating a preserved DLCO and a higher ratio of airway to parenchymal abnormalities on HRCT scan.
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- 1998
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