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319 results on '"Tousignant, M."'

13. A005 – No Differences in Outcomes in Subjects with Low Back Pain who met the Clinical Prediction Rule for Lumbar Spine Manipulation when Non-thrust Manipulation was used as the Comparator

Author

Hopkins-Rosseel, D, Attwood, K, Karson, K, Lee, K, Cook, C, Learman, K, Klatt, M, O’Callaghan, L, Coelho, F, Krakovsky, A, Ellison, P, Lambert, C, Bradshaw, M, Miller, P, McKnight, A, Mihell, T, Moies, T, Ravenscroft, D, Benard, L, Hurtubise, K, Ramage, B, Brown, S, Camden, C, Wilson, B, Missiuna, C, Kirby, A, Wat, J, Cooke, M, Patel, Z, Zaidi, L, Shalchi, M, Baldner, ME, Howard, J, Jack, E, Pepe, G, Cheifetz, O, Pak, P, Lamb, B, Tirone, C, Jawed, H, Brunton, K, Mansfield, A, Cott, C, Inness, L, Metzker, M, Cameron, D, Slen, S, Roxborough, L, St John, T, Tatla, S, McCallum, V, Teixeira-Salmela, LF, Pinheiro, MB, Machado, GC, Carvalho, AC, Menezes, KK, Avelino, PR, Faria, CDCM, Scianni, AA, Souza, LAC, Martins, JC, Lara, EM, Aguiar, LT, Moura, JB, Hamilton, CB, Monica, MR, Chesworth, BM, Trivino, M, Kaizer, F, Bergeron, S, Charbonneau, J, Gadoury, M, Gendron, V, Levin, MF, Carlucci, A, Dinunzio, P, Laverdière, A, Lin, Z, Park, M, Perlman, C, Todor, R, Geddes, EL, Southam, J, Koopman, J, Sun, T, Miller, J, MacDermid, J, Brosseau, L, Hoens, A, Scott, A, Houde, K, Yardley, T, Devereaux, M, Quan-Velanoski, K, Yeung, E, Levesque, L, Arnold, C, Crockett, K, Kay, JL, Walton, WM, Kerslake, S, Gilmore, P, Barry, J, Blanchard, J, Howson, S, Scott, M, Solomon, M, Beaton, M, Zwerling, I, Connelly, DM, Debigaré, R, Harris, J, Parsons, TL, Lord, MJ, Morin, M, Pukal, C, Thibault-Gagnon, S, Teyhen, D, Laliberté, M, Hudon, A, Sonier, V, Badro, V, Hunt, M, Feldman, DE, Mori, B, Brooks, D, Herold, J, Beaton, D, Manns, PJ, Darrah, J, Hatzoglou, D, Karkouti, E, Cheng, L, Laprade, J, Giangregorio, L, Jain, R, Evans, C, Anderson, C, Cosgrove, M, Lees, D, Chan, G, Gibson, BE, Hall, M, Prasanna, S, Simmonds, M, Turner, K, Bell, M, Bays, L, Lau, C, Lai, C, Kendzerska, T, Davies, R, Greig, A, Dawes, D, Murphy, S, Parker, G, Loveridge, B, Dyer, JO, Montpetit-Tourangeau, K, Mamede, S, van, Gog T, Denis, M, Savard, I, Moffet, H, Bourdeau, G, Elkadhi, A, McGuire, M, Yu, J, Kelland, K, Hoe, E, Andreoli, A, Nixon, S, Montreuil, J, Besner, C, Richter, A, Bostick, GP, Parent, E, Barnes, M, Brososky, C, Jelley, W, Larocque, N, Borghese, M, Switzer-McIntyre, S, Norton, B, Puri, C, Prior, M, Littke, N, Damp, Lowery C, Sinclair, L, Sawant, A, Doherty, TJ, House, AA, Gati, J, Bartha, R, Overend, TJ, Matmari, L, Uyeno, J, Heck, CS, Nadeau, S, Gagnon, G, Tousignant, M, Moreside, J, Quirk, A, Hubley-Kozey, C, Ploughman, M, Murray, C, Murdoch, M, Harris, C, Hogan, S, Stefanelli, M, Shears, J, Squires, S, McCarthy, J, Lungu, E, Desmeules, F, Dionne, CE, Belzile, EL, Vendittoli, PA, Mérette, C, Boissy, P, Corriveau, H, Marquis, F, Cabana, F, Ranger, P, Belzile, E, Larochelle, P, Dimentberg, R, Ezzat, AM, Cibere, J, Koehoorn, M, Sayre, EC, Li, LC, Hermenegildo, J, Kim, SY, Hiemstra, LA, Kerslake, A, Heard, SM, Buchko, GML, Villeneuve, M, Lamontagne, A, Subramanian, SK, Chilingaryan, G, Sveistrup, H, Barclay-Goddard, R, Ripat, J, Gandhi, M, Karunaratne, N, Vaccariello, R, Zhao, Y, Hamel-Hébert, I, Malo, M-J, Spahija, J, Vermeltfoort, K, Staruszkiewicz, A, Anselm, K, Badnjevic, A, Burton, K, Balogh, R, Poth, C, Manns, P, Beaupre, L, Karam, SL, Tremblay, F, Leew, S, Goldstein, S, Pelland, L, Gilchrist, I, Gray, C, Guy, T, Yoon, D, Lui, KY, Culham, E, Berg, K, Hsueh, J, Rutherford, D, Hurley, S, Fisk, JD, Beaulieu, S, Knox, K, Marrie, RA, MacPherson, K, Leese, J, Rosedale, R, Rastogi, R, Willis, S, Filice, F, Chesworth B, B, May, S, Robbins, S, Robbins, SM, Ravi, R, McLaughlin, TL, Kennedy, DM, Stratford, PW, Denis, S, Dickson, P, Andrion, J, Gollish, JD, Darekar, A, Fung, J, Aravind, G, Gray, CK, Duclos, C, Kemlin, C, Dyer, J-O, Gagnon, D, Auchincloss, C, McLean, L, Goldfinger, C, Pukall, CF, Chamberlain, S, Singh, C, De, Vera M, Campbell, KL, Lai, D, Sabrina, Tung, Pringle, D, Eng, L, Brown, C, Shen, X, Halytskyy, O, Mahler, M, Niu, C, Villeneuve, J, Charow, R, Lam, C, Shani, RM, Tiessen, K, Howell, D, Alibhai, SMH, Xu, W, Jones, JM, Liu, G, Dufour, SP, Richardson, JA, Woollacott, M, Sachdeva, R, Gerow, C, Heynen, N, Jiang, J, Lebersback, M, Quest, B, Tasker, L, Chan, M, Vielleuse, JV, Vokaty, S, Wener, MA, Pearson, I, Gagnon, I, Vafadar, AK, Cote, J, Archambault, P, Raja, K, Balthillaya, MG, Destieux, C, Gaudreault, N, Vautravers, P, Paquet, N, Taillon-Hobson, A, MacKay-Lyons, M, Gubitz, G, Giacomantonio, N, Wightman, H, Marsters, D, Thompson, K, Blanchard, C, Eskes, G, Ferrier, S, Slipp, S, Freeman, M, Peacock, F, Boyd, J, Boyer-Rémillard, ME, Pilon-Piquette, M, McKinley, P, Graham, L, Pelletier, D, Gingras-Hill, C, Windholz, TY, Swanson, T, Vanderbyl, BL, Jagoe, RT, Backman, C, Franche, RL, Perron, M, Bouyer, H, Bastien, M, Hébert, LJ, Beaulieu, K, Beland, P, Belletete, A, Couture, A, Pinard, M, Leonard, G, Mayo, NE, Simmonds, MJ, Parent, EC, Dhillon, S, Fritz, J, Long, A, Boutros, N, Norcia, MC, Sammouda, J, Tran, CL, Schearer, J, McGivery, J, Van, Huizen J, Chesworth, B, DiCiacca, S, Roopchand–Martin, S, Nelson, G, Smith, S, Taiilon-Hobson, A, Aaron, S, Bilodeau, M, Coutinho, MA, Moraes, KS, Lage, SM, Vieira, DSR, Parreira, VF, Britto, RR, Monteiro, DP, Lages, ACR, Basilio, ML, Pires, COM, Carvalho, MLV, Procopio, RJ, Shatil, S, Schneider, K, Emery, C, Musselman, KE, Yang, JF, Bastian, AJ, Mullick, A, Blanchette, A, Moïn-Darbari, K, Esculier, JF, Roy, JS, Ma, S, Lui, J, Perreault, K, Rossignol, M, Morin, D, Muir, I, Millette, D, Lee, S, Cooney, D, Eberhart, D, Brolin, S, Doull, K, Apinis, C, Masetto, A, Couture, M, Desrosiers, J, Cossette, P, Toliopoulos, P, Woodhouse, LJ, Lacelle, M, Leroux, M, Girard, S, Fernandes, JC, Napier, C, McCormack, R, Hunt, MA, Brooks-Hill, A, Scott, L, Hollett, S, Dawson, K, Dimitri, D, Beallor, M, McEwen, S, Xie, B, Warner, S, Bilsen, JV, Sherif, AB, Hamilton, C, Bates, E, Beatty, J, Cameron, T, Gomez, M, Lung, M, Bamm, E, Rosenbaum, P, Stratford, P, Wilkins, S, Mahlberg, N, Tardif, G, Fancott, F, Lowe, M, Sharpe, S, Schwartz, F, MacNeil, J, Gabison, S, Verrier, MC, Nussbaum, EN, Popovic, MR, Mathur, S, West, R, Thelwell-Denton, V, Wightman, R, Loi, S, Yoshida, K, Barry, N, Guérin, B, Picard, S, Smart, A, Park, Dorsay J, Robert, M, Rodriguez, M, Stevenson, KM, Sulway, S, Rutka, J, Pothier, D, Dillon, W, Sulway, C, Bone, G, Zack, E, Chepeha, J, McLaughlin, L, Cleaver, SR, Fraser, M, Coombs, W, Funk, S, and Yardley, D

Subjects
Innovation in Education, Physiotherapy Research, Practice Model and Policy, Abstracts, CPA Congress 2013, Guest Editorial, Best Practice
Published
2013

14. A032 – Health, lifestyle and aging with Multiple Sclerosis: A qualitative study

Author

Arnold, Catherine M., Faulkner, Robert A., Ploughman, Michelle, Austin, Mark, Kearney, Anne, Murdoch, Michelle, Stefanelli, Mark, Godwin, Marshall, Muir, Susan W, Speechley, Mark, Borrie, Michael, Montero-Odasso, Manuel, MacKay-Lyons, M, Creaser, G, Macdonald, A, McKenna, J, Murphy, S, O'Neill, VR, Nilsson, T, Begley, L, Ikert, Kathy M., Long, Kristin M., Bittner, Darren R., Birmingham, Trevor B., Bryant, Dianne M., Richardson, Julie, Letts, Lori, Chan, David, Stratford, Paul, Hand, Carri, Price, David, Hilts, Linda, Coman, Liliana, Edwards, Mary, Baptiste, Sue, Law, Mary, Alexander, Elliot, Rosenthal, Stephanie, Guilcher, Sara, Evans, Cathy, Gattey, M, Hydomako, R, McLean, B, O'Leary, J, Shkopich, K, Klassen, L, Laprade, Judi, Roy, Marla, Laing, M, Di Nicolantonio, L, Goncharova, K, Pui, M, Vas, H, House, R, Switzer-McIntyre, S, Cheifetz, O, Serediuk, F, Park Dorsay, J, Hladysh, G, Woodhouse, L, Dalzell, MA, Shallwani, S, Preuss, RA, Patterson, Debbie, Ptak, Janice, Howe, JA, Brunton, K, Salisbury, K, Sharma, SK, Childerhose, DE, Sharma, S, WalkerJohnston, JA, Barnes, JL, Fisher, Megan E., Aristone, Martha N., Young, Katrina K., Waechter, Laurie E., Landry, Michel D., Taylor, Leslie A., Cooper, Nicole S., Wong, S, Hébert, Luc J., Rowe, Peter, Debouter, Kelly, Lai, Denise, Winn, CS, Chisholm, BA, Hummelbrunner, JA, Wasson, Pamela, Passalent, L, Soever, L, Kennedy, C, Warmington, K, Shupak, R, Thomas, R, Linekar, S, Lundon, K, Morgan, Dale, Kelly, Larry, Hastie, Robyn, Deber, Raisa B., Verrier, Molly C., O'Callaghan, L, Alexander, E, Titus, D, MacDougall, P, Hoens, AM, Garland, SJ, Tunnacliffe, R, Lineker, S, Varatharasan, N, Schneider, R, MacKay, C, Murphy, SM, Wu, Kenneth, Fox, Patricia, Tullis, Elizabeth, Stephenson, Anne L., Davis, AM, Mahomed, N, Badley, EM, Scott, Lisa, Carpenter, Christine, Brander, Rosemary R., Paterson, Margo L., Chan, Yolande E., Reinikka, KJE, French, E, Huijbregts, M, Cleaver, SR, Paulenko, T, Hebert, D, Creaser, GA, MacKenzie, D, Barkhouse-McKeen, C, Shrier, Ian, Freeman, K, Davidson, L, Pelland, L, Wilson, Nicole, Hopkins-Rosseel, Diana, Fraser, M, Wainwright, G, MacCormack, B, Basque Godin, C, Mori, B, Evans, C, Gibson, BE, Thornton, M, Dutton, T, King, J, Lawrence, PJ, Duggan, M, Hoens, A, Geddes, E Lynne, Gill, Caroline, Fong-Lee, Dianna, Lindsay, Jane, McPhail, Stacey, McIntosh, Karen, Marken, Suri L., Dutton, Tanya, Hopkins-Rosseel, DH, Kasdan, P, Fong-Lee, D., Marken, Siri, Moreside, JM, McGill, SM, Juma, S, Winter Di Cola, JL, Kennedy, DM, Dickson, P, Denis, S, Robarts, S, Gollish, J, Salbach, NM, Veinot, P, Jaglal, SB, Bayley, M, Rolfe, D, Dogra, M, Woodhouse, LJ, Spadoni, GF, Stratford, PW, Fox, P, Sessford, J, Beaton, D, Harniman, E, Inrig, T, Baxter, K, Portanova, A, Smuck, L, Connelly, DM, Shaw, J, Adkin, A, Jog, M, Hollway, D, Earl, M, Murphy, A, MacDonald, E, Overend, TJ, Brooks, D, Anderson, CM, Cicutto, L, Keim, M, McAuslan, D, Nonoyama, M, Levac, D., Pierrynowski, M., MacPherson, M, Glassman, L, Jadan, P, MacArthur, L, Landry, M, Frenette, J, Dumont, N, Moreland, JD, DePaul, VG, DeHueck, AL, Musselman, KE, Yang, JF, Tousignant, M, Moffet, H, Boissy, P, Corriveau, H, Cabana, F, Marquis, F, Towns, Megan, Barrett, Lauren, Darling, Catherine, Lee, Michelle, Aganon, Isabel, Hill, Kylie, Brooks, Dina, Robbins, Shawn, Alcock, Greg, Maly, Monica, Jones, Gareth, Birmingham, Trevor, Glazebrook, Cheryl M., Wright, F. Virginia, Martin, MBA, Norton, B, Ramsaran, KD, Street, ME, Syed, SN, Dang, MT, Barclay-Goddard, R, Stratford, P, Miller, P, Karam, J., Zettel, M., Green, K., Carter, D., Lam, F., Evans, C., Yeung, E., Lindquist, NJ, Magis, TF, Rispin, JE, Walton, PE, Kirby, RL, Manns, PJ, Haller, MK, Marler, K, Lore, S, Sottana, B, Crowley, A, Beaudin, V, Sloan, C, Landry, SC, Nigg, BM, Tecante, KE, Albers, Pamela, Devon, Heidi, Nairn, Lacey, Olenick, Betsy, Roach, Stephanie, Arnold, Cathy, Watts, Cathy, Wieler, M, Jones, CA, Allen, J, Haennel, R, Shaw, JA, Zecevic, A, Dal Bello-Haas, V, Harrision, L, Kanthan, R, Lawson, S, Zaluski, N, Petrie, A, Rohs, J, Parker, R, Roy, JS, MacDermid, JC, Roth, JH, Grewal, R, Officer, Alexis, DePaul, Vincent, Bosch, Jackie, Wilkins, Seanne, Wishart, Laurie, Inness, EL, Mansfield, A, Biasin, L, Prajapati, S, Lakhani, B, Mileris, R, McIlroy, WE, Henderson, RJ, Vanik, J, Alyoshkina, N, Diamond, C, Lee, J, Martinov, K, O'Brien, KK, Alexander, R, King, K, Murray, J, Tebeje, M, Bayoumi, AM, Bereket, T, Swinton, M, Norman, G, Solomon, P, Anstey, S, Bethune, M, Thomas, A, Wood-Salomon, E, Curwin, S, D'Amboise, SN, Héroux, ME, Pari, G, Norman, KE, Lee, Linda-Joy, Coppieters, Michel W., Hodges, Paul W., Perreault, Audrey, Tremblay, Louis E., Thibault-Gagnon, S, Gentilcore-Saulnier, E, McLean, L, Kay, JL, McNeely, ML, Campbell, KL, Peddle, CJ, Courneya, KS, Subramanian, SK, Levin, MF, Dechman, G, Tupper, SM, Levesque, L, Reese, H, Nailer, T, Walton, D, Schachter, CL, Stalker, CA, Teram, E, Lasiuk, G, Bartlett, Doreen, Chiarello, Lisa, Jacobs, Diane, Busch, Angela, Novak, Christine B., Anastakis, Dimitri J., Beaton, Dorcas E., Mackinnon, Susan E., Katz, Joel, Figueiredo, S, Finch, L, Jiali, M, Ahmed, S, Huang, A, Mayo, NE, Lochhead, Lois, MacMillan, Peter, DePaul, V, Burridge, H, Kwok, C, Rosario, J, Stogios, C, McKay, E, Moyer, E, Wishart, L, Holly, J, DYER, Joseph-Omer, MAUPAS, Éric, de ANDRADE MELO, Sibele, BOURBONNAIS, Daniel, FORGET, Robert, Shrier, I, Boudier-Reveret, M, Feldman, D, Mazer, B, Rege, SS, Soever, LJ, Fenety, Anne, Hoens, Alison, Harman, Katherine, Bassett, Raewyn, Byrne, Jeannette M., Prentice, Stephen D., Carlesso, Lisa, Cairney, John, Hoogenes, Jennifer, Gabison, S, Nussbaum, EL, Taillon-Hobson, A., McLean, L., Aaron, S., Bilodeau, M., Taillon-Hobson, Anne, McLean, Linda, Aaron, Shawn, Bilodeau, Martin, Zbarsky, Kathryn, Parsley, Dana, Clegg, Heather, Welch, Tyler, Fernandes, Catherine, Jaglal, Susan, Inness, Liz, Williams, Josh, McIlroy, William, Howe, Jo-Anne, Yardley, D, Benoit, M, Blake, T, Gillies, G, Ho, R, MacKinnon, M, Chesworth, BM, Busch, AJ, Dooley, A, Coons, S, Crockett, K, Mucha, J, Kean, CO, Birmingham, TB, King, LK, Giffin, JR, Lourenço, Christiane B., Subramanian, Sandeep, Sveistrup, Heidi, Levin, Mindy F., DESMEULES, FRANÇOIS, DIONNE, CLERMONT E., BELZILE, ÉTIENNE L., BOURBONNAIS, RENÉE, FRÉMONT, PIERRE, Richards, CL, Schneider, GM, Smith, AD, Bath, B, Bourassa, R, Lovo Grona, S, Schneider, KJ, Emery, Carolyn, Norman, Kathleen, Pearson, Neil, Woodhouse, Linda, Pelland, Lucie, Werstine, Rob, and Schneider, Kathryn

Subjects
active transfer strategies for informing clinical practice through information technologies, injury prevention, health human resources management strategies, Merging Research and Practice, implementation and management strategies, Abstracts, clinical experience, clinical skills and clinical reasoning modules in orthopaedic practice, Special Sessions, evolving physiotherapist roles, chronic disease prevention, neurological, basic science or clinically focused research on targeted physiotherapy interventions, Scientific sessions, fundamental scientific research, mobility, Newfoundland, Canadian Physiotherapy Association Congress 2010, population health services, advances in research related to neuromusculoskeletal practice, health system reform, patient and client preference, clinical research and the reciprocal transfer of knowledge between clinical practice and research, innovative service delivery models, post-operative management of acute care patients, promotion of research, practice and patient/client care in the neuromusculoskeletal area, Canada, assessment and treatment of disability that arises from both spinal and peripheral pathologies, Abstracts, CPA Congress 2010, role of physiotherapists in primary health care, exercise prescription, Physical Therapy, Sports Therapy and Rehabilitation, Health Promotion, clinical decision making, St. John's, evidence based practice model, informing the development of clinical research questions, determinants of health, innovative models of practice, physiotherapy leadership development, Physio10, Leadership in Action, public and patient education, musculoskeletal, benchmarking areas of practice, inter-professional collaboration and education strategies, Neuromusculoskeletal Practice, public, private and independent practice management of physiotherapy services, Merging Research with Practice, cardio-respiratory
Published
2010

31. TPH and suicidal behavior: a study in suicide completers

Author

Turecki, G, primary, Zhu, Z, additional, Tzenova, J, additional, Lesage, A, additional, Séguin, M, additional, Tousignant, M, additional, Chawky, N, additional, Vanier, C, additional, Lipp, O, additional, Alda, M, additional, Joober, R, additional, Benkelfat, C, additional, and Rouleau, G A, additional

Published
2000
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41. Exploring Social Participation of People with Cluster B Personality Disorders.

Author

Lariviere N, Desrosiers J, Tousignant M, and Boyer R

Subjects
ANALYSIS of variance, REHABILITATION of people with mental illness, NURSING assessment, PERSONALITY disorders, PROBABILITY theory, QUESTIONNAIRES, SATISFACTION, SOCIAL skills, T-test (Statistics), ACTIVITIES of daily living, SCALE items, CROSS-sectional method
Abstract

This study aimed to describe the impact of living with a cluster B personality disorder in an acute phase on social participation. A descriptive cross-sectional design was used. During their first week in a day hospital or inpatient admission, 31 participants completed the Assessment of Life Habits, examining the quality of social participation in 77 daily activities and social roles (life habits). The participants presented significantly more difficulties and dissatisfaction in realizing social roles than daily activities. Areas of life perceived to be the most problematic to accomplish were leisure, school, and work. Interpersonal relationships and fitness were the least satisfying. Personal care was the least disrupted and most satisfying life habit. Life habits that could be prioritized in psychiatric rehabilitation interventions with people with cluster B personality disorders included leisure activities, work and school, fitness, and interpersonal relationships. [ABSTRACT FROM AUTHOR]

Published
2010
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43. Book reviews.

Author

Tousignant M, Favazza AR, Kienzler H, Drozdek B, Cardeña E, and Browner CH

Published
2010

44. Impact of PRISMA, a coordination-type integrated service delivery system for frail older people in Quebec (Canada): A quasi-experimental study.

Author

Hébert R, Raîche M, Dubois MF, Gueye NR, Dubuc N, Tousignant M, and PRISMA Group

Abstract

OBJECTIVES: To evaluate the impact of a coordination-type integrated service delivery (ISD) model on health, satisfaction, empowerment, and services utilization of frail older people. METHODS: Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) is a population-based, quasi-experimental study with three experimental and three comparison areas. From a random selection of people 75 years or older, 1,501 persons identified at risk of functional decline were recruited (728 experimental and 773 comparison). Participants were measured over 4 years for disabilities (Functional Autonomy Measurement System), unmet needs, satisfaction with services, and empowerment. Information on utilization of health and social services was collected by bimonthly telephone questionnaires. RESULTS: Over the last 2 years (when the implementation rate was over 70%), there were 62 fewer cases of functional decline per 1,000 individuals in the experimental group. In the fourth year of the study, the annual incidence of functional decline was lower by 137 cases per 1,000 in the experimental group, whereas the prevalence of unmet needs in the comparison region was nearly double the prevalence observed in the experimental region. Satisfaction and empowerment were significantly higher in the experimental group. For health services utilization, a lower number of visits to emergency rooms and hospitalizations than expected was observed in the experimental cohort. CONCLUSION: The PRISMA model improves the efficacy of the health care system for frail older people. [ABSTRACT FROM AUTHOR]

Published
2010
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45. Evaluation of the implementation of PRISMA, a coordination-type integrated service delivery system for frail older people in Québec.

Author

Hébert R, Veil A, Raiche M, Dubois M, Dubuc N, Tousignant M, and PRISMA-Estrie Group

Abstract

PRISMA is the only example of a co-ordinated-type model to be developed and fully implemented with a process and outcome evaluation. The PRISMA model was implemented in three areas (urban, rural with or without a local hospital) in Quebec, Canada and an implementation evaluation was carried out using mixed (qualitative and quantitative) methods. Over four years, the implementation rates went from 22% to 79%. The perception of integration by managers and clinicians working in the various organisations of the network shows that most interactions are perceived as at the co-operation level, some getting the highest collaboration level. The perception of the efficacy of case managers was very high. Implementing such a model is feasible, and the decision to generalise it was made in Quebec. This model might be more appropriate for a universal publicly funded health care system like those in Canada, the UK and the Scandinavian countries. [ABSTRACT FROM AUTHOR]

Published
2008
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47. When hardship strikes welfare recipients. On who can they rely?

Author

Tousignant M and Caron J

Abstract

This study analyzes how social support is actualized by comparing 61 welfare recipients with a sample of 21 individuals above the poverty level in the area of St-Henri and Pointe Saint-Charles and by taking into account the level of psychological distress. A second goal is to document how an adversity experienced by a welfare recipient, with or without distress, breaks or change the support network. Results show that individuals with high distress have a less reliable network than those without, that they more often report a refusal of support or are let down and that they have more negative ties in their network. Besides, experienced events are more likely to attack their reputation, represent a threat, a betrayal or prevent access to a right. These individuals are also more likely to be isolated. [ABSTRACT FROM AUTHOR]

Published
2005

48. Insomnia, depression and anxiety disorders and their association with benzodiazepine drug use among the community-dwelling elderly: implications for mental health nursing.

Author

Voyer P, Landreville P, Moisan J, Tousignant M, and Préville M

Abstract

Benzodiazepine (BZD) drug use among seniors is an important public health issue because the benefit from their use is moderate and of short duration and numerous adverse events have been linked to their use. Furthermore, there is a significant discrepancy between the prevalence of mental health disorders and BZD drug use in the elderly population, which can be attributed to a measurement issue. The goal of this cross-sectional descriptive study was to determine the prevalence of mental health disorders among seniors using BZD and living in the community, basing this information on both a thorough face-to-face interview and a pair of self-reported validated instruments. Among the 216 seniors recruited in our study, nearly 20% were users of BZD and over three quarters of them had been using this drug for more than a year. Thirteen subjects were recognized as depressed according to a self-report measure compared to 18 according to the interview. Likewise, 13 seniors were categorized as anxious, based on a self-report questionnaire compared to 39 based on the interview. Among self-reported measures of mental health variables, logistic regression indicated that insomnia increases by 7 the likelihood of using BZD (odds ratio: 7.2) and is the only statistically significant variable associated with BZD consumption. Based on thorough interviews, logistic regression showed that insomnia (odds ratio: 6.9) is still the dominant symptom associated with BZD drugs. In conclusion, our results clearly support the assertion that mental health status is influenced according to how it is measured. Finally, nurses should be aware that not all individuals are capable of expressing their mental health problems using either psychological or emotional terminologies. They may opt for expressing their psychological suffering as a physical symptom such as sleeping problems. [ABSTRACT FROM AUTHOR]

Published
2005

49. Feasibility and reliability of health-related quality of life measurements among tuberculosis patients.

Author

Dion, M.-J., P. Tousignant, M.-J., Bourbeau, J., Menzies, D., Schwartzman, K., and Tousignant, P

Subjects
*HEALTH surveys, *QUALITY of life, *TUBERCULOSIS, *LUNG diseases, *HEALTH risk assessment, *PUBLIC health
Abstract

The dramatic global impact of tuberculosis on mortality has been well documented, but its impact on morbidity has not been well described. The emphasis on treatment of latent tuberculosis (TB) infection highlights the tradeoff between short-term decrements in health status from 'preventive' therapy, and long-term gains related to fewer cases of active TB. However, these changes in health status have not been characterized. As a first step, we examined the feasibility and reliability of administering two health status questionnaires, in a multicultural TB clinic setting. The Medical Outcomes Study SF-36 and the EuroQOL EQ-5D were self-administered during 3 weekly interviews. One hundred and eighty-six potentially eligible patients were identified, of whom 112 could be evaluated; 106 (57%) were confirmed eligible. Sixty-seven (63%) agreed to participate; 24 (36%) were women. Fifty-three participants (79%) were foreign-born, with median residence in Canada of 3.5 years. Fifty (75%) of the participants completed all study measurements: 25 were treated for latent TB, 17 for active TB, and eight had previous active TB. Cronbach's alpha coefficients ranged from 0.73 to 0.94 for the SF-36 domain scores. Intraclass correlation coefficients were 0.66 for the SF-36 physical component summary, 0.79 for the mental component summary, and 0.73 for the EQ-5D. These instruments appeared reliable in a highly selected group of TB patients. [ABSTRACT FROM AUTHOR]

Published
2004
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