Isabelle Ellen Pitrou

• MD, PhD
• McGill University Health Centre

Objective: To examine changes in life satisfaction and physical and mental health associated with opioid and potentially inappropriate opioid prescribing (PIOP) among older adults. Methods: Secondary data analysis from the Étude sur la Santé des Aînés (ESA)-Services study. The sample consisted of 945 older adults recruited in primary care with a...

Contexte La compréhension des déterminants et barrières à la vaccination contre la COVID-19 est un enjeu de santé publique. Méthodes Enquête transversale chez les aînés au Québec. Les données collectées par le biais d'entretiens téléphoniques au printemps 2021 (3e vague) auprès de 476 sujets ≥ 65 ans vivant à domicile comprenaient : le statut vacc...

Objective: To study the factors associated with opioid use and potentially inappropriate opioid use (PIOU) in primary care older adults with non-cancer pain referring to the conceptual framework developed by the American Agency for Healthcare Research and Quality. Methods: This is a secondary analysis of health survey and medico-administrative d...

Objectives: To identify profiles of aging by combining psychological distress, cognition and functional disability, and their associated factors. Methods: Data were drawn from the Étude sur la Santé des Aînés-Services study and included 1585 older adults. Sociodemographic, psychosocial, lifestyle and health factors were informed from structured...

PurposeThe epidemiology of late-life psychosis (LLP) remains unclear comparatively to early-onset psychosis. The study aims to estimate the prevalence and incidence of LLP over a 3-year period and examine the correlates of LLP in community-living older adults aged ≥ 65 years recruited in primary care. Methods Study sample included N = 1481 primary...

Objective To examine the associations between BMI categories and subsequent 3-year cognitive decline among older adults, and to test whether physical activity modifies the associations. Methods Study sample included n = 1028 cognitively unimpaired older adults participating in the Étude sur la Santé des Aînés (ESA)-Services longitudinal study and...

Objectives: To examine the associations between chronic physical conditions and suicidal ideation and to assess whether associations are mediated by pain, anxiety, depression, post-traumatic stress syndrome (PTSS), and functional disability. Methods: The study sample includes 1533 older adults aged 65+ recruited in primary care clinics between 2...

Objectives: To examine the risk factors of mortality stratified by physical and mental multimorbidity (PMM) and area socioeconomic status. Methods: Cox regression analyses were used to study 3-year all-cause mortality in primary care older adults stratified by PMM status, and area of residence material and social deprivation. Results: There were so...

Studies that examined satisfaction with care in older adults are scarce. The aim of this research was to analyse satisfaction among older adults considering mental health, socio-clinical and health system factors and by age category. Data come from the Étude sur la Santé des Aînés Services study including 1,624 adults aged ≥65 years recruited betwe...

Although social inequalities are increasing worldwide, few studies have examined their consequences on mortality among older adults. The aim of this research was to examine determinants of mortality among older adults at the individual, health system and area level. Data come from the ESA-Services study conducted in 2011-2013 in Quebec including 1,...

Background: Few studies have examined the association between mental health and satisfaction with primary care services in community-dwelling older adults. Objective: To examine the association between mental health in older adults and low satisfaction with primary care services within four dimensions of care. Methods: This secondary data anal...

Objectives Examine the association between trauma and daily stressors, post-traumatic stress syndrome (PTSS), anxio-depressive disorders, and suicidal ideation in older adults. Design A cross-sectional study. Setting and Participants This study included 1446 older adults recruited in primary care practices (2011–2013) and participating in Quebec’...

Background In France, one in 10 residents has immigrated mainly from North Africa, West Africa or the Caribbean including the French West Indies. However little is known about how parents from these regions behave when they migrate to countries that have different cultural norms. It is therefore important to determine how ethno-cultural background...

Background The great majority of mental disorders begin during adolescence or early adulthood, although they are often detected and treated later in life. To compare mental health status of college students and their non-college-attending peers whether working, attending a secondary school, or non-college-attending peers who are neither employed no...

Presentation at 3rd GRF One Health Summit 2015 Session Surveillance And Early Warning. Importance of One Health approach in response to potential pandemics.

Identify children at-risk of having mental health problems is of value to prevent injury. But the limited agreement between informants might jeopardize prevention initiatives. The aims of the present study were 1) to test the concordance between parents and children reports, and 2) to investigate their relationships with parental reports of childre...

To the Editor: Dr Gitlin and colleagues¹ reported the results of the Care of Persons with Dementia in their Environments (COPE) randomized controlled trial, assessing a biobehavioral home-based intervention to support physical function and quality of life for patients with dementia and the well-being of their caregivers. The authors reported in the...

Headaches are common in childhood and significantly impact children's quality of life. On the contrary to the adolescent and adult population, there are few data on the associations between headaches and psychopathology in young children. The aim of this study was to examine the relationships between child headaches, emotional and behavioral diffic...

To the Editor: Dr Kogan and colleagues1 reported the results of a systematic review of observation tools used to assess clinical skills of medical trainees, summarizing the evidence of the tools' validity and outcomes. The authors stated in their methods that every article was independently abstracted by 2 authors and that differences in data abstr...

To examine the psychometric properties of the Dominic Interactive (DI) in school-aged children in a different cultural environment than Quebec. In a large French region, 100 schools and 25 children (aged 6 to 11 years) per school were randomly selected. Data were collected using self-administered questionnaires to children (DI), parents (sociodemog...

Reports of clinical trials usually emphasize efficacy results, especially when results are statistically significant. Poor safety reporting can lead to misinterpretation and inadequate conclusions about the interventions assessed. Our aim was to describe the reporting of harm-related results from randomized controlled trials (RCTs). We searched the...

To examine the psychometric properties of the French version of the strengths and difficulties questionnaire (SDQ), compare estimates of child mental health problems and SDQ scores across France, US and UK. The French version of the parent-reported SDQ was administered to the parents of a representative sample of 1,348 French children aged 6-11 yea...

Objectives It is an epidemiological study which evaluates mental health needs and child psychiatric needs among primary school children in a South-East French region together with their respective social determinants.

To estimate the prevalence of peer victimization among primary school-aged children, to identify mental health and social correlates, and to assess health care services use. One hundred schools and 25 children (6-11 years old) per school were randomly selected in a large French region. Data were collected using standardized self-administered questi...

The aim of this study was to estimate the prevalence of child overweight in a regional sample of primary school-aged children, and to examine the relationships among child overweight, psychopathology, and social functioning. A cross-sectional survey was conducted in 2004 in 100 primary schools of a large French region, with 2,341 children aged 6-11...

French public health policies aimed at reducing smoking were reinforced in France between 1999 and 2004 to decrease tobacco consumption. The consequences of these policies are of particular interest to teachers who play a role model for young people. Depression and alcohol problems were particularly studied as they may influence smoking behaviour....

To assess patient satisfaction in a French Emergency Department (ED) and to determine factors associated with dissatisfaction. From July 2003 to February 2004, a prospective cohort study was conducted in an ED (Elbeuf Reference Hospital, Upper-Normandy region). Baseline data collection was performed during individual interview at inclusion. Waiting...

To evaluate data reporting related to external validity from randomized controlled trials (RCTs) assessing pharmacologic and nonpharmacologic treatment for hip and knee osteoarthritis (OA). All RCTs assessing pharmacologic treatments and nonpharmacologic treatments for hip and knee OA indexed between January 2002 and December 2006 were selected. A...

The aim of this trial was to compare the effectiveness of two generations of progressive lenses for presbyopia. A multicenter cross-over randomized controlled trial performed in a primary care setting (5 optical dispensaries) was planned. Two categories of progressive lenses were compared: 1) a new-generation lens (i.e., VARILUX PANAMIC ORMA CRIZAL...

Objective: To evaluate the knowledge of healthcare students after four curricula on infection control and to identify sources of information. Design: Cross-sectional study. Setting: Four healthcare schools at Rouen University (Rouen, France). Participants: Medical students, nursing students, assistant radiologist students, and physiotherapis...

SummaryAim: Study how patients who refer themselves to accident and emergency (A&E) departments follow their treatment and healthcare arrangements, depending on their reasons for consulting A&E departments.Methods: Between July 2003 and March 2004, a prospective cohort study was conducted in four A&E departments in Upper Normandy. Healthcare access...

Handrubbing with alcohol-based hand rub (AHR) is a validated alternative to handwashing. The aims of this study were to compare knowledge and declared use of AHR between different categories of healthcare worker (HCW), and to assess factors associated with the use of AHR. A standardized questionnaire was sent to all HCWs in a tertiary care universi...

The aim of this study was to compare the efficacy of surgical hand rubbing (SHR) with the efficacy of surgical hand scrubbing (SHS), and to determine the costs of both techniques for surgical hand disinfection. A review of studies reported in the literature that compared the efficacy of SHS and SHR was performed using MEDLINE. The costs of SHR and...

How long is too long? Waiting time as a performance indicator in emergency departements The public presentation of health care performance information remains greatly debated. Particularly, time spent by patients in emergency departments (ED) is a topical challenge for both caregivers and patients. Furthermore, time spent could influence patient sa...