Michèle Aubin

Michèle Aubin
Laval University | ULAVAL · Faculty of Medicine

MD, PHD, FCFP

About

91
Publications
12,427
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,389
Citations

Publications

Publications (91)
Article
Objective: Inadequate deliberation processes about ethical problems occurring in palliative care settings may negatively impact both patients and healthcare professionals. Better knowledge of the palliative care professionals' practices regarding such processes could help identify specific education needs to improve the quality of palliative care...
Article
Objectives: Diagnosis of cancer is emotionally threatening not only for patients but also for their family caregivers (FC) who witness and share much of the illness experience. This study compares distress experienced by lung cancer patients and their FC during the year following the diagnosis. Methods: A prospective cohort study of 206 patients...
Article
Purpose: Collaboration between family physicians (FPs) and oncologists can be challenging. We present the results of a randomized clinical trial of an intervention designed to improve continuity of care and interprofessional collaboration, as perceived by patients with lung cancer and their FPs. Methods: The intervention included (1) supplying F...
Article
Objective: Family caregivers (FCs) of cancer patients often experience high distress. This randomized clinical trial assessed the feasibility and preliminary effects of an intervention to improve FC supportive care. Method: A pragmatic and minimal intervention to improve FC supportive care was developed and pretested with FCs, oncology team, and...
Preprint
Full-text available
Background Chronic musculoskeletal pain (CMP) may lead to reduced physical function and is the most common cause of chronic non cancer pain. Currently, the pharmacotherapeutic options against CMP are limited and mainly consist of pain management with gabapentinoids or opioids, which carry major adverse effects. Although the effectiveness of medical...
Preprint
Full-text available
Background Chronic musculoskeletal pain (CMP) may lead to reduced physical function and is the most common cause of chronic non cancer pain. Currently, the pharmacotherapeutic options against CMP are limited and frequently consist of pain management with non-steroidal anti-inflammatories, gabapentinoids or opioids, which carry major adverse effects...
Article
RÉSUMÉ Nous avons examiné la qualité des soins fournis aux personnes âgées fragiles dans cinq provinces canadiennes à partir de données administratives sur la santé. Dans chaque province, nous avons considéré les personnes âgées fragiles en fonction de deux cohortes : les personnes décédées et les personnes vivantes. Des règles de décision ont été...
Article
Full-text available
Background Frail seniors often receive ineffective care, which does not meet their needs. It is still unclear how healthcare systems should be redesigned to be more sensitive to the needs and values of frail seniors and their caregivers. We thus aimed to describe key stakeholders’ perspectives on the current healthcare and services available to fra...
Article
Full-text available
Background: Medication regimens in nursing home (NH) residents with severe dementia should be frequently reviewed to avoid inappropriate medication, overtreatment and adverse drug events, within a comfort care approach. This study aimed at testing the feasibility of an interdisciplinary knowledge exchange (KE) intervention using a medication revie...
Article
Background: Improvement in the quality of end-of-life care for advanced dementia is increasingly recognized as a priority in palliative care. Aim: To evaluate the impact of a multidimensional intervention to improve quality of care and quality of dying in advanced dementia in long-term care facilities. Design: Quasi-experimental study with the...
Article
Full-text available
Background Family caregivers (FC) often experience higher distress levels than their relative with cancer. Many cancer centers have implemented distress screening programs, but most of them concentrate their efforts on patients, with little attention to their FC. To fill this gap, a pragmatic intervention has been designed to improve supportive car...
Article
Seniors with severe dementia residing in nursing homes (NHs) frequently receive large numbers of medications. With disease progression, the medications' harm-benefit ratio changes and they need to be reviewed, adjusted, or discontinued. Evidence on successful interventions to optimize medication use among these residents is lacking. The objective o...
Article
Full-text available
Sleep disturbance is prevalent in cancer with detrimental effects on health outcomes. Sleep problems are seldom identified or addressed in cancer practice. The purpose of this review was to identify the evidence base for the assessment and management of cancer-related sleep disturbance (insomnia and insomnia syndrome) for oncology practice. The sea...
Article
Full-text available
Abstract PURPOSE: This study aims to provide recommendations on the optimal strategies and interventions for the prevention, screening, assessment, and management of cancer-related sleep disturbance (insomnia and insomnia syndrome) in adult cancer populations. METHODS: A systematic search of the published health literature was conducted to identify...
Article
Full-text available
Fillion et al. (2012) recently designed a conceptual framework for professional cancer navigators describing key functions of professional cancer navigation. Building on this framework, this study defines the core areas of practice and associated competencies for professional cancer navigators. The methods used in this study included: literature re...
Article
Full-text available
Fillion et ses collaborateurs (2012) ont récemment conçu un cadre conceptuel pour les navigateurs professionnels en oncologie décrivant les principales fonctions de la navigation professionnelle en oncologie. Objectif : Cette étude se fonde sur ce cadre pour définir les principaux domaines d’exercice et les compétences associées des navigateurs pr...
Article
Full-text available
For many cancer control programs, cancer navigation has emerged as a specific strategy to improve access to supportive care and the patients' experience of cancer care. This study contributes to a better understanding of professional navigation by comparing two Canadian models: Quebec's Pivot Nurse in Oncology (PNO) and Nova Scotia's Cancer Patient...
Article
Full-text available
Dans de nombreux programmes de lutte contre le cancer, la navigation en oncologie est devenue une strategie ciblee visant a ameliorer l’acces aux soins de soutien ainsi que l’experience des patients qui recoivent des soins en cancerologie. Cette etude vise a ameliorer la comprehension de la navigation professionnelle par la comparaison de deux mode...
Article
Purpose: The impact of cancer and cancer treatment on the long-term health and quality of life of survivors is substantial, leading to questions about the most appropriate configuration of services and models of care for follow-up of post-primary treatment survivors. Methods: A systematic review and quality appraisal of the health literature for...
Article
Care from the family physician is generally interrupted when patients with cancer come under the care of second-line and third-line healthcare professionals who may also manage the patient's comorbid conditions. This situation may lead to fragmented and uncoordinated care, and results in an increased likelihood of not receiving recommended preventi...
Article
Full-text available
To elaborate, refine, and validate the professional navigation framework in a Canadian context. A two-step approach consisting of a qualitative evaluative design and formal consultations.Setting: Two applications of professional navigators in Quebec and Nova Scotia, Canada. Patient navigators, medical oncology specialists, nurses and oncology staff...
Article
Full-text available
Our goal was to develop evidence-based recommendations for the organization and structure of cancer survivorship services, and best-care practices to optimize the health and well-being of post-primary treatment survivors. This review sought to determine the optimal organization and care delivery structure for cancer survivorship services, and the s...
Article
Full-text available
In Canada, many health authorities recommend that primary care physicians (PCP) stay involved throughout their patients' cancer journey to increase continuity of care. Few studies have focused on patient and physician expectations regarding PCP involvement in cancer care. To compare lung cancer patient, PCP and specialist expectations regarding PCP...
Article
Full-text available
Screening for Distress is suggested as a first step to optimize response to cancer patients’ needs. This change of practice may positively impact coordination of care, a key function of professional cancer navigators. Aim To describe the perceptions of implementing Screening for Distress with professional cancer navigators from the perspective of k...
Article
An increasing number of us now reach old age because of the constant and predictable rise in life expectancy. This is inevitably associated with a higher risk of developing and cumulating health problems of varying severity, giving rise to acute or chronic pain. In these cases, seniors capable of expressing themselves can obtain appropriate pain re...
Article
Full-text available
There has been little research describing the involvement of family physicians in the follow-up of patients with cancer, especially during the primary treatment phase. We undertook a prospective longitudinal study of patients with lung cancer to assess their family physician's involvement in their follow-up at the different phases of cancer. In 5 h...
Article
Full-text available
This study aims to describe emotional distress and quality of life (QoL) of patients at different phases of their lung cancer and the association with their family physician (FP) involvement. A prospective study on patients with lung cancer was conducted in three regions of Quebec, Canada. Patients completed, at baseline, several validated question...
Article
Full-text available
To evaluate how a primary care reform, which aimed to promote interprofessional and interorganizational collaborative practices, affected patients' experiences of the core dimensions of primary care. Before-and-after comparison of patients' perceptions of care at the beginning of family medicine group (FMG) implementation (15 to 20 months after acc...
Article
Full-text available
L'implantation d'infirmières pivots en oncologie (IPO) est un élément clé du Programme québécois de lutte contre le cancer pour améliorer la continuité des soins. Cette étude qualitative décrit le processus d'implantation d'IPO au sein d'équipes basées à la fois en centre hospitalier et dans la communauté. Plusieurs groupes d'acteurs (IPO, médecins...
Article
Full-text available
Implementing oncology nurse navigators or IPOs (which stands for "infirmière pivot en oncologie") is a key element of the Québec Cancer Control Program in order to improve the continuity of care. This qualitative study describes the process of implementing IPOs in teams working both in hospitals and in the community. Several groups of stakeholders...
Article
This quasi-experimental research aims to (1) evaluate the implementation process of a community nursing care management model and (2) assess the effects of this model on patients followed at home. Two community healthcare centers had introduced a community nursing care management model in their practice (experimental groups), whereas another health...
Article
Pain in older adults with severe limitations in ability to communicate is often assessed with observational methods. However, many of the behaviors that are used to assess pain often overlap with behavioral manifestations of delirium and depression. Such overlap can make the assessment of pain in patients with comorbid delirium and/or depression es...
Article
Full-text available
This study presents the validation of the French Canadian version (PACLSAC-F) of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). Unlike the published validation of the English version of the PACSLAC, which was validated retrospectively, the French version was validated prospectively. The PACSLAC-F was comple...
Article
This study presents the validation of the French Canadian version (PACLSAC-F) of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). Unlike the published validation of the English version of the PACSLAC, which was validated retrospectively, the French version was validated prospectively. The PACSLAC-F was comple...
Article
This study presents the validation of the French Canadian version (PACLSAC-F) of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). Unlike the published validation of the English version of the PACSLAC, which was validated retrospectively, the French version was validated prospectively. The PACSLAC-F was comple...
Article
To identify the determinants of the intention of physicians to screen for decisional conflict in clinical practice. Screening for decisional conflict is one of the key competencies when educating health professionals about shared decision making. Theory-based knowledge about variables predicting their intention to screen for decisional conflict in...
Article
Objectives Dyspnea is the dominant symptom of severe chronic obstructive pulmonary disease and, despite optimal treatment, is often difficult to relieve. Opiates can be useful in patients with refractory dyspnea. Methods This was a retrospective analysis of 200 patients who died from 1998 to 2004. The following variables were studied: opiate used,...
Article
Full-text available
Chronic pain is often underdetected and undertreated in long-term care facilities. The use of self-report measures of pain (such as the visual analogue scale) is often problematic for older adults residing in long-term care because of the high prevalence of visual and auditory deficits and severe cognitive impairment. Observational measures of pain...
Article
pp. 195-203 Chronic pain is often underdetected and undertreated in long-term care facilities. The use of self-report measures of pain (such as the visual analogue scale) is often problematic for older adults residing in long-term care because of the high prevalence of visual and auditory deficits and severe cognitive impairment. Observational meas...
Article
Full-text available
To assess the effect of an educational homecare program on pain relief in patients with advanced cancer. Quasi-experimental (pretest post-test, nonequivalent group). Four community-based primary care centers providing social and healthcare services in the Quebec City region of Canada. 80 homecare patients with advanced cancer who were free of cogni...
Article
To determine the effectiveness of a multicomponent clinical intervention to reduce pain in outpatients with cancer. Sixty-four patients were randomly assigned to receive either a clinical intervention including an information session, the use of a pain diary, and the possibility to contact a physician to adjust the pain medication, or the usual tre...
Article
Full-text available
To describe the palliative care provided by physicians in the Quebec city region and to identify factors that affect its delivery. Mailed survey. Quebec city region. General practitioners in active clinical practice. Physicians' personal and professional characteristics and their palliative care practice (volume of work, source of requests for foll...
Article
OBJECTIVE To describe the palliative care provided by physicians in the Quebec city region and to identify factors that affect its delivery. DESIGN Mailed survey. SETTING Quebec city region. PARTICIPANTS General practitioners in active clinical practice. MAIN OUTCOME MEASURES Physicians' personal and professional characteristics and their palliativ...
Article
Full-text available
To describe perceptions of physicians and home care professionals working in local community service centres (CLSCs) with respect to collaboration on home care follow up, and to identify conditions likely to help or hinder cooperation. Descriptive study using individual and group interviews. Areas served by three CLSCs in the Quebec city region. Fo...