Time filter

Source Type

Tetreault S.,Laval University | Freeman A.,Laval University | Carriere M.,Laval University | Beaupre P.,University of Quebec at Rimouski | And 2 more authors.
Child: Care, Health and Development | Year: 2014

Context: In 2003, Quebec's Ministry of Health and Social Services (MSSS) and the Ministry of Education, Recreation and Sports (MELS) concluded the Agreement for the complementarity of services between the health and social services network and the education network. The objectives of the current investigation were to evaluate the implementation of this Agreement and its impact upon renewal of practices and services, and to investigate the consequences for children with special needs and their families. The specific focus of this article is to describe parents' perspectives regarding the impact of this Agreement upon them and their children. Methods: Interviews were conducted with 56 parents of children with disabilities, social maladjustment or learning difficulties across the province of Quebec. Data were analysed using content analysis. Results: Most parents were not directly aware of any contact between school staff and health or social professionals, although discussions might have been held without their knowledge. The intervention plans seemed to be the main vehicle through which some parents perceived collaboration to be occurring. For parents, the impact upon actual practices or collaborative work is either minimal or non-existent. Conclusion: School inclusion of children with special needs is a challenge for all societies. The Agreement illustrates the Quebec government's intent to promote an alliance between two complex networks and has the potential to greatly benefit children and their families. However, more concrete action is required in order to realize specific changes regarding work cohesion and service organization for these groups. © 2013 John Wiley & Sons Ltd. Source

Papineau E.,University of Montreal | Leblond J.,Center Interdisciplinaire Of Recherche En Readaptation Et Integration Sociale Cirris
Canadian Journal of Public Health | Year: 2011

Available data show that online gamblers spend more money and dedicate more time to playing compared to gamblers who do not play online, and are more likely to experience gambling problems. Among online players, young people and poker players show higher rates of gambling problems. These observations can be explained in part by such dangerous aspects of online gambling (and also electronic gaming machines) as: immediate and convenient accessibility; ability to pay electronically and to play on credit; anonymity; and the possibility for players to consume alcohol or other drugs while playing. These are elements that could facilitate the development or the intensification of problem gambling. This being said, the public discourse about the inevitability of legalized online gambling is quite unanimous and built upon such arguments as: the imperative duty of the state to protect the population against the dangers of the online gambling black market; and the fact that the medium in itself provides excellent consumer safeguards. A growing number of legislators are following the trend and choosing to establish state control over online gambling. We present some epidemiological and analytical data that challenge some of these assertions and decisions. We recommend a better integration of public health arguments into the commercialization and marketing of online gambling. © Canadian Public Health Association, 2011. Source

Lecours A.,University of Quebec at Trois - Rivieres | Lecours A.,Jesus University | Sirois M.-J.,Laval University | Sirois M.-J.,Jesus University | And 4 more authors.
Journal of Head Trauma Rehabilitation | Year: 2012

PURPOSE: To identify factors associated with long-term independence in mobility and self-care activities of daily living of older adults after traumatic brain injury (TBI). PARTICIPANTS: One hundred thirty-six TBI survivors 55 years or older were assessed 2 to 4 years postinjury (mean of 3.2 years). SETTING: Level I or level II trauma centers in Quebec, Canada. MAIN MEASURES: Personal, injury-related, and environmental factors were gathered from hospital records or by telephone interview; a telephone version of the Functional Independence Measure motor scale was collapsed to 4 levels. ANALYSIS: Logistic regression analyses identified factors associated with independence in mobility and self-care. RESULTS: The strongest and most consistent factors associated with independence in mobility and self-care were fewer comorbid conditions, no difficulty of access to home modification services and home support services, male gender, younger age at time of injury, and shorter acute care length of stay. CONCLUSION: Factors associated with long-term functional outcome should be considered in the development of practice guidelines for rehabilitation of older adults who sustained a TBI. Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited. Source

Roosink M.,Center Interdisciplinaire Of Recherche En Readaptation Et Integration Sociale Cirris | Roosink M.,Laval University | Mercier C.,Center Interdisciplinaire Of Recherche En Readaptation Et Integration Sociale Cirris | Mercier C.,Laval University
Spinal Cord | Year: 2014

Study design:Interventions using virtual feedback (VF) impact on motor functions and pain and may be relevant for neurorehabilitation after spinal cord injury (SCI) in which motor dysfunctions and (concomitant) pain are frequently observed. Potential mechanisms underlying VF include a modulation of cortical sensorimotor integration, increased therapy engagement and distraction from effort and pain. Still, the optimal parameters for VF and their technical implementation are currently unknown.Objectives:To provide an overview of interventions that have used VF to improve motor functions or to reduce pain after SCI.Methods:Literature review.Results:A total number of 17 studies were identified. VF interventions commonly focused on improving motor functions (n=12) or reducing pain (n=4). Only one study assessed both motor functions and pain. Studies generally report beneficial effects. However, the evidence is of low-level quality and many practical as well as theoretical issues remain unclear. Remaining knowledge gaps include: (1) optimal VF system characteristics, (2) the impact of different VF modalities and tasks, (3) dose-response relationships and (4) the identification of patients that are likely to benefit from VF. Future work should start by closing these knowledge gaps using systematic and controlled multi-session interventions and by assessing the underlying mechanisms involved.Conclusion:These results provide an important incentive to further assess the potential of VF interventions to simultaneously improve motor functions and reduce pain after SCI, which could contribute to better neurorehabilitation outcomes after SCI. © 2014 International Spinal Cord Society All rights reserved. Source

Ouellet M.-C.,Center Interdisciplinaire Of Recherche En Readaptation Et Integration Sociale Cirris | Ouellet M.-C.,Laval University | Beaulieu-Bonneau S.,Center Interdisciplinaire Of Recherche En Readaptation Et Integration Sociale Cirris | Beaulieu-Bonneau S.,Laval University | And 3 more authors.
The Lancet Neurology | Year: 2015

Sleep-wake disturbances are extremely common after a traumatic brain injury (TBI). The most common disturbances are insomnia (difficulties falling or staying asleep), increased sleep need, and excessive daytime sleepiness that can be due to the TBI or other sleep disorders associated with TBI, such as sleep-related breathing disorder or post-traumatic hypersomnia. Sleep-wake disturbances can have a major effect on functional outcomes and on the recovery process after TBI. These negative effects can exacerbate other common sequelae of TBI-such as fatigue, pain, cognitive impairments, and psychological disorders (eg, depression and anxiety). Sleep-wake disturbances associated with TBI warrant treatment. Although evidence specific to patients with TBI is still scarce, cognitive-behavioural therapy and medication could prove helpful to alleviate sleep-wake disturbances in patients with a TBI. © 2015 Elsevier Ltd. Source

Discover hidden collaborations