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3. 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

4. Chiropractors’ characteristics associated with their number of workers’ compensation patients

Author

Blanchette, Marc-André, Cassidy, J. David, Rivard, Michèle, and Dionne, Clermont E.

Subjects
Articles
Abstract

A cross-sectional survey.The purpose of this study was to identify characteristics of Canadian doctors of chiropractic (DCs) associated with their number of workers' compensation patients.It has been previously hypothesized that DCs that treat a relatively high volume of workers' compensation cases may have different characteristics than the general chiropractic community.Secondary data analyses were performed on data collected in the 2011 survey of the Canadian Chiropractic Resources Databank (CCRD). The CCRD survey included 81 questions concerning the practice and concerns of DCs. Of the 6,533 mailed questionnaires, 2,529 (38.7%) were returned. Of these, 652 respondents did not meet our inclusion criteria, and our final study sample included 1,877 respondents. Bivariate analyses were conducted between predetermined independent variables and the annual number of workers' compensation patients. A negative binomial multivariate regression was performed to identify significant factors associated with the number of workers' compensation patients.On average, DCs received 10.3 (standard deviation (SD) = 17.6) workers' compensation cases and nearly one-third did not receive any such cases. The type of clinic (other than sole provider), practice area population (smaller than 500,000), practice province (other than Quebec), number of practice hours per week, number of treatments per week, main sector of activity (occupational/ industrial), care provided to patients (electrotherapy, soft-tissue therapy), percentage of patients with neuromusculoskeletal conditions, and percentage of patients referred by their employer or a physician were associated with a higher annual number of workers' compensation cases.Canadian DCs who reported a higher volume of workers' compensation patients had practices oriented towards the treatment of injured workers, collaborated with other health care providers, and facilitated workers' access to care.Une enquête transversale.Cette étude visait à déterminer les caractéristiques des chiropraticiens canadiens associées à leur nombre de patients traités pour accidents de travail.Selon des hypothèses émises précédemment, les chiropraticiens qui traitent un nombre relativement élevé de patients pour accidents de travail peuvent avoir des caractéristiques différentes de l’ensemble des chiropraticiens.Des analyses secondaires de données ont été effectuées sur des données recueillies dans l’enquête de 2011 de la banque de données de ressources chiropratiques canadiennes (CCRD). Cette enquête comportait 81 questions relatives à l’exercice et aux préoccupations des chiropraticiens. Sur les 6 533 questionnaires envoyés, il y a eu 2 529 (38,7 %) réponses. Parmi celles-ci, 652 ne répondaient pas à nos critères d’inclusion. Donc, l’échantillon final utilisé pour notre étude comprenait 1 877 répondants. Des analyses bivariées ont été menées entre les variables indépendantes prédéterminées et le nombre annuel de patients traités pour accidents de travail. Une régression multivariée binomiale négative a été réalisée pour déterminer les facteurs importants associés avec le nombre de patients traités pour accidents de travail.En moyenne, les chiropraticiens ont traité 10,3 (écart-type = 17,6) patients pour accidents de travail et près d’un tiers n’ont pas reçu de tels cas. Les facteurs suivants ont été associés à un nombre annuel plus élevé de patients traités pour accidents de travail : type de clinique (autre que fournisseur unique), population de la ville de la clinique (inférieure à 500 000), province de la clinique (autre que le Québec), nombre d’heures de cabinet par semaine, nombre de traitements par semaine, principal secteur d’activité (professionnelle / industrielle), soins prodigués aux patients (électrothérapie, thérapie des tissus mous), pourcentage de patients atteints de maladies neuromusculo-squelettiques, et pourcentage de patients référés par leur employeur ou un médecin.Les chiropraticiens canadiens qui ont déclaré un nombre plus élevé de patients traités pour accidents de travail avaient des pratiques axées sur le traitement des travailleurs blessés, ont collaboré avec d’autres fournisseurs de soins de santé, et ont facilité l’accès aux soins des travailleurs.

Published
2015

5. Première ligne de soins pour les travailleurs atteints de rachialgie occupationnelle : délai de consultation et premier fournisseur de services de santé

Author

Blanchette, Marc-André, Rivard, Michèle, and Dionne, Clermont E.

Subjects
Medical doctor, Chiropratique, Occupational health, Fournisseurs de services de santé, Santé au travail, Back pain, Health services accessibility, Primary care, Déterminants, Rachialgie, Chiropractic, services de santé de première ligne, Physiothérapie, Accident de travail, Durée d’indemnisation, Accès aux services de santé, Occupational injuries, Médecine, Compensation duration, Physiotherapy, Healthcare provider
Abstract

Introduction : En 2004, la Commission ontarienne de la sécurité professionnelle et de l’assurance contre les accidents du travail (CSPAAT) a autorisé les travailleurs blessés à consulter directement chiropraticiens, médecins, physiothérapeutes et infirmières autorisées. Dans un souci de développer la meilleure première ligne de soins possible, il importe d’investiguer l’impact de ces nouveaux premiers fournisseurs de soins. La présente thèse a pour objectifs d’investiguer les facteurs reliés au délai de consultation et au type de premier fournisseur de soins ainsi que l’association entre ces derniers et la durée d’indemnisation financière des travailleurs rachialgiques ontariens. Méthodes : Nous avons analysé les données d’une cohorte rétrospective de travailleurs rachialgiques (n=5520) indemnisés par la CSPAAT en 2005. Des déterminants du type de premier fournisseur de services de santé et du délai de consultation avec ce dernier ont été identifiés au moyen de régressions logistiques et de modèles de Cox. Les associations entre les premiers fournisseurs de services de santé, les délais de consultation et la durée d’indemnisation salariale ont aussi été évaluées au moyen de modèles de Cox. L’analyse d’un sondage effectué auprès de chiropraticiens canadiens a permis de cibler des caractéristiques associées au nombre de travailleurs accidentés qu’ils traitent par année en utilisant une régression négative binomiale. Résultats : Les travailleurs consultant initialement un physiothérapeute étaient significativement plus âgés, ceux consultant un chiropraticien étaient moins susceptibles de vivre dans une communauté de plus de 1 500 000 habitants et d’avoir un emploi manuel alors que ceux consultant un médecin en première ligne avaient des blessures moins sévères et moins d’antécédents de blessures similaires. Par rapport aux travailleurs consultant un médecin (référence) en première ligne, ceux qui ont consulté un chiropraticien ont eu des premiers épisodes d’indemnisation salariale complète plus courts (rapport de risques instantanés [HR] = 1,20 [1,10 au 1,31], p, Introduction: In 2004, the Ontario workplace safety and insurance board at Work (WSIB) has revised its policy of choices and change of healthcare to allow injured workers to directly seek care from chiropractors, physicians, physiotherapists and registered nurses (extended class). In order to develop the best first line of care possible, it is important to investigate whether the new first healthcare providers have an impact on the delay of return to work. The objectives of this thesis are to investigate the factors related to the time to care and the type of first healthcare provider as well as the association between the latter and the duration of financial compensation of Ontarian workers with back pain. Methods: We analyzed data from a retrospective cohort of workers with back pain (n=5520) compensated by the WSIB in 2005. Determinants of the first healthcare provider type and of the time to care with the latter were identified using logistic regression and Cox models. The associations between the first healthcare provider, the time to care and the duration of the first episode of compensation were assessed using Cox models. Analysis of a survey of Canadian chiropractors allowed to identify characteristics associated with the number of injured workers they treat annually using a negative binomial regression. Results: The workers who first consulted a physiotherapist were significantly older, those who chose a chiropractor were less likely to live in community larger than 1,500,000 inhabitants and to have a manual job and those who first consulted a medical doctor had significantly less severe injuries and fewer previous similar injuries. Compared with the workers who first saw a physician (reference), those who first saw a chiropractor experienced shorter first episodes of 100% wage compensation (adjusted hazard ratio [HR] = 1.20 [1.10 to 1.31], p-value

Published
2017

6. Consensus on Exercise Reporting Template (CERT) : A Modified Delphi Study

Author

Rachelle Buchbinder, Belinda R. Beck, Paul Glasziou, Gert-Jan Lauret, George Kelly, Jean-Philippe Regnaux, Lesley Ward, Tim Takken, Audrey Long, Peter Kent, Fiona Cramp, Rana S Hinman, Ros Quinlivan, Leonardo Oliveira Pena Costa, Martin Underwood, Edith H. C. Cup, Jean Hay-Smith, Karen Rees, Nicole Skoetz, Clermont E. Dionne, Nicoline B M Voet, Susan R. Harris, Susan Hillier, Kim L Bennell, Claire White, Scott C. Forbes, Lynne M. Feehan, Susan C Slade, Bas Habets, Lucie Brosseau, Manuela L. Ferreira, Lars Morsø, Karen Søgaard, Marc B. Rietberg, Ann Holland, Maurits W. van Tulder, Tom Peterson, Dave Saunders, Nina Østerås, Christopher G. Maher, Maria Hondras, Rehabilitation medicine, MOVE Research Institute, General practice, EMGO - Musculoskeletal health, Slade, Susan C, Dionne, Clermont E, Underwood, Martin, Buchbinder, Rachelle, Hillier, Susan, and White, Claire

Subjects
Research design, Evidence-based practice, Consensus, Delphi Technique, Delphi method, evidence- based practice, Physical Therapy, Sports Therapy and Rehabilitation, Computer-assisted web interviewing, 03 medical and health sciences, 0302 clinical medicine, Rating scale, Surveys and Questionnaires, Journal Article, Medicine, Humans, 030212 general & internal medicine, Consensus on exercise reporting template (CERT), therapeutic exercise, Response rate (survey), Medical education, Clinical Trials as Topic, research, exercise, business.industry, Clinical study design, Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3], C600, Delphi study, Checklist, Exercise Therapy, Systematic review, Research Design, business, 030217 neurology & neurosurgery
Abstract

BackgroundExercise interventions are often incompletely described in reports of clinical trials, hampering evaluation of results and replication and implementation into practice.ObjectiveThe aim of this study was to develop a standardized method for reporting exercise programs in clinical trials: the Consensus on Exercise Reporting Template (CERT).Design and MethodsUsing the EQUATOR Network's methodological framework, 137 exercise experts were invited to participate in a Delphi consensus study. A list of 41 items was identified from a meta-epidemiologic study of 73 systematic reviews of exercise. For each item, participants indicated agreement on an 11-point rating scale. Consensus for item inclusion was defined a priori as greater than 70% agreement of respondents rating an item 7 or above. Three sequential rounds of anonymous online questionnaires and a Delphi workshop were used.ResultsThere were 57 (response rate=42%), 54 (response rate=95%), and 49 (response rate=91%) respondents to rounds 1 through 3, respectively, from 11 countries and a range of disciplines. In round 1, 2 items were excluded; 24 items reached consensus for inclusion (8 items accepted in original format), and 16 items were revised in response to participant suggestions. Of 14 items in round 2, 3 were excluded, 11 reached consensus for inclusion (4 items accepted in original format), and 7 were reworded. Sixteen items were included in round 3, and all items reached greater than 70% consensus for inclusion.LimitationsThe views of included Delphi panelists may differ from those of experts who declined participation and may not fully represent the views of all exercise experts.ConclusionsThe CERT, a 16-item checklist developed by an international panel of exercise experts, is designed to improve the reporting of exercise programs in all evaluative study designs and contains 7 categories: materials, provider, delivery, location, dosage, tailoring, and compliance. The CERT will encourage transparency, improve trial interpretation and replication, and facilitate implementation of effective exercise interventions into practice.

Published
2016

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