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Search Results: 1 - 10 of 4287 matches for " Denise Tribble "
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Do quality of life, participation and environment of older adults differ according to level of activity?
Mélanie Levasseur, Johanne Desrosiers, Denise St-Cyr Tribble
Health and Quality of Life Outcomes , 2008, DOI: 10.1186/1477-7525-6-30
Abstract: A cross-sectional design was used with a convenience sample of 156 older adults (mean age = 73.7; 76.9% women), living at home and having good cognitive functions, recruited according to three levels of activity limitations (none, slight to moderate and moderate to severe). Quality of life was estimated with the Quality of Life Index, participation with the Assessment of Life Habits and environment with the Measure of the Quality of the Environment. Analysis of variance (ANOVA) or Welch F-ratio indicated if the main variables differed according to activity level.Quality of life and satisfaction with participation were greater with a higher activity level (p < 0.001). However, these differences were clinically significant only between participants without activity limitations and those with moderate to severe activity limitations. When activity level was more limited, participation level was further restricted (p < 0.001) and the physical environment was perceived as having more obstacles (p < 0.001). No differences were observed for facilitators in the physical and social environment or for obstacles in the social environment.This study suggests that older adults' participation level and obstacles in the physical environment differ according to level of activity. Quality of life and satisfaction with participation also differ but only when activity level is sufficiently disrupted. The study suggests the importance of looking beyond activity when helping older adults live in the community.Aging of the population, reform of the health care system and individual preferences increase the number of older adults with a decline in functional independence who live in the community. A decline in functional independence, or activity limitations according to the terminology of the International Classification of Functioning, Disability and Health (ICF) [1], is one of the most frequent geriatric clinical syndromes that have significant individual and societal impacts [2]. Peopl
Processus de recherche d’aide de femmes atteintes du syndrome du c lon irritable
Patricia Bourgault,Denise St-Cyr-Tribble,Ghislain Devroede,Serge Marchand
L'Infirmière Clinicienne , 2008,
Abstract: Des observations cliniques, appuyées par des écrits, permettent d’affirmer que la recherche d’aide est particulière chez les femmes aux prises avec un syndrome du c lon irritable (SCI). L’étude présentée avait pour but de modéliser le processus de recherche d’aide de femmes atteintes du syndrome du c lon irritable. Cette modélisation contribue à proposer des pistes d’interventions infirmières pour accompagner des femmes dans leur cheminement. Une approche qualitative de type théorisation ancrée a permis l’émergence d’une modélisation du processus de recherche d’aide comprenant trois catégories : le problème de santé, les caractéristiques personnelles et le processus de recherche d’aide. Les résultats de l’étude permettent de suggérer des pistes d’interventions infirmières (évaluation de la situation de santé, relation d’aide et enseignement) pour faciliter le processus de recherche d’aide chez cette clientèle. également, ce modèle permet la poursuite de l’étude de ce concept dans le cadre d’autres situations de santé touchant les femmes, notamment la fibromyalgie.
La discussion de cas infirmière médecin, une pratique essentielle en première ligne
Frances Gallagher,Denise St-Cyr Tribble,Alain Vanasse,Chantal Doré
L'Infirmière Clinicienne , 2010,
Abstract: La discussion de cas est reconnue comme une modalité de communication essentielle à la collaboration interprofessionnelle, notamment entre les infirmières praticiennes spécialisées et les médecins partenaires. Elle permet de discuter des situations cliniques dans lesquelles ils interviennent. Devant la rareté de données probantes sur cette pratique professionnelle, l’objectif de la recherche était de décrire le contenu de discussions de cas au sein de dyades infirmière bachelière et médecin de famille concernant la clientèle suivie conjointement en première ligne. Une équipe infirmière médecins d’un Centre de santé et de services sociaux a participé à la recherche. Trois rencontres au cours desquelles huit cas ont été discutés par l’infirmière et trois médecins de l’équipe (3 dyades) ont été enregistrées en version audio et transcrites. Le contenu des discussions a fait l’objet d’une analyse thématique inductive qui a donné lieu au regroupement des sujets discutés en trois thèmes : 1) l’échange d’information sur la situation clinique et l’intervention qui s’y rapporte, 2) le partage de savoirs professionnels et 3) le processus de soin. Il ressort que la discussion de cas permet l’actualisation du processus de soins au sein de la dyade et, entre autres, le transfert d’information concernant la promotion des autosoins par l’infirmière. Les résultats doivent être considérés avec prudence considérant le nombre restreint de rencontres infirmière bachelière-médecin examinées et du nombre de cas abordés au cours des discussions. La description de ces rencontres peut alimenter la réflexion chez les infirmières praticiennes spécialisées en soins de première ligne quant à la teneur et l’utilité de leurs propres discussions de cas avec des médecins partenaires. D’autres études pourraient documenter cette pratique exemplaire et ses effets.
Family physician enabling attitudes: a qualitative study of patient perceptions
Hudon Catherine,St-Cyr Tribble Denise,Bravo Gina,Hogg William
BMC Family Practice , 2013, DOI: 10.1186/1471-2296-14-8
Abstract: Background Family physicians frequently interact with people affected by chronic diseases, placing them in a privileged position to enable patients to gain control over and improve their health. Soliciting patients’ perceptions about how their family physician can help them in this process is an essential step to promoting enabling attitudes among these health professionals. In this study, we aimed to identify family physician enabling attitudes and behaviours from the perspective of patients with chronic diseases. Methods We conducted a descriptive qualitative study with 30 patients, 35 to 75 years of age presenting at least one common chronic disease, recruited in primary care clinics in two regions of Quebec, Canada. Data were collected through in-depth interviews and were analyzed using thematic analysis. Results Family physician involvement in a partnership was perceived by participants as the main attribute of enablement. Promoting patient interests in the health care system was also important. Participants considered that having their situation taken into account maximized the impact of their physician’s interventions and allowed the legitimization of their feelings. They found their family physician to be in a good position to acknowledge and promote their expertise, and to help them maintain hope. Conclusions From the patient’s perspective, their partnership with their family physician is the most important aspect of enablement.
Developing a model of recovery in mental health
Sylvie Noiseux, Denise St-Cyr Tribble, Claude Leclerc, Nicole Ricard, Ellen Corin, Raymond Morissette, Roseline Lambert
BMC Health Services Research , 2009, DOI: 10.1186/1472-6963-9-73
Abstract: To operationalize the study, a qualitative, inductive design was chosen. Qualitative research open the way to learning – the inside – about different perspectives and issues people face in their process of recovery. The study proposal is involving a multisite study that will be conducted in three different cities of the Province of Québec in Canada: Montréal, Québec and Trois-Rivières. The plan is to select 108 participants, divided into four comparison groups representing four types of mental health problem. Each comparison group (n = 27) will be made up of 9 units. Each unit will comprise one person with a mental health problem (schizophrenia, affective anxiety, and borderline personality disorders. Data will be collected through semi-structured open-ended interview. The in-depth qualitative analysis inspired from the grounded theory approach will permit the illustration of the recovery process.The transformation of our Health Care System and the importance being put on the people well-being and autonomy development of the person who are suffering with mental problem This study protocol follows-up on earlier theory-building process that begun with the work of Noiseux [2]. The contribution of the present study is to increase the comprehension of the concept of recovery and to enhance the body of knowledge in that domain. Very few studies have examined recovery and the one that did used a descriptive approach which did not take into account the perspective of the family members and the caregivers of the recovery process.The aim of this research project is to continue the work of theory-building begun in the study by Noiseux [2] and to put forward a substantive theoretical model of recovery for people with a mental health problem. The originality of Noiseux's [2] work rests in the fact that it proposes an explanation of the dynamics of the various mechanisms that come into play in the recovery of people with schizophrenia. Most particularly, the findings made it poss
Integrated obesity care management system -implementation and research protocol
Jean-Patrice Baillargeon, André Carpentier, Denise Donovan, Martin Fortin, Andrew Grant, Judith Simoneau-Roy, Denise St-Cyr-Tribble, Mariane Xhignesse, Marie-France Langlois
BMC Health Services Research , 2007, DOI: 10.1186/1472-6963-7-163
Abstract: We will use both action and evaluative research in order to achieve the following specific objectives. The first one is to develop and implement a preceptorship-based continuing medical education (CME) program complemented by a web site for physicians and nurses working in Family Medicine Groups (FMGs). This CME will be based on needs assessment and will be validated by one FMG using questionnaires and semi structured interviews. Also, references and teaching tools will be available for participants on the web site. Our second objective is to establish a collaborative intra and inter-regional interdisciplinary network to enable on-going expertise update and networking for FMG teams. This tool consists of a discussion forum and monthly virtual meetings of all participants. Our third objective is to evaluate the implementation of our program for its ability to train 8 FMGs per year, the access and utilization of electronic tools and the participants' satisfaction. This will be measured with questionnaires, web logging tools and group interviews. Our fourth objective is to determine the impact for the participants regarding knowledge and expertise, attitudes and perceptions, self-efficacy for the management of obesity, and changes in FMG organization for obesity management. Questionnaires and interviews will be used for this purpose. Our fifth objective is to deliver transferable knowledge for health professionals and decision-makers. Strategies and pitfalls of setting up this program will also be identified.This project is relevant to health system's decision-makers who are confronted with an important increase in the prevalence of obesity. It is therefore critical to develop strategies allowing the management of obesity in the 1st line setting. Results of this research project could therefore influence health care organization in the field of obesity but also eventually for other chronic diseases.Obesity is a recognized major public health problem identified as an ep
Empowerment interventions, knowledge translation and exchange: perspectives of home care professionals, clients and caregivers
Denise Tribble, Frances Gallagher, Linda Bell, Chantal Caron, Pierre Godbout, Jeannette Leblanc, Pascale Morin, Marianne Xhignesse, Louis Voyer, Mélanie Couture
BMC Health Services Research , 2008, DOI: 10.1186/1472-6963-8-177
Abstract: The qualitative design chosen is a fourth generation evaluation combined with case studies. A home care team of a health and social services center situated in the Eastern Townships (Québec, Canada) will be involved at every step in the study. A sample will be formed of 15 health care professionals and 30 of their home care clients and caregiver. Semi-structured interviews, observations of home care interventions and socio-demographic questionnaires will be used to collect the data. Nine instruments used by the team in prior studies will be adapted and reviewed. A personal log will document the observers' perspectives in order to foster objectivity and the focus on the intervention. The in-depth qualitative analysis of the data will illustrate profiles of enabling interventions and individual empowerment.The ongoing process to transform the health care and social services network creates a growing need to examine intervention practices of health care professionals working with clients receiving home care services. This study will provide the opportunity to examine how the intervention process plays out in real-life situations and how health care professionals, clients and caregivers experience it. The intervention process and individual empowerment examined in this study will enhance the growing body of knowledge about empowerment.This study is part of a process to transform health care practices with the aim of strengthening empowerment of clients with chronic health problems. To achieve this objective, an in-depth analysis of home care interventions will be undertaken using an evolving model of empowerment interventions (enabling interventions). The intervention indicators were derived from the findings of previous studies [1-6].This study is concept-oriented and empirical in nature and will help to further refine interventions supporting empowerment. It is in line with the reform of the Québec health care system that calls for a transition of services from health
The process of recovery of people with mental illness: The perspectives of patients, family members and care providers: Part 1
Sylvie Noiseux, Denise Tribble St-Cyr, Ellen Corin, Pierre-Luc St-Hilaire, Raymond Morissette, Claude Leclerc, Danielle Fleury, Luc Vigneault, Francine Gagnier
BMC Health Services Research , 2010, DOI: 10.1186/1472-6963-10-161
Abstract: Data were collected in field notes through semi-structured interviews based on three interview guides (one for patients, one for family members/friends, and one for caregivers). Cross analysis and triangulation methods were used to analyse the areas of convergence and divergence on the recovery process of all triads.In general, with the 36 participants united in 12 triads, two themes emerge from the cross-analysis process or triangulation of data sources (12 triads analysis in 12 cases studies). Two themes emerge from the analysis process of the content of 36 interviews with participants: (1) Revealing dynamic context, situating patients in their dynamic context; and (2) Relationship issues in a recovery process, furthering our understanding of such issues. We provide four case studies examples (among 12 cases studies) to illustrate the variations in the way recovery is perceived, interpreted and expressed in relation to the different contexts of interaction.The perspectives of the three participants (patients, family members/friends and care providers) suggest that recovery depends on constructing meaning around mental illness experiences and that the process is based on each person's dynamic context (e.g., social network, relationship), life experiences and other social determinants (e.g., symptoms, environment). The findings of this study add to existing knowledge about the determinants of the recovery of persons suffering with a mental illness and significant other utilizing public mental health services in Montreal, Canada.The recovery process has become the guiding principle of the mental health system, resulting in advocacy for care and services that would facilitate the process and eliciting a clear political will and great enthusiasm in Canada [1,2]. However, recovery assumes numerous meanings, depending on the context in which it is raised, and the notion may create confusion among patients and their family as well as among clinicians, policy makers and re
沾污控制的基本原理
AlanC.Tribble,高国龙
红外 , 2002,
Abstract:
Construction of weakly CUD sequences for MCMC sampling
Seth D. Tribble,Art B. Owen
Mathematics , 2008, DOI: 10.1214/07-EJS162
Abstract: In Markov chain Monte Carlo (MCMC) sampling considerable thought goes into constructing random transitions. But those transitions are almost always driven by a simulated IID sequence. Recently it has been shown that replacing an IID sequence by a weakly completely uniformly distributed (WCUD) sequence leads to consistent estimation in finite state spaces. Unfortunately, few WCUD sequences are known. This paper gives general methods for proving that a sequence is WCUD, shows that some specific sequences are WCUD, and shows that certain operations on WCUD sequences yield new WCUD sequences. A numerical example on a 42 dimensional continuous Gibbs sampler found that some WCUD inputs sequences produced variance reductions ranging from tens to hundreds for posterior means of the parameters, compared to IID inputs.
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