Case management in primary healthcare for people with complex needs to improve integrated care: a large-scale implementation study protocol.

Introduction: Case management (CM) is among the most studied effective models of integrated care for people with complex needs. The goal of this study is to scale up and assess CM in primary healthcare for people with complex needs.

Methods And Analysis: The research questions are: (1) which mechanisms contribute to the successful scale-up of CM for people with complex needs in primary healthcare?; (2) how do contextual factors within primary healthcare organisations contribute to these mechanisms? and (3) what are the relationships between the actors, contextual factors, mechanisms and outcomes when scaling-up CM for people with complex needs in primary healthcare? We will conduct a mixed methods Canadian interprovincial project in Quebec, New-Brunswick and Nova Scotia.

Association between sustained opioid prescription and frequent emergency department use: a cohort study.

Background: Chronic non-cancer pain (CNCP) is common among frequent emergency department (ED) users, although factors underlying this association are unclear. This study estimated the association between sustained opioid use and frequent ED use among patients with CNCP.

Methods: Retrospective cohort study using a Canadian provincial health insurer database (Régie d'Assurance Maladie du Québec).

Occupational Adaptation of People Living With Fibromyalgia: A Systematic Review and Thematic Synthesis.

Importance: Fibromyalgia (FM) is a chronic pain disorder that interferes with daily activities. Because occupational adaptation varies among people, there is a need to determine which factors can influence adaptation to FM in order to better intervene with them.

Objective: To understand the occupational adaptation process of people living with FM.

Pilot Study of French-Canadian Lifestyle Redesign for Chronic Pain Management.

As chronic pain (CP) interferes with an individual's lifestyle by limiting meaningful activities and health-related quality of life (HRQoL), occupational therapy (OT) plays an important role in CP management interventions. This pilot study aimed to explore the influence of a 13-week French-Canadian Lifestyle Redesign for CP. A mixed-methods research design including a preexperimental quantitative component pre-/posttest was used with 15 participants with fibromyalgia.

Injuries and frequent use of emergency department services: a systematic review.

Objective: To review all studies having examined the association between patients with physical injuries and frequent emergency department (ED) attendance or return visits.

Design: Systematic review.

Data Source: Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PsycINFO databases were searched up to and including July 2019.