Publications by authors named "Coutu M"

Purpose: Work disability affects a growing number of workers aged 55 and over (W55 +). While rehabilitation programs have demonstrated efficacy for workers with an average age of 42, they often have not been designed to meet unique needs of aging workers. This study aimed to describe the difficulties encountered by work rehabilitation professionals and explore their solutions for improving services offered to W55 + .

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We have previously demonstrated that Claudin-2 is required for colorectal cancer (CRC) liver metastasis. The expression of Claudin-2 in primary CRC is associated with poor survival and highly expressed in liver metastases. Claudin-2 also promotes breast cancer liver metastasis by enabling seeding and cancer cell survival.

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Background: A well-defined and clear procedure is a key factor supporting return-to-work and enhancing collaboration and understanding between employers and employees. The adaptation of the Tool for Support-Gradual Return to Work, TS-GRTW, addresses relevant cultural aspects valuable for wider adoption.

Objective: develop a Swedish version, the GRTWswe, for implementation and integration into the Swedish labor market's RTW process.

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Background: Little is known about why patients with low back pain (LBP) respond differently to treatment, and more specifically, to a lumbar stabilization exercise program. As a first step toward answering this question, the present study evaluates how subgroups of patients who demonstrate large and small clinical improvements differ in terms of physical and psychological changes during treatment.

Methods: Participants (n = 110) performed the exercise program (clinical sessions and home exercises) over eight weeks, with 100 retained at six-month follow-up.

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Purpose: This project aimed to examine the existing evidence on work disability or musculoskeletal disorders (MSDs) among teleworkers.

Method: A scoping review was conducted in eight bibliographic databases (MEDLINE, CINAHL, Embase, PsycINFO, ABI/Inform Global, EBM Reviews, Web of Science, Dissertations & Theses Global) from inception to June 2022.

Results: Out of 9192 records identified, a total of 79 selected articles representing 77 studies were retained.

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Purpose: To explore the intensity and variation of workers' worries, pain, psychosocial factors, and margin of manoeuvre before and after a return-to-work program, and identified the psychosocial factors associated with non-return to work at the end of the rehabilitation program.

Methods: A pre-post study design was used. A convenience sample of 80 workers starting a return-to-work program and having a compensated musculoskeletal injury that caused an absence of more than three months from their regular work was recruited.

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Purpose: Based on the theoretical framework of the Model of Preventive Behaviours at Work, the aim of this study was to describe the the occupational rehabilitation strategies the literature reports that support workers who have suffered an occupational injury in adopting preventive behaviours.

Methods: To conduct this scoping review, we used a systematic methodology in 7 steps : (1) definition of the research question and inclusion/exclusion criteria; (2) scientific and gray literature search; (3) determination of manuscripts' eligibility; (4) extraction and charting of information; (5) quality assessment; (6) interpretation; and (7) knowledge synthesis.

Results: We selected 46 manuscripts of various types (e.

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Background: Low back pain (LBP) is a prevalent condition frequently leading to disability. Research suggests that self-management (SM) programs for chronic LBP should include strategies to promote sustainable return to work.

Objectives: This study aimed to 1) validate and prioritize the essential content elements of a SM program in light of the needs of workplace representatives, and 2) identify the main facilitators and barriers to be considered when developing and implementing a SM program delivered via information and communication technologies (ICT).

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The objective of this systematic review is to quantify the association between recovery expectations and return-to-work outcomes in adults with musculoskeletal pain conditions. In addition, this review has the second objective to compare the predictive utility of single-item and multi-item recovery expectation scales on return-to-work outcomes. Relevant articles were selected from Embase, PsycINFO, PubMed, Cochrane, and manual searches.

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Article Synopsis
  • A clinical practice guideline was created to assess, manage, and facilitate the return to work for adults with rotator cuff disorders in Quebec, Canada.
  • The guideline includes 73 recommendations and 3 clinical decision algorithms, emphasizing the importance of a thorough initial assessment and recommending active rehabilitation over surgery for most patients.
  • It highlights the need for early collaboration on return-to-work plans involving healthcare providers and the patient to ensure effective recovery and reintegration into the workplace.
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Article Synopsis
  • This article reviews the challenges faced by ethnocultural minority workers with disabilities trying to return to work, focusing on issues related to musculoskeletal disorders, mental health, chronic diseases, and cancer.
  • An integrative literature review from 2006-2021 identified communication and trust issues due to cultural differences as significant barriers to sustainable return to work (S-RTW) for these workers.
  • The study suggests strategies like the cultural humility model to support these workers, particularly emphasizing that women and those less integrated into the majority culture face additional challenges.
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In Canada, government mandates for patient-centred care (PCC) vary across the 10 provinces and three territories. Although basic medical and hospital services are provided for all, health care options for patients also depend on having private insurance. Thus, the current design of the Canadian healthcare system has several implications for PCC and shared decision-making (SDM).

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Low back pain (LBP) remains one of the most common and incapacitating health conditions worldwide. Clinical guidelines recommend exercise programs after the acute phase, but clinical effects are modest when assessed at a population level. Research needs to determine who is likely to benefit from specific exercise interventions, based on clinical presentation.

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Purpose: Work disability stakeholders may not share the same understanding and solutions among themselves or with researchers, causing misunderstandings and hindering collaboration regarding solutions for preventing work disability. To reduce such differences, this study sought to build a common vocabulary among stakeholders and researchers, using a transdisciplinary research framework.

Methods: A consensus method based on a constructivist approach was used.

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Purpose Rooted in a social exchange lens, this study aimed to explore the interactions between the factors influencing stay at work after a period of disability due to an occupational injury. Methods Based on a descriptive interpretative research design, interviews with 15 participants (i.e.

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Purpose: A sustainable return to work (S-RTW) following prolonged work disability poses different challenges, depending on gender. This article provides a synthesis of gender differences in the issues and factors influencing the S-RTW of workers following such a disability.

Methods: Using an interpretive description method, an integrative review was conducted of the literature on gender differences in S-RTW issues and factors associated with four major causes of work disability.

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Objective: The study's aim was to gain insights into factors influencing sustainable return to work following total knee arthroplasty (TKA).

Design: A descriptive multiple-case design was used. A case was defined as a worker's following TKA work disability situation.

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Background: Workers with persistent disabling low back pain (LBP) often encounter difficulty staying at work. Self-management (SM) programs can offer interesting avenues to help workers stay at work.

Objective: To establish the plausibility of a logic model operationalizing a SM program designed to help workers with persistent disabling LBP stay at work.

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Background: Workplace interventions are recommended for workers with common mental disorders, but knowledge of their action mechanisms and operationalization remains limited. The Therapeutic Return-to-Work Program, developed for workers with musculoskeletal disorders, is recommended for common mental disorders.

Objective: Our objective was to adapt this program's logic models to common mental disorders.

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Article Synopsis
  • The study evaluated a new return-to-work program for workers with common mental disorders by gathering input from various stakeholders, including insurers, employers, unions, and workers.
  • A mixed-method approach was used, combining surveys to gauge agreement on the program's feasibility and discussions to explore stakeholders' perspectives in depth.
  • While most stakeholders saw the program as feasible, they noted potential obstacles like employers' ability to provide job accommodations and suggested solutions; differing opinions emerged regarding the roles of union representatives and health professionals, as well as the program's duration.
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Cardiac surgery lacks a method for quantifying postoperative morbidities. The Clavien-Dindo Complications Classification (CDCC) and the Comprehensive Complication Index (CCI) were successfully implemented as outcome reporting methods in other surgical specialties. This study aims to validate these complication scales in cardiac surgery.

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Purpose The Work Disability Diagnosis Interview (WoDDI) consists of a semi-structured interview designed to help clinicians systematically identify the factors contributing to a work disability. The aim was to validate two versions of the WoDDI (construct validity, internal consistency, interrater reliability) developed for individuals absent from work due to a musculoskeletal disorder (MSD) or common mental disorder (CMD). Methods A convenience sample of workers absent from work for at least three months due to an MSD or a CMD and enrolled in a rehabilitation program was recruited.

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Article Synopsis
  • - The study investigated the critical role of supervisors in helping injured workers return to work after musculoskeletal disorders (MSDs) and aimed to create actionable strategies to enhance supervisor involvement in this process.
  • - Two phases of qualitative research were conducted: analyzing interviews from a previous study to generate actionable proposals, and testing their relevance and practicality through questionnaires and focus groups.
  • - Eight courses of action were identified, along with specific actions for supervisors, all of which were generally seen as relevant and feasible by participants, highlighting that the organizational context significantly affects how these strategies are applied.
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Purpose A sustainable return to work (S-RTW) following prolonged work disability poses particular challenges as workers age. This article provides a synthesis of the factors and issues involved in a S-RTW process for aging workers following such a disability. Methods Using interpretive description methods, a critical review was conducted of the literature specifying return-to-work factors and issues for aging workers with regard to four major causes of work disability (musculoskeletal disorders, common mental disorders, cancer or other chronic diseases).

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Purpose: The aim of this study was to develop an operationalized transdiagnostic resilience-based intervention for workers at risk of long-term work disability.

Methods: A sequential mixed method design was used. Expert clinicians ( = 10) first answered a questionnaire including closed and open-ended questions on the clarity, applicability, relevance and exhaustiveness of a preliminary resilience intervention developed from evidenced-informed resilience factors to prompt reflection.

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