Research Projects

BREAST & BONE HEALTH PROJECT


Some women with breast cancer are at higher risk for osteoporosis, bone fragility, and fracture due to the nature of the cancer treatment. Hope & Cope and the Segal Cancer Centre are currently spearheading a program dedicated to promoting bone health in breast cancer. This is made possible through a grant (2014-2017) from the Quebec Breast Cancer Foundation (rubanrose.org). The program is a team effort with the co-leadership of a nurse and a physiotherapist working together to identify, screen, and support women through research-informed activities. Principal investigator, Dr. Loiselle and her team (Lapointe, J., Dalzell, M. A., O'Brien, S., Lau, G.J. & Ibrahim, M.) document how awareness raising, education, exercise, nutrition, and lifestyle modifications can be integrated into current breast cancer treatment practices. The culmination of these efforts will be a cost-effective comprehensive bone health toolkit that can be easily transferred to other clinical settings in Quebec.

For more information about this program, please contact:
Garnet Lau, RN, MSc(A), MSc
glau@jgh.mcgill.ca
(514) 340-8222 ext. 28658

Sponsors

SUSTAINABLE DISTRESS SCREENING IMPLEMENTATION STUDY

The overall goal of this pilot study is to determine the implementation potential of a volunteer-based electronic distress screening and psychosocial support system for patients newly diagnosed with cancer. The main study objectives are to (1) document the feasibility, usability, and acceptability of a volunteer-based e-distress screening and support system to patients newly diagnosed with cancer, (2) examine the nature of participants' requests for distress-related information, and (3) assess whether distress scores change following the provision of the program.

For more information about this study, please contact:
Jacqueline Vachon, MSc
loiselle-research@mcgill.ca
(514) 398-8977

Sponsors

PERSPECTIVE STUDY

Dr. Loiselle’s research lab has joined Dr. Jacques Simard’s research team at l’Université Laval to take part in an international multisite study funded by Génome Québec that seeks to improve prevention and screening for personal risk factors for breast cancer. As part of the PERSPECTIVE project (PErsonalised Risk Stratification for Prevention and Early deteCtion of breast cancer), Dr. Loiselle and the larger team are evaluating a newly created website for women in the community to evaluate their perceptions and acceptability of genetic and lifestyle risk factors information related to preventing, screening and monitoring breast cancer risk.

For more information about this study, please contact:
Jacqueline Vachon, MSc
loiselle-research@mcgill.ca
(514) 398-8977

Sponsors

SIIRI STUDY

Building on the PERSPECTIVE study, this study is funded by the Ministère de l'Économie, de la Science et de l'Innovation and focuses on supporting women and their providers with e-health tools to use during the breast cancer genetic testing and follow up process. In collaboration with Dr. Jacques Simard and international colleagues, Dr. Loiselle’s research lab will develop and test an interactive platform that allows women to follow-up on their breast cancer genetic risk results (i.e., a post-assessment tool). This add-on platform will provide women with their follow-up screening recommendations, appointment tracking, provider-patient communication, and additional person-centered services.

For more information about this study, please contact:
Jacqueline Vachon, MSc
loiselle-research@mcgill.ca
(514) 398-8977

Sponsors

ONCO PERSONA APP STUDY


“Being known” by the health care team can significantly improve a patient’s health care experience, health behavior, and health-related outcomes. “Being known” refers to patients’ perceptions that there is a human connection with healthcare providers that includes personalization of care according to patients’ health status, unique needs, beliefs and values. As of now, no clear strategies to improve patients’ feelings of “being known” have been proposed. Health information technologies are promising to address this gap. Our research team has recently collaborated with IT experts to design an e-health application that serves to provide crucial patients’ information including their current health worries, and preferences for information and decision making so that health care providers can optimally tailor their interventions to patients' needs. The study will test the newly developed App and explore the extent to which it enhances the patient experience while optimizing patients-health care providers’ interactions.

For more information about this study, please contact:
Dr. Carmen G. Loiselle
loiselle-research@mcgill.ca
(514) 398-8977

HEALTH-RELATED EMPOWERMENT IN YOUNG ADULTS LIVING WITH ADVANCED CANCER: A QUALITATIVE STUDY

The goal of this exploratory study is to better understand how young adults living with advanced cancer strive to maintain a sense of control in the context of an uncertain future. In addition, barriers and facilitators to empowerment are investigated in the context of their cancer care. The study findings serve to inform subsequent empowerment promoting strategies and interventions to best support this group of young individuals living with a precarious cancer diagnosis.

For more information about this study, please contact:
Dr. Carmen Loiselle or Rosalind Garland, BA
loiselle-research@mcgill.ca
rosalind.garland@mail.mcgill.ca

Sponsors

A NEW E-HEALTH APPLICATION FOR PATIENTS WITH CANCER


This study begins to test a new online health community application called BELONG - designed as a platform to improve the overall patient experience with cancer and care. More specifically, BELONG assists individuals with cancer to meet their information and support needs, promote communication and shared treatment decision-making, track their own cancer journey and guide them to navigate the complexities of the health care system. The application is available for use on mobile devices and tablets, such as smart phones and iPads. This pilot particularly focuses on the experience of women with gynecological cancer and the views of the multidisciplinary team.

News broadcast: "Israeli startup fights against cancer"
http://www.israelnationalnews.com/News/News.aspx/230331

For more information about this study, please contact:
Dr. Carmen G. Loiselle or Saima Ahmed, BSc, MSc candidate
loiselle-research@mcgill.ca
saima.ahmed@jgh.mcgill.ca
(514) 398-8977

Sponsors

BEING KNOWN QUALITATIVE STUDY

Past research has focused on physician-patient communication related to delivering diagnoses, developing treatment plans, and discussing patients’ experiences with cancer. Less attention has been devoted to better understanding the nurse-patient relationship and how this may relate to the patient’s experience of “being known” in health care. A better understanding of the patient’s perspective of “being known” will provide information on the added relevance of nurse-patient and nurse-nurse communication in cancer care settings. The overall goal of this study is to provide an in-depth exploration of cancer patients' experience of “being known” in an ambulatory cancer care setting where nursing rounds have been implemented.

For more information about this study, please contact:
Dr. Carmen G. Loiselle, Erin Mackasey, RN, BScN (MS student), or Chloe Grover, BSc (MS student)
loiselle-research@mcgill.ca
erin.mackasey@mail.mcgill.ca
chloe.grover@mail.mcgill.ca
(514) 398-8977

"THE POWER OF ME, THE POWER OF WE" DOCUMENTARY


Paradoxically, the experience of young adults living with advanced cancer can be both very challenging and a catalyst for personal growth. The complexity of their experience is due, in part, to their unique physical, psychological, developmental, and social needs. To this end, Carmen Loiselle and Hope & Cope (Suzanne O’Brien) embarked on an innovative documentary film project to document their experience. The team wishes to take this documentary to various media sources, to raise awareness of young adults’ unique experiences with advanced cancer and the health care system, as well as fundraise to support young adults with cancer services provided through Hope & Cope.

For more information about this documentary, please contact:
Dr. Carmen G. Loiselle
loiselle-research@mcgill.ca
(514) 398-8977

Sponsors

PATIENTS' PREFERENCES IN CANCER CARE AND THE PATIENT EXPERIENCE SURVEY

The Rossy Cancer Network has implemented an Ambulatory Outpatient Satisfaction Survey (AOPSS) program for cancer patients across three McGill-affiliated hospitals: McGill University Health Centre, Jewish General Hospital, and St. Mary’s Hospital Center. Dr. Loiselle has had the opportunity to add questions related to her ongoing program of research on patients’ preferences for cancer information and services. With over 2,000 Canadian patients surveyed to date, this provides a rich dataset to test hypotheses and to improve patient care.

Sponsors

TREATMENT DECISION MAKING FROM THE PERSPECTIVE OF OLDER INDIVIDUALS WITH COLORECTAL CANCER

This prospective, longitudinal qualitative study, informed by constructivist grounded theory methodology, provides in-depth understanding of treatment decision making from the perspective of 18 men and women, aged 71 to 88, diagnosed with colorectal cancer. Participants were interviewed before and after their initial treatment trajectory, which ranged from 3 to 18 months and involved various combinations of surgery, radiotherapy and/or chemotherapy. Between interviews, participants were asked to keep a diary of their thoughts and experiences related to treatment decisions, either as a written or audio-recorded journal, or through phone calls and brief visits. The analysis of these 286 audio-recorded interactions and 234 written or self-recorded journal entries highlights a key decision point early in the process and the ongoing importance of trust within the dynamic context of the cancer care system.

For more information about this study, please contact:
Dr. Carmen Loiselle or Fay Strohschein, PhD candidate
loiselle-research@mcgill.ca
fay.strohschein@mail.mcgill.ca

Sponsors


Past Projects (past five years)

PSYCHOSOCIAL ONCOLOGY RESEARCH TRAINING PROGRAM (PORT)


Dr. Loiselle is also the national Leader of a Strategic Training Initiative in Health Research called PORT (Psychosocial Oncology Research Training) - a 12-year CIHR-funded transdisciplinary training program for graduate students and postdoctoral fellows from a variety of disciplines pursuing research in cancer survivorship at six renowned Canadian universities.

TEN-C A RANDOMIZED CONTROLLED TRIAL


The internet is widely accessible and can be a very powerful tool for patients and their loved ones. In previous years, Dr. Loiselle and a team of researchers (Lauzier, S., Maunsell, E., Vuong, T., Lee, V., & Duschene, T.) conducted a large randomized controlled trial to study the effects of the Oncology Interactive NavigatorTM, a high quality Canadian web-based cancer resource (JackDigital.com). Now that data collection is completed, the team has been analyzing how this online tool affects patient’s experiences with cancer.

Sponsors

CIHR-FUNDED STUDY ON THE EFFECTS OF WEB-BASED CANCER NAVIGATION ON PSYCHOSOCIAL INDICATORS AND HEALTH CARE SERVICE USE

Dr. Loiselle has documented the effects of the Oncology Interactive NavigatorTM on health related outcomes in a multisite quasiexperimental study among 250 women and men newly diagnosed with cancer. Access to this multimedia cancer platform was shown to significantly increase patient satisfaction with cancer information and quality of life among a subset of patients.

Sponsors

VIRTUAL NAVIGATION IN CANCER: A PILOT STUDY

In May 2009, the Canadian Partnership Against Cancer commissioned a pilot study to understand how virtual navigation can support cancer patients. Specifically, the pilot evaluated the Oncology Interactive Navigator (OIN) tool in seven cancer centres across Canada.
For more information: http://www.deslibris.ca/ID/235207

Sponsors


Publications (past five years)

  • Duthie, K.*, Strohschein, F. J.*, Loiselle, C. G. (2017). Living with cancer and other chronic conditions: Patients’ perceptions of their healthcare experience. Canadian Oncology Nursing Journal, 27(1), 43-48. No Journal Impact Factor. ViewPDF
  • Koritzinsky, M., Koch, A., Riley, B., Beauchemin, N., Johnston, G.C., Koropat, J., Loiselle, C. G., Maslowska, M., McCormick, C., Miller, W., & Tsao, M. (2016). From solo in the silo to strategic training programs. CBE-LSE. Journal Impact Factor: 1.89. ViewPDF
  • Haase, K. R*. Strohschein, F. J., Lee, V., & Loiselle, C. G. (2016). The promise of virtual navigation in cancer care: Insights from patients and health care providers. Canadian Oncology Nursing Journal, 26(3), 238-245. No Journal Impact Factor. ViewPDF
  • Thombs, B. D., Benedetti, A., Kloda, L. A., Levis, B., Azur, M., Riehm, K. E., Saadat, N., Cuijpers, P., Gilbody, S., Ioannidis, J. P. A., McMillan, D., Patten, S. B., Shrier, I., Steele, R. J., Ziegelstein, R. C., Loiselle, C. G., Henry, M., Ismail, Z., Mitchell, N., & Tonelli, M. (2016). Diagnostic Accuracy of the Depression Subscale of the Hospital Anxiety and Depression Scale (HADS-D) for Detecting Major Depression: Protocol for a Systematic Review and Individual Patient Data Meta-analyses. BMJ Open 6.4: e011913. Journal Impact Factor: 2.56. ViewPDF
  • Wazneh*, L.M., Tsimicalis, A., & Loiselle, C. G. (2016). Young adults’ perceptions of the Venturing Out Pack Program as a tangible cancer support service. Oncology Nursing Forum, 43(1), E34-E42. Journal Impact Factor: 2.79. ViewPDF
  • Rashi, C., *Wittman, T., Tsimicalis, A., & Loiselle, C. G. (2015). Balancing Illness and Parental Demands: Coping with Cancer While Raising Minor Children. Oncology Nursing Forum, 42(4), 337-344. Journal Impact Factor: 2.79. ViewPDF
  • Arbour, C.*, Gélinas, C., Loiselle, C. G., & Bourgault. P (2015). An exploratory study of the bilateral bispectral index for pain detection in traumatic-brain-injured patients with altered level of consciousness. Journal of Neuroscience Nursing, 47(3), 166-177. Journal Impact Factor: 0.82. ViewPDF
  • Chaturvedi, S. K., Strohschein, F. J.*, Saraf, G., & Loiselle, C. G. (2014) Communication in cancer care: psycho-social, interactional, and cultural issues. A general overview and the example of India. Frontiers in Psychology, 5(1332), 1.6. doi: http://doi.org/10.3389/fpsyg.2014.01332. No Journal Impact Factor. ViewPDF
  • Navarro de Souza, A., Groleau, D., Loiselle, C. G., Foulkes, W.D., & Wong, N. (2014). Cultural Aspects of Healthy BRCA Carriers From Two Ethnocultural Groups. Qualitative Health Research, 24(5) 665-681. doi:10.1177/1049732314528756. Journal Impact Factor: 2.19. ViewPDF
  • Arbour, C.*, Choinière, M., Topolovec-Vranic, J., Loiselle, C. G., & Gélinas, C. (2014). Can fluctuations in vital signs be used for pain assessment in critically ill patients with a traumatic brain injury? Pain Research and Treatment. vol. 2014, Article ID 175794, 1-11. doi:10.1155/2014/175794. No Journal Impact Factor. ViewPDF
  • Wurz, A. J., & Loiselle, C. G. (2013). Psychosocial care: Video-based CBT for insomnia. Report from the Canadian Association of Psychosocial Oncology Conference. Oncology Exchange, 12(2), 33-34. No Journal Impact Factor. ViewPDF
  • Macrae, L., Navarro de Souza, A., Loiselle, C. G., & Wong, N. (2013). Experience of BRCA-1/2 mutation-negative young women from families with hereditary breast and ovarian cancer: a qualitative study. Hereditary Cancer in Clinical Practice, 11(14), 1-11. doi: 10.1186/1897-4287-11-14 PMID: 24131499. Impact Factor: 1.47. ViewPDF
  • Loiselle, C. G., Peters, O.*, Haase, K. R.Girouard, L., Körner, A., Wiljer, D., & Fitch, M. (2013). Virtual navigation in colorectal cancer and melanoma: an exploration of patients' views. Support Care in Cancer, 21(8), 2289-2296. doi: 10.1007/s00520-013-1771-1. PMID:23519565. Impact Factor: 2.36. ViewPDF
  • Pluye, P., Grad, R., Repchinsky, C., Jovaisas, B., Johnson-Lafleur, J., Carrier, M.E., Granikov, V., Farrell, B., Rodriguez, C., Bartlett, G., Loiselle, C. G. & Légaré, F. (2013). Four levels of outcomes of information-seeking: A mixed methods study in primary health care. Journal of the American Society for Information Science and Technology, 64(1), 108-125. Journal Impact Factor: 1.85. ViewPDF
  • Lee, V.* & Loiselle, C. G. (2012). The Salience of Existential Concerns Across the Cancer Control Continuum. Palliative and Supportive Care, 10(2), 123-133. doi:10.1017/S1478951511000745. PMID: 22464280. Journal Impact Factor: 1.53. ViewPDF
  • Loiselle, C. G., Gélinas, C., Cassoff, J., Boileau, J., & McVey, L. (2012). A pre-post evaluation of the Adler/Sheiner Program (ASP): A nursing informational programme to support families and nurses in an intensive care unit (ICU). Intensive & Critical Care Nursing, 28(1), 32-40. doi: 10.1016/j.iccn.2011.11.006. No Journal Impact Factor. ViewPDF
  • Haase, K.* & Loiselle, C. G. (2012). Oncology team members’ perceptions of a virtual navigation tool for cancer patients. International Journal of Medical Informatics, 81, 395-403. doi: 10.1016/j.ijmedinf.2011.11.001. Journal Impact Factor: 2.00. ViewPDF
  • Pelletier, M., Knäuper, B., Loiselle, C., Perreault, R., Mizrahi, C., & Dubé, L. (2012). Moderators of psychological recovery from benign cancer screening results. Current Oncology, 19(3), e191-200. doi:10.3747/co.19.935. Journal Impact Factor: 1.79. ViewPDF
  • Loiselle, C. G. & Sterling, M. (2012). Views on death and dying among health care workers in an Indian cancer care hospice: Balancing individual and collective needs and perspectives. Palliative Medicine, 26(3), 250-256. doi: 10.1177/0269216311400931. Journal Impact Factor: 2.86. ViewPDF
Contact Us
© 2017. «Loiselle.lab» All right reserved