Our Publications

Publications and other information offered here are meant to keep the public abreast of new developments in the field of health behaviour change intervention, and share knowledge with students, experts, and practitioners about evidence-based interventions and methods used in intervention design and evaluation.

See below for publications authored by Can-Change members or browse “Other Relevant Publications” from the field of behavioural medicine.

Please note that articles are posted in the language in which they were originally published.

July 6, 2017

A Qualitative Study Exploring Factors that Influence Enrolment in Outpatient Cardiac Rehabilitation

Can-Change members C.R. Rouleau and T.S. Campbell were involved in a study exploring patients' decision-making about enrolling into a cardiac rehabilitation program. Anticipated benefit, perceived ability, and contextual influences were themes that emerged from the face-to-face interviews with patients. Individualized efforts to resolve ambivalence, address knowledge gaps, and problem-solve barriers may increase patients' uptake of cardiac rehabilitation programs as effective secondary prevention strategy.
November 4, 2016

Behaviour-change intervention in a multicentre, randomised, placebo-controlled COPD study: methodological considerations and implementation

Chronic obstructive pulmonary disease is generally progressive and associated with reduced physical activity. Both pharmacological therapy and exercise training are often not sufficient to change the amount of daily physical activity a patient undertakes. Behaviour-change self-management programmes are designed to address this, including setting motivational goals and providing social support. Can-Change member Dr. Kim Lavoie and colleagues present and discuss the necessary methodological considerations when integrating behaviour-change interventions into a multicentre study.
November 4, 2016

The OPTIMIZE trial: Rationale and design of a randomized controlled trial of motivational enhancement therapy to improve adherence to statin medication

Can-Change members Drs. Kim Lavoie and Tavis Campbell contributed to this manuscript which describes the rational and design of a randomized controlled trial testing the efficacy of motivational interviewing (MInt) in improving adherence to statin medication. The primary outcome is change in MPR adherence to statin medication from baseline to 12-months. Secondary outcomes include within-patient change in self-reported medication adherence, stage of change and self-efficacy for medication adherence, motivation to adhere to statin medication, and lipid profile.
November 4, 2016

Enablers of Physician Prescription of a Long-Term Asthma Controller in Patients with Persistent Asthma

This study aimed to identify key enablers of physician prescription of a long-term controller in patients with persistent asthma. We concluded that tools and training to improve physician knowledge, skills, and perception towards long-term ICS and resources that increase patient adherence and physician comfort to facilitate long-term ICS prescription should be considered as targets for implementation. Can-Change members Dr Kim Lavoie and Dr. Simon Bacon contributed to this article.
November 4, 2016

How can adherence to asthma medication be enhanced? Triangulation of key asthma stakeholders’ perspectives

This study aimed to understand how patients' long-term asthma controller medication adherence may be improved and facilitated by comparing key asthma stakeholders' perspectives. Can-Change members Dr. Kim Lavoie and Dr. Simon Bacon contributed to this article.
November 4, 2016

Changing Provider Behavior in the Context of Chronic Disease Management: Focus on Clinical Inertia

Despite overwhelming evidence supporting the benefits of using clinical practice guidelines, there is a long history of poor uptake by providers (known as "clinical inertia"). This article reviews evidence for the ubiquity of clinical inertia across a variety of chronic health conditions, as well as the organizational and system, patient, and provider factors that serve to maintain it. Can-Change members Dr. Kim Lavoie and Dr. Tavis Campbell contributed to this article.
July 7, 2016

L’entretien motivationnel et les changements de comportements en santé

L'entretien motivationnelle consiste à encourager le patient à exprimer ou à verbaliser son ambivalence face au changement de comportements afin de la résoudre à l’aide de stratégies motivationnelles et cognitivo-comportementales. Cet article, auquel deux membres du Can-Change (Dre Kim Lavoie et Dre Catherine Laurin) décrit les bases théoriques de l’entretien motivationnel (EM) et les applications pratiques de cette approche.
July 7, 2016

Effects of pulmonary rehabilitation on quality of life in chronic obstructive pulmonary disease patients

Pulmonary rehabilitation plays a key role in the management of chronic obstructive pulmonary disease (COPD). This review, authored in part by Can-Change members Dr. Kim Lavoie and Dr. Catherine Laurin describes the state of knowledge over the past year concerning HRQoL benefits after pulmonary rehabilitation and suggests avenues for future research.
December 13, 2015

Comment on Pladevall et al’s 2015 publication in The Diabetes Educator

Comment calling attention to the need for health professionals to be trained in motivational interviewing (MI) due to it being a highly complex clinical skill taking considerable time to learn and master and how health professionals trained in MI also require ongoing training and supervision. Can-Change members Dr. Tavis Campbell, Dr. Simon Bacon, Dr. Kim Corace, Dr. Kim L. Lavoie, and Dr. Michael Vallis contributed to this article.
December 7, 2015

Adherence to Antihypertensive Medications: Current Status and Future Directions

Despite the proven clinical efficacy of antihypertensive medications to control BP, approximately half of treated patients are nonadherent. Barriers to antihypertensive medication adherence are numerous and include patient-related, provider-related, therapy-related, and system-related influences. This review, authored in part by Can-Change members Dr. Kim Lavoie and Dr. Tavis Campbell summarizes the current understanding of the prevalence and impact of the failure to adhere to the medical management of hypertension. Factors linked to improved adherence and studies that assessed strategies to improve adherence are also summarized.
December 7, 2015

Comprehensive Self-Management Strategies

Review of the literature on self-management interventions and giving thought to how, when, and by whom they should be offered to patients. Proper self-management support is a basic prerequisite and self-management interventions need to target enhancing intrinsic motivation to change through client-centered communication (motivational communication). To be able to design and implement self-management interventions that are integrated, coherent, and have a strong likelihood of success, a more careful look is needed at the case manager, the patient (patient evaluation), and the quality assurance. Can-Change member Dr. Kim Lavoie contributed to this article.
December 7, 2015

Training Healthcare Providers in Motivational Communication: Do We Know What We Are Doing?

Regular physical activity (PA) is essential for secondary and tertiary prevention of cardiometabolic risk factors and disease, but low adherence to PA recommendations is common. Motivational communication (MC) shows promise for promoting PA adherence. However dissemination of MC strategies has been limited. We discuss preliminary considerations for training individuals in the use of MC. Future work is needed to establish what constitutes competent MC training to impact cardiometabolic health outcomes. Can-Change members Dr. Tavis Campbell, Dr. Simon Bacon, Dr. Kim Corace, Dr. Kim L. Lavoie, and Dr. Michael Vallis contributed to this article.
August 11, 2015

Establishing a Working Alliance to Achieve Self-Management Support

It has long been accepted within applied psychology that the quality of the client-therapist relationship —termed the working alliance— is of central importance to treatment outcome and may account for a significant degree of the overall treatment effect. This paper examines the role of the working alliance in diabetes care and offers a practical guide to the diabetes healthcare provider in establishing a working alliance with the person with diabetes in managing diabetes. Can-Change member Dr. Michael Vallis contributed to this article.
August 11, 2015

Psychosocial Intervention for Diabetes Self-Management

The purpose of this research, which included the contributions of Can-Change member Dr. Michael Vallis, is to develop a brief psychosocial intervention protocol for type 2 diabetes self-management and pilot-test its implementation through a 6-session evidence-based psychosocial intervention protocol focusing on the role of behaviour modification, maintenance of motivation and emotion management in type 2 diabetes self-management. This promising intervention could be developed as a training manual to deliver the intervention and fulfill the Canadian Diabetes Association’s clinical guidelines to provide psychosocial interventions as part of diabetes care.
August 11, 2015

A Practical Guide for Diabetes Care Providers

Ambivalence is the psychological state in which a person experiences inconsistent drives; both toward and away from the recommended behaviour. In this paper we demonstrate that hypoglycaemia is a fear event and is likely to elicit strong drives to avoid future hypoglycaemia as a fear coping strategy. The purpose of this paper, authored in part by Can-Change member Dr. Michael Vallis, is to review the evidence on the psychological consequences of hypoglycaemia and to outline fear management strategies that can be implemented by diabetes care providers.
August 11, 2015

Challenges to Self-Management Support in Chronic Diseases

The purpose of this perspective, authored by Can-Change member Dr. Michael Vallis. is to identify a potential limitation in existing self-management support initiatives, namely that true self-management support might require changes by healthcare providers.
August 11, 2015

Behaviour Change Counselling Scale (BCCS)

Behaviour change counselling skills to guide lifestyle interventions can be operationalized and assessed in a reliable and valid manner. As discussed in this article by Can-Change member Dr. Michael Vallis, the BCCS can be used to guide clinical training in lifestyle counselling by operationalizing the component skills and providing feedback on skill achieved.
July 30, 2015

The LISA Trial

Obesity is associated with poor outcomes in women with operable breast cancer. Lifestyle interventions (LIs) that help women reduce their weight may improve outcomes. A telephone-based LI led to significant weight loss that was still evident at 24 months, without adverse effects on QOL, hospitalizations, or medical events. Can-Change member Dr. Michael Vallis contributed to this article.