Asthma and COPD patients’ perceived link between health literacy core domains and self-management of their condition

Health literacy (HL) is a person’s ability to practically apply a wide range of cognitive and non-cognitive skills, to make health-related decisions. This study, that involved Can-Change Chair Dr. Kim Lavoie, endeavored to develop a comprehensive, function-based tool that adequately and accurately measures HL skills of this patient population. Involvement of patients from initial stage allowed us to develop a tool that will serve as a first ever developed HL tool for asthma and COPD patient group.

Guided asthma self-management or patient self-adjustment? Using patients’ narratives to better understand adherence to asthma treatment

This study, co-led by Can-Change members Dr. Kim Lavoie and Dr. Simon Bacon, aimed to better understand patients’ perspective of asthma self-management by focusing on the sociocultural and medical context shaping patients’ illness representations and individual decisions. Data suggest that while physicians contribute to shaping patients’ beliefs and perceptions about the disease and treatment goals, patients tend to listen to their own experience and manage the disease accordingly

Diabetes-Related Behavior Change Knowledge Transfer to Primary Care Practitioners and Patients: Implementation and Evaluation of a Digital Health Platform

The aim of this study, led in part by Can-Change member Dr. Michael Vallis, was to develop and evaluate a computerized decision support platform that assists primary care practitioners in applying standardized behavior change strategies and clinical practice guidelines–based recommendations to an individual patient and empower the patient with the skills and knowledge required to self-manage their diabetes through planned, personalized, and pervasive behavior change strategies.

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.

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.