- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- BRCA gene mutations in cancer
- Childhood Cancer Survivors' Quality of Life
- Digital Mental Health Interventions
- Mental Health via Writing
- Family Support in Illness
- Genetic factors in colorectal cancer
- Interprofessional Education and Collaboration
- Family and Patient Care in Intensive Care Units
- Patient-Provider Communication in Healthcare
- DNA Repair Mechanisms
- Diversity and Career in Medicine
- Innovations in Medical Education
- Mentoring and Academic Development
- Advances in Oncology and Radiotherapy
- Health and Medical Research Impacts
- Social Media in Health Education
- Menopause: Health Impacts and Treatments
- Health Literacy and Information Accessibility
- Mindfulness and Compassion Interventions
- COVID-19 and Mental Health
- HIV/AIDS Research and Interventions
- Perfectionism, Procrastination, Anxiety Studies
- Music Therapy and Health
University Health Network
2011-2025
University of Toronto
2013-2025
Health Net
2024
Instituto Lauro de Souza Lima
2011-2023
Hamilton Health Sciences
2019-2021
Juravinski Hospital
2019-2021
McMaster University Medical Centre
2019-2021
University Medical Center
2021
Juravinski Cancer Centre
2021
McMaster University
2021
Breast cancer treatments and the traumatic nature of experience frequently elicit considerable sexual difficulties. survivors (BCS) experiencing body image (BI) issues may represent a vulnerable group for developing dysfunction posttreatment. The current study explores functioning (SF) in this unique clinical group.A descriptive assessed 127 BCS who were engaged activity. Standardized baseline measures included following: BI Scale, after Cancer Questionnaire, Female Sexual Function Index...
Fear of cancer recurrence (FCR) is common, persistent, and associated with lower quality life, impaired functioning, psychological distress in family caregivers (FC) individuals a diagnosis. Interventions are needed to specifically target FCR FC. This study aimed pilot test the adapted Family Caregiver-Fear Of Recurrence Therapy (FC-FORT) establish its feasibility, acceptability, clinical significance. used mixed-method, parallel, two-group randomized control trial (FC-FORT vs. waitlist...
The Artificial Intelligence Patient Librarian (AIPL) was designed to meet the psychosocial and supportive care needs of Metastatic Breast Cancer (MBC) patients with HR+/HER2− subtypes. AIPL provides conversational patient education, answers user questions, offers tailored online resource recommendations. This study, conducted in three phases, assessed AIPL’s impact on patients’ ability manage their advanced disease. In Phase 1, educational content adapted for chatbot delivery, over 100...
Abstract Objective This study aimed to explore the relationships between gender‐role socialization, objectified body consciousness and quality of life in breast cancer (BC) survivors with image (BI) disturbance post‐treatment. Methods A total 150 BC participating an ongoing randomized clinical trial a group psychotherapy intervention for BI‐related concerns completed baseline battery standardized measures including following: Body Image Scale (BIS), after Breast Cancer Questionnaire (BIBCQ),...
Purpose This study aimed to test a group psychosocial intervention focused on improving disturbances of body image (BI), sexual functioning, and quality life in breast cancer (BC) survivors. Methods A prospective, randomized controlled trial was conducted assess the efficacy an 8-week women after BC treatment. The manual-based combined two powerful ingredients: expressive guided-imagery exercises integrated within model group-therapy principles. facilitates exploration identity, development...
A type of hereditary colorectal cancer (CRC) known as nonpolyposis (HNPCC) is associated with MLHI and MSH2 gene mutations. This study consists a pilot, cross-sectional 50 individuals who were engaged in the genetic testing process for HNPCC. The investigated motivations attitudes around current psychosocial functioning through use standardized measures, well obtained information on disclosure patterns test results. mean age sample was 44.3 years. (SD = 15.0). Twenty-three identified...
Hereditary non‐polyposis colorectal cancer (HNPCC) represents about 1–3% of all cases (CRC). The objectives the study were to examine motivational factors, expectations and psychosocial functioning in a sample CRC survivors undergoing genetic testing for HNPCC. A cross‐sectional survey 314 patients recruited through population‐based colon family registry was conducted. Motivations hereditary similar those clinic‐based samples included learning increased risk offspring finding out if...
Abstract BACKGROUND Women with a BRCA1/BRCA2 mutation experience significant challenges. These include decision‐making regarding surgical options and notification to offspring family, along sense of isolation, which may lead psychological emotional distress. The current study developed, standardized, conducted preliminary testing supportive‐expressive group therapy intervention designed address these METHODS Seventy women recruited from familial cancer risk clinics participated in 12...
The purpose of this study was to describe factors contributing the decision-making processes elderly persons as they formulate advance directives in long-term care.This qualitative, based on grounded theory. Recruitment purposive and continued until saturation reached. Nine residents a long-term-care facility were interviewed by use semistructured format. Open axial coding interview transcripts carried out decision process defined.Elders their decisions primarily information gathered from...
Objectives To develop a brief, reliable and valid instrument to screen psychosocial risk among those who are undergoing genetic testing for Adult-Onset Hereditary Disease (AOHD). Design A prospective two-phase cohort study. Setting 5 centres AOHD, such as cancer, Huntington's disease or haemochromatosis, in ambulatory clinics of tertiary hospitals across Canada. Participants 141 individuals were approached consented the development phase study (Phase I). The Genetic Psychosocial Risk...
Abstract Background Study aims were to assess the current state and needs of faculty inform design a formal mentorship program in large academic Department Psychiatry. Methods A 57- item self-administered online survey questionnaire was distributed all members. Results 225 members completed (24%). 68% respondents had mentor reported high satisfaction (mean = 4.3, SD 1.05) (range 1 5). Among those lacking access mentorship, 65% expressed interest. Open-ended questions indicated that...
Coping is defined as an individual’s effort in dealing with life challenges. This could vary among individuals, where cultural, social, spiritual, and other factors greatly influence how people cope feel about life’s quality. Daily spiritual experiences refer to individual's connection a higher being that influences their thoughts actions overall well-being different aspects, including physical, emotional. Research has been conducted measure the relationship between spirituality quality of...
Background Childhood leukemia critically disrupts family life, needing support for adaptation and resilience. Objective Having investigated the main factors influencing of families with children leukemia, we provide clinical nurses to develop effective interventions promote in future practice. Method This cross-sectional study surveyed 197 parents (≤14 years old) acute from 4 hospitals Changsha, China. Four questionnaires assessed resilience: Family Hardiness Index, Perceived Social Support...
This study evaluates the incorporation of Multi-Family Psycho-education Group (MFPG) to an Assertive Community Treatment Team developed serve culturally diverse clients who suffers from severe mental illness. Participants included Chinese and Tamil their family members. Family members' well-being, perceived burden, acceptance were assessed before after intervention. Focus group interviews with clinicians conducted qualitatively examine MFPG. increased Regular attendance was associated...
The negative psychosocial impacts of cancer diagnoses and treatments are well documented. Virtual care has become an essential mode delivery during the COVID-19 pandemic, online support groups (OSGs) have been shown to improve accessibility supportive care. de Souza Institute offers CancerChatCanada, a therapist-led OSG service where sessions monitored by artificial intelligence-based co-facilitator (AICF). AICF is equipped with recommender system that uses natural language processing tailor...
Background Family caregivers of cancer survivors experience equal or greater levels fear recurrence (FCR) than themselves. Some interventions have demonstrated their ability to reduce FCR among and dyads (patient caregivers). However, date, no validated intervention exists focus solely on family caregiver's FCR. Objectives This study aimed (1) adapt the evidence-based in-person Fear Of Recurrence Therapy (FORT) for (referred here in as FC-FORT) a virtual delivery format (2) test its...
The addition of magnetic resonance imaging (MRI) to mammography for surveillance women with BRCA mutations significantly increases sensitivity but lowers specificity. This study aimed examine whether MRI surveillance, and particularly recall, is associated increased anxiety, depression, or breast cancer worry/distress.Women in an were invited complete: Hospital Anxiety Depression Scale (HADS), Lerman's Breast Cancer Worry Scale, Interference a quality life rating at 3 time points: 1-2 weeks...
Cancer and its treatment can significantly impact the short- long-term psychological well-being of patients families. Emotional distress depressive symptomatology are often associated with poor adherence, reduced quality life, higher mortality. support groups, especially those led by health care professionals, provide a safe place for participants to discuss fear, normalize stress reactions, share solidarity, learn about effective strategies build resilience enhance coping. However,...
Health professionals working in oncology face the challenge of a stressful work environment along with impacts providing care to those suffering from life-threatening illness and encountering high levels patient loss. Longitudinal exposure loss can lead grief, which over time development compassion fatigue (CF). Prevalence rates CF are significant, yet health have little knowledge on topic. A six-week continuing education program aimed provide information support managing grief consisted...
A cross-sectional study of 155 participants who underwent genetic testing for Lynch syndrome (LS) examined long-term psychosocial and behavioral outcomes. Participants completed standardized measures perceived risk, functioning, knowledge, a questionnaire screening activities. were on average 47.3 years had undergone mean 5.5 prior. Eighty four (54%) tested positive LS mutation 71 (46%) negative. For unaffected carriers, lifetime risk colorectal cancer was 68%, surprisingly, 40% among those...
Abstract Objectives Body image (BI) remains a significant survivorship challenge among breast cancer (BC) survivors. We describe an 8‐week group intervention— restoring body after (ReBIC)—developed to target BI distress for BC Methods The intervention was informed by interviews with survivors and descriptive, exploratory approach which adapted guided imagery exercises address BI. Educational material selected sociocultural factors that may contribute affect adjustment. Videotape reviews...
The recent onset of the COVID-19 pandemic and social distancing requirement have created an increased demand for virtual support programs. Advances in artificial intelligence (AI) may offer novel solutions to management challenges such as lack emotional connections within group interventions. Using typed text from online groups, AI can help identify potential risk mental health concerns, alert facilitator(s), automatically recommend tailored resources while monitoring patient outcomes.The...