Michel Dorval
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View article: Supporting Meaningful Choices: A Decision Aid for Individuals Facing Existential Distress and Considering Psilocybin-Assisted Therapy
Supporting Meaningful Choices: A Decision Aid for Individuals Facing Existential Distress and Considering Psilocybin-Assisted Therapy Open
Background/Objectives: Given the limitations of traditional approaches to treating existential distress in seriously ill patients, psilocybin-assisted therapy (PAT) has emerged as a promising treatment option. However, weighing up the pote…
View article: What Factors Explain the Growing Use of Medical Assistance in Dying in Quebec? Protocol of an Interdisciplinary, Mixed and Multi Methods Study (Preprint)
What Factors Explain the Growing Use of Medical Assistance in Dying in Quebec? Protocol of an Interdisciplinary, Mixed and Multi Methods Study (Preprint) Open
BACKGROUND Medical Assistance in Dying (MAiD) became a legal end-of-life option on December 10th, 2015 in Quebec, and on June 17th, 2016 in the rest of Canada. Since its legalization, there has been a steady increase in the number of MAiD…
View article: Primary care providers’ experience and satisfaction with personalised breast cancer screening risk communication: a descriptive cross-sectional study
Primary care providers’ experience and satisfaction with personalised breast cancer screening risk communication: a descriptive cross-sectional study Open
Objective To describe primary care providers’ (PCPs) experience and satisfaction with receiving risk communication documents on their patient’s breast cancer (BC) risk assessment and proposed screening action plan. Design Descriptive cross…
View article: Roadmap for Equitable Access and Responsible Use of Psilocybin-Assisted Psychotherapy in Palliative Care
Roadmap for Equitable Access and Responsible Use of Psilocybin-Assisted Psychotherapy in Palliative Care Open
Psilocybin-assisted psychotherapy represents a promising addition to palliative care interventions, potentially improving quality of life by addressing existential distress. Despite its safety and effectiveness, this therapy remains limite…
View article: Barriers and Facilitators to Delivering Multifactorial Risk Assessment and Communication for Personalized Breast Cancer Screening: A Qualitative Study Exploring Implementation in Canada
Barriers and Facilitators to Delivering Multifactorial Risk Assessment and Communication for Personalized Breast Cancer Screening: A Qualitative Study Exploring Implementation in Canada Open
Many jurisdictions are considering a shift to risk-stratified breast cancer screening; however, evidence on the feasibility of implementing it on a population scale is needed. We conducted a prospective cohort study in the PERSPECTIVE I&I …
View article: Genetic discrimination in insurance and employment based on personalized risk stratification for breast cancer screening
Genetic discrimination in insurance and employment based on personalized risk stratification for breast cancer screening Open
Background The Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm (BOADICEA) incorporates the effects of common genetic variants, from polygenic risk scores, pathogenic variants in major breast cancer (BC) su…
View article: Feasibility and acceptability of a personalised primary prevention strategy for women and men at high risk of breast and prostate cancer: the 3PC study protocol for a pilot randomised controlled trial
Feasibility and acceptability of a personalised primary prevention strategy for women and men at high risk of breast and prostate cancer: the 3PC study protocol for a pilot randomised controlled trial Open
Introduction Several primary prevention strategies, including chemoprevention, prophylactic surgery and lifestyle modifications, have been shown to reduce the risk of breast cancer (BC) and prostate cancer (Pca). However, the uptake of the…
View article: Experiential dimension of psilocybin-assisted therapy training: Necessity or hindrance to wider accessibility?
Experiential dimension of psilocybin-assisted therapy training: Necessity or hindrance to wider accessibility? Open
The discussion surrounding the necessity of acquiring personal experience of non-ordinary states of consciousness in the course of psilocybin-assisted therapy training is crucial, as it can affect treatment safety, effectiveness and access…
View article: Psychedelic Treatment with Psilocybin: Addressing Medical Malpractice Risk and Physicians’ Concerns
Psychedelic Treatment with Psilocybin: Addressing Medical Malpractice Risk and Physicians’ Concerns Open
Psychedelic treatment with psilocybin is receiving increased attention following clinical trials showing it may help treat end-of-life anxiety, depression, and several other conditions. Despite this, physicians may be reluctant to prescrib…
View article: Cross‐cultural adaptation and validation of a French version of the perceived personal control questionnaire as an outcome measure instrument for genetic counseling
Cross‐cultural adaptation and validation of a French version of the perceived personal control questionnaire as an outcome measure instrument for genetic counseling Open
The perceived personal control (PPC) questionnaire serves as an instrument to assess the concept of PPC, which refers to a person's perception of their ability to achieve positive outcomes while avoiding the negative effects of a given sit…
View article: What do health professionals think about implementing psilocybin-assisted therapy in palliative care for existential distress? A World Café qualitative study
What do health professionals think about implementing psilocybin-assisted therapy in palliative care for existential distress? A World Café qualitative study Open
Objectives Promising studies show that psilocybin-assisted therapy relieves existential distress in patients with serious illnesses, a difficult condition to treat with current treatment options. There is growing interest in this therapy i…
View article: Implementing Multifactorial Risk Assessment with Polygenic Risk Scores for Personalized Breast Cancer Screening in the Population Setting: Challenges and Opportunities
Implementing Multifactorial Risk Assessment with Polygenic Risk Scores for Personalized Breast Cancer Screening in the Population Setting: Challenges and Opportunities Open
Risk-stratified breast screening has been proposed as a strategy to overcome the limitations of age-based screening. A prospective cohort study was undertaken within the PERSPECTIVE I&I project, which will generate the first Canadian evide…
View article: Mapping inter-professional collaboration in oncogenetics: Results from a scoping review
Mapping inter-professional collaboration in oncogenetics: Results from a scoping review Open
Inter-professional collaboration could improve timely access and quality of oncogenetic services. Here, we present the results of a scoping review conducted to systematically identify collaborative models available, unpack the nature and e…
View article: Problem gambling in psychotic disorders: A systematic review and meta‐analysis of prevalence
Problem gambling in psychotic disorders: A systematic review and meta‐analysis of prevalence Open
Introduction Problem gambling (PBG) is more common in people with mental health disorders, including substance use, bipolar, and personality disorders, than in the general population. Although individuals with psychotic disorders might be …
View article: Disruptions in Cancer Care Due to the COVID-19 Pandemic and Fear of Cancer Recurrence in Women with Breast Cancer: A Mixed-Methods Study
Disruptions in Cancer Care Due to the COVID-19 Pandemic and Fear of Cancer Recurrence in Women with Breast Cancer: A Mixed-Methods Study Open
Objective. This study investigated if fear of cancer recurrence (FCR) levels and the proportion of women having a clinical level of FCR differed by whether women had or had not experienced disruptions in their cancer tests and treatments d…
View article: Social acceptability of psilocybin-assisted therapy for existential distress at the end of life: A population-based survey
Social acceptability of psilocybin-assisted therapy for existential distress at the end of life: A population-based survey Open
Background: Internationally, there is a growing interest in the potential benefits of psilocybin-assisted therapy to treat existential distress at the end of life. However, the social acceptability of this therapy is not yet well known. Ai…
View article: Prevalence of schizophrenia spectrum and other psychotic disorders in problem gambling: A systematic review and meta-analysis
Prevalence of schizophrenia spectrum and other psychotic disorders in problem gambling: A systematic review and meta-analysis Open
Background High rates of psychiatric comorbidities have been found in people with problem gambling (PBG), including substance use, anxiety, and mood disorders. Psychotic disorders have received less attention, although this comorbidity is …
View article: Fear of cancer recurrence in breast cancer survivors carrying a <i>BRCA1/2</i> mutation: A qualitative study
Fear of cancer recurrence in breast cancer survivors carrying a <i>BRCA1/2</i> mutation: A qualitative study Open
Background There is preliminary evidence suggesting that FCR is a major problem for breast cancer survivors carrying a BRCA1/2 mutation. The goal of this qualitative study, conducted among women who were treated for breast cancer, was to p…
View article: Canadian Healthcare Professionals’ Views and Attitudes toward Risk-Stratified Breast Cancer Screening
Canadian Healthcare Professionals’ Views and Attitudes toward Risk-Stratified Breast Cancer Screening Open
Given the controversy over the effectiveness of age-based breast cancer (BC) screening, offering risk-stratified screening to women may be a way to improve patient outcomes with detection of earlier-stage disease. While this approach seems…
View article: Integrating Accompanying Patients into Clinical Oncology Teams: Limiting and Facilitating Factors
Integrating Accompanying Patients into Clinical Oncology Teams: Limiting and Facilitating Factors Open
Objectives Since 2018, four establishments in Quebec have been instrumental in implementing the PAROLE-Onco program, which introduced accompanying patients (APs) in healthcare teams to improve cancer patients’ experience. APs are patient a…
View article: Cancer Risk Prediction Regulation Models: Canada Contrasted with the U.S. and the E.U.
Cancer Risk Prediction Regulation Models: Canada Contrasted with the U.S. and the E.U. Open
Risk prediction models hold great promise to reduce the impact of cancer in society through advanced warning of risk and improved preventative modalities. These models are evolving and becoming more complex, increasingly integrating geneti…
View article: Problem gambling among people with first-episode psychosis: protocol for a prospective multicenter cohort study
Problem gambling among people with first-episode psychosis: protocol for a prospective multicenter cohort study Open
Background The limited available data suggest that the prevalence of problem gambling is increased among young adults with first-episode psychosis, possibly due in part to several risk factors for problem gambling that are common in this p…
View article: Accompanying patients in clinical oncology teams: Reported activities and perceived effects
Accompanying patients in clinical oncology teams: Reported activities and perceived effects Open
Introduction Since 2018, four establishments in Quebec, Canada, have decided to implement the PAROLE‐Onco programme, which introduced accompanying patients (APs) in healthcare teams to improve the experience of cancer patients. APs are pat…