A5020810999- Patient-Provider Communication in Healthcare
- Geriatric Care and Nursing Homes
- Patient Satisfaction in Healthcare
- Palliative Care and End-of-Life Issues
- Healthcare Systems and Technology
- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Dementia and Cognitive Impairment Research
- Mental Health Research Topics
- Health Literacy and Information Accessibility
- Health Systems, Economic Evaluations, Quality of Life
- Global Maternal and Child Health
- Frailty in Older Adults
- HIV, Drug Use, Sexual Risk
- Digital Mental Health Interventions
- Family and Patient Care in Intensive Care Units
- COVID-19 and Mental Health
- Pharmacological Effects and Toxicity Studies
- Innovations in Medical Education
- Global Public Health Policies and Epidemiology
- Nutrition and Health in Aging
- Intergenerational Family Dynamics and Caregiving
- Health disparities and outcomes
- Behavioral Health and Interventions
- COVID-19 epidemiological studies
Centre Hospitalier de l’Université de Montréal
2020-2023
Université Laval
2016-2022
Canadian Apheresis Group
2020
Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale
2019
Université d'Abomey-Calavi
2015-2019
Centre Integre de Sante et de Services Sociaux de Laval
2019
Quebec Research and Development Centre
2016-2017
Hôpital Saint-François d'Assise
2016
Policy-makers worldwide are increasingly interested in scaling up evidence-based interventions (EBIs) to larger populations, and implementation scientists developing frameworks methodologies for achieving this. But scaling-up does not always produce the desired results. Why not? We aimed enhance awareness of various pitfalls be anticipated when planning scale-up. In lower- middle-income countries (LMICs), scale-up health programs prevent or respond outbreaks communicable diseases has been...
<h3>Background:</h3> Despite health policy that promotes shared decision-making, it is not yet the norm in clinical practice. We aimed to assess how much decision-making Canadians experienced health-related decisions 2017. <h3>Methods:</h3> conducted a cross-sectional online survey January 2018 with Web-based panel of representing all 10 provinces. assessed their involvement made care professional over previous year by asking about 1) discussion choice treatment or plan, 2) presentation...
Abstract Background There is little information about the functions and behavior change techniques (BCTs) needed to implement shared decision making (SDM) in clinical practice. To guide future implementation initiatives, we sought develop a BCT taxonomy for SDM interventions. Methods This study secondary analysis of 2018 Cochrane review on interventions increasing use by healthcare professionals. We examined all 87 studies included review. extracted relevant each intervention into...
Abstract Background Despite growing recognition that shared decision making ( SDM ) is central for patient‐centred primary care, adoption by physicians remains limited in routine practice. Objective To examine the characteristics of physicians, patients and consultations associated with care physicians’ behaviours during care. Methods A multicentre cross‐sectional survey study was conducted 114 unique patient‐physician dyads recruited from 17 clinics Quebec Ontario, Canada. Physicians’ were...
Background Little is known about the decision-making experiences of seniors and informal caregivers facing decisions seniors' housing when objective decision making measures are used. Objectives To report on caregivers' decisions. Design A cross-sectional study with a quantitative approach supplemented by qualitative data. Setting Sixteen health jurisdictions providing home care services, Quebec province, Canada. Participants Two separate samples aged ≥ 65 years cognitively impaired who had...
Informal caregivers are rarely as involved they want to be in the housing decisions of cognitively impaired older adults. Lack awareness available options and their benefits risks may lead that do not reflect adults' preferences, guilt regret. We assessed effect training home care teams interprofessional shared decision-making (SDM) on proportion who report being active this decision.In a two-arm pragmatic cluster randomized trial with working health centers Province Quebec, we receive SDM...
Residents of long-term care homes (LTCH) often experience unnecessary and non-beneficial hospitalizations interventions near the end-of-life. Advance directives aim to ensure that end-of-life respects resident needs wishes.
Background: The COVID-19 pandemic has raised serious concerns about the mental health impact of people directed and indirectly affected by virus. Because this is a rapidly evolving situation, our goal was to explore potential risk factors trends in feelings anxiety depression among general population Canada over first 5 months pandemic. Methods: We completed on-line surveys 3,127 unique individuals representative Canadian at 4 discreet periods every 6 weeks from April 15th July 28th 2020....
Abstract Background DOLCE (Improving Decision making On Location of Care with the frail Elderly and their caregivers) was a post-intervention clustered randomised trial (cRT) to assess effect training home care teams on interprofessional shared decision-making (IP-SDM). Alongside cRT, we sought monitor healthcare providers’ level behavioural intention engage in an IP-SDM approach identify factors associated this intention. Methods We conducted two cross-sectional surveys province Quebec,...
Abstract Background Making health-related decisions about loved ones with cognitive impairment may contribute to caregiver burden of care. We sought explore factors associated care among informal caregivers who had made housing on behalf a cognitively impaired older person. Methods conducted secondary analysis within cluster randomized trial (cRT) in 16 publicly-funded home service points across the Province Quebec. The cRT assessed impact training teams interprofessional shared decision...
Background. Informal caregivers are regularly faced with difficult housing decisions for older adults cognitive impairment. They often regret the decision they made. We aimed to identify factors associated among informal engaging in cognitively impaired adults. Methods. performed a secondary analysis of cross-sectional data collected from cluster-randomized trial. Eligible participants were involved making Decision was assessed after caregivers’ enrollment study using Regret Scale (DRS),...
Men who have sex with (MSM) are a key population in the transmission of Human Immunodeficiency Virus (HIV) infection. In Benin, there is lack strategic information to offer appropriate interventions for these populations live hidden due their stigmatization and discrimination. The objective identify contributing factors that affect HIV incidence MSM population. Study prospective cohort 358 HIV-negative MSM, aged 18 years over, reporting having had at least one oral or anal relationship...
Background. Cluster randomized trials are important sources of information on evidence-based practices in primary care. However, there few intracluster correlation coefficients (ICCs) for designing such trials. We inventoried ICC estimates shared decision-making (SDM) measures Methods. Data were studies led by the Canada Research Chair Shared Decision Making and Knowledge Transition. Eligible conducted care, included at least 2 hierarchical levels, SDM individual units nested under any type...
Background: DECISION+2, a Web-based tutorial, was designed to train family physicians in shared decision making (SDM) regarding the use of antibiotics for acute respiratory infections (ARIs). It is currently mandatory second-year medicine residents at Université Laval, Quebec, Canada. However, little known about how such tutorials are used, their effect on knowledge scores, or best assess resident participation.
Background Interventions to change health professionals’ behaviour are often difficult replicate. Incomplete reporting is a key reason and source of waste in research. We aimed assess the shared decision making (SDM) interventions. Methods extracted data from 2017 Cochrane systematic review whose aim was determine effectiveness interventions increase use SDM by healthcare professionals. In secondary analysis, we used 12 items Template for Intervention Description Replication (TIDieR)...
The Canadian population is aging. With aging, biological and social changes occur increasing the risk of developing chronic conditions functional loss leading to frailty. Older adults living with frailty are more vulnerable minor stressors, take longer recover from illness, have difficulty participating in daily activities. Frailty Network's (CFN) mission improve lives older In September 2019, CFN launched Activity & Exercise, Vaccination, Optimization medications, Interaction Socialization,...
A disease related to hygiene, cholera is an affection which rages for centuries in the endemic states with epidemic hatchings worldwide. Benin, particular its littoral region, not spared by disease. The objective of this study was determine behavioural factors bad hygiene practice populations from Vossa-Kpodji Cotonou towards cholera. cross-sectional, descriptive and analytical aim. questionnaire administered all adults 18 years older. An individual considered as having practices when...
This mixed-methods study aimed to determine the level of male involvement in prevention mother-to-child transmission (PMTCT) services Haiti and identify barriers associated factors. From May June 2018, a questionnaire was used measure involvement. Semistructured interviews with pregnant women were also conducted. Multivariate linear regression qualitative content analyses performed explore factors partners’ PMTCT services. One hundred two living HIV completed questionnaire. About 47%...