Marie-Claude Tremblay

Marie-Claude Tremblay
Laval University | ULAVAL · Department of Family Medicine

PhD, Public Health

About

55
Publications
6,889
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505
Citations
Citations since 2016
40 Research Items
435 Citations
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Introduction
Marie-Claude Tremblay is Assistant Professor at the Department of family medicine and emergency medicine, Université Laval. Her current research focuses on improving the health of vulnerable populations such as some Indigenous communities. Her research program includes various projects that address cultural aspects of access to healthcare, issues of stigma in the health system, patient participation in research and training, and reflexivity as a means of transforming health practices.

Publications

Publications (55)
Article
Full-text available
Translational research aims at reducing gaps between fundamental scientific discoveries and real-world applications. However, the trajectory of most scientific discoveries along the translation research continuum remains highly complex. Logic models are powerful tools that can help reduce this complexity. They are often used to lay out road maps an...
Article
Unstructured: Background Shared decision-making leads to better healthcare processes through collaboration between healthcare professionals and patients. Among interventions developed to foster shared decision-making by healthcare professionals, training is recognized as among the most promising. But the most effective type of training is still un...
Preprint
BACKGROUND Shared decision-making leads to better healthcare processes through collaboration between healthcare professionals and patients. Among interventions developed to foster shared decision-making by healthcare professionals, training is recognized as among the most promising. But the most effective type of training is still unclear. Training...
Article
Full-text available
Background Collaboration between biomedical research and community-based primary health care actors is essential to translate evidence into clinical practice. However, little is known about the characteristics and impacts of implementing collaborative models. Thus, we sought to identify and describe collaboration models that bridge biomedical resea...
Conference Paper
Full-text available
Introduction Reflexivity allows to develop alternative ways of thinking and new perspectives on action. Fostering reflexivity in medical students is crucial to developing professional practices that are consistent with the needs and expectations of patients and communities. Medical schools are looking for innovative ways to stimulate the developmen...
Article
Full-text available
Background Given the importance of continuous learning as a response to the increasing complexity of health care practice, there is a need to better understand what makes communities of practice in health effective at fostering learning. Despite the conceptual stance that communities of practice facilitate individual learning, the scientific litera...
Article
Full-text available
Background In 2016, Quebec, a Canadian province, implemented a program to improve access to specialized health services ( Accès priorisé aux services spécialisés (APSS)), which includes single regional access points for processing requests to such services via primary care ( Centre de répartition des demandes de services (CRDS)). Family physicians...
Article
Background: In the last decade, reflexivity has emerged as a key concept in family medicine, as evidenced by its increasing integration in competency statements and frameworks in the field. However, the concept of reflexivity is inconsistent and ill-defined in medical education literature, with variable purposes and associated processes, which is a...
Article
Full-text available
Background Patient and public engagement (PPE) in research is growing internationally, and with it, the interest for its evaluation. In Canada, the Strategy for Patient-Oriented Research has generated national momentum and opportunities for greater PPE in research and health-system transformation. As is the case with most countries, the Canadian re...
Article
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Research approaches and underlying epistemologies should be carefully considered when conducting health research involving Indigenous communities in order to be aligned with the distinct Indigenous values and goals of the communities involved. If Western research approaches are used, it is helpful to consider how they might be consistent with Indig...
Article
Full-text available
Epistemic injustices are defined as power inequalities in the access, recognition and production of knowledge. Their persistence in medical education, especially to the detriment of patients and their specific knowledge, has been documented by several authors. Patient engagement is a new paradigm that involves fostering meaningful patient collabora...
Article
Full-text available
In recent years, cultural safety has been proposed as a transformative approach to health care allowing improved consideration of Indigenous patient needs, expectations, rights and identities. This community‐based participatory study aimed to identify potential barriers and enablers to cultural safety in health care provided to Atikamekw living wit...
Article
Aim: To identify barriers to/enablers of attendance at eye screening among three groups of immigrantsto Canada from cultural/linguistic minority groups living with diabetes. Methods: Using a patient-oriented research approach leveraging Diabetes Action Canada's patient engagement platform, we interviewed a purposeful sample of people with type 2...
Article
Reasons Public health aims to improve the health of populations and reduce social inequalities in health, notably through action on social determinants of health, physical and social environments, public policies, access to health services, and community empowerment. As such, public health has a social agenda and therefore a corresponding social re...
Article
Objective We identify existing interactive KT tools that would help patients and health care professionals to prevent diabetes complications in the Canadian context. Methods We conducted an environmental scan in collaboration with researchers and four patient partners across Canada. We conducted searches among the research team members, their netw...
Article
Full-text available
Background: Patient-oriented research (POR) is a specific application of participatory research that promotes active patient engagement in health research. There is a growing concern that people involved in POR do not reflect the diversity of the population such research aims to serve, but are rather those more 'easily' engaged with institutions,...
Article
Full-text available
Population health intervention research (PHIR) is a particular field of health research that aims to generate knowledge that contributes to the sustainable improvement of population health by enabling the implementation of cross-sectoral solutions adapted to social realities. Despite the ethical issues that necessarily raise its social agenda, the...
Article
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Reflexivity has emerged as a key concept in the field of health promotion (HP). Yet it remains unclear how diverse forms of reflexivity are specifically relevant to HP concerns, and how these “reflexivities” are interconnected. We argue that frameworks are needed to support more systematic integration of reflexivity in HP training and practice. In...
Article
Full-text available
Objective People living with diabetes need and deserve high-quality, individualised care. However, providing such care remains a challenge in many countries, including Canada. Patients’ expertise, if acknowledged and adequately translated, could help foster patient-centred care. This study aimed to describe Expert Patients’ knowledge, wisdom and ad...
Article
Objectives: Our aim in this study was to identify interventions that improve cultural safety for Indigenous people living with diabetes in the health-care setting, and their potential impact on patients and health-care professionals. Methods: Using a systematic approach, we conducted a rapid review of quantitative, qualitative and mixed studies...
Article
Background: Immigrants to Canada belonging to ethnocultural minority groups are at increased risk of developing diabetes and complications, including diabetic retinopathy, and they are also less likely to be screened and treated. Improved attendance to retinopathy screening (eye tests) has the potential to reduce permanent complications, including...
Preprint
BACKGROUND Immigrants to Canada belonging to ethnocultural minority groups are at increased risk of developing diabetes and complications, including diabetic retinopathy, and they are also less likely to be screened and treated. Improved attendance to retinopathy screening (eye tests) has the potential to reduce permanent complications, including b...
Article
Full-text available
Objectives To identify patient decision aids’ features to limit their complexity for older adults with dementia and their family caregivers. Design Mixed method, multiple case study within a user-centred design (UCD) approach. Setting Community-based healthcare in the province of Quebec in Canada. Participants 23 older persons (aged 65+ years) w...
Article
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La recherche interventionnelle en santé des populations (RISP) est un champ particulier de la recherche en santé. Elle vise à produire des connaissances qui contribuent à améliorer durablement la santé à l’échelle des populations en favorisant l’implantation de solutions intersectorielles adaptées aux réalités sociales. Malgré les enjeux éthiques q...
Preprint
Full-text available
La recherche interventionnelle en santé des populations (RISP) est un champ particulier qui vise à produire des connaissances qui contribuent à améliorer durablement la santé des populations et l'équité en santé en facilitant l'implantation de solutions intersectorielles adaptées aux réalités sociales. Malgré les enjeux éthiques que suscite nécessa...
Preprint
Background: The experience of living with a chronic disease such as diabetes can provide valuable knowledge about medical care and self-management. Such knowledge may be of use to people seeking to improve diabetes self-management and to health professionals seeking to provide better patient-centered care.Objective: To identify potential areas for...
Article
Consideration of sex and gender in research and clinical practice is necessary to redress health inequities and reduce knowledge gaps. As all health professionals must maintain and update their skills throughout their career, developing innovative continuing professional education programs that integrate sex and gender issues holds great promise fo...
Article
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Background: A longstanding challenge of community-based participatory research (CBPR) has been to anchor evaluation and practice in a relevant theoretical framework of community change, which articulates specific and concrete evaluative benchmarks. Social movement theories provide a broad range of theoretical tools to understand and facilitate soc...
Article
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Population Health Intervention Research (PHIR) is an emerging and distinct field that combines scientific research and public health practice. However, traditional academic training in research, which is founded on specific disciplinary orientations, does not sufficiently inform and prepare new PHIR researchers. In this commentary, we advance the i...
Article
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There is increasing recognition that culturally-based diabetes prevention programs can facilitate the adoption and maintenance of healthy behaviours in the communities in which they are implemented. The Kahnawake School Diabetes Prevention Project (KSDPP) is a health promotion, community-based participatory research project aiming to reduce the inc...
Article
Full-text available
A long-standing challenge in community-based participatory research (CBPR) has been to anchor practice and evaluation in a relevant and comprehensive theoretical framework of community change. This study describes the development of a multidimensional conceptual framework that builds on social movement theories to identify key components of CBPR pr...
Article
The health promotion laboratory (HPL – Canada) is a public health professional development program building on a collaborative learning approach in order to support long-term practice change in local health services teams. This study aims to analyse the collaborative learning processes of two teams involved in the program during the first year of i...
Article
To explore an example of a reflexive intervention with health professionals working in tobacco control (TC). This study reports the perceived intervention effects regarding: (i) participants' understanding of reflexivity and personal learning and (ii) conditions needed in order to integrate reflexivity into professional and organizational practices...
Article
Full-text available
Professional development is a key component of effective public health infrastructures. To be successful, professional development programs in public health and health promotion must adapt to practitioners' complex real-world practice settings while preserving the core components of those programs' models and theoretical bases. An appropriate balan...
Article
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Electronic cigarettes (e-cigarettes) have been steadily increasing in popularity since their introduction to US markets in 2007. Debates surrounding the proper regulatory mechanisms needed to mitigate potential harms associated with their use have focused on youth access, their potential for nicotine addiction, and the renormalization of a smoking...
Article
In 2009, a group of researchers who gathered in the context of the Population Health Intervention Research Initiative for Canada (PHIRIC) agreed upon the need to define a specific set of competencies for population health intervention research (PHIR). Following this event, a consultative process allowed the definition of six domains of core compete...
Article
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Communities of practice (CoPs) are among the professional development strategies most widely used in such fields as management and education. Though the approach has elicited keen interest, knowledge pertaining to its conceptual underpinnings is still limited, thus hindering proper assessment of CoPs' effects and the processes generating the latter...
Thesis
Full-text available
Il y a quelques décennies, l’émergence du discours de la promotion de la santé infléchissait un nouveau tournant à la santé publique, orientant sa pratique vers l’action communautaire, participative et intersectorielle. Parallèlement, au Québec, la réforme du système de santé de 2004 réorganisait le niveau de gouverne locale à travers la création d...
Article
Developmental evaluation (DE), essentially conceptualized by Patton over the past 30 years, is a promising evaluative approach intended to support social innovation and the deployment of complex interventions. Its use is often justified by the complex nature of the interventions being evaluated and the need to produce useful results in real time. D...
Article
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In recent decades, reflexivity has received much attention in the professional education and training literature, especially in the public health and health promotion fields. Despite general agreement on the importance of reflexivity, there appears to be no consensus on how to assess reflexivity or to conceptualize the different forms developed amo...
Article
The emergence over the past 20 years of health promotion discourse poses a specific challenge to public health professionals, who must come to terms with new roles and new intervention strategies. Professional development is, among other things, a lever for action to be emphasized in order to meet these challenges. To respond to the specific traini...
Article
Program designers and evaluators should make a point of testing the validity of a program's intervention theory before investing either in implementation or in any type of evaluation. In this context, logic analysis can be a particularly useful option, since it can be used to test the plausibility of a program's intervention theory using scientific...
Article
Full-text available
Developmental evaluation (DE), an approach developed by Patton to support the implementation of innovations, remains relatively untested in research. This article describes an attempt to apply DE as part of an implementation study of a healthpromoting hospital project in a university hospital. The article highlights the dichotomous demands of acade...
Conference Paper
Full-text available
The Health Promotion Laboratory is a public health professional development program which was designed by the regional public health directorate of Montreal (Canada) in response to needs expressed by professionals from local health centers. Combining reflexivity, community of practice and competencies development, this program aims to support multi...
Article
Full-text available
Health promotion underpins a distancing from narrow, simplifying health approaches associated with the biomedical model. However, it has not yet succeeded in formally establishing its theoretical, epistemological and methodological foundations on a single paradigm. The complexity paradigm, which it has yet to broach head-on, might provide it with a...

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