Marie-Pierre Gagnon

Université Laval | ULAVAL · Faculty of Nursing

Interactive conversational agents, also known as chatbots, have the potential to increase the success rate of digital technology interventions to promote healthy behaviors. However, due to their newness and limited use, little is known about their integration, usefulness, and effectiveness in promoting smoking and vaping cessation. The aim of this...

Stress is a critical factor affecting performance and well-being in extreme environments (e.g., astronauts and pilots) during missions. A literature review from the NASA (2023) reported that the management of stress of astronauts is mainly based on group approaches. Current methods may not capture individual variations, requiring an individualized...

Introduction The COVID-19 pandemic has had a major impact on nursing staff, resulting in alarming turnover rates. As part of the Quebec (Canada) government’s response to the pandemic, nurses have been offered exceptional financial incentives. Considering the cost of these measures, the current article presents the research protocol of a study aimin...

61 Background: Between 30 to 60% of cancer patients display insomnia symptoms. While cognitive-behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for cancer-related insomnia, it remains underutilized due to its limited accessibility. To date, we are unaware of any study that has investigated the implementation of CBT-I...

Background Implementation strategies targeting individual healthcare professionals and teams, such as audit and feedback, educational meetings, opinion leaders, and reminders, have demonstrated potential in promoting evidence-based nursing practice. This systematic review examined the effects of the 19 Cochrane Effective Practice and Organization C...

Interactive conversational agents, also known as chatbots, have the potential to increase the success rate of digital technology interventions to promote healthy behaviors. However, due to their newness and limited use, little is known about their integration, usefulness, and effectiveness in promoting smoking and vaping cessation. The aim of this...

Introduction : L’utilisation des dispositifs numériques en santé améliorerait certains résultats cliniques. Proposer des interventions « en ligne » efficaces visant l’amélioration du processus d’adaptation des patients vivant avec une maladie chronique nécessite de disposer d’une mesure validée de la littératie en santé numérique. La mesure autorap...

Aim This study aimed to systematically review empirical evidence on factors influencing nurses to report medication errors and near misses. Background There is underreporting of medication errors among nurses, in particular among novice and beginner nurses. To improve quality of care, factors influencing the reporting of medication errors and near...

BACKGROUND In Canada, individuals aged 65 and older currently represent 19% of the population, a proportion expected to reach 25% by 2030. This aging population is accompanied by an increase in cognitive disorders, notably Alzheimer’s disease, whose prevalence doubles every five years after the age of 65. The implications of this trend are signific...

Introduction Novice and beginner nurses make more medical errors than senior nurses. However, there is significant underreporting of medication errors and near misses among novice and beginner nurses. Objective To identify the factors that influence the intention of novice and beginner nurses to report medication errors and near misses. Methods A...

Introduction The Quebec Ministry of Health and Social Services aims to promote shared decision- making (SDM) in population-based colorectal cancer screening. We designed and implemented a Decision Aid (DA) coproduction process with diverse stakeholders. Methods We applied a seven- phase knowledge mobilization approach to guide the process. Phase 1...

Introduction Given the limited resources for counselling older adults about healthy aging, we aimed to identify healthcare professionals’ (HCPs) and community organization representatives’ (CORs) perspectives on integrating shared decision-making (SDM) into their practice. Methods Guided by the SRQR checklist, our descriptive qualitative study inv...

Background There is growing scientific evidence that wearable devices for seizure detection (WDD) perform well in controlled environments. However, their impact on the health and experience of patients with epilepsy (PWE) in community-based settings is less documented. We aimed to synthesize the scientific evidence about the performance of wearable...

BACKGROUND Managing chronic diseases remains a significant challenge in OECD countries. Digital tools, especially electronic PROMs (ePROMs), have shown potential in improving data collection and healthcare delivery but their implementation in primary health care is still scarce. OBJECTIVE We aimed to describe the implementation and effectiveness o...

Digital health has added numerous promising solutions to enhance the health and wellness of people with neurocognitive disorders (NCDs) and their informal caregivers. (1) Background: It is important to obtain a comprehensive view of currently available technologies, their outcomes, and conditions of success to inform recommendations regarding digit...

BACKGROUND Artificial intelligence (AI) predictive models in primary healthcare can potentially lead to benefits for population health. Algorithms can identify more rapidly and accurately who should receive care and health services, but they could also perpetuate or exacerbate existing biases toward diverse groups. We noticed a gap in actual knowle...

Digital health has added numerous promising solutions to enhance the health and wellness of people with neurocognitive disorders (NCDs) and their informal caregivers: (1) Background: It is important to get a comprehensive view of currently available technologies, their outcomes, and conditions of success to inform recommendations regarding digital...

Background: The COVID-19 pandemic necessitated the rapid availability of evidence to respond in a timely manner to the needs of practice settings and decision-makers in health and social services. Now that the pandemic is over, it is time to put in place actions to improve the capacity of systems to meet knowledge needs in a situation of crisis. Th...

Background The triple political, security, and health crisis in Burkina Faso has impacted the lives of Burkinabè people, resulting in massive internal displacement. These internally displaced persons (IDPs) are very vulnerable to epidemic diseases, which was exacerbated by the recent COVID-19 pandemic., The implementation of public health measures...

p>Introduction: There is significant and pervasive weight bias, weight stigma, and weight-based discrimination everywhere today, even in healthcare settings. Studies have shown that health care professionals (HCPs) hold negative perceptions toward people living with obesity (PLO), which results in heightened health risks for patients. Nurses play a...

BACKGROUND People living with chronic diseases can benefit from connected wearable devices – also known as Internet of Things – to be more empowered in their health condition management. Previous reviews have focused on specific chronic diseases and wearable devices, such as blood glucose monitoring. However, comprehensive reviews providing an over...

Introduction According to the Quebec law on health and social services, health technology assessment (HTA) is part of university hospital centers’ mission, together with training, research and care. However, unlike these other functions, HTA is not covered in current affiliation agreements that bind a university with academic health institutions. U...

Background A psychometrically robust patient-reported outcome measure (PROM) to assess digital health literacy for chronic patients is needed in the context of digital health. We defined measurement constructs for a new PROM in previous studies using a systematic review, a qualitative description of constructs from patients, health professionals an...

This study contributes to the body of knowledge on IDPs in the context of security crisis related to terrorism. Very little research has been done on covid-19 amongst IDPs in Africa and this is one of the first studies in Burkina Faso. Our diversified sample allowed us to consider the discourses of humanitarian actors working with IDPs, but also th...

Introduction Treatment as prevention (TasP) and pre-exposure prophylaxis (PrEP) could impact the HIV epidemic among Female Sex Workers (FSW) but their cost-effectiveness is uncertain in this group. This study aims to model the cost-effectiveness of TasP and PrEP among FSW in Cotonou, Benin. Methods A demonstration study assessed TasP and PrEP use a...

Sexuality and intimate relationships are topics of interest to adolescents and young adults with Autism Spectrum Disorder (ASD). However, their situation sometimes puts them at risk of being abused or developing self-harming behaviors. The purpose of this article is to develop a toolkit to support sexuality, sexual health, and sustainable sexual pr...

Introduction : Le Mali fait face depuis 2012 à une crise sécuritaire qui a entraîné des déplacements massifs des populations à laquelle s’est greffée la pandémie de la COVID-19. But de l’étude : Cette étude vise à explorer les représentations des personnes « déplacées internes » (PDIs), c’est-à-dire des personnes forcées de fuir leur lieu d’origine...

Background Scale-up and sustainability are often studied separately, with few studies examining the interdependencies between these two processes and the implementation contexts of innovations towards malaria prevention and control. Researchers and implementers offer much more attention to the content of innovations, as they focus on the technologi...

Background Based on experiences with the COVID-19 pandemic, postsecondary institutions were most affected by the restrictions. Students, especially international students, have borne the brunt associated with in-person learning restrictions imposed by public health recommendations. Canada is among the top 3 countries hosting international students...

Pendant la pandémie de la COVID-19, des familles ont été confrontées à des modifications voire à l’annulation de visites de fin de vie et de cérémonies funéraires découlant des mesures sanitaires prises pour limiter la propagation du virus. Dans ce contexte, un questionnaire a été diffusé dans quatre pays francophones via les réseaux sociaux afin q...

Background: Effective healthcare innovations are often not scaled up beyond their initial local context. Lack of practical knowledge on how to move from local innovations to large-system improvement hinders innovation and learning capacity in health systems. Studying scale-up processes can lead to a better understanding of how to facilitate the sca...

Following the surge for empathy training in service literature and its increasing demand in service industries, this study systematically reviews empirical papers implementing and testing empathy training programs in various service domains. A mixed-methods systematic review was performed to identify and describe empathy training programs and discu...

Background: The COVID-19 pandemic has disproportionately and severely affected older adults, namely those living in long-term care facilities (LTCFs). Aside from experiencing high mortality rates, survivors were critically concerned by social isolation and loneliness (SIL). To address this serious public health concern and stay connected with LTCF...

Background Primary care and other health services have been disrupted during the COVID-19 pandemic, yet the consequences of these service disruptions on patients’ care experiences remain largely unstudied. People with mental-physical multimorbidity are vulnerable to the effects of the pandemic, and to sudden service disruptions. It is thus essentia...

Background Improving eHealth Literacy (eHL) is a biggest challenge facing the global healthcare community. Indeed, the use of digital services has the potential to engage patients in care, it remains highly dependent on patients’ specific skills. The aim of this study was to systematically review currently available instruments of eHL for adult pop...

BACKGROUND Digital health literacy is considered a determinant of health that influences improved health and well-being, health equity and the reduction of social inequalities in health. It is an asset among forced migrants to prevent and promote their health and well-being in host countries. However, they do not always have the capacity and skills...

Background Digital health literacy is considered a health determinant that can influence improved health and well-being, health equity, and the reduction of social health inequalities. Therefore, it serves as an asset for individuals to promote their health. However, low digital health literacy is a major problem among forced migrant populations. T...

Background: eConsult is a model of asynchronous communication connecting primary care providers to specialists to discuss patient care. This study aims to analyze the scaling-up process and identify strategies used to support scaling-up efforts in four provinces in Canada. Methods: We conducted a multiple case study with four cases (ON, QC, MB,...

Background: Scale-up and sustainability are often studied separately, with few studies examining the interdependencies between these two processes and the implementation contexts of malaria innovations. Researchers and implementers offer much more attention to the content of innovations, focusing on the technological dimensions and the conditions f...

Background The majority of people with a chronic disease (e.g., diabetes, hypertension, COPD) have more than one concurrent condition and are also at higher risk for developing comorbidities in mental health, including anxiety and depression. There is an urgent need for more relevant and accurate data on digital interventions in this area to prepar...

Objectives: This review will aim to synthesize the available quantitative and qualitative evidence on the educational needs and preferences of adult patients with acute or chronic pain. Introduction: Acute and chronic pain are prevalent problems and are associated with significant individual and societal consequences. Education is a critical compon...

BACKGROUND Health measurement guides policies and healthcare decisions and is necessary to describe and attain the quintuple aim of improving patient experience, population health, care team well-being, healthcare costs and equity. In the primary care setting, patient-reported outcome measurement allows outcomes comparison within and across setting...

Background Health measurement guides policies and health care decisions are necessary to describe and attain the quintuple aim of improving patient experience, population health, care team well-being, health care costs, and equity. In the primary care setting, patient-reported outcome measurement allows outcome comparisons within and across setting...

This article examines how existing primary care services were transformed in Québec during COVID-19 to better serve the most vulnerable individuals for whom inequities and access difficulties increased during the pandemic. In the context of a research project, six particularly promising practices to respond to these challenges were identified withi...

BACKGROUND Current literature identifies several potential benefits of artificial intelligence (AI) in community-based primary health care (CBPHC). However, there is a lack of understanding on how the risk of bias is considered in the development of CBPHC AI-based algorithms and to what extend they perpetuate or introduce potential biases toward gr...

Background: The current literature identifies several potential benefits of artificial intelligence models for populations' health and health care systems' efficiency. However, there is a lack of understanding on how the risk of bias is considered in the development of primary health care and community health service artificial intelligence algori...

BACKGROUND Based on experiences with the COVID-19 pandemic, postsecondary institutions were most affected by the restrictions. Students, especially international students, have borne the brunt associated with in-person learning restrictions imposed by public health recommendations. Canada is among the top 3 countries hosting international students...

Purpose: The Rendez-vous Santé Québec is a national online booking (e-booking) system of medical appointments in primary care rolled out in 2018 in Québec (Canada). The objectives of this study were to describe the adoption by targeted users, and analyze the facilitating and limiting factors at the technological, individual and organizational leve...

BACKGROUND The COVID-19 pandemic has disproportionately and severely affected older adults, namely those living in long-term care facilities (LTCFs). Aside from experiencing high mortality rates, survivors were critically concerned by social isolation and loneliness (SIL). To address this serious public health concern and stay connected with LTCF r...

Context: Throughout the current COVID-19 pandemic, tremendous effort has been made to implement innovative practices to address social isolation and loneliness (SIL) in long-term care facilities (LTCFs), disproportionally affected by COVID-19. These interventions have not yet been synthesized. This review intended to gather the current promising be...

Digital technologies are increasingly empowering individuals to take charge of their health and improve their well-being. However, there are disparities in access related to demographic, economic, and sociocultural factors that result in exclusion from the use of digital technologies for different groups of the population. The development of digita...

Objective As worldwide population aging is accelerating, innovative technologies are being developed to support independent living among community-dwelling older adults with mild cognitive decline. However, the successful implementation of these interventions is often challenging. Until now, literature on implementation issues related to the specif...

BACKGROUND: According to the World Health Organization, diabetes is the direct cause of 1.5 million deaths annually. The adoption of healthy lifestyle habits, such as regular physical activity, plays an important role in reducing the prevalence of diabetes and its complications. The use of an activity tracker could favor behavior change. METHODS:...

BACKGROUND Introduction: Many projects related to technology implementation in the context of chronic diseases were developed over the years in primary care to improve patient care. However, implementation in primary care remains challenging in primary care. OBJECTIVE Objectives: 1) To assess satisfaction among patients with type 2 diabetes using...

Background: Many projects related to technology implementation in the context of chronic diseases have been developed over the years to better manage lifestyle medicine interventions and improve patient care. However, technology implementation in primary care settings remains challenging. Objective: The aim is to carry out a strengths, weaknesse...

Visiting restrictions had to be imposed to prevent the spread of the COVID-19 virus and ensure the safety of long-term care home (LTCH) residents. This mixed method study aimed to explore residents’ and family caregivers’ acceptability of electronic tablets used to preserve and promote contact. Semi-structured individual interviews with 13 LTCH res...

According to the World Health Organization, diabetes is the direct cause of 2 million deaths annually. The adoption of healthy lifestyle habits, such as regular physical activity, plays an important role in reducing its prevalence and complications. A primary care patient suggested adding fitness monitoring to optimize motivation for physical activ...

Introduction Physical inactivity is the fourth leading risk factor for global mortality, and inactive adults have a higher risk to develop lifestyle diseases. To date, there is preliminary evidence of the efficacy of fitness technologies and other digital interventions for physical activity (PA) promotion. Intervention studies are needed to test th...

Background: Interactive conversational agents, also known as "chatbots," are computer programs that use natural language processing to engage in conversations with humans to provide or collect information. Although the literature on the development and use of chatbots for health interventions is growing, important knowledge gaps remain, such as ide...

Background Improving eHealth literacy (eHL) is one of the biggest challenges currently facing the global healthcare community. Indeed the use of digital services has the potential to engage patients in care as well as improve the effectiveness of chronic disease self-management, it remains highly dependent on a patient’s specific skills and experie...

Background Over the successive waves of the COVID-19 pandemic, front-line care workers (FLCWs) —in this case, at long-term care facilities (LTCFs)— have been the backbone of the fight. The COVID-19 pandemic has disproportionately affected LTCFs in terms of the number of cases, deaths, and other morbidities, requiring managers to make rapid and prof...

Purpose Insomnia affects 30–60% of cancer patients and tends to become chronic when left untreated. While cognitive-behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment, this intervention is not readily accessible. This qualitative study investigated current practices in the assessment and management of insomnia in five h...

BACKGROUND Dementia is one of the main public health priorities for current and future societies worldwide. Over the past years, eHealth solutions have added numerous promising solutions to enhance the health and wellness of people living with dementia-related cognitive problems, and their primary caregivers. Previous studies show that an environme...

Background: Dementia is one of the main public health priorities for current and future societies worldwide. Over the past years, eHealth solutions have added numerous promising solutions to enhance the health and wellness of people living with dementia-related cognitive problems and their primary caregivers. Previous studies have shown that an en...

BACKGROUND Children with disability face long wait times for rehabilitation services. Prior to the pandemic, telehealth adoption was low across most rehabilitation settings, including pediatrics. As a result of the pandemic restrictions, pediatric therapists were asked to rapidly shift to using telehealth without previous experience and often minim...

Background: Children with disability face long wait times for rehabilitation services. Before the COVID-19 pandemic, telehealth adoption was low across pediatric rehabilitation. Owing to the COVID-19 pandemic restrictions, pediatric therapists were asked to rapidly shift to telehealth, often with minimal training. To facilitate the behavior change...

BACKGROUND Interactive conversational agents, also known as “chatbots”, are computer programs that use natural language processing to engage in conversations with humans to provide or to collect information. Although the literature on the development and use of chatbots for health interventions is growing, there are still important knowledge gaps t...

Background: Interactive conversational agents, also known as "chatbots," are computer programs that use natural language processing to engage in conversations with humans to provide or collect information. Although the literature on the development and use of chatbots for health interventions is growing, important knowledge gaps remain, such as id...

Background The COVID-19 pandemic has profoundly affected the health and care of older adults, with particularly negative consequences for those residing in long-term care homes (LTCH) and retirement homes (RH). To inform the implementation of interventions with the most potential for impact, Healthcare Excellence Canada identified six promising pra...