Marie-Pierre Gagnon

Marie-Pierre Gagnon
Laval University | ULAVAL · Faculty of Nursing

PhD

About

458
Publications
153,591
Reads
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12,406
Citations
Citations since 2016
264 Research Items
9484 Citations
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201620172018201920202021202205001,0001,500
201620172018201920202021202205001,0001,500
Additional affiliations
June 2007 - present
Laval University
Position
  • Professor (Full)

Publications

Publications (458)
Article
Full-text available
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...
Preprint
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Preprint
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...
Article
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...
Preprint
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...
Article
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...
Preprint
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
Background: Collaborative care is an evidence-based approach to improving outcomes for common mental disorders in primary care. Efforts are underway to broadly implement the collaborative care model, yet the extent to which this model promotes person-centered mental health care has been little studied. The aim of this study was to describe practic...
Chapter
Full-text available
The modern context of mental health interventions asks for an inclusion of digital solutions to the face-to-face approach, providing better access and reduced inequity for patients. The current classification of digital mental health interventions can be system specific (mobile apps) or general (virtual therapy), which causes inadequacy in applicat...
Preprint
Full-text available
Objectives: To explore the feasibility of implementing an activity tracker to increase motivation for physical activity among patients with type 2 diabetes in primary care setting, and to assess patient satisfaction with this technology. Design: Mixed methods study using a satisfaction and acceptability questionnaire on an activity tracker (partici...
Article
Full-text available
Background Technology offers opportunities to support older adults with mild cognitive impairments to remain independent and socially connected, but is often not used. Although determinants of technology use among older adults in general are well studied, much less is known about how these factors impact technology use behaviour in cognitively impa...
Article
Full-text available
Introduction In Canada, as in most Organisation for Economic Co-operation and Development countries, healthcare systems face significant challenges in ensuring better access to primary care. A regional healthcare organisation in Quebec (Canada) serving a population of approximately 755 459 citizens has implemented a standardised access approach to...
Article
Full-text available
Background In Benin, the burden of HIV is disproportionately high among female sex workers (FSWs). HIV testing and knowledge of status are starting points for HIV treatment and prevention interventions. Despite the importance given to testing services in HIV control, its uptake among FSWs remains suboptimal in Benin. HIV self-testing (HIVST) may be...
Article
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Reducing ineffective practices is one way to ensure high-quality and efficient healthcare for the population. For this reason, several initiatives have been implemented worldwide to reduce low-value care. This article describes the experience of the Essencial project, a multifaceted deadoption strategy implemented in the Catalan primary care system...
Article
Background: The COVID-19 pandemic has had the greatest impact in LTCFs by disproportionately harming older adults and heightening social isolation and loneliness (SIL). Living in close quarters with others and in need of around-the-clock assistance, interactions with older adults, which used be in-person, have been replaced by virtual chating usin...
Article
Full-text available
Background Effective provider-patient communication is crucial to the delivery of high-quality care. Communication roadblock such as righting reflex is widely observed among providers and can lead to relational disengagement. In previous work, nurses felt ill-equipped to communicate effectively with HIV-positive patients to support medication adher...
Article
Full-text available
Introduction Prior to the COVID-19 pandemic, social isolation and loneliness (SIL) affected at least one-third of the older people. The pandemic has prompted governments around the world to implement some extreme measures such as banning public gatherings, imposing social distancing, mobility restrictions and quarantine to control the spread and im...
Article
Context influences the effectiveness of healthcare interventions and should be considered to inform their implementation. However, context remains poorly defined in the knowledge translation (KT) literature. The paper by Squires and colleagues constitutes a valuable contribution to the field of KT as it provides the basis for a comprehensive framew...
Article
Conducting a review of systematic reviews can be challenging, especially when combining systematic quantitative, qualitative and mixed studies reviews. In this methodological discussion paper, we propose (a) a typology for categorizing various types of review of reviews and (b) an exploration of criteria pertaining to three existing critical apprai...
Article
Contexte : Les étudiantes en sciences infirmières doivent développer leur raisonnement clinique. La méthode Summarize Narrow Analyse Probe Plan Select (SNAPPS) est une stratégie pédagogique centrée sur l’apprenante qui favorise l’expression du raisonnement clinique et des incertitudes. Objectifs : 1) Explorer l’utilisation de SNAPPS-A, une version...
Article
The prevalence of mild cognitive impairment (MCI) and mild neurocognitive disorder (mNCD) are steadily increasing in Canada. Information and communication technologies (ICTs) in health represent an innovation to promote home care and autonomy for people with various degrees of cognitive impairment. The objective of this study is to develop a web‐ba...
Article
Full-text available
Background: Adopting healthy lifestyle habits reduces the risk of type 2 diabetes and its complications. The use of an activity tracker to monitor physical activity could favor behavior changes in patients with chronic diseases such as diabetes. The aims of this study were: 1- to evaluate the impact of an activity tracker on physical activity and c...
Article
Full-text available
Background Knowledge translation (KT) is an important means of improving the health service quality. Most research on the effectiveness of KT strategies has focused on individual strategies, i.e., those directly targeting the modification of allied health professionals’ knowledge, attitudes, and behaviors, for example. In general, these strategies...
Article
Background: Research on the integration of artificial intelligence (AI) into community-based primary health care (CBPHC) has highlighted several advantages and disadvantages in practice regarding, for example, facilitating diagnosis and disease management, as well as doubts concerning the unintended harmful effects of this integration. However, th...
Article
Aim To examine, through the lens of the Job Demands-Resources model, the influence of caring for COVID-19 patients on nurse’s perception of chronic fatigue, quality of care, satisfaction at work and intention to leave their organization and the profession. Background Studies have examined how fear of COVID-19 contributes to the mental, physical an...
Preprint
Full-text available
Background In Benin, the burden of HIV is disproportionately high among female sex workers (FSWs). HIV testing and knowledge of status are starting points for HIV treatment and prevention interventions. Despite the importance given to testing services in HIV control, its uptake among FSWs remains suboptimal in Benin. HIV self-testing (HIVST) may be...
Preprint
Full-text available
Background The use of digital health technologies to tackle diabetes has been particularly flourishing in recent years. Previous studies have shown to varying degrees that these technologies can have an impact on diabetes prevention and management. Objective The aim of this review is to summarize the best evidence regarding the effectiveness of di...
Article
Full-text available
Introduction : Les approches de synthèses de connaissances classiques peuvent s’avérer difficiles à entreprendre en raison de leur complexité et risquent de s’éloigner de la réalité de la problématique à laquelle elles tentent de répondre. L’objectif de cet article est de présenter une démarche méthodologique pour réaliser une synthèse des connaiss...
Article
Full-text available
Background Clinical decision support systems are information technologies that assist clinicians in making better decisions. Their adoption has been limited because their content is difficult to adapt to local contexts and slow to adapt to emerging evidence. Collaborative writing applications such as wikis have the potential to increase access to e...
Article
Résumé Introduction La plateforme informatique des méthodes de soins infirmiers (MSI) fournit la documentation dénotant la meilleure pratique infirmière actuelle. L’évaluation de l’usage des MSI, de l’impact sur les soins et les coûts associés constitue une priorité pour le centre hospitalier universitaire de Québec. Objectifs de l’étude L’object...
Preprint
BACKGROUND Worldwide, governments are actively speed up ambitious vaccination programmes against the COVID-19, while its third wave persists in several canadian juridictions caused by emerging strains. The first wave severely hit Canadian nursing facilities (81% of deaths). To this toll, public health measures that reduced physical contacts and vis...
Article
Background: The first wave of the COVID-19 pandemic has severely hit Canadian nursing facilities (81% of deaths). To this toll, public health measures (ex. visitation restriction) have subsequently deepened the social isolation and loneliness of residents in nursing facilities (NFs), especially those in linguistic minority settings: Anglophone ins...
Article
Full-text available
Background Our team has developed a decision aid to help pregnant women and their partners make informed decisions about Down syndrome prenatal screening. However, the decision aid is not yet widely available in Quebec’s prenatal care pathways. Objective We sought to identify knowledge translation strategies and develop an implementation plan to p...
Article
Full-text available
Les innovations en santé se produisent dans différents services, organisations et communautés.De plus, elles font face à de multiples logiques institutionnelles, qui sont souvent contradictoires. La logique du marché axée principalement sur la rentabilité et sur la création de la valeur économique à travers les innovations détient le monopole dans...
Article
Full-text available
To increase fairness and equity in access to rehabilitation services, a strategy emerging from the literature is patient prioritization. Selecting explicit prioritization criteria is a complex task because it is important to simultaneously consider the objectives of all stakeholders. The of this study was to compare service users’ and service provi...
Preprint
BACKGROUND Research on the integration of artificial intelligence (AI) into community-based primary health care (CBPHC) has highlighted several advantages and disadvantages in practice regarding, for example, facilitating diagnosis and disease management, as well as doubts concerning the unintended harmful effects of this integration. However, ther...
Preprint
Full-text available
Background: A rapid review of systematic reviews was conducted to assess the effectiveness of digital mental health interventions for people with a chronic disease. Although it provided an overview of the evidence, it offered limited understanding of ethe types of interventions that were the most effective. The aim of this study was to perform a me...
Article
Full-text available
Health innovations are generally oriented on a techno-economic vision. In this perspective, technologies are seenas an end in themselves, and there is no arrangement between the technical and the social values of innovation.This vision prevails in sanitary crises, in which management is carried out based on the search for punctual, reactive,and tec...
Article
Full-text available
Health innovations are generally oriented on a techno-economic vision. In this perspective, technologies are seen as an end in themselves, and there is no arrangement between the technical and the social values of innovation. This vision prevails in sanitary crises, in which management is carried out based on the search for punctual, reactive, and...
Conference Paper
Full-text available
Depuis des décennies, le concept d’intelligence est utilisé de plus en plus dans le domaine de la santé. Outre le fait qu’il soit un buzzword, l’intelligence (artificielle, technologique ou numérique) dans les trajectoires de soins est devenue un impératif pour améliorer les services et la réactivité des systèmes de santé, surtout en raison de la c...
Article
Introduction and aims: Prioritization tools aim to manage access to care by ranking patients equitably in waiting lists based on determined criteria. Patient prioritization has been studied in a wide variety of clinical health services, including rehabilitation contexts. We created a web-based patient prioritization tool (PPT) with the participati...
Article
Full-text available
Objective Determine the effectiveness of digital mental health interventions for individuals with a concomitant chronic disease. Design We conducted a rapid review of systematic reviews. Two reviewers independently conducted study selection and risk of bias evaluation. A standardised extraction form was used. Data are reported narratively. Interv...
Preprint
Full-text available
Health innovations are generally oriented on a techno-economic vision. In this perspective, technologies are seen as an end in themselves, and there is no arrangement between the technical and the social values of innovation. This vision prevails in sanitary crises, in which management is carried out based on the search for punctual, reactive, and...
Article
Full-text available
This mixed-methods study aimed to determine the level of male involvement in the prevention of mother-to-child transmission (PMTCT) services in Haiti and identify barriers and associated factors. From May to June 2018, a questionnaire was used to measure the level of male involvement. Semistructured interviews with pregnant women were also conducte...
Article
Full-text available
La télésanté connait un essor fulgurant en ce contexte de pandémie. Or, en cette période d'insécurité mondiale, la santé préventive reprend ses droits. En période de déconfinement, la discipline et la cohésion sociale peuvent se relâcher. Cette enquête sociale vise à décrire un programme d'intervention à distance, réalisé en partenariat avec des lo...
Article
Full-text available
Objective To summarize current evidence on patient and public involvement (PPI) in health technology assessment (HTA) in order to synthesize the barriers and facilitators, and to propose a framework to assess its impact. Methods We conducted an update of a systematic review published in 2011 considering the recent scientific literature (qualitativ...
Preprint
Full-text available
Background Insomnia affects between 30 to 60% of cancer patients and tends to become chronic when left untreated. Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for cancer-related insomnia. Yet, this treatment is not readily accessible. A stepped care intervention beginning with a self-administered (web-ba...
Article
Full-text available
Background: HIV PrEP (pre-exposure prophylaxis) efficacy is closely linked to adherence and factors associated with PrEP adherence are not well understood and may differ across populations. As PrEP demonstration projects and implementation are ongoing, it is essential to understand factors associated with adherence to oral PrEP in order to design...
Preprint
Full-text available
Background: Insomnia affects between 30 to 60% of cancer patients and tends to become chronic when left untreated. Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for cancer-related insomnia. Yet, this treatment is not readily accessible. A stepped care intervention beginning with a self-administered (web-b...
Preprint
Full-text available
Background Insomnia affects between 30 to 60% of cancer patients and tends to become chronic when left untreated. Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for cancer-related insomnia. Yet, this treatment is not readily accessible. A stepped care intervention beginning with a self-administered (web-ba...
Preprint
Full-text available
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...
Article
Full-text available
Purpose: Artificial intelligence (AI) raises many expectations regarding its ability to profoundly transform health care delivery. There is an abundant literature on the technical performance of AI applications in many clinical fields (e.g. radiology, ophthalmology). This article aims to bring forward the importance of studying organizational readi...