Pierre Pluye

• MD, PhD, you can find my non-open press publications at https://escholarship.mcgill.ca (search "Pluye") - My 5 cents: read https://dariahopen.hypotheses.org/878
• Professor at McGill University

Background Shared decision-making (SDM) is central to person-centred care and professional nursing practice. Some primary care nurses must become more comfortable and prepared to use SDM in their practice, especially with patients having complex care needs. Methods We conducted a single-group pre-post study with primary care nurses to assess the r...

Introduction Almost all parents seek online child-related information. This study focuses on parents’ experience of using information from an easy-to-read parenting website, Naître et Grandir (N&G), specifically parents with low socioeconomic status (SES). SES is correlated with health literacy, a major determinant of child education and health. In...

Background Health technology assessment (HTA) organizations generate guidelines to inform healthcare practices toward improved health outcomes. This review sought to identify and classify outcomes of guidelines from HTA organizations within published research. Methodology We performed a systematic mixed studies review of empirical studies that (a)...

Background The successful integration of artificial intelligence (AI) into clinical practice is contingent upon physicians’ comprehension of AI principles and its applications. Therefore, it is essential for medical education curricula to incorporate AI topics and concepts, providing future physicians with the foundational knowledge and skills need...

Collaborative information monitoring (CIM) involves intentional information monitoring activities pursued by a group and could help researchers keep up to date. This paper reports findings of a cross‐case analysis aimed to explore the perceived factors and outcomes of CIM. Seven cases were included in the study, representing 11 members of patient‐o...

Qualitative comparative analysis (QCA) is a hybrid method designed to bridge the gap between qualitative and quantitative research in a case‐sensitive approach that considers each case holistically as a complex configuration of conditions and outcomes. QCA allows for multiple conjunctural causation, implying that it is often a combination of condit...

BACKGROUND The successful integration of artificial intelligence (AI) into clinical practice is contingent upon physicians’ comprehension of AI principles and its applications. Therefore, it is essential for medical education curricula to incorporate AI topics and concepts, providing future physicians with the foundational knowledge and skills need...

Objective Explore perceptions and preoccupations regarding use of medical cannabis against chronic musculoskeletal pain, among patients and physicians. Design Qualitative study using interviews with patients and physicians, based on the Theory of Planned Behavior (TPB). Setting The study was conducted in Quebec, Canada, in spring 2020. Subjects...

Background People with concurrent mental health and substance use disorders have complex biopsychosocial problems but risk not having their healthcare needs met. Nurses are positioned to meet these needs but often lack training in concurrent disorder management. Extension for Community Healthcare Outcomes (ECHO®, University of New Mexico Health Sci...

Objective: The aim of this scoping review is to synthesize knowledge from the literature on curriculum frameworks and current educational programs that focus on the teaching and learning of artificial intelligence (AI) for medical students, residents, and practicing physicians. Introduction: To advance the implementation of AI in clinical practi...

Background Refugees, asylum seekers, and migrants without status experience precarious living and working conditions that disproportionately expose them to coronavirus disease 2019 (COVID-19). In the two most populous Canadian provinces (Quebec and Ontario), to reduce the vulnerability factors experienced by the most marginalized migrants, the publ...

Background Shared decision-making (SDM) is central to person-centred care and professional nursing practice. Some primary care nurses must be more comfortable and prepared to use SDM in their practice, even more with patients with complex care needs. Methods We conducted a single-group pre-post study with primary care nurses to assess the relevanc...

Background: Almost two-thirds of the North American population have searched for health information on the web, and the majority report searching on behalf of someone else in their social circle, a phenomenon referred to as proxy seeking. Little is known about how proxy seekers use web-based health information and the outcomes they experience. Ob...

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...

Background: People with concurrent mental health and substance use disorders have complex biopsychosocial problems, but risk not having their healthcare needs met. Nurses are positioned to meet these needs but often lack training in concurrent disorder management. Extension for Community Healthcare Outcomes (ECHO©) is a promising technology-enabled...

BACKGROUND Stroke Engine is an evidence-based knowledge translation resource in stroke rehabilitation (assessments and interventions) for health professionals, students, individuals having sustained a stroke and their relatives. According to Google analytics, the website is perused over 10 000 times/week. OBJECTIVE With the overall aim to improve...

Background: Electronic knowledge resources are readily available and typically target different audiences, including health professionals and the public, that is, those with lived experience and their relatives. The knowledge-to-action framework, in combination with the information assessment method (IAM), considering both the value-of-information...

This chapter is aimed to define and illustrate the concepts of convergence and divergence in mixed methods research. Students, teachers and researchers need to know that divergence may occur regarding scientific worldviews, literature reviews, and primary research. However, few studies have focused on this aspect because convergence is often expect...

Background In primary care, patients increasingly face difficult decisions related to complex care needs (multimorbidity, polypharmacy, mental health issues, social vulnerability and structural barriers). There is a need for a pragmatic conceptual model to understand decisional needs among patients with complex care needs and outcomes related to de...

Background Refugees, asylum seekers, and migrants without status experience precarious living and working conditions which disproportionately expose them to COVID-19. In the two most populous Canadian provinces (Quebec and Ontario), to reduce the vulnerability factors experienced by the most marginalized migrants, the public and community sectors e...

BACKGROUND Almost two-thirds of the North American population have searched for health information on the web, and the majority report searching on behalf of someone else in their social circle, a phenomenon referred to as proxy seeking . Little is known about how proxy seekers use web-based health information and the outcomes they experience. OBJ...

Background Artificial intelligence (AI) has shown promising results in various fields of medicine. It has the potential to facilitate shared decision making (SDM). However, there is no comprehensive mapping of how AI may be used for SDM. Objective We aimed to identify and evaluate published studies that have tested or implemented AI to facilitate...

Contexte Les douleurs chroniques non cancéreuses (DCNC) ont de multiples causes et affectent souvent les os, les muscles et les articulations. Malheureusement, les options pharmacologiques actuelles ne permettent souvent pas leur soulagement optimal. Bien que les propriétés analgésiques du cannabis soient connues depuis des millénaires les évidence...

Objectives: Deprescribing is the planned and supervised process of dose reduction or stopping medication. Few clinical guidelines exist to help health care professionals in making decisions about deprescribing. The Bruyère Deprescribing Guidelines Team developed a series of evidence-based medication-class specific deprescribing guidelines and, to...

BACKGROUND Care partners of people living with dementia may benefit from online education. We developed iGeriCare, an award-winning internet-based platform with 12 multimedia e-learning lessons about dementia. OBJECTIVE Our objective was to evaluate users’ perceptions of impact. METHODS From March 17, 2021-May 16, 2022, data were collected upon l...

Background: Care partners of people living with dementia may benefit from online education. We developed iGeriCare, an award-winning internet-based platform with 12 multimedia e-learning lessons about dementia. Objective: Our objective was to evaluate users' perceptions of impact. Methods: From March 17, 2021-May 16, 2022, data were collected...

Use of online health information is positively associated with citizen knowledge, empowerment, self-care, health outcomes, and quality of life. However, little is known about how mothers with incomes below the poverty threshold and with education levels of high school or less use and interact with the Internet as a key source of lay knowledge and s...

Background High-quality online health information (OHI) can reduce unnecessary visits to health professionals and improve health. One of the ways that people use OHI is to support others with health conditions through proxy OHI seeking. Members of a person’s social circle may help them overcome information-seeking barriers and illness challenges. T...

Background One of the largest groups of consumers who seek health information on the internet are parents of young children, as well as people in their social circle. The concept of proxy seeking (on behalf of others) has been explored in the literature, yet little is known about the outcomes. Objective The main aim of this study was to describe c...

Background Adults with chronic conditions who also suffer from mental health comorbidities and/or social vulnerability require services from many providers across different sectors. They may have complex health and social care needs and experience poorer health indicators and high mortality rates while generating considerable costs to the health an...

Mixed methods, integrating qualitative (QUAL), and quantitative (QUAN) methods (e.g., research questions, data collections and analyses, and results) in empirical studies and program evaluations are becoming increasingly popular for answering complex questions. Several strategies for integrating QUAL and QUAN phases, results, and data have been pro...

Background In primary care, patients increasingly face difficult decisions related to complex care needs (multimorbidity, polypharmacy, mental health issues, social vulnerability and structural barriers). There is a need for pragmatic conceptual model to understand decisional needs among patients with complex care needs and outcomes related to deci...

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...

Background Chronic musculoskeletal pain (CMP) may lead to reduced physical function and is the most common cause of chronic non-cancer pain. Currently, the pharmacotherapeutic options against CMP are limited and frequently consist of pain management with non-steroidal anti-inflammatories, gabapentinoids, or opioids, which carry major adverse effect...

BACKGROUND High-quality online health information (OHI) can reduce unnecessary visits to health professionals and improve health. One of the ways that people use OHI is to support others with health conditions through proxy OHI seeking. Members of a person’s social circle may help them overcome information-seeking barriers and illness challenges. T...

Despite being necessary, keeping up to date with new information and trends remains challenging in many fields due to information overload, time constraints, and insufficient evaluation skills. Collaboration, or sharing the effort among group members, may be a solution, but more knowledge is needed. To guide future research on the potential role of...

Background: Evidence-Based Medicine is built on the premise that clinicians can be more confident when their decisions are grounded in high-quality evidence. Furthermore, evidence from studies involving patient-oriented outcomes is preferred when making decisions about tests or treatments. Ideally, the findings of relevant and valid trials should...

BACKGROUND One of the largest groups of consumers who seek health information on the internet are parents of young children, as well as people in their social circle. The concept of proxy seeking (on behalf of others) has been explored in the literature, yet little is known about the outcomes. OBJECTIVE The main aim of this study was to describe c...

Introduction: Interprofessional collaboration (IPC) is increasingly used but diversely implemented in primary care. We aimed to assess the effectiveness of IPC in primary care settings. Methods: An overview (review of systematic reviews) was carried out. We searched nine databases and employed a double selection and data extraction method. Patie...

Introduction: Interprofessional collaboration (IPC) is becoming more widespread in primary care due to the increasing complex needs of patients. However, its implementation can be challenging. We aimed to identify barriers and facilitators of IPC in primary care settings. Methods: An overview of reviews was carried out. Nine databases were searc...

Background Vaccination is a common painful procedure for children. Parents’ concern regarding vaccination pain is a significant driver of vaccine hesitancy. Despite the wealth of evidence-based practices available for managing vaccination pain, parents lack knowledge of, and access to, these strategies. Knowledge translation (KT) tools can communic...

Introduction: Although several evidence-based strategies for managing children's vaccination pain exist, many parents report being unaware of them. Knowledge translation (KT) tools present evidence-based information in plain language. Objectives: This two-phase study assessed parents/caregivers' uptake of evidence-based pain management strategie...

Introduction Extension for Community Healthcare Outcomes (Project ECHO©) is an innovative model for continuing professional development that uses videoconferencing technology to support and train general practitioners remotely. The model has been replicated to a variety of settings and locations for capacity building in healthcare professionals car...

Lorsqu'il s'agit de définir le contenu d'une intervention populationnelle, notamment en première ligne, il est essentiel de connaître l'état des connaissances scientifiques pour éclairer cette décision. Voilà pourquoi, le recours à des revues systématiques de ces écrits scientifiques est préconisé, car ces données probantes vont compléter les savoi...

Abstract Background: Some patients with complex healthcare needs become high users of healthcare services. Case management allows these patients and their interprofessional team to work together to evaluate their needs, priorities and available resources. High-user patients must make an informed decision when choosing whether to engage in case mana...

Keeping up to date is essential across professional fields, yet it remains a challenge. Collaboration may act as a facilitator, yet more knowledge is needed to see if, how, and why it could overcome the challenges of keeping up to date. This systematic mixed studies review, a work in progress, bridges the conceptual fields of information monitoring...

BACKGROUND Typically, online consumer health information is seen more beneficial to people combining high level of education and high income. There is no evidence that equity-oriented online consumer health information benefits equally to all. This is especially important for young children’s parents combining a low level of education and low incom...

Background Typically, web-based consumer health information is considered more beneficial for people with high levels of education and income. No evidence shows that equity-oriented information offers equal benefits to all. This is important for parents of low socioeconomic status (SES; low levels of education and income and usually a low level of...

Purpose: Case management (CM) is a promising intervention for frequent users of health care services. Our research question was how and under what circumstances does CM in primary care work to improve outcomes among frequent users with chronic conditions? Methods: We conducted a realist synthesis, searching MEDLINE, CINAHL, Embase, and PsycINFO...

Objective: Transculturally translate and adapt the Mixed Methods Appraisal Tool to the Brazilian reality. Methods: The methodology followed the 10 steps determined by the transcultural translation and adaptation process conducted by one of the Working Groups of the Special Interest Group on Quality of Life and the Cultural Translation and Adaptatio...

Background: Diabetes is a prevalent chronic condition that poses a major burden for patients and the health care system. Evidence suggests that patient engagement in self-care improves diabetes control and reduces the risk of complications. To provide effective interventions that aim to improve empowerment processes relating to diabetes, a compreh...

Background Chronic musculoskeletal pain (CMP) may lead to reduced physical function and is the most common cause of chronic non cancer pain. Currently, the pharmacotherapeutic options against CMP are limited and mainly consist of pain management with gabapentinoids or opioids, which carry major adverse effects. Although the effectiveness of medical...

Background Chronic musculoskeletal pain (CMP) may lead to reduced physical function and is the most common cause of chronic non cancer pain. Currently, the pharmacotherapeutic options against CMP are limited and frequently consist of pain management with non-steroidal anti-inflammatories, gabapentinoids or opioids, which carry major adverse effects...

Background: Chronic conditions such as diabetes and chronic obstructive pulmonary disease (COPD) are common and burdensome diseases primarily managed in primary care. Yet, evidence points to suboptimal quality of care for these conditions in primary care settings. Quality improvement collaboratives (QICs) are organized, multifaceted interventions...

Mixed methods research is gaining prominence in the library and information science (LIS) discipline. However, according to previous analyses, few LIS studies utilized mixed methods research, and the researchers did not recognize or describe them as such. The present methodological review assesses the current state of mixed methods research in LIS....

Patients with complex care needs who frequently use health services often face challenges in managing their health and with integrated care, leading to frequent decision making. These complex care needs require a good understanding of health issues and their impact on daily life. As the decisional needs of this particular clientele have yet to be d...

Purpose: Case management (CM) interventions are effective for frequent users of health care services, but little is known about which intervention characteristics lead to positive outcomes. We sought to identify characteristics of CM that yield positive outcomes among frequent users with chronic disease in primary care. Methods: For this systema...

Researchers examining the influence of the built environment on health are increasingly using mixed methods approaches. The use of more than one type of methodology to address a single research question is compelling in this field because researchers investigating the impact of the built environment on health have been faced with proposing solution...

Introduction Chronic musculoskeletal pain (CMP) is one of the most common causes of chronic pain that leads to reduced physical function. Currently, the pharmacotherapeutic options against CMP are limited and consist mainly in pain management with gabapentinoids or with opioids, which may have major adverse effects. Although the effectiveness of ca...

Background Mixed methods (MM) are common in community-based primary health care (CBPHC) research studies. Several strategies have been proposed to integrate qualitative and quantitative components in MM, but they are seldom well conceptualized and described. The purpose of the present review was to identify and describe practical MM strategies and...

Objective: The mixed methods appraisal tool (MMAT) was developed for critically appraising different study designs. This study aimed to improve the content validity of three of the five categories of studies in the MMAT by identifying relevant methodological criteria for appraising the quality of qualitative, survey, and mixed methods studies. St...

is a peer-reviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations. Recommended Citation Kaur N, Pluye P. Delineating and operationalizing the definition of patient-oriented research: a mod...

The Internet has become the first source of consumer health information. Most theoretical and empirical studies are centered on information needs and seeking, rather than on information outcomes. This review's purpose is to explore and explain health outcomes of Online Consumer Health Information (OCHI) in primary care. A participatory systematic m...

Purpose: The importance of patient-oriented research (POR) has been recognized by the scientific community and governmental agencies, and its development is exponential across most health-related disciplines. The current Canadian Institutes of Health Research (CIHR) definition of POR is overly broad and hinders the reliable selection of POR-relate...

Introduction: Over the last 40 y, the proportion of women in the profession of dentistry has been growing steadily. The extant literature, although limited, demonstrates that gender differences exist in choice of specialization, practice pattern, and professional attitudes, revealing that women are more likely to work in primary dental care and ar...

Given the limits of human memory, clinicians have trouble recalling therapeutic recommendations, even when the clinician previously judged that information relevant for the care of a specific patient. To tackle this problem, we present a knowledge-based recommender system prototype that links electronic patient records to clinical information previ...

Une couverture universelle des soins de santé en 2030 pour tous les êtres humains, du Nord au Sud ? Réaliser cet objectif de développement durable aussi ambitieux que nécessaire exigera une exceptionnelle volonté politique, mais aussi de solides données probantes sur les moyens d’y arriver, notamment sur les interventions de santé mondiale les plus...

Une couverture universelle des soins de santé en 2030 pour tous les êtres humains, du Nord au Sud ? Réaliser cet objectif de développement durable aussi ambitieux que nécessaire exigera une exceptionnelle volonté politique, mais aussi de solides données probantes sur les moyens d’y arriver, notamment sur les interventions de santé mondiale les plus...

Une couverture universelle des soins de santé en 2030 pour tous les êtres humains, du Nord au Sud ? Réaliser cet objectif de développement durable aussi ambitieux que nécessaire exigera une exceptionnelle volonté politique, mais aussi de solides données probantes sur les moyens d’y arriver, notamment sur les interventions de santé mondiale les plus...

Background Organizational Participatory Research (OPR) seeks organizational learning and/or practice improvement. Previous systematic literature reviews described some OPR processes and outcomes, but the link between these processes and outcomes is unknown. We sought to identify and sequence the key processes of OPR taking place with and within hea...

A mixed studies review (MSR) is a type of literature review that includes qualitative, quantitative, and mixed methods studies. This form of literature review is popular since it can provide a rich understanding of complex health interventions and programs. However, conducting a MSR can be challenging since it combines several study designs. A wiki...

Within the health sciences, organizational participatory research (OPR) is defined as a blend of research and action, in which academic researchers partner with health organization members. OPR is based on a sound partnership between all stakeholders to improve organizational practices. However, little research on the evaluation of OPR health partn...

Objective: To draw a portrait of drug sample distribution and to assess the concordance between drug samples distributed and the medical problems encountered in the ambulatory primary health care setting. Design: Descriptive cross-sectional survey. A self-administered questionnaire was distributed to all health care professionals (HCPs) in famil...

Objective To determine the existence and the level of health care professional (HCP) knowledge of local policies regarding drug sample use and the relationship between residents and the pharmaceutical industry in academic primary health care settings. Design Descriptive cross-sectional survey. Health care providers were invited to complete a self-a...

Objective: To draw a portrait of drug sample management in academic primary health care settings and assess conformity to existing Canadian guidelines. Design: Descriptive cross-sectional survey. Setting: All 33 family medicine teaching units (FMTUs) in Quebec that kept drug samples. Participants: Health care professionals or FMTU staff who...

Objective: To determine the existence and the level of health care professional (HCP) knowledge of local policies regarding drug sample use and the relationship between residents and the pharmaceutical industry in academic primary health care settings. Design: Descriptive cross-sectional survey. Health care providers were invited to complete a s...

With an increasing volume of health information online, it becomes critical for consumers to improve their search and evaluation skills to retrieve reliable information. The Patient Information Aid (PIA) program is aimed to facilitate information seeking, potentially leading to positive outcomes of online consumer health information and the reducti...

The questionnaires' origin (sources from which elements of the questionnaire are derived) and initial development (process of making a questionnaire from elements) should be assessed before their measurement properties. There is no Critical Appraisal Tool (CAT) that comprehensively assesses the origin and initial development of questionnaires there...

Background: This study is born from a partnership between Web editors of Naître et grandir (N&G) and AboutKidsHealth (AKH) and researchers who developed and validated the Information Assessment Method (IAM). N&G and AKH are popular Canadian websites with high-quality comprehensive information about child development, education, health, and well-be...

Online consumer health information (OCHI) is being used at an unprecedented rate, and this trend is expected to continue. Most people have used OCHI, and many may have seen the outcomes of this use (either positive or negative or both). Education and income, as indicators of socioeconomic status, are important contextual factors influencing OCHI ou...