Umair Majid

Umair Majid
University of Toronto | U of T · Institute of Health Policy, Management and Evaluation

MSc, MEd, PhD (c)

About

73
Publications
221,287
Reads
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552
Citations
Citations since 2016
73 Research Items
550 Citations
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Introduction
Umair Majid is a learner of values in health care and a research methods expert. He has two graduate degrees: health research methodology (McMaster University) and curricula design (Queen’s University). He has appointments as a scientist, instructor, program developer, and research methodologist for governments and health service organizations globally. Umair is a PhD candidate at the University of Toronto looking at the connection between hospital patient engagement goals and practices.
Education
September 2018 - June 2021
University of Toronto
Field of study
  • Health Services Research / Health Policy
September 2017 - August 2018
Queen's University
Field of study
  • Curriculum Design
September 2016 - June 2017
McMaster University
Field of study
  • Health Research Methodology

Publications

Publications (73)
Article
Full-text available
Qualitative research has been used for centuries in the discipline of social sciences to examine the experiences, perspectives, and perceptions of individuals and communities. Recently, qualitative research has also emerged as a reputable paradigm of research inquiry within the field of health sciences. Qualitative research may be considered a rese...
Article
Full-text available
As the movement toward evidence-based health policy continues to emphasize the importance of including patient and public perspectives, syntheses of qualitative health research are becoming more common. In response to the focus on independent assessments of rigor in these knowledge products, over 100 appraisal tools for assessing the quality of qua...
Article
Vaccines are some of the most cost-effective public health interventions for reducing disease burden and mortality. However, in recent years, health systems have faced a growing challenge with increasing number of parents who choose not to vaccinate their children. This decision has important implications for the health of communities worldwide, an...
Article
Full-text available
A new decade often begins with new life, new relationships and new purposes. Unfortunately, the start of this decade has been anything but, thanks to the rather unprecedented global crisis that has rapidly taken over our lives. COVID-19 - which seemed to be just a flu-like infection spreading modestly in mainland China - has suddenly became a pande...
Article
The severe acute respiratory syndrome-coronavirus-2 pandemic has spread rapidly and has a growing impact on individuals, communities, and healthcare systems worldwide. At the core of any pandemic response is the ability of authorities and other stakeholders to react appropriately by promoting hygiene and social distancing behaviors. Successfully re...
Article
Full-text available
Objectives: Opioid agonist therapy using buprenorphine is one of the most effective treatments for opioid use disorder. However, concerns regarding its extramedical use and diversion, such as adverse patient outcomes and damage to the legitimacy of addictions practice, are persistent. The aim of this review is to synthesize the perspectives and ex...
Article
Background: The COVID-19 pandemic has negatively affected the mental health of people globally. Despite substantial research on the short-term psychological impact of COVID-19, its long-term consequences on mental health remain relatively unexplored. Aims: We aimed to examine mental health literature on prior outbreaks to provide recommendations...
Article
As countries continue the third year of the pandemic, we believe that there has been unfair attention to COVID-19 vaccine efficacy and safety, while tacitly ignoring serious challenges with vaccine uptake, without which vaccination may not be effective against the spread of COVID-19. While several studies have been published on COVID-19 vaccine hes...
Article
Full-text available
Background Opioid agonist therapy (OAT) has been severely disrupted by the COVID-19 pandemic. The risks of opioid withdrawal, overdose, and diversion have increased, so there is an urgent need to adapt OAT to best support people who use drugs (PWUD). This review examines the views and experiences of PWUD, health care providers, and health system ad...
Article
Among the most important factors that determine whether public health recommendations receive widespread adherence during pandemics is public trust in the information disseminated by governments, health care providers, and the media. However, there remains uncertainty pertaining to the role of public trust in the acceptance and maintenance of publi...
Article
Full-text available
Background: Vaccine hesitancy is a growing issue globally amongst various populations, including health care providers. This study explores the factors that influence vaccine hesitancy amongst nurses and physicians. Methods: We performed a qualitative meta-synthesis of 22 qualitative and mixed-method studies exploring the factors that may contri...
Article
Full-text available
The effects of suicide are both widespread and long-lasting in the lives of those closest to the deceased. According to the World Health Organization (WHO), suicide is the third leading cause of death in adolescents. Some research has shown that families who lose someone to suicide are at a higher risk of complicated grief compared to those bereavi...
Article
Due to historical and contextual factors, cervical cancer is typically detected at a later stage in Indigenous women, and so has higher morbidity and mortality. Increasing participation in cervical cancer screening (CCS) could ameliorate this health inequity by detecting cancer when it is more easily treatable. To understand the perspectives, prefe...
Article
Full-text available
This rapid qualitative review analyzed 8 studies describing the perspectives of people living with schizophrenia spectrum disorder (SSD) who use cognitive remediation therapy (CRT), and their caregivers and clinicians. People living with SSD reported notable improvements in their attention, memory, and problem solving; improvement in their lives wh...
Article
Full-text available
There has been a proliferation of patient engagement (PE) in healthcare activities. However, the concept of “engagement” has existed for decades; the first Patient and Family Advisory Committees (PFACs) in North America were formed in the 1970s. These committees are an important mechanism for involving patients and family and have proliferated acro...
Article
Full-text available
Introduction This review synthesizes the literature on the perspectives and experiences of people who use drugs to better understand motivations and behaviors related to the extramedical use and diversion of buprenorphine. Given the particular social construction of buprenorphine against methadone, and the centrality of concerns around extramedical...
Article
Introduction: Community health workers (CHWs) connect patients in rural and remote communities to health service organizations. This diverse group of healthcare workers has helped improve healthcare access and outcomes and enhance the quality of life for people in hard-to-reach communities. However, CHWs face numerous challenges rooted in the soci...
Article
Full-text available
Study objective: Evidence syntheses perform rigorous investigations of the primary literature and they have played a vital role in generating evidence-based recommendations for governments worldwide during the COVID-19 pandemic. However, there has not yet been an attempt to organize them across topic and other characteristics. This study performed...
Article
Examine the factors that promote vaccine hesitancy or acceptance during pandemics, major epidemics and global outbreaks. A systematic review and thematic analysis of 28 studies on the Influenza A/H1N1 pandemic and the global spread of Ebola Virus Disease. We found seven major factors that promote vaccine hesitancy or acceptance: demographic factors...
Article
In spite of the overwhelming evidence that highlights the effectiveness of routine vaccination, an increasing number of people are refusing to follow recommended vaccination schedules. While the majority of research in this area has focussed on vaccine hesitancy in parents, there is little research on the factors that promote vaccine hesitancy in h...
Article
Almost every person is affected by grief at some point during their lifetime. However, the majority of grief research has focused on the experiences and perspectives of individuals after loss. Grief can be expected or unexpected depending on the nature of loved one’s death. Like postdeath grief, individuals who expect the impending loss of a loved...
Preprint
Full-text available
Students in higher education institutions such as universities are at a unique risk for COVID-19 because learning takes place in a manner that warrants frequent social interaction. This systematic review of 18 studies examined the awareness, risk perception, and health behaviors among students in higher education institutions across 15 high- and lo...
Article
Cervical cancer is the third most common gynecological cancer. Effective population-based cervical cancer screening programs exist, but improvements in morbidity and mortality continue to demonstrate racial disparities. For example, Black women are 41% more likely to develop cervical cancer than White women and are 75% more likely to die from it. I...
Article
The experience of losing a loved one can have profound effects on physical and psychological well-being, and previous research has reported an increased risk of mortality after spousal loss. This qualitative evidence synthesis reviewed 16 studies on the perspectives of widows who experienced adverse physical health outcomes after spousal loss. This...
Preprint
Full-text available
Background: Despite numerous improvements in the health care system of Pakistan in the past few decades, many disparities continue to persist between health care policies and practices in comparison to developed nations, particularly in the area of maternal health. Despite a 181% increase in expenditure, Pakistan did not meet its target to reduce c...
Article
Full-text available
Some consider patient engagement as the “holy grail” of healthcare because of its potential to revolutionize how we view and address health system problems. Multiple efforts around the world have attempted to cultivate a patient-centric culture whereby health services are grounded by the needs and preferences of patients. Recently, health service o...
Article
Full-text available
Healthcare decision makers are increasingly demanding that health technology assessment (HTA) is patient focused, and considers data about patients’ perspectives on and experiences with health technologies in their everyday lives. Related data are typically generated through qualitative research, and in HTA the typical approach is to synthesize pri...
Article
Health services research (HSR) is an interdisciplinary field that investigates and improves the design and delivery of health services from individual, group, organisational and system perspectives. HSR examines complex problems within health systems. Qualitative research plays an important role in aiding us to develop a nuanced understanding of pa...
Article
Full-text available
Vaccines have been crucial in reducing mortality and morbidity around the world, particularly in low- and middle-income countries. Furthermore, vaccinations have also resulted in a considerable amount of economic savings. However, there are a growing number of individuals who express a strong skepticism of vaccine safety and effectiveness. These “v...
Article
Full-text available
A considerable number of women die each year worldwide due to preventable causes during pregnancy and childbirth. The high mortality of women who die from pregnancy-related issues can be attributed to inadequate access of high-quality maternal health services. However, access is a nebulous concept with a compendium of conceptualizations and definit...
Article
The loss of a loved one is one of the most ubiquitous life experiences. There have been multiple reviews that have found adverse health outcomes for individuals experiencing spousal loss, particularly the widowhood effect that characterizes an increased risk of mortality after loss. However, there is a lack of clarity on the relationship between ph...
Article
Full-text available
Patient engagement (PE) has become embedded in discussions about health service planning and quality improvement, and the goal has been to find ways to observe the potential beneficial outcomes associated with PE. Patients and health care professionals use various terms to depict PE, for example, partnership and collaboration. Similarly, tokenism i...
Article
Full-text available
Patient engagement has become the buzz-phrase of 21st Century health care. Around the world, healthcare systems involve patients in a wide range of activities including drug development, research, and policy design. There are strong institutional pressures for patient engagement in healthcare activities that have been bolstered by ethical imperativ...
Technical Report
The primary objective of this research was to identify and examine the design of financial empowerment programs (FEPs) including the types of services offered and how they are delivered in Canadian municipalities. The research question was: Do financial empowerment (including free tax help) programs exist in other Canadian municipalities? If so: •...
Method
Arts-based research uses creative forms of expression to explore, understand, represent, and even challenge human experience. Arts-based approaches include dance, drama, collage, and photovoice, and these approaches have seldom been used to investigate topics in health services research. This case study describes the design of a project that propos...
Method
Following the first case of uncommon methodologies for conducting literature reviews, I describe in this case study a project that conducted a qualitative systematic review and concept analysis on tokenism in patient engagement to develop a preliminary set of dimensions of this concept. I discuss the various challenges encountered when designing, c...
Method
Students and experienced researchers know that quantitative systematic reviews and meta-analyses are the most common approach for conducting literature reviews. However, this type of review can only answer certain research questions, specifically questions on intervention efficacy, safety, and effectiveness. On the contrary, there is a myriad of un...
Technical Report
The Hamilton Community Land Trust (HCLT) is a non-profit organization that is focused on securing land for providing low-income families and groups with housing in Hamilton. The HCLT approached the Office of Community Engagement at McMaster University with an interest in learning how their organization can be more representative and inclusive of th...
Article
Hundreds of women die daily due to preventable causes related to pregnancy and childbirth. Multiple programs have been developed to support efforts to reduce maternal mortality. However, no synthesis has been conducted to date that reviews the design, delivery, and impact of these initiatives in Pakistan. After conducting a systematic literature se...
Article
Full-text available
Increasingly, patients are being recognized as essential partners in the solutions to healthcare system problems. Patient engagement has been referred to as the “holy grail” and next “blockbuster drug” of health care because it may be revolutionary for transforming the design, delivery, and responsiveness of health services. Patients engage in a va...
Article
Full-text available
Introduction: Cervical cancer is one of the leading causes of mortality in women. Population-based cervical cancer screening programs have been highly effective in reducing the incidence and mortality of cervical cancer worldwide. However, disparities remain in women's cervical cancer screening participation rates, especially in rural and remote a...
Article
Full-text available
There are only a handful of articles, books, tools, and resources that are truly accessible to the novice qualitative investigator. The literature contains reams of resources that aid researchers to launch the qualitative learning process. However, there are few opportunities to develop the depth, prowess, and creativity needed to sustain lifelong...
Article
The loss of a loved one is often associated with "death from a broken heart" for the survivor , and there is evidence that shows that widowers and widows are at risk for higher morbidity and mortality than the general population. This systematic review will summarize the physical and physiological health outcomes of spousal bereavement. A systemati...
Article
Full-text available
The rising costs of healthcare has increased pressures to develop innovations and interventions to complete the “puzzle” of healthcare (e.g., The Triple Aim – outcomes, cost-e↵ectiveness, and experience). However, the majority of e↵orts miss many pieces of this puzzle. One important piece is viewing the “big picture”; the forest for trees; the heal...
Article
Full-text available
In the last century, we have observed a dramatic paradigm shift in the structure and function of society. Systems and political processes around the world have faced increasing demand by citizens to become active participants in public policy. Decisions made by the professional elite and the scientific truths that were unchallenged before, have bec...
Article
Bereavement, intimate partner violence, and surviving a natural disaster are examples of traumatic experiences that may cause distress and disrupt an individual’s meaning in life (MIL). In 1963, based on his experiences witnessing tragedy and trauma in the Auschwitz concentration camp, Viktor Frankl described the “will to meaning” as a natural huma...
Technical Report
Full-text available
In total, 18 studies were included in this review that described the perspectives and preferences of a variety of medical professionals working across different specialties and settings on the topic of prescription drug monitoring programs. These studies reflected varied methodological reporting quality and the majority of studies could have benefi...
Technical Report
Full-text available
The use of opioids is a complex experience that some people viewed as a major component of their identity. Because of their addiction, the lives of patients with OUD were often seen to revolve around behaviours and activities associated with drug use. As such, approaches and treatments that aim to support patients towards recovery-oriented behaviou...
Article
Objectives: Patient engagement has become the expectation around the world in an array of healthcare activities. There is an emerging need to improve the mechanisms and approaches to engaging patients. Previous research has found variation in the terms used to describe PE, which may inhibit the usefulness and impact of tools developed to improve P...
Article
Full-text available
As individuals interested in clinical and medical research, we have observed an increasing need for methodological research skills by grassroots, not-for-profit, and for-profit organizations. However, research methodology skills and resources are of-ten available only in post-secondary institutions (i.e., graduate programs and communities of practi...
Article
Full-text available
Background Non-invasive prenatal testing (NIPT) can be used to accurately detect fetal chromosomal anomalies early in pregnancy by assessing cell-free fetal DNA present in maternal blood. The rapid diffusion of NIPT, as well as the ease and simplicity of the test raises concerns around informed decision-making and the potential for routinization. I...
Article
Full-text available
Background Health care innovations tailored to stakeholder context are more readily adopted. This study aimed to describe how Intervention Mapping (IM) was used to design health care innovations and how stakeholders were involved. Methods A scoping review was conducted. MEDLINE, EMBASE, Cochrane Library, Scopus and Science Citation Index were sear...
Data
Intervention Mapping process. (DOCX)
Data
Data extracted from included studies. (DOCX)
Article
Full-text available
In this book review, I examine the structure, form, content, and purpose of Qualitative Inquiry: Thematic, Narrative and Arts-Based Perspectives by Lynn Butler-Kisber. This book aims to augment the teaching and learning of investigators engaging in qualitative inquiry. First, I explicate my positionality and reflexivity to contextualize the approac...
Article
Full-text available
Being diagnosed with a chronic disease can cause significant distress. Such an event can disrupt an individual's 'meaning in life'; their purpose in living. This can initiate an active search for a new purpose to reduce psychological, physical, and social distress, and improve adjustment to a medical disease. The objectives of this review are to de...
Article
Full-text available
Knowledge translation may be understood as the process of synthesizing, disseminating, and exchanging information to ap- propriate audiences. This process is an essential component of research, ensuring that research findings reach the knowledge users in a cost-efficient and meaningful manner. However, novice investigators may sometimes believe kno...
Article
Full-text available
In this book review, I examine the functionality and usability of Critical Approaches to Life Writing Methods in Qualitative Research by Mulvihill and Swaminathan by interrogating my own preconceptions of life writing and how they informed my purview. The authors of this book map out distinct life writing methods by building on seminal literary and...
Article
Full-text available
The Undergraduate Research in Natural and Clinical Science and Technology (URNCST) Journal was founded in July 2017 and has strived to be recognized as the leading publisher for undergraduate research conferences and case competitions around the world since its inception. The journal provides undergraduate researchers with the opportunity to showca...
Article
Full-text available
This is the third and final article of a three-part series that follows up the discussion on the fundamentals of writing research protocols for quantitative clinical research studies. In this editorial, the authors discuss key elements of data collection, data analysis, and the ethical considerations and implications that come with clinical researc...
Article
Full-text available
This is the second article of a three-part series that continues the discussion on the fundamentals of writing research protocols for quantitative, clinical research studies. In this editorial, the author discusses some considerations for including information in a research protocol on the study design and approach of a research study. This series...
Article
Introduction Cervical cancer screening (CCS) is conducted through multiple testing modalities including Papanicolaou smears and more recently, HPV Testing. Participation in CCS is influenced by a multitude of barriers and facilitators governed by the preferences, values, and beliefs of women. This presentation will discuss the findings from a Patie...
Article
Introduction The growth of the evidence-based policy movement sought to determine how to better assess and incorporate qualitative evidence in clinical practice and policy development. The question engendered was not whether qualitative research is valuable but how researchers can enhance its rigor. From this discussion arose over one hundred appra...
Article
Full-text available
This first article in a three-part series on research fundamentals describes the purpose and importance of writing a research protocol a priori to the research study and discusses three components of a research protocol for a clinical, quantitative re- search study. These components include the research question, outcomes and the background section...
Article
Full-text available
BACKGROUND: Men with low- to intermediate-risk prostate cancer are typically asked to choose from a variety of treatment options, including active surveillance, radical prostatectomy, or brachytherapy. The Prolaris cell cycle progression test is intended to provide additional information on personal risk status to assist men with prostate cancer in...

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Projects

Projects (9)
Project
Collection of policy reports
Project
Explore the behavioural responses of communities and individuals to pandemics, epidemics, and outbreaks
Project
Explore the determinants of vaccine hesitancy in different groups