250 results on '"Vedel, Isabelle"'
Search Results
2. Validation of a Questionnaire for Family Physicians: Knowledge, Attitude, Practice on Dementia Care
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Arsenault-Lapierre, Genevieve, Sourial, Nadia, Pakzad, Sarah, Hardouin, Marine, Couturier, Yves, Bergman, Howard, and Vedel, Isabelle
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- 2021
3. Social Media Strategies for Health Promotion by Nonprofit Organizations: Multiple Case Study Design
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Vedel, Isabelle, Ramaprasad, Jui, and Lapointe, Liette
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Computer applications to medicine. Medical informatics ,R858-859.7 ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundNonprofit organizations have always played an important role in health promotion. Social media is widely used in health promotion efforts. However, there is a lack of evidence on how decisions regarding the use of social media are undertaken by nonprofit organizations that want to increase their impact in terms of health promotion. ObjectiveThe aim of this study was to understand why and how nonprofit health care organizations put forth social media strategies to achieve health promotion goals. MethodsA multiple case study design, using in-depth interviews and a content analysis of each social media strategy, was employed to analyze the use of social media tools by six North American nonprofit organizations dedicated to cancer prevention and management. ResultsThe resulting process model demonstrates how social media strategies are enacted by nonprofit organizations to achieve health promotion goals. They put forth three types of social media strategies relative to their use of existing information and communication technologies (ICT)—replicate, transform, or innovate—each affecting the content, format, and delivery of the message differently. Organizations make sense of the social media innovation in complementarity with existing ICT. ConclusionsFor nonprofit organizations, implementing a social media strategy can help achieve health promotion goals. The process of social media strategy implementation could benefit from understanding the rationale, the opportunities, the challenges, and the potentially complementary role of existing ICT strategies.
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- 2020
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4. Patient-reported outcomes and experiences of migrants enrolled in a multidisciplinary HIV clinic with rapid, free, and onsite treatment dispensation: the ‘ASAP’ study
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Arora, Anish K., Vicente, Serge, Engler, Kim, Lessard, David, Huerta, Edmundo, Ishak, Joel, Kronfli, Nadine, Routy, Jean-Pierre, Cox, Joseph, Lemire, Benoit, Klein, Marina, de Pokomandy, Alexandra, Del Balso, Lina, Sebastiani, Giada, Vedel, Isabelle, Quesnel-Vallée, Amélie, and Lebouché, Bertrand
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- 2024
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5. Considering inequities in national dementia strategies: breadth, depth, and scope
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Godard-Sebillotte, Claire, Navani, Sanjna, Hacker, Georgia, and Vedel, Isabelle
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- 2024
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6. Telemedicine in the primary care of older adults: a systematic mixed studies review
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Ilali, Marwa, Le Berre, Mélanie, Vedel, Isabelle, and Khanassov, Vladimir
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- 2023
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7. Trajectories of care of community-dwelling people living with dementia: a multidimensional state sequence analysis
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Dufour, Isabelle, Vedel, Isabelle, Courteau, Josiane, and Quesnel-Vallée, Amélie
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- 2023
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8. Rural and urban differences in quality of dementia care of persons with dementia and caregivers across all domains: a systematic review
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Arsenault-Lapierre, Geneviève, Bui, Tammy X., Le Berre, Mélanie, Bergman, Howard, and Vedel, Isabelle
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- 2023
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9. Interprofessional Primary Care and Acute Care Hospital Use by People With Dementia: A Population-Based Study
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Sourial, Nadia, Schuster, Tibor, Bronskill, Susan E., Godard-Sebillotte, Claire, Etches, Jacob, and Vedel, Isabelle
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Dementia -- Statistics -- Care and treatment ,Health care teams -- Statistics ,Hospital utilization -- Statistics ,Primary health care -- Statistics ,Ambulatory medical care -- Utilization ,Health ,Science and technology - Abstract
PURPOSE Interprofessional primary care has the potential to optimize hospital use for acute care among people with dementia. We compared 1-year emergency department (ED) visits and hospitalizations among people with dementia enrolled in a practice having an interprofessional primary care team with those enrolled in a physician-only group practice. METHODS A population-based, repeated cohort study design was used to extract yearly cohorts of 95,323 community-dwelling people in Ontario, Canada, newly identified in administrative data with dementia between April 1, 2005 and March 31, 2015. Patient enrollment in an interprofessional practice or a physician-only practice was determined at the time of dementia diagnosis. We used propensity score-based inverse probability weighting to compare study groups on overall and nonurgent ED visits as well as on overall and potentially avoidable hospitalizations in the 1 year following dementia diagnosis. RESULTS People with dementia enrolled in a practice having an interprofessional primary care team were more likely to have ED visits (relative risk = 1.03; 95% CI, 1.01-1.05) and nonurgent ED visits (relative risk = 1.22; 95% CI, 1.18-1.28) compared with those enrolled in a physician-only primary care practice. There was no evidence of an association between interprofessional primary care and hospitalization outcomes. CONCLUSIONS Interprofessional primary care was associated with increased ED use but not hospitalizations among people newly identified as having dementia. Although interprofessional primary care may be well suited to manage the growing and complex dementia population, a better understanding of the optimal characteristics of team-based care and the reasons leading to acute care hospital use by people with dementia is needed. https://doi.org/10.1370/afm.2881, INTRODUCTION Interprofessional primary care (IPC), a team-based primary care model whereby family physicians collaborate with nurses, nurse practitioners, social workers, pharmacists, and other health professionals, has been touted as an [...]
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- 2022
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10. Taxonomy of Interventions to Reduce Acute Care Transfers From Long-term Care Homes: A Systematic Scoping Review
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Cetin-Sahin, Deniz, Cummings, Greta G., Gore, Genevieve, Vedel, Isabelle, Karanofsky, Mark, Voyer, Phillippe, Gore, Brian, Lungu, Ovidiu, and Wilchesky, Machelle
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- 2023
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11. Description of organizational and clinician characteristics of primary dementia care in Canada: a multi-method study
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Henein, Mary, Arsenault-Lapierre, Geneviève, Sourial, Nadia, Godard-Sebillotte, Claire, Bergman, Howard, and Vedel, Isabelle
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- 2022
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12. How to implement person-centred care and support for dementia in outpatient and home/community settings: Scoping review
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Marulappa, Nidhi, Anderson, Natalie N., Bethell, Jennifer, Bourbonnais, Anne, Kelly, Fiona, McMurray, Josephine, Rogers, Heather L., Vedel, Isabelle, and Gagliardi, Anna R.
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- 2022
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13. Improving dementia care: insights from audit and feedback in interdisciplinary primary care sites
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Arsenault-Lapierre, Geneviève, Le Berre, Mélanie, Rojas-Rozo, Laura, McAiney, Carrie, Ingram, Jennifer, Lee, Linda, and Vedel, Isabelle
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- 2022
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14. Unlocking Engagement: Enhancing Participation in Research With Vulnerable Populations.
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Rojas-Rozo, Laura, Arsenault-Lapierre, Geneviève, Dumaresq, Diane, Trépanier, Thérèse, Lea, Paul, Myers Barnett, Karen, O'Connor, Denis, Fernandez Loughlin, Rosette, Miskucza, Kori, Wighton, Mary Beth, Godard-Sebillotte, Claire, Gruneir, Andrea, Beuscart, Jean-Baptiste, Bronskill, Susan E., Sourial, Nadia, Smith, Eric E., Bethell, Jennifer, Vedel, Isabelle, Bacsu, Juanita, and Bergman, Howard
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- 2024
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15. Moving forward with dementia: an explorative cross-country qualitative study into post-diagnostic experiences.
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Hevink, Maud, Linden, Iris, de Vugt, Marjolein, Brodaty, Henry, Low, Lee-Fay, Phillipson, Lyn, Jeon, Yun-Hee, Gresham, Meredith, Doucet, Shelly, Luke, Alison, Vedel, Isabelle, McAiney, Carrie, Szcześniak, Dorota, Błaszkiewicz, Maria, Rymaszewska, Joanna, Verhey, Frans, and Wolfs, Claire
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DIAGNOSIS of dementia ,HEALTH self-care ,QUALITATIVE research ,RESEARCH funding ,INTERVIEWING ,CONTENT analysis ,INTERNET ,EMOTIONS ,THEMATIC analysis ,BURDEN of care ,RESEARCH ,TELEPHONES ,SOCIAL networks ,PSYCHOLOGY of caregivers ,SOCIAL support ,FAMILY support ,DEMENTIA patients - Abstract
Objectives: This explorative cross-country qualitative study aims to describe experiences of receiving a dementia diagnosis and experiences of support following a diagnosis in Australia, Canada, the Netherlands and Poland. Method: Qualitative study using projective techniques during online focus groups, online and telephone interviews with people with dementia and caregivers. Results: Twenty-three people with dementia and 53 caregivers participated. Qualitative content analysis revealed five themes; (1) 'Coming to terms with dementia' helped people deal with complex emotions to move forward. (3) 'The social network as a source of support' and (4) 'The challenges and realities of formal support' and impacted 'Coming to terms with dementia'. (2) 'Navigating life with dementia as a caregiver' highlights caregiver burden and was impacted by (4) 'The challenges and realities of formal support'. People were (5) 'Self-caring and preparing for tomorrow' as they focused on maintaining current health whilst planning the future. Despite differences in healthcare and post-diagnostic support systems, there were more similarities across countries than differences. Conclusion: Across countries, formal support and support from friends and family are crucial for people with dementia and caregivers to come to terms with dementia and maintain carer wellbeing to ultimately live well with dementia. [ABSTRACT FROM AUTHOR]
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- 2024
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16. HIV-sensitive social protection for vulnerable young women in East and Southern Africa: a systematic review
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van der Wal, Ran, Loutfi, David, Hong, Quan Nha, Vedel, Isabelle, Cockcroft, Anne, Johri, Mira, and Andersson, Neil
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South Africa -- Health aspects ,East Africa -- Health aspects ,Unemployment -- Health aspects -- Social aspects -- Africa ,Young women -- Health aspects -- Social aspects ,Sustainable livelihoods approach -- Methods -- Health aspects ,Teenage girls -- Health aspects -- Social aspects ,HIV infection -- Risk factors -- Prevention ,Health - Abstract
Introduction: Socialprotection programmes are considered HIV-sensitive when addressing risk, vulnerability or impact of HIV infection. Socio-economic interventions, like livelihood and employability programmes, address HIV vulnerabilities like poverty and gender inequality. We explored the HIV-sensitivity of socio-economic interventions for unemployed and out-of-school young women aged 15 to 30 years, in Fast and Southern Africa, a key population for HIV infection. Methods: We conducted a systematic review using a narrative synthesis method and the Mixed Methods AppraisalTool for quality appraisal. Interventions of interest were work skills training, microfinance, and employment support. Outcomes of interest were socio-economic outcomes (income, assets, savings, skills, (self-) employment) and HIV-related outcomes (behaviouraland biological). We searched published and grey literature (January 2005 to November 2019; English/French) in MFDLINF, Scopus, Web of Science and websites of relevant internationalorganizations. Results: We screened 3870 titles and abstracts and 188 full-text papers to retain 18 papers, representing 12 projects. Projects offered different combinations of HIV-sensitive socialprotection programmes, complemented with mentors, safe space and training (HIV, reproductive health and gender training). All 12 projects offered work skills training to improve life and business skills. Six offered formal(n = 2) or informal(n = 5) livelihood training. Fleven projects offered microfinance, including microgrants (n = 7), microcredit (n = 6) and savings (n = 4). One project offered employment support in the form of apprenticeships. In general, microgrants, savings, business and life skills contributed improved socio-economic and HIV-related outcomes. Most livelihood training contributed positive socio-economic outcomes, but only two projects showed improved HIV-related outcomes. Microcredit contributed little to either outcome. Programmes were effective when (i) sensitive to beneficiaries' age, needs, interests and economic vulnerability; (ii) adapted to local-implementation contexts; and (iii) included life skills. Programme delivery through mentorship and safe space increased social capital and may be critical to improve the HIV-sensitivity of socio-economic programmes. Conclusions: A wide variety of livelihood and employability programmes were leveraged to achieve improved socio-economic and HIV-related outcomes among unemployed and out-of-school young women. To be HIV-sensitive, programmes should be designed around their interests, needs and vulnerability, adapted to local implementation contexts, and include life skills. Fmployment support received little attention in this literature. Keywords: adolescent girls and young women; Africa region; HIV prevention; social support; structural drivers; structural interventions, 1 | INTRODUCTION In 2018, East and Southern Africa represented nearly one half of global human immunodeficiency virus (HIV) incident cases [1]. Adolescent girls and young women (AGYW) aged 15 [...]
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- 2021
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17. Development and Validation of the QUALI-PALLI-FAM Questionnaire for Assessing Relatives' Perception of Quality of Inpatient Palliative Care: A Prospective Cross-Sectional Survey
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Abel, Anne, Copel, Laure, Geoffroy, Louise, Gineston, Laurence, Godard, Hélène, Grenet, Xavier, Nfissi, Karima, Richard, Jean-François, Rostaing, Sylvie, Tibi-Lévy, Yael, Vedel, Isabelle, Vincent, Kate, Guirimand, Frédéric, Bouleuc, Carole, Sahut d'Izarn, Marine, Martel-Samb, Patricia, Guy-Coichard, Christian, Picard, Stéphane, Devalois, Bernard, Ghadi, Véronique, and Aegerter, Philippe
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- 2021
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18. Towards a Comprehensive Questionnaire Origin and Development Appraisal Tool: A Literature Review and a Modified Nominal Group
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Hamzeh, Joshua, Kaur, Navdeep, Bush, Paula, Hudon, Catherine, Schuster, Tibor, Vedel, Isabelle, Hong, Quan Nha, and Pluye, Pierre
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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 therefore, our objective was to develop one. To develop the Questionnaire Origin and Development Appraisal (QODA) tool, we first developed QODA version-one from psychometric tool development guidelines, and pilot tested it, resulting in QODA version-two. Second, we performed a review that identified six CATs that evaluate origin and initial development. A pool of items was derived from these six CATs and QODA version-two. Using a nominal group method, this item pool was reduced and QODA version-three (20 items) was developed. The QODA may be useful to academic librarians who assist researchers and students from various disciplines. Information professionals including research trainees can learn how to use QODA and ensure sound questionnaire origin and initial development. This will improve the accuracy of data collected in research and professional practice (e.g., information service evaluation). Future research will study the QODA's measurement properties.
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- 2019
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19. Trajectories of care of people living with a major neurocognitive disorder: A State Sequence Analysis
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Dufour, Isabelle, Courteau, Josiane, Vedel, Isabelle, and Quesnel-Vallee, Amelie
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Self-perception -- Analysis ,Aged patients -- Care and treatment ,Comorbidity -- Diagnosis -- Care and treatment ,Nervous system -- Degeneration ,Health ,Science and technology - Abstract
Context. The type and level of healthcare services required to address the needs of older adults living with major neurocognitive disorders (MNCD) fluctuate over disease progression while being complexified by multimorbidity and inequality factors. Thus, their trajectories of care (TC--the pattern of healthcare use over time) may vary significantly. Objective. We aimed to 1) Propose a typology of TC of people living with MNCD; 2) Describe and compare their characteristics by TC type; 3) Evaluate the association between TC membership, socioeconomic factors, and self-perceived health. Study Design and Analysis. Retrospective cohort study. The TCs were developed using a multidimensional state sequence analysis approach based on the '6W' model of Care Trajectories, conceptualizing TCs according to 6 dimensions. Dataset. We used data from the Care Trajectories-Enriched Data (TorSaDE) cohort, a linkage between five waves of the Canadian Community Health Survey (CCHS) (2007-2016), and health administrative data from the Quebec provincial health-insurance board (1996-2016). Population Studied. Community-dwelling individuals who: 1) participated in at least one cycle of the CCHS (the date of the last CCHS completion is the index date); 2) were 65 years or older at the time of the index date; 3) had a diagnosis of MNCD at the index date. Outcome Measures. TCs were defined as sequences of healthcare use in the two years preceding the index date, using the following information: 1) Type of care units consulted (1. Hospitalization, 2. Emergency department, 3. Outpatient clinic, 4. Primary care clinic); 2) Type of healthcare care professionals consulted (1. Geriatrician/psychiatrist/neurologist, 2. Other specialists, 3. Family physician. We identified the MNCD before the index date using a validated algorithm. Results. The study cohort included 690 individuals living with MNCD, grouped into three distinct type of TC: 1) Low healthcare use (n=377; 54.6%); 2) High primary care use (n=159; 23.0%); 3) High overall healthcare use (n=154; 22.3%). TC type 3 membership was associated with younger age, being a male, living in urban areas, and a poorer perceived health status. Conclusions. Further understanding of how subgroups of patients use healthcare services over time could help highlight fragility areas in the allocation of geriatric care resources and implement best practices, especially in the context of resource shortage., Presenters Isabelle Dufour, PhD, RN, Josiane Courteau, Isabelle Vedel, MD, PhD, Amelie [...]
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- 2023
20. Telemedicine for Older Adults in Primary Care Practice: Multi-Phase Study Results
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Khanassov, Vladimir, Rojas-Rozo, Laura, Ruiz, Ana Gabriela Saavedra, Ilali, Marwa, Le Berre, Melanie, and Vedel, Isabelle
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Aged patients -- Care and treatment ,Telemedicine -- Usage ,Primary health care -- Management -- Demographic aspects ,Company business management ,Health ,Science and technology - Abstract
Context: The COVID-19 pandemic has substantially changed the delivery of primary care health services. Indeed, more clinic-based care has turned into virtual remote care. Thus, it is necessary to develop a comprehensive remote virtual care method. Telemedicine (TM) has the potential to improve the quality of primary health care and increase accessibility to the population. Some studies indicated that TM was an efficient way to deliver medical services, especially to older people. Nevertheless, its use may represent a challenge to older populations as they may have different needs from general population due to potential age-related changes in perceptual, motor and cognitive capacities. Objective: To explore older adults' and family physicians' experience with telemedicine (TM) use during the COVID-19 pandemic, and to identify potential facilitators and barriers of TM use. Design and Analysis: Multi-phase design. Phase 1: Systematic review; Phase 2: Qualitative descriptive study; Phase 3: Integration of the results from Phase 1 and 2 using deliberative dialogue. Individual semi- structured interviews and focus groups findings were analyzed using inductive thematic analysis, based on the Consolidated Framework for Implementation Research. Setting: Montreal. Population studied: Individual semi-structured interviews with twenty-nine older adults from four McGill family medicine sites--Herzl, CLSC-CDN, Parc-Extension and Metro. Preliminary interviews findings informed focus groups with family physicians. Findings: Participants indicated that telemedicine contributed to maintain continuity of care and was convenient to resolve minor health issues, triage/preliminary consultations, and follow-up with their family physicians. TM was also considered particularly beneficial for persons with limited mobility; and reduced the exposure of older adults to potential high-risk environments. Nevertheless, participants expressed some concerns about the lack of visual contact, negatively impacting the physician-patient relationship and causing important details to be overlooked. Similarly, miscommunication difficulties may emerge due to language or hearing barriers. Family physicians perceived that most patients did not consider phone consultations as a medical act. Conclusion: Older adults consider TM to be a good alternative for accessing health-care services, when provided in a hybrid approach combined with inperson consultations with their family physician., Presenters Vladimir Khanassov, MD, MSc, Laura Rojas-Rozo, MD, MSc, Ana Gabriela Saavedra Ruiz, MD, MSc, Marwa Ilali, MD, MSc, Melanie Le Berre, MSc, Isabelle Vedel, MD, [...]
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- 2023
21. Building a learning health system for major neurocognitive disorders: the creation of regional portraits as a supporting tool
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Arsenault-Lapierre, Genevieve, Guillette, Maxime, Lemay-Compagnat, Alexandra, Rochette, Louis, Massamba, Victoria, Couturier, Yves, Maubert, Eric, Fournier, Christine, Morin, Caroline, Boudreau, Caroline, and Vedel, Isabelle
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Dementia -- Care and treatment ,Psychiatric services -- Methods -- Innovations ,Health ,Science and technology - Abstract
Context: Providing context-specific information and fostering reflective practice is essential to support a learning health system. Regional health boards in Quebec, Canada, have the responsibility to ensure implementation of the Quebec Alzheimer's Plan (QAP) in primary, secondary, and tertiary care services but need support. As such, we have developed and disseminated regional portraits on dementia care. Objective: To describe the lesson learned and next steps on the development and presentations of regional portraits. Design: A multi-methods study with a participatory approach. Setting: Quebec, Canada. Population: Stakeholders (ministerial decision-maker and project managers, managers and clinicians from the 23 regional health board, and researchers/scientific advisors). Methods: We selected, with stakeholders, 9 indicators (prevalence, regular physician visits, emergency visits, and hospitalizations) and measured them in 2019-20. Also, we thematically analysed the last 3 years of ongoing QAP implementation evaluation reports and meetings. We combined these results to formulate, with stakeholders, key messages for each regional health board. Along with ministerial decision-maker and project managers, we presented these portraits to regional managers and clinicians. Real-time notes were taken using structured observation guide. A thematic analysis was performed. Results: The development of the portraits was facilitated by a strong and ongoing alliance between the stakeholders. Researchers and scientific advisors identified the most relevant data available; project managers ensured the formulated messages were meaningful to regional managers and clinicians; and policymakers ensured the collected data was useful to support the implementation of QAP. The regional managers and clinicians proposed ways to improve the portraits (i.e., adding indicators), and to regularly update and integrate these portraits into steering committees. Monitoring the indicators as precisely presents challenges, including regularly obtaining current data. Conclusion: This innovative project supports a learning health system for the care of persons with dementia. Specifically, it stimulates the emergence of regional and provincial innovations in dementia care to accomplish the implementation of the QAP, ensure its local appropriation and perpetuates sustainable transformed practices. Proposed solutions will guide the preparation of next iteration of regional portraits., Presenters Genevieve Arsenault-Lapierre, PhD, Maxime Guillette, Alexandra Lemay-Compagnat, Louis Rochette, MSc, Victoria Massamba, MPH, Yves Couturier, PhD, Eric Maubert, Christine Fournier, Caroline Morin, Caroline Boudreau, Isabelle Vedel, MD, [...]
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- 2023
22. Challenges and Solutions in Recruiting Older Vulnerable Adults in Research.
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Sourial, Nadia, Beuscart, Jean-Baptiste, Posłuszny, Łukasz, Calafiore, Matthieu, Sousa, Sónia S., Sansone, Esther, Zuber, Marcelina, and Vedel, Isabelle
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OLDER people ,CORONAVIRUS disease treatment ,CONGREGATE housing ,LITERATURE reviews ,MEDICAL personnel ,VIRTUAL communities ,FRAIL elderly ,COMMUNITY involvement - Abstract
This article explores the difficulties and potential solutions in recruiting older vulnerable adults (OVA) for research studies. OVA face various vulnerabilities that can hinder their participation, such as physical limitations and social challenges. The article suggests several strategies to improve recruitment, including creating age-friendly materials, involving trusted influencers, adapting the consent process, and providing support and education. Additionally, the article emphasizes the importance of promoting participant retention through study design and minimizing burdens. Overall, the article underscores the need for diverse recruitment methods to ensure inclusivity and meaningful research outcomes. [Extracted from the article]
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- 2024
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23. Social inequity in ageing in place among older adults in Organisation for Economic Cooperation and Development countries: a mixed studies systematic review.
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Bolster-Foucault, Clara, Vedel, Isabelle, Busa, Giovanna, Hacker, Georgia, Sourial, Nadia, and Quesnel-Vallée, Amélie
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IMMIGRANTS , *SOCIAL determinants of health , *RESEARCH funding , *EQUALITY , *SOCIOECONOMIC factors , *CINAHL database , *CONTENT analysis , *SEX distribution , *INTERSECTIONALITY , *SYSTEMATIC reviews , *MEDLINE , *RACE , *AGING in place , *RURAL population , *HEALTH equity , *PSYCHOLOGY information storage & retrieval systems , *SOCIAL classes , *OLD age ,DEVELOPING countries - Abstract
Background Most older adults wish to remain in their homes and communities as they age. Despite this widespread preference, disparities in health outcomes and access to healthcare and social support may create inequities in the ability to age in place. Our objectives were to synthesise evidence of social inequity in ageing in place among older adults using an intersectional lens and to evaluate the methods used to define and measure inequities. Methods We conducted a mixed studies systematic review. We searched MEDLINE, EMBASE, PsycINFO, CINAHL and AgeLine for quantitative or qualitative literature that examined social inequities in ageing in place among adults aged 65 and older in Organisation for Economic Co-operation and Development (OECD) member countries. Results of included studies were synthesised using qualitative content analysis guided by the PROGRESS-Plus framework. Results Of 4874 identified records, 55 studies were included. Rural residents, racial/ethnic minorities, immigrants and those with higher socioeconomic position and greater social resources are more likely to age in place. Women and those with higher educational attainment appear less likely to age in place. The influence of socioeconomic position, education and social resources differs by gender and race/ethnicity, indicating intersectional effects across social dimensions. Conclusions Social dimensions influence the ability to age in place in OECD settings, likely due to health inequalities across the lifespan, disparities in access to healthcare and support services, and different preferences regarding ageing in place. Our results can inform the development of policies and programmes to equitably support ageing in place in diverse populations. [ABSTRACT FROM AUTHOR]
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- 2024
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24. Profiles of healthcare use of persons living with dementia: A population‐based cohort study.
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Dufour, Isabelle, Margo‐Dermer, Eva, Hudon, Catherine, Sirois, Caroline, Godard‐Sebillotte, Claire, Sourial, Nadia, Rochette, Louis, Quesnel‐Vallée, Amélie, and Vedel, Isabelle
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HEALTH services accessibility ,OUTPATIENT medical care ,LONG-term health care ,MEDICAL care ,RETROSPECTIVE studies ,STRUCTURAL equation modeling ,DESCRIPTIVE statistics ,PATIENT-centered care ,LONGITUDINAL method ,MEDICAL records ,ACQUISITION of data ,MEDICAL care for older people ,DEMENTIA patients ,CRITICAL care medicine - Abstract
Aim: Persons living with dementia are a heterogeneous population with complex needs whose healthcare use varies widely. This study aimed to identify the healthcare use profiles in a cohort of persons with incident dementia, and to describe their characteristics. Methods: This is a retrospective cohort study of health administrative data in Quebec (Canada). The study population included persons who: (i) had an incident dementia diagnosis between 1 April 2015 and 31 March 2016; (ii) were aged ≥65 years and living in the community at the time of diagnosis. We carried out a latent class analysis to identify subgroups of healthcare users. The final number of groups was chosen based on clinical interpretation and statistical indicators. Results: The study cohort consisted of 15 584 individuals with incident dementia. Four profiles of healthcare users were identified: (i) Low Users (36.4%), composed of individuals with minimal healthcare use and fewer comorbidities; (ii) Ambulatory Care‐Centric Users (27.5%), mainly composed of men with the highest probability of visiting cognition specialists; (iii) High Acute Hospital Users (23.6%), comprised of individuals mainly diagnosed during hospitalization, with higher comorbidities and mortality rate; and (iv) Long‐Term Care Destined Users (12.5%), who showed the highest proportion of antipsychotics prescriptions and delayed hospitalization discharge. Conclusions: We identified four distinct subgroups of healthcare users within a population of persons living with dementia, providing a valuable context for the development of interventions tailored to specific needs within this diverse population. Geriatr Gerontol Int 2024; 24: 789–796. [ABSTRACT FROM AUTHOR]
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- 2024
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25. Care trajectories around a first dementia diagnosis in patients with serious mental illness.
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Dufour, Isabelle, Brodeur, Sébastien, Courteau, Josiane, Roy, Marc‐André, Vanasse, Alain, Quesnel‐Vallee, Amélie, and Vedel, Isabelle
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DIAGNOSIS of dementia ,ELDER care ,BIPOLAR disorder ,RESEARCH funding ,SCHIZOPHRENIA ,RETROSPECTIVE studies ,LONGITUDINAL method ,DEMENTIA patients ,SEQUENCE analysis ,OLD age - Abstract
Aim: To develop a typology of care trajectories (CTs) 1 year before and after a first dementia diagnosis in individuals aged ≥65 years, with prevalent schizophrenia or bipolar disorder. Methods: This was a longitudinal, retrospective cohort study using health administrative data (1996–2016) from Quebec (Canada). We selected patients aged ≥65 years with an incident diagnosis of dementia between 1 January 2014 and 31 December 2016, and a diagnosis of schizophrenia and/or or bipolar disorder. A CT typology was generated by a multidimensional state sequence analysis based on the "6 W" model of CTs. Three dimensions were considered: the care setting ("where"), the reason for consultation ("why") and the specialty of care providers ("which"). Results: In total, 3868 patients were categorized into seven distinct types of CTs, with varying patterns of healthcare use and comorbidities. Healthcare use differed in terms of intensity, but also in its distribution around the diagnosis. For instance, whereas one group showed low healthcare use, healthcare use abruptly increased or decreased after the diagnosis in other groups, or was equally distributed. Other significant differences between CTs included mortality rates and use of long‐term care after the diagnosis. Most patients (67%) received their first dementia diagnosis during hospitalization. Conclusions: Our innovative approach provides a unique insight into the complex healthcare patterns of people living with serious mental illness and dementia, and provides an avenue to support data‐driven decision‐making by highlighting fragility areas in allocating care resources. Geriatr Gerontol Int 2024; 24: 577–586. [ABSTRACT FROM AUTHOR]
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- 2024
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26. Caring for older cancer patients: A scoping review
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Bagayogo, Fatou, Le Berre, Mélanie, Ruchon, Christian, Denis, Jean-Louis, Lamothe, Lise, Vedel, Isabelle, and Lapointe, Liette
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- 2020
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27. Needs of patients with dementia and their caregivers in primary care: lessons learned from the Alzheimer plan of Quebec
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Khanassov, Vladimir, Rojas-Rozo, Laura, Sourial, Rosa, Yang, Xin Qiang, and Vedel, Isabelle
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- 2021
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28. Understanding Barriers to and Facilitators of Case Management in Primary Care: A Systematic Review and Thematic Synthesis
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Teper, Matthew Hacker, Vedel, Isabelle, Yang, Xin Qiang, Margo-Dermer, Eva, and Hudon, Catherine
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Medical case management -- Research ,Medical research ,Primary health care -- Quality management ,Health ,Science and technology - Abstract
PURPOSE Despite evidence on the benefits of case management for the care of patients with complex needs in primary care, implementing the program-necessary to achieve its benefits-has been challenging worldwide. Evidence on factors affecting implementation remains disparate. Accordingly, the objective of this systematic review was to identify barriers to and facilitators of case management, from the perspectives of health care professionals, in primary care settings around the world. METHODS We conducted a systematic review and thematic synthesis of qualitative findings. In collaboration with 2 librarians, we searched 3 electronic databases (MEDLINE, CINAHL, EMBASE) for studies related to factors affecting case management function in primary care. Two researchers screened titles, abstracts, and full texts for inclusion, then assessed included studies for quality. Results from included studies were synthesized by thematic synthesis, and a framework was developed. RESULTS Of 1,640 unique records identified, 22 studies, originating from 6 countries, met the inclusion criteria. We identified 9 barriers and facilitators: family context; policy and available resources; physician buy-in and understanding of the case manager role; relationship building; team communication practices; autonomy of case managers; training in technology; relationships with patients; and time pressure and workload. We describe these factors, then present a framework demonstrating the relationships among them. CONCLUSIONS Our study's findings show that multiple factors influence case management implementation. These findings have implications for researchers, clinicians, and policy makers who strive to implement or reform case management programs in local or larger primary care settings. Key words: case management; patients with complex needs; chronic disease; vulnerable populations; comorbidity; health plan implementation; health services misuse; delivery of health care, integrated https://doi.org/10.1370/afm.2555., INTRODUCTION In response to an aging global population and the corresponding increase in chronic illness, case management has emerged as a powerful innovation to better care for patients with complex [...]
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- 2020
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29. The Mixed Methods Appraisal Tool (MMAT) Version 2018 for Information Professionals and Researchers
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Hong, Quan Nha, Fàbregues, Sergi, Bartlett, Gillian, Boardman, Felicity, Cargo, Margaret, Dagenais, Pierre, Gagnon, Marie-Pierre, Griffiths, Frances, Nicolau, Belinda, O'Cathain, Alicia, Rousseau, Marie-Claude, Vedel, Isabelle, and Pluye, Pierre
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Introduction: Appraising the quality of studies included in systematic reviews combining qualitative and quantitative evidence is challenging. To address this challenge, a critical appraisal tool was developed: the Mixed Methods Appraisal Tool (MMAT). The aim of this paper is to present the enhancements made to the MMAT. Development: The MMAT was initially developed in 2006 based on a literature review on systematic reviews combining qualitative and quantitative evidence. It was subject to pilot and interrater reliability testing. A revised version of the MMAT was developed in 2018 based on the results from usefulness testing, a literature review on critical appraisal tools and a modified e-Delphi study with methodological experts to identify core criteria. Tool Description: The MMAT assesses the quality of qualitative, quantitative, and mixed methods studies. It focuses on methodological criteria and includes five core quality criteria for each of the following five categories of study designs: (a) qualitative, (b) randomized controlled, (c) nonrandomized, (d) quantitative descriptive, and (e) mixed methods. Conclusion: The MMAT is a unique tool that can be used to appraise the quality of different study designs. Also, by limiting to core criteria, the MMAT can provide a more efficient appraisal.
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- 2018
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30. The Wiki Toolkit for Planning, Conducting and Reporting Mixed Studies Reviews
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Pluye, Pierre, Hong, Quan Nha, Granikov, Vera, and Vedel, Isabelle
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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 toolkit was developed to provide MSR-specific guidance and suggest tips and tools for planning, conducting and reporting MSR. The toolkit is structured according to eight stages for conducting a systematic review: (1) formulate a review question, (2) define eligibility criteria, (3) select sources of information, (4) identify potentially relevant studies, (5) select relevant studies, (6) appraise the quality of studies, (7) extract data, and (8) synthesize included studies. The toolkit includes examples, tips for searching studies with diverse designs, existing tools for searching, selecting and appraising, synthesis designs, and a template for proposals and reports. This toolkit is presented as a wiki, which allows users to collaboratively modify the content and provides continuous updates on the science of MSR. It is hoped that this wiki toolkit will be useful to all users and contribute to creating a network of people interested in MSR.
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- 2018
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31. Improving the content validity of the mixed methods appraisal tool: a modified e-Delphi study
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Hong, Quan Nha, Pluye, Pierre, Fàbregues, Sergi, Bartlett, Gillian, Boardman, Felicity, Cargo, Margaret, Dagenais, Pierre, Gagnon, Marie-Pierre, Griffiths, Frances, Nicolau, Belinda, O’Cathain, Alicia, Rousseau, Marie-Claude, and Vedel, Isabelle
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- 2019
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32. Impact of social determinants of health on time to antiretroviral therapy initiation and HIV viral undetectability for migrants enrolled in a multidisciplinary HIV clinic with rapid, free, and onsite B/F/TAF: 'The ASAP study'.
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Arora, Anish K., Vicente, Serge, Engler, Kim, Lessard, David, Huerta, Edmundo, Ishak, Joel, Routy, Jean‐Pierre, Klein, Marina, Kronfli, Nadine, Cox, Joseph, Lemire, Benoit, de Pokomandy, Alexandra, Del Balso, Lina, Sebastiani, Giada, Vedel, Isabelle, Quesnel‐Vallée, Amélie, and Lebouché, Bertrand
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COMBINATION drug therapy ,ALANINE ,HETEROCYCLIC compounds ,SOCIAL determinants of health ,VIRAL load ,BLOOD testing ,RESEARCH funding ,NOMADS ,TENOFOVIR ,PILOT projects ,HIV infections ,AMIDES ,DESCRIPTIVE statistics ,ANTIVIRAL agents ,EMTRICITABINE ,PSYCHOLOGY of HIV-positive persons ,LONGITUDINAL method ,ANTI-HIV agents ,HEALTH facilities - Abstract
Objective: Multidisciplinary care with free, rapid, and on‐site bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) dispensation may improve health outcomes among migrants living with HIV. However, models for rapid B/F/TAF initiation are not well studied among migrants living with HIV, and an understanding of how social determinants of health (SDH) may affect HIV‐related health outcomes for migrants enrolled in such care models is limited. Methods: Within a 96‐week pilot feasibility prospective cohort study at a multidisciplinary HIV clinic, participants received free B/F/TAF rapidly after care linkage. The effects of SDH (i.e., birth region, sexual orientation, living status, education, employment, French proficiency, health coverage, use of a public health facility outside our clinic for free blood tests, and time in Canada) and other covariates (i.e., age, sex) on median time to antiretroviral therapy (ART) initiation and HIV viral undetectability from care linkage were calculated via survival analyses. Results: Thirty‐five migrants were enrolled in this study. Median time to ART initiation and HIV undetectability was 5 days (range 0–50) and 57 days (range 5–365), respectively. Those who took significantly longer to initiate ART were aged <35 years, identified as heterosexual, had less than university‐level education, or were unemployed. No factor was found to significantly affect time to undetectability. Conclusion: Despite the provision of free B/F/TAF, several SDH were linked to delays in ART initiation. However, once initiated and engaged, migrants living with HIV reached HIV undetectability efficiently. Findings provide preliminary support for adopting this care model with migrants living with HIV and suggest that SDH should be considered when designing clinical interventions for more equitable outcomes. [ABSTRACT FROM AUTHOR]
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- 2024
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33. Comparing the implementation of advanced access strategies among primary health care providers.
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Breton, Mylaine, Deville-Stoetzel, Nadia, Gaboury, Isabelle, Duhoux, Arnaud, Maillet, Lara, Abou Malham, Sabina, Légaré, France, Vedel, Isabelle, Hudon, Catherine, Touati, Nassera, Jbilou, Jalila, Loignon, Christine, and Lussier, Marie-Thérèse
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HEALTH services accessibility ,ACADEMIC medical centers ,CROSS-sectional method ,PRIMARY health care ,HUMAN services programs ,COMPARATIVE studies ,SURVEYS ,INTERPROFESSIONAL relations ,NURSES ,RESEARCH funding - Abstract
The advanced access (AA) model is among the most recommended innovations for improving timely access in primary health care (PHC). Originally developed for physicians, it is now relevant to evaluate the model's implementation in more interprofessional practices. We compared AA implementation among family physicians, nurse practitioners, and nurses. A cross-sectional online open survey was completed by 514 PHC providers working in 35 university-affiliated clinics. Family physicians delegated tasks to other professionals in the team more often than nurse practitioners (p =.001) and nurses (p <.001). They also left a smaller proportion of their schedules open for urgent patient needs than did nurse practitioners (p =.015) and nurses (p <.001). Nurses created more alternatives to in-person visits than family physicians (p <.001) and coordinated health and social services more than family physicians (p =.003). During periods of absence, physicians referred patients to walk-in services for urgent needs significantly more often than nurses (p =.003), whereas nurses planned replacements between colleagues more often than physicians (p <.001). The variations among provider categories indicate that a one-size-fits-all implementation of AA principles is not recommended. [ABSTRACT FROM AUTHOR]
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- 2024
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34. Sex differences in the management of persons with dementia following a subnational primary care policy intervention
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Sourial, Nadia, Arsenault-Lapierre, Geneviève, Margo-Dermer, Eva, Henein, Mary, and Vedel, Isabelle
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- 2020
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35. Evaluation of the implementation and associated effects of advanced access in university family medicine groups: a study protocol
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Breton, Mylaine, Maillet, Lara, Duhoux, Arnaud, Malham, Sabina Abou, Gaboury, Isabelle, Manceau, Luiza Maria, Hudon, Catherine, Rodrigues, Isabel, Haggerty, Jeannie, Touati, Nassera, Beaulieu, Marie-Claude, Loignon, Christine, Lussier, Marie-Thérèse, Vedel, Isabelle, Jbilou, Jalila, and Légaré, France
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- 2020
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36. Rural-Urban Differences in Healthcare Use in Persons With Dementia Between 2000 and 2019: A Quebec Population-Based Study.
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ARSENAULT-LAPIERRE, GENEVIÈVE, GODARD-SEBILLOTTE, CLAIRE, BUI, TAMMY, SOURIAL, NADIA, ROCHETTE, LOUIS, MASSAMBA, VICTORIA, SIROIS, CAROLINE, KOSTENIUK, JULIE, MORGAN, DEBRA, QUESNEL-VALLÉE, AMÉLIE, and VEDEL, ISABELLE
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- 2024
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37. HIV-sensitive social protection for unemployed and out-of-school young women in Botswana: An exploratory study of barriers and solutions.
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van der Wal, Ran, Cockcroft, Anne, Kobo, Miriam, Kgakole, Leagajang, Marokaone, Nobantu, Johri, Mira, Vedel, Isabelle, and Andersson, Neil
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YOUNG women ,SOCIAL services ,PEER pressure ,PERCEIVED benefit ,UNEMPLOYED people ,HIV infections ,HIV - Abstract
Promotive social protection programs aim to increase income and capabilities and could help address structural drivers of HIV-vulnerability like poverty, lack of education and gender inequality. Unemployed and out-of-school young women bear the brunt of HIV infection in Botswana, but rarely benefit from such economic empowerment programs. Using a qualitative exploratory study design and a participatory research approach, we explored factors affecting perceived program benefit and potential solutions to barriers. Direct stakeholders (n = 146) included 87 unemployed and out-of-school young women and 59 program and technical officers in five intervention districts. Perceived barriers were identified in 20 semi-structured interviews (one intervention district) and 11 fuzzy cognitive maps. Co-constructed improvement recommendations were generated in deliberative dialogues. Analysis relied on Framework and the socioecological model. Overall, participants viewed existing programs in Botswana as ineffective and inadequate to empower vulnerable young women socially or economically. Factors affecting perceived program benefit related to programs, program officers, the young women, and their social and structural environment. Participants perceived barriers at every socioecological level. Young women's lack of life and job skills, unhelpful attitudes, and irresponsible behaviors were personal-level barriers. At an interpersonal level, competing care responsibilities, lack of support from boyfriends and family, and negative peer influence impeded program benefit. Traditional venues for information dissemination, poverty, inequitable gender norms, and lack of coordination were community- and structural-level barriers. Improvement recommendations focused on improved outreach and peer approaches to implement potential solutions. Unemployed and out-of-school young women face multidimensional, interacting barriers that prevent benefit from available promotive social protection programs in Botswana. To become HIV-sensitive, these socioeconomic empowerment programs would need to accommodate or preferentially attract this key population. This requires more generous and comprehensive programs, a more client-centered program delivery, and improved coordination. Such structural changes require a holistic, intersectoral approach to HIV-sensitive social protection. [ABSTRACT FROM AUTHOR]
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- 2024
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38. Grassroots inter-professional networks: the case of organizing care for older cancer patients
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Bagayogo, Fatou Farima, Lepage, Annick, Denis, Jean-Louis, Lamothe, Lise, Lapointe, Liette, and Vedel, Isabelle
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- 2016
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39. Research protocol of the Laval-ROSA Transilab: a living lab on transitions for people living with dementia.
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Dufour, Isabelle, Arsenault-Lapierre, Geneviève, Guillette, Maxime, Dame, Nathalie, Poitras, Marie-Eve, Lussier, Marie-Thérèse, Fortier, Annie, Brunet, Julie, Martin, Julie, Laverdure, Micheline, Brousseau, Ginette, Bergman, Howard, Couturier, Yves, Quesnel-Vallée, Amélie, and Vedel, Isabelle
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RESEARCH protocols ,DEMENTIA ,MEDICAL personnel ,ELECTRONIC health records ,INTERPROFESSIONAL collaboration - Abstract
Background: The Laval-ROSA Transilab is a living lab that aims to support the Laval Integrated Health and Social Services Centres (Quebec, Canada) in consolidating the Quebec Alzheimer Plan. It aims to improve care transitions between different settings (Family Medicine Groups, home care, and community services) and as such improve the care of people living with dementia and their care partners. Four transition-oriented innovations are targeted. Two are already underway and will be co-evaluated: A) training of primary care professionals on dementia and interprofessional collaboration; B) early referral process to community services. Two will be co-developed and co-evaluated: C) developing a structured communication strategy around the dementia diagnosis disclosure; D) designation of a care navigator from the time of dementia diagnosis. The objectives are to: 1) co-develop a dashboard for monitoring transitions; 2) co-develop and 3) co-evaluate the four targeted innovations on transitions. In addition, we will 4) co-evaluate the impact and implementation process of the entire Laval-ROSA Transilab transformation, 5) support its sustainability, and 6) transfer it to other health organizations. Methods: Multi-methods living lab approach based on the principles of a learning health system. Living labs are open innovation systems that integrate research co-creation and knowledge exchange in real-life settings. Learning health systems centers care improvement on developing the organization's capacity to learn from their practices. We will conduct two learning cycles (data to knowledge, knowledge to practice, and practice to data) and involve various partners. We will use multiple data sources, including health administrative databases, electronic health records data, surveys, semi-structured interviews, focus groups, and observations. Discussion: Through its structuring actions, the Laval-ROSA Transilab will benefit people living with dementia, their care partners, and healthcare professionals. Its strategies will support sustainability and will thus allow for improvements throughout the care continuum so that people can receive the right services, at the right time, in the right place, and from the right staff. [ABSTRACT FROM AUTHOR]
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- 2023
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40. Measuring Potentially Avoidable Acute Care Transfers From Long-Term Care Homes in Quebec: a Cross Sectional Study.
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Cetin-Sahin, Deniz, Karanofsky, Mark, Cummings, Greta G., Vedel, Isabelle, and Wilchesky, Machelle
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HOSPITAL emergency services ,CROSS-sectional method ,TERTIARY care ,HOSPITAL admission & discharge ,COMPARATIVE studies ,CRITICAL care medicine ,HOSPITAL care of older people ,DESCRIPTIVE statistics ,RESEARCH funding ,DATA analysis software ,LONG-term health care - Abstract
Background Potentially avoidable emergency department transfers (PAEDTs) and hospitalizations (PAHs) from long-term care (LTC) homes are two key quality improvement metrics. We aimed to: 1) Measure proportions of PAEDTs and PAHs in a Quebec sample; and 2) Compare them with those reported for the rest of Canada. Methods We conducted a repeated cross-sectional study of residents who were received at one tertiary hospital between April 2017 and March 2019 from seven LTC homes in Quebec, Canada. The MedUrge emergency department database was used to extract transfers and resident characteristics. Using published definitions, PAEDTs and PAHs were identified from principal emergency department and hospitalization diagnoses, respectively. PAEDT and PAH proportions were compared to those reported by the Canadian Institute for Health Information. Results A total of 1,233 transfers by 692 residents were recorded, among which 36.3% were classified as being potentially avoidable: 22.8% 'PAEDT only', 11.6% 'both PAEDT & PAH', and 1.9% 'PAH only'. Shortness of breath was the most common reason for transfer. Pneumonia was the most common diagnosis from the 'both PAEDT & PAH' category. PAEDTs and PAHs accounted for 95% and 37% of potentially avoidable transfers, respectively. Among 533 hospitalizations, 31.3% were PAHs. These proportions were comparable to the rest of Canada, with some differences in proportions of transfers due to congestive heart failure, urinary tract infection, and implanted device management. Conclusions PAEDTs far outweigh PAHs in terms of frequency, and their monitoring is important for quality assurance as they may inform LTC-level interventions aimed at their reduction. [ABSTRACT FROM AUTHOR]
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- 2023
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41. Improving medication adherence among community-dwelling seniors with cognitive impairment: a systematic review of interventions
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Kröger, Edeltraut, Tatar, Ovidiu, Vedel, Isabelle, Giguère, Anik M. C., Voyer, Philippe, Guillaumie, Laurence, Grégoire, Jean-Pierre, and Guénette, Line
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- 2017
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42. Opening the Black Box of Clinical Collaboration in Integrated Care Models for Frail, Elderly Patients
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de Stampa, Matthieu, Vedel, Isabelle, Bergman, Howard, Novella, Jean-Luc, Lechowski, Laurent, Ankri, Joel, and Lapointe, Liette
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Purpose: The purpose of the study was to understand better the clinical collaboration process among primary care physicians (PCPs), case managers (CMs), and geriatricians in integrated models of care. Methods: We conducted a qualitative study with semistructured interviews. A purposive sample of 35 PCPs, 7 CMs, and 4 geriatricians was selected in 2 integrated models of care for frail elderly patients in Canada and France: System of Integrated Care for Older Patients of Montreal and Coordination of Care for Older Patients of Paris. Data were analyzed using a grounded theory approach. Findings: The dynamics of the collaboration process develop in three phases: (1) initiating relationships, (2) developing real two-way collaboration, and (3) developing interdisciplinary teamwork. The findings suggest that CMs and geriatricians collaborated well from the start and throughout the care management process. Real collaboration between the CMs and the PCPs occurred only later and was mostly fostered by the interventions of the geriatricians. PCPs and geriatricians collaborated only occasionally. Implications: The findings provide information about PCPs' commitment to the integrated models of care, the legitimization of the CM's role among PCPs, and the appropriate positioning of geriatricians in such models.
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- 2013
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43. Shedding light on conditions for the successful passive dissemination of recommendations in primary care: a mixed methods study
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Vedel, Isabelle, Le Berre, Melanie, Sourial, Nadia, Arsenault-Lapierre, Geneviève, Bergman, Howard, and Lapointe, Liette
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- 2018
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44. Recurrence of biliary disease following non-operative management in elderly patients
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Bergman, Simon, Al-Bader, Mohammed, Sourial, Nadia, Vedel, Isabelle, Hanna, Wael C., Bilek, Aaron J., Galatas, Christos, Marek, Jonah E., and Fraser, Shannon A.
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- 2015
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45. Experiences of people with dementia and informal caregivers with post‐diagnostic support: Data from the international COGNISANCE study.
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Hevink, Maud, Wolfs, Claire, Ponds, Rudolf, Doucet, Shelley, McAiney, Carrie, Vedel, Isabelle, Maćkowiak, Maria, Rymaszewska, Joanna, Rait, Greta, Robinson, Louise, Poole, Marie, Gresham, Meredith, Jeon, Yun‐Hee, Phillipson, Lyn, Low, Lee‐Fay, Brodaty, Henry, de Vugt, Marjolein, and Verhey, Frans
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CAREGIVER attitudes ,SOCIAL support ,HEALTH services accessibility ,CONFIDENCE ,HUMAN research subjects ,CROSS-sectional method ,SATISFACTION ,PATIENTS' attitudes ,DEMENTIA patients ,SURVEYS ,HEALTH literacy ,INFORMED consent (Medical law) ,DEMENTIA ,CHI-squared test ,DESCRIPTIVE statistics ,RESEARCH funding ,DATA analysis software - Abstract
Objectives: The study aims to describe people with dementia and informal caregivers' respective experiences of support after diagnosis and compares these experiences. Additionally, we determine how people with dementia and informal caregivers who are satisfied with support differ from those dissatisfied. Methods: A cross‐sectional survey study in Australia, Canada, the Netherlands, Poland, and United Kingdom was carried out to examine people with dementia and informal caregivers experience with support (satisfaction with information, access to care, health literacy, and confidence in ability to live well with dementia). The separate surveys contained closed questions. Analysis consisted of descriptive statistics and Chi‐square tests. Results: Ninety people with dementia and 300 informal caregivers participated, and 69% of people with dementia and 67% of informal caregivers said support after diagnosis helped them deal more efficiently with their concerns. Up to one‐third of people with dementia and informal caregivers were dissatisfied with information about management, prognosis, and strategies for living positively. Few people with dementia (22%) and informal caregivers (35%) received a care plan. People with dementia were more often satisfied with information, had more often confidence in their ability to live well with dementia, and were less often satisfied with access to care compared to informal caregivers. Informal caregivers who were satisfied with support were more satisfied with information and access to care compared to informal caregivers not satisfied with support. Conclusions: Experience of dementia support can be improved and people with dementia and informal caregiver differ in their experiences of support. [ABSTRACT FROM AUTHOR]
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- 2023
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46. Healthcare professionals’ adoption and use of a clinical information system (CIS) in primary care: Insights from the Da Vinci study
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Vedel, Isabelle, Lapointe, Liette, Lussier, Marie-Thérèse, Richard, Claude, Goudreau, Johanne, Lalonde, Lyne, and Turcotte, Alain
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- 2012
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47. The decision-making process in prostate cancer screening in primary care with a prostate-specific antigen: A systematic review
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Vedel, Isabelle, Puts, Martine T.E., Monette, Michele, Monette, Johanne, and Bergman, Howard
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- 2011
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48. Barriers and facilitators to breast and colorectal cancer screening of older adults in primary care: A systematic review
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Vedel, Isabelle, Puts, Martine T.E., Monette, Michele, Monette, Johanne, and Bergman, Howard
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- 2011
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49. The IT productivity paradox in health: A stakeholder's perspective
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Lapointe, Liette, Mignerat, Muriel, and Vedel, Isabelle
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- 2011
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50. Creating health awareness: a social media enabled collaboration
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Lapointe, Liette, Ramaprasad, Jui, and Vedel, Isabelle
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- 2014
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