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Maheu-Cadotte MA, Dubé V, Lavoie P. Development and Contribution of a Serious Game to Improve Nursing Students' Clinical Reasoning in Acute Heart Failure: A Multimethod Study. Comput Inform Nurs 2023; 41:410-420. [PMID: 36729896 DOI: 10.1097/cin.0000000000000966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Clinical reasoning is essential for nurses and nursing students to recognize and intervene when hospitalized patients present acute heart failure. Serious games are digital educational interventions that could foster the development of clinical reasoning through an engaging and intrinsically motivating learning experience. However, elements from a playful approach (eg, rewards, narrative elements) are often absent or poorly integrated in existing serious games, which may limit their contribution to learning. Thus, we developed and studied the contribution of a novel serious game on nursing students' engagement, intrinsic motivation, and clinical reasoning in the context of acute heart failure. We adopted a multimethod design and randomized 28 participants to receive two serious game prototypes in a different sequence, one that fully integrated elements of a playful approach (SIGN@L-A) and one that offered only objectives, feedback, and a functional aesthetic (SIGN@L-B). Through self-reported questionnaires, participants reported higher levels of engagement and intrinsic motivation after using SIGN@L-A. However, negligible differences in clinical reasoning scores were found after using each serious game prototype. During interviews, participants reported on the contribution of design elements to their learning. Quantitative findings should be replicated in larger samples. Qualitative findings may guide the development of future serious games.
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Affiliation(s)
- Marc-André Maheu-Cadotte
- Author Affiliations: Faculty of Nursing, Université de Montréal (Drs Maheu-Cadotte, Dubé, and Lavoie); Montreal Heart Institute Research Center (Drs Maheu-Cadotte and Lavoie); CHUM Research Center (Drs Maheu-Cadotte and Dubé); and Center for Innovation in Nursing Education (Dr Lavoie), Montreal, Quebec, Canada
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O'Rourke HM, Swindle J, Ghosh S, Chacinski D, Baxter P, Peacock S, Thompson GN, Dubé V, Holroyd‐Leduc J, Nekolaichuk C, McAiney CA, Duggleby W. Impact of a web‐based psychoeducational intervention on carer mental health quality of life: Results from a pragmatic randomized control trial. Alzheimers Dement 2022. [DOI: 10.1002/alz.069162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Lavoie A, Dubé V. Web-Based Interventions to Promote Healthy Lifestyles for Older Adults: Scoping Review. Interact J Med Res 2022; 11:e37315. [PMID: 35998024 PMCID: PMC9449830 DOI: 10.2196/37315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 07/14/2022] [Accepted: 08/06/2022] [Indexed: 12/02/2022] Open
Abstract
Background With the aging of the population and rising rates of chronic diseases, web-based interventions could be considered to support older adults in adopting healthy lifestyles. To date, published knowledge syntheses have focused on quantitative studies among older adults aged ≥50 years. However, those aged ≥65 years may have different needs to be met by these interventions because of the biological and physiological changes associated with aging, and qualitative studies could help advance knowledge in this field. Objective The objective of this scoping review is to explore the extent of the literature on web-based interventions aimed at promoting healthy lifestyles among people aged ≥65 years. Methods A scoping review was conducted based on the framework proposed by Levac et al. Six databases (ie, MEDLINE, CINAHL, PsycINFO, Web of Science, the Cochrane Database of Systematic Reviews, and the Joanna Briggs Library) and gray literature (ie, Google Scholar and OpenGrey) were searched. The final search was conducted on June 23, 2021. The studies were selected by 2 persons (AL and ML) independently. The included studies were systematic reviews and qualitative and quantitative studies focusing on web-based interventions to promote healthy lifestyles in people aged ≥65 years that were published in French or English between 1990 and 2021. Data were extracted in a table and synthesized based on the conceptualization of web-based interventions (ie, according to the use parameters, behavior change techniques, delivery modes, and theories). A thematic analysis was performed. Results In total, 20 articles were included in this review, which represents studies focused on 11 distinct interventions. All of the interventions (11/11, 100%) aimed to promote physical activity among older adults. The number of intervention sessions varied from 5 to 16, with a frequency from daily to once every 2 weeks. Diverse delivery modes such as electronic diary, video, and phone call were found. The most used behavior change techniques were instruction, feedback, and self-monitoring. Few interventions (6/11, 55%) were based on a theory. A favorable trend was observed in increasing physical activity, and 5 themes emerged that appeared to be central to behavior change among older adults: motivation, support, tailoring, barriers, and perceptions. Conclusions This scoping review provides a better understanding of the components of web-based interventions and their outcomes on the healthy lifestyles of people aged ≥65 years. These findings could provide important guidance for the design and development of future web-based interventions in this field. Further research is needed to continue the development and evaluation of innovative and accessible interventions to promote healthy lifestyles among older adults. International Registered Report Identifier (IRRID) RR2-10.2196/23207
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Affiliation(s)
- Audrey Lavoie
- Faculty of Nursing, Université de Montréal, Montreal, QC, Canada.,Université de Montréal Marguerite-d'Youville Research Chair on Humanistic Nursing Interventions, Montreal, QC, Canada.,Research center, Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, Université de Montréal, Montreal, QC, Canada.,Université de Montréal Marguerite-d'Youville Research Chair on Humanistic Nursing Interventions, Montreal, QC, Canada.,Research center, Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada
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Dumont K, Marcoux I, Warren É, Alem F, Alvar B, Ballu G, Bostock A, Cohen SR, Daneault S, Dubé V, Houle J, Minyaoui A, Rouly G, Weil D, Kellehear A, Boivin A. How compassionate communities are implemented and evaluated in practice: a scoping review. BMC Palliat Care 2022; 21:131. [PMID: 35854292 PMCID: PMC9297657 DOI: 10.1186/s12904-022-01021-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 06/24/2022] [Indexed: 11/10/2022] Open
Abstract
Background Compassionate communities are rooted in a health promotion approach to palliative care, aiming to support solidarity among community members at the end of life. Hundreds of compassionate communities have been developed internationally in recent years. However, it remains unknown how their implementation on the ground aligns with core strategies of health promotion. The aim of this review is to describe the practical implementation and evaluation of compassionate communities. Methods We undertook a scoping review of the empirical peer-reviewed literature on compassionate communities. Bibliographic searches in five databases were developed with information specialists. We included studies in English describing health promotion activities applied to end-of-life and palliative care. Qualitative analysis used inductive and deductive strategies based on existing frameworks for categorization of health promotion activities, barriers and facilitators for implementation and evaluation measures. A participatory research approach with community partners was used to design the review and interpret its findings. Results Sixty-three articles were included for analysis. 74.6% were published after 2011. Health services organizations and providers are most often engaged as compassionate community leaders, with community members mainly engaged as target users. Adaptation to local culture and social context is the most frequently reported barrier for implementation, with support and external factors mostly reported as facilitators. Early stages of compassionate community development are rarely reported in the literature (stakeholder mobilization, needs assessment, priority-setting). Health promotion strategies tend to focus on the development of personal skills, mainly through the use of education and awareness programs. Few activities focused on strengthening community action and building healthy public policies. Evaluation was reported in 30% of articles, 88% of evaluation being analyzed at the individual level, as opposed to community processes and outcomes. Conclusions The empirical literature on compassionate communities demonstrates a wide variety of health promotion practices. Much international experience has been developed in education and awareness programs on death and dying. Health promotion strategies based on community strengthening and policies need to be consolidated. Future research should pay attention to community-led initiatives and evaluations that may not be currently reported in the peer-review literature. Supplementary Information The online version contains supplementary material available at 10.1186/s12904-022-01021-3.
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Affiliation(s)
- Katia Dumont
- Canada Research Chair in Partnership With Patients and Communities, University of Montreal Hospital Research Center (CRCHUM), Pavillon S, 850 Saint-Denis Street, Montreal, QC, S01.136H2X 0A0, Canada
| | - Isabelle Marcoux
- Faculty of Health Sciences, University of Ottawa, 25 University Street, office 206, Ottawa, K1N 6N5, Canada
| | - Émilie Warren
- Canada Research Chair in Partnership With Patients and Communities, University of Montreal Hospital Research Center (CRCHUM), Pavillon S, 850 Saint-Denis Street, Montreal, QC, S01.136H2X 0A0, Canada
| | - Farah Alem
- Canada Research Chair in Partnership With Patients and Communities, University of Montreal Hospital Research Center (CRCHUM), Pavillon S, 850 Saint-Denis Street, Montreal, QC, S01.136H2X 0A0, Canada
| | - Bea Alvar
- Canada Research Chair in Partnership With Patients and Communities, University of Montreal Hospital Research Center (CRCHUM), Pavillon S, 850 Saint-Denis Street, Montreal, QC, S01.136H2X 0A0, Canada
| | - Gwenvaël Ballu
- Canada Research Chair in Partnership With Patients and Communities, University of Montreal Hospital Research Center (CRCHUM), Pavillon S, 850 Saint-Denis Street, Montreal, QC, S01.136H2X 0A0, Canada
| | - Anitra Bostock
- Montreal Palliative Care Institute, 265 André-Brunet Street, Kirkland, QC, H9H 3R4, Canada
| | - S Robin Cohen
- Departments of Oncology and Medicine, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.,Lady Davis Research Institute of the Jewish General Hospital, Palliative Care Research, room E8.06, 3755 Côte Ste. Catherine Road, Montreal, QC, H3T 1E2, Canada
| | - Serge Daneault
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université de Montréal, 2900 Édouard-Montpetit Boulevard, Montreal, QC, H3T 1J4, Canada.,Centre de Recherche de L'Institut Universitaire de Gériatrie de Montréal, 4565 Chemin Queen-Mary, , Montreal, QC, H3W 1W5, Canada
| | - Véronique Dubé
- Marguerite d'Youville Research Chair On Humanistic Nursing Interventions, Faculty of Nursing, Centre-Ville Station, Université de Montréal, P.O Box 6128, Montreal, QC, H3C 3J7, Canada
| | - Janie Houle
- Department of Psychology, Université du Québec À Montréal, 100 Sherbrooke Street West, Montreal, QC, H2X 3P2, Canada
| | - Asma Minyaoui
- Canada Research Chair in Partnership With Patients and Communities, University of Montreal Hospital Research Center (CRCHUM), Pavillon S, 850 Saint-Denis Street, Montreal, QC, S01.136H2X 0A0, Canada
| | - Ghislaine Rouly
- Canada Research Chair in Partnership With Patients and Communities, University of Montreal Hospital Research Center (CRCHUM), Pavillon S, 850 Saint-Denis Street, Montreal, QC, S01.136H2X 0A0, Canada
| | - Dale Weil
- Montreal Palliative Care Institute, 265 André-Brunet Street, Kirkland, QC, H9H 3R4, Canada
| | - Allan Kellehear
- College of Nursing and Health Sciences, University of Vermont, Burlington, USA
| | - Antoine Boivin
- Canada Research Chair in Partnership With Patients and Communities, University of Montreal Hospital Research Center (CRCHUM), Pavillon S, 850 Saint-Denis Street, Montreal, QC, S01.136H2X 0A0, Canada.,Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université de Montréal, 2900 Édouard-Montpetit Boulevard, Montreal, QC, H3T 1J4, Canada
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Duggleby W, O'Rourke HM, Baxter P, Nekolaichuk C, Thompson G, Peacock S, Ghosh S, Holroyd-Leduc J, McAiney C, Dubé V, Swindle J, Pagnucco-Renaud M, Sana S. Building a new life: a qualitative study of how family carers deal with significant changes. BMC Geriatr 2022; 22:551. [PMID: 35778694 PMCID: PMC9248114 DOI: 10.1186/s12877-022-03236-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 06/17/2022] [Indexed: 11/18/2022] Open
Abstract
Background Family carers of persons living with dementia who are residing in long term care (LTC), often experience significant changes in their roles and relationships which affects mental and physical health. Research has focused on describing the carers’ experience, but not on how they deal with these changes or their perceptions of support needs. The purpose of this study was to explore how family carers of persons living with dementia residing in LTC deal with significant changes and to understand how best to support these carers. Methods Eight face-to-face audio-recorded focus group interviews were conducted with 45 participants from September 2019 to January 2020, as part of a larger study aimed at guiding the adaptation of an online toolkit to support family carers of persons living with dementia residing in LTC. Applied thematic analysis was used to analyze the focus group data. Findings/results Carers dealt with the significant changes they experienced through the process of “building a new life” consisting of two sub-processes: a) building new relationships (with their family member, LTC staff and others outside of LTC), and b) finding space for themselves (sharing of care and finding balance). Understanding dementia, support from others (staff, family and friends), connecting with resources, and being included in care decisions helped carers build a new life. Conclusion The process of building a new life describes the ways that family carers deal with the life-altering changes they experienced when a family member is admitted to LTC. Carers may be supported in building their new life, by providing them with information about dementia and how to relate to staff and their family member living with dementia. The quality of care being provided and the LTC environment may also play an important role in how carers deal with the significant changes they experience.
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Affiliation(s)
- Wendy Duggleby
- Faculty of Nursing University of Alberta, 4-141 ECHA, 11405 87th Ave, Edmonton, AB, T6G 1C9, Canada.
| | - Hannah M O'Rourke
- Faculty of Nursing University of Alberta, 4-141 ECHA, 11405 87th Ave, Edmonton, AB, T6G 1C9, Canada
| | - Pamela Baxter
- Faculty of Health Sciences, McMaster University, 1280 Main St. W, Hamilton, ON, L8S4K1, Canada
| | - Cheryl Nekolaichuk
- Department of Oncology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, T6L 0A3, Canada
| | - Genevieve Thompson
- College of Nursing, University of Manitoba, 89 Curry Place, Winnipeg, MB, R3T 2N2, Canada
| | - Shelley Peacock
- College of Nursing, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada
| | - Sunita Ghosh
- Alberta Health Services-Cancer Control Alberta, Department of Medical Oncology, University of Alberta, 11560 University Ave, Edmonton, AB, T6G 1Z2, Canada
| | - Jayna Holroyd-Leduc
- Department of Medicine, Cumming School of Medicine, University of Calgary, 1403 29th Street NW, Calgary, AB, T2N 4W4, Canada
| | - Carrie McAiney
- Schlegel Research Chair in Dementia, Schlegel-UW Research Institute for Aging, Waterloo, Canada.,School of Public Health and Health Systems, University of Waterloo, 200 University Ave, W, Waterloo, ON, N2L 3G1, Canada
| | - Véronique Dubé
- Chairholder Marguerite-d'Youville Research Chair, Faculty of Nursing, University of Montreal, P.O. Box 6128, Centre-ville Station, Montreal, QC, H3C 3J7, Canada
| | - Jennifer Swindle
- Faculty of Nursing, University of Alberta, Level 3 ECHA, 11405 87 Avenue, Edmonton, Alberta, T6G 1C9, Canada
| | - Madeleine Pagnucco-Renaud
- Faculty of Nursing University of Alberta, 4-005A, ECHA, 11405 87th Ave, Edmonton, AB, T6G 1C9, Canada
| | - Samina Sana
- Faculty of Nursing, School of Public Health, University of Alberta, Edmonton, Canada
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Maheu-Cadotte MA, Dubé V, Cossette S, Lapierre A, Fontaine G, Deschênes MF, Lavoie P. Involvement of End Users in the Development of Serious Games for Health Care Professions Education: Systematic Descriptive Review. JMIR Serious Games 2021; 9:e28650. [PMID: 34129514 PMCID: PMC8414295 DOI: 10.2196/28650] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 06/11/2021] [Accepted: 06/15/2021] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND On the basis of ethical and methodological arguments, numerous calls have been made to increase the involvement of end users in the development of serious games (SGs). Involving end users in the development process is considered a way to give them power and control over educational software that is designed for them. It can also help identify areas for improvement in the design of SGs and improve their efficacy in targeted learning outcomes. However, no recognized guidelines or frameworks exist to guide end users' involvement in SG development. OBJECTIVE The aim of this study is to describe how end users are involved in the development of SGs for health care professions education. METHODS We examined the literature presenting the development of 45 SGs that had reached the stage of efficacy evaluation in randomized trials. One author performed data extraction using an ad hoc form based on a design and development framework for SGs. Data were then coded and synthesized on the basis of similarities. The coding scheme was refined iteratively with the involvement of a second author. Results are presented using frequencies and percentages. RESULTS End users' involvement was mentioned in the development of 21 of 45 SGs. The number of end users involved ranged from 12 to 36. End users were often involved in answering specific concerns that arose during the SG design (n=6) or in testing a prototype (n=12). In many cases, researchers solicited input from end users regarding the goals to reach (n=10) or the functional esthetics of the SGs (n=7). Most researchers used self-reported questionnaires (n=7). CONCLUSIONS Researchers mentioned end users' involvement in the development of less than half of the identified SGs, and this involvement was also poorly described. These findings represent significant limitations to evaluating the impact of the involvement of end users on the efficacy of SGs and in making recommendations regarding their involvement.
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Affiliation(s)
- Marc-André Maheu-Cadotte
- Faculty of Nursing, Université de Montréal, Montreal, QC, Canada.,Research Center, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.,Research Center, Montreal Heart Institute, Montreal, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, Université de Montréal, Montreal, QC, Canada.,Research Center, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada
| | - Sylvie Cossette
- Faculty of Nursing, Université de Montréal, Montreal, QC, Canada.,Research Center, Montreal Heart Institute, Montreal, QC, Canada
| | | | - Guillaume Fontaine
- Faculty of Nursing, Université de Montréal, Montreal, QC, Canada.,Research Center, Montreal Heart Institute, Montreal, QC, Canada
| | | | - Patrick Lavoie
- Faculty of Nursing, Université de Montréal, Montreal, QC, Canada.,Research Center, Montreal Heart Institute, Montreal, QC, Canada
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Tremblay M, Latulippe K, Guay M, Provencher V, Giguère A, Poulin V, Dubé V, Giroux D. Usability of a Co-designed eHealth Prototype for Caregivers: Combination Study of Three Frameworks. JMIR Hum Factors 2021; 8:e26532. [PMID: 34406123 PMCID: PMC8411328 DOI: 10.2196/26532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 03/06/2021] [Accepted: 03/28/2021] [Indexed: 11/23/2022] Open
Abstract
Background Co-design (or the participation of users) has shown great potential in the eHealth domain, demonstrating positive results. Nevertheless, the co-design approach cannot guarantee the usability of the system designed, and usability assessment is a complex analysis to perform, as evaluation criteria will differ depending on the usability framework (or set of criteria) used. ISO (International Organization for Standardization) on usability (ISO 9241-210), Nielsen heuristic, and Garrett element of user experience inform different yet complementary aspects of usability. Objective This study aims to assess the usability and user experience of a co-design prototype by combining 3 complementary frameworks. Methods To help caregivers provide care for functionally impaired older people, an eHealth tool was co-designed with caregivers, health and social service professionals, and community workers assisting caregivers. The prototype was a website that aims to support the help-seeking process for caregivers (finding resources) and allow service providers to advertise their services (offering resources). We chose an exploratory study method to assess usability in terms of each objective. The first step was to assess users’ first impressions of the website. The second was a task scenario with a think-aloud protocol. The final step was a semistructured interview. All steps were performed individually (with a moderator) in a single session. The data were analyzed using 3 frameworks. Results A total of 10 participants were recruited, 5 for each objective of the website. We were able to identify several usability problems, most of which were located in the information design and interface design dimensions (Garrett framework). Problems in both dimensions were mainly coded as effectiveness and efficiency (ISO framework) and error prevention and match between the systemand the real world (Nielsen heuristic). Conclusions Our study provided a novel contribution about usability analysis by combining the 3 different models to classify the problems found. This combination provided a holistic understanding of the usability improvements needed. It can also be used to analyze other eHealth products. International Registered Report Identifier (IRRID) RR2-10.2196/11634
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Affiliation(s)
- Melanie Tremblay
- Department of Teaching and Learning Studies, Université Laval, Québec, QC, Canada
| | - Karine Latulippe
- Department of Teaching and Learning Studies, Université Laval, Québec, QC, Canada
| | - Manon Guay
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.,Center of Research on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Véronique Provencher
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.,Center of Research on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Anick Giguère
- Center of Excellence on Aging Quebec, Québec, QC, Canada.,Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada
| | - Valérie Poulin
- Université du Québec in Trois-Rivières, Trois-Rivières, QC, Canada.,Interdisciplinary Center for Research in Rehabilitation and Social Integration, Université Laval, Québec, QC, Canada
| | - Véronique Dubé
- Research Centre of the University Hospital of Montreal, Montreal, QC, Canada.,School of Social Work and Criminology, Université Laval, Québec, QC, Canada
| | - Dominique Giroux
- Center of Excellence on Aging Quebec, Québec, QC, Canada.,Department of Rehabilitation, Université Laval, Québec, QC, Canada
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Maheu-Cadotte MA, Cossette S, Dubé V, Fontaine G, Lavallée A, Lavoie P, Mailhot T, Deschênes MF. Efficacy of Serious Games in Healthcare Professions Education: A Systematic Review and Meta-analysis. Simul Healthc 2021; 16:199-212. [PMID: 33196609 DOI: 10.1097/sih.0000000000000512] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
SUMMARY STATEMENT Serious games (SGs) are interactive and entertaining software designed primarily with an educational purpose. This systematic review synthesizes evidence from experimental studies regarding the efficacy of SGs for supporting engagement and improving learning outcomes in healthcare professions education. Randomized controlled trials (RCTs) published between January 2005 and April 2019 were included. Reference selection and data extraction were performed in duplicate, independently. Thirty-seven RCTs were found and 29 were included in random-effect meta-analyses. Compared with other educational interventions, SGs did not lead to more time spent with the intervention {mean difference 23.21 minutes [95% confidence interval (CI) = -1.25 to 47.66]}, higher knowledge acquisition [standardized mean difference (SMD) = 0.16 (95% CI = -0.20 to 0.52)], cognitive [SMD 0.08 (95% CI = -0.73 to 0.89)], and procedural skills development [SMD 0.05 (95% CI = -0.78 to 0.87)], attitude change [SMD = -0.09 (95% CI = -0.38 to 0.20)], nor behavior change [SMD = 0.2 (95% CI = -0.11 to 0.51)]. Only a small SMD of 0.27 (95% CI = 0.01 to 0.53) was found in favor of SGs for improving confidence in skills.
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Affiliation(s)
- Marc-André Maheu-Cadotte
- From the Faculty of Nursing of the Université de Montréal (S.C., V.D., G.F., A.L., P.L., M.-F.D.); Montreal Heart Institute Research Center (S.C., P.L., T.M.); Research Center of the Université de Montréal Hospital Center (V.D.); CHU Ste-Justine Research Center (AL), Montreal, Quebec, Canada; Department of Pharmacy and Health Systems Sciences, Bouvé College of Health Sciences (T.M.), Boston, MA; and Center for Innovation in Nursing Education (M.-F.D.), Montreal, Quebec, Canada
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Lavoie A, Dubé V. Web-Based Interventions to Promote Healthy Lifestyles for Older Adults: Protocol for a Scoping Review. JMIR Res Protoc 2021; 10:e23207. [PMID: 33393929 PMCID: PMC7813627 DOI: 10.2196/23207] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 11/20/2020] [Accepted: 11/24/2020] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND With the aging of the population and rising rates of chronic diseases, older adults need support if they are to adopt healthy lifestyles. Web-based interventions should be considered for this purpose, since they are easily accessed and can foster healthy lifestyles among older adults. However, the literature on such interventions discusses a variety of components and effects and provides only 2 syntheses of knowledge on web-based interventions with older adults. These studies focus on populations aged 50 years and older, whereas the components and effects of interventions for a population of older adults (ie, 65 years and older) may differ. In addition, these 2 syntheses examined only quantitative studies, although other types of studies (ie, qualitative) are available and could help advance knowledge in this field. A scoping review is therefore relevant in order to explore the extent of the literature on this subject. OBJECTIVE The purpose of the study described by this protocol is to explore the extent of the literature (experimental, quasi-experimental, qualitative, systematic reviews, and grey literature) on the components and effects of web-based interventions as a way to promote healthy lifestyles among older adults. METHODS The databases MEDLINE, CINAHL, PsycInfo, Web of Science, Cochrane Database of Systematic Review and Joanna Briggs Library will be searched, in addition to the grey literature using Google Scholar and OpenGrey. Studies will be selected for the review by 2 researchers, working independently. The data will be synthesized based on the conceptualization of web-based interventions (ie, behavior change techniques, dispensation modes, and theories). A thematic analysis will be performed to summarize the components of the interventions studied. RESULTS The database search will begin in August 2020 and be completed in October 2020. CONCLUSIONS This scoping review should highlight web-based interventions designed to promote healthy lifestyles, as well as their components and effects, among people aged 65 years and older. These results could provide important guidance for intervention developers and designers in identifying the components of web-based interventions relevant to older adults and lead to further studies on this topic. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/23207.
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Affiliation(s)
- Audrey Lavoie
- Research Center, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.,Faculty of Nursing, Université de Montréal, Montreal, QC, Canada
| | - Véronique Dubé
- Research Center, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.,Faculty of Nursing, Université de Montréal, Montreal, QC, Canada
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Duggleby W, O'Rourke H, Swindle J, Peacock S, McAiney C, Baxter P, Thompson G, Dubé V, Nekolaichuk C, Ghosh S, Holroyd-Leduc J. Study protocol: pragmatic randomized control trial of my tools 4 care- in care (MT4C-in care) a web-based tool for family Carers of persons with dementia residing in long term care. BMC Geriatr 2020; 20:285. [PMID: 32778059 PMCID: PMC7418203 DOI: 10.1186/s12877-020-01690-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Accepted: 08/03/2020] [Indexed: 11/10/2022] Open
Abstract
Background When a family member resides in long term care facility (LTC), family carers continue caregiving and have been found to have decreases in mental health. The aim of My Tools 4 Care – In Care (an online intervention) is to support carers of persons living with dementia residing in LTC through transitions and increase their self-efficacy, hope, social support and mental health. This article comprises the protocol for a study to evaluate My Tools 4 Care-In Care (MT4C-In Care) by asking the following research questions:
Is there a 2 month (immediately post-intervention) and 4 month (2 months post-intervention) increase in mental health, general self-efficacy, social support and hope, and decrease in grief and loneliness, in carers of a person living with dementia residing in LTC using MT4C-In CARE compared to an educational control group? Do carers of persons living with dementia residing in LTC perceive My Tools 4 Care- In Care helps them with the transitions they experience?
Methods This study is a single blinded pragmatic mixed methods randomized controlled trial. Approximately 280 family carers of older persons (65 years of age and older) with dementia residing in LTC will be recruited for this study. Data will be collected at three time points: baseline, 2 month, and 4 months. Based on the feasibility study, we hypothesize that participants using MT4C-In Care will report significant increases in hope, general self-efficacy, social support and mental health quality of life, and significant decreases in grief and loneliness from baseline, as compared to an educational control group. To determine differences between groups and over time, generalized estimating equations analysis will be used. Qualitative descriptive analysis will be used to further evaluate MT4C-In Care and if it supports carers through transitions. Discussion Data collection will begin in four Canadian provinces (Alberta, Manitoba, Ontario and Saskatchewan) in February 2020 and is expected to be completed in June 2021. The results will inform policy and practice as MT4C-In Care can be revised for local contexts and posted on websites such as those hosted by the Alzheimer Society of Canada. Trial registration NCT04226872 ClinicalTrials.gov Registered 09 January 2020 Protocol Version #2 Feb 19, 2020.
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Affiliation(s)
- Wendy Duggleby
- Faculty of Nursing, University of Alberta, Level 3 Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, Alberta, T6G 1C9, Canada.
| | - Hannah O'Rourke
- Faculty of Nursing, University of Alberta, Level 3 Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, Alberta, T6G 1C9, Canada
| | - Jennifer Swindle
- Faculty of Nursing, University of Alberta, Level 3 Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, Alberta, T6G 1C9, Canada
| | - Shelley Peacock
- College of Nursing, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada
| | - Carrie McAiney
- Schlegel-UW Research Institute for Aging, School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada
| | - Pamela Baxter
- School of Nursing, McMaster University, 1280 Main St. W, Hamilton, ON, L8S 4K1, Canada
| | - Genevieve Thompson
- College of Nursing, Faculty of Health Sciences, University of Manitoba, 89 Curry Place, Winnipeg, MB, R3T 2N2, Canada
| | - Véronique Dubé
- Faculty of Nursing, Université de Montréal Marguerite d'Youville Research, Université de Montréal, PO Box 6128, Centre-ville Station, Montréal, QC, H3C 3J7, Canada
| | - Cheryl Nekolaichuk
- Department of Oncology, University of Alberta, c/o Palliative Institute, DC 404, 1090 Youville Drive, Edmonton, AB, T6L 0A3, Canada
| | - Sunita Ghosh
- Departments of Medical Oncology and Mathematical and Statistical Sciences, University of Alberta, Edmonton, Canada.,Alberta Health Services-Cancer Control, 0058 Cross Cancer Institute, 11560 University Ave, Edmonton, AB, T6G 1Z2, Canada
| | - Jayna Holroyd-Leduc
- Division of Geriatric Medicine, Departments of Medicine and Community Health Sciences, University of Calgary, 1403 - 29th Street NW, Calgary, AB, T2N2T9, Canada
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11
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Fontaine G, Cossette S, Gagnon MP, Dubé V, Côté J. Effectiveness of a Theory- and Web-Based Adaptive Implementation Intervention on Nurses' and Nursing Students' Intentions to Provide Brief Counseling: Protocol for a Randomized Controlled Trial. JMIR Res Protoc 2020; 9:e18894. [PMID: 32734932 PMCID: PMC7473472 DOI: 10.2196/18894] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 05/29/2020] [Accepted: 06/16/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Brief counseling can motivate patients to initiate health behavior change. However, increasing the provision of brief counseling by nurses is difficult due to contextual and practitioner-level factors impeding nurses' motivation and intentions to provide brief counseling (eg, unfavorable attitude toward brief counseling, lack of perceived control linked to barriers). Theory-based implementation interventions could address these practitioner-level factors and support evidence-based practice in the context of brief counseling. Web-based, adaptive e-learning (electronic learning) programs are a novel type of implementation intervention that could address the limitations of current brief counseling training programs, such as accessibility and personalization. OBJECTIVE This paper presents a study protocol for evaluating the effectiveness of the E_MOTIVA implementation intervention-a theory- and web-based adaptive e-learning program-to increase nurses' and nursing students' intentions to provide brief counseling for smoking, an unbalanced diet, and medication nonadherence. METHODS A two-group, single-blind, randomized controlled trial will be conducted with nurses and nursing students enrolled in a Bachelor of Science in Nursing program in Quebec, Canada. Participants in the experimental group will be allocated to the E_MOTIVA intervention-a theory- and web-based adaptive e-learning program-while participants in the active control group will be allocated to the E_MOTIVB intervention, a knowledge- and web-based standardized e-learning program. The E_MOTIVA intervention was designed to influence the constructs of the Theory of Planned Behavior (eg, attitude, subjective norms, and perceived behavioral control) in the context of brief counseling. The Cognitive Load Index and User Engagement Scale will be used to assess participants' cognitive load and engagement related to e-learning. Participants will complete the Brief Counseling Nursing Practices Questionnaire-Abridged Version at baseline and follow-up. All study measures will be completed online. RESULTS The study is ongoing. The results of the study will provide answers to the primary hypothesis (H1) that experimental group participants will demonstrate a greater change in the score of intentions to provide brief counseling between baseline (-T1) and follow-up (T4). Secondary hypotheses include greater improvements in scores of attitude (H2), subjective norms (H3), perceived control (H4), behavioral beliefs (H5), normative beliefs (H6), and control beliefs (H7) regarding brief counseling in the experimental group between baseline and follow-up. We also anticipate lower intrinsic and extrinsic cognitive loads (H8, H9), higher germane cognitive load (H10), and higher engagement (H11, H12) in the experimental group. CONCLUSIONS This study will be among the first in evaluating a novel type of implementation intervention, a theory- and web-based adaptive e-learning program, in nurses and nursing students. This type of intervention has the potential to support evidence-based practice through accessible, personalized training in wide-ranging domains in nursing. TRIAL REGISTRATION ISRCTN Registry ISRCTN32603572; http://www.isrctn.com/ISRCTN32603572. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/18894.
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Affiliation(s)
- Guillaume Fontaine
- Research Center, Montreal Heart Institute, Montréal, QC, Canada
- Faculty of Nursing, Université de Montréal, Montréal, QC, Canada
| | - Sylvie Cossette
- Research Center, Montreal Heart Institute, Montréal, QC, Canada
- Faculty of Nursing, Université de Montréal, Montréal, QC, Canada
| | - Marie-Pierre Gagnon
- Faculty of Nursing, Université Laval, Québec, QC, Canada
- Research Center, CHU de Québec, Québec, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, Université de Montréal, Montréal, QC, Canada
- Research Center, University of Montreal Hospital Center, Montréal, QC, Canada
| | - José Côté
- Faculty of Nursing, Université de Montréal, Montréal, QC, Canada
- Research Center, University of Montreal Hospital Center, Montréal, QC, Canada
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12
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Fontaine G, Cossette S, Maheu-Cadotte MA, Mailhot T, Heppell S, Roussy C, Côté J, Gagnon MP, Dubé V. Behavior change counseling training programs for nurses and nursing students: A systematic descriptive review. Nurse Educ Today 2019; 82:37-50. [PMID: 31425931 DOI: 10.1016/j.nedt.2019.08.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Revised: 07/02/2019] [Accepted: 08/04/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVES (1) To systematically review the literature on behavior change counseling (BCC) training programs targeting nurses and nursing students; (2) to characterize these training programs according to their content (i.e., targeted health behavior[s], BCC approaches taught, BCC techniques taught), structure, and modes of delivery. DESIGN A systematic, descriptive literature review. DATA SOURCES PubMed, CINAHL and Embase were searched with no time limitation in August 2018. REVIEW METHODS A systematic, descriptive literature review structured according to Paré et al.'s methodology and the PRISMA guidelines. Primary studies were included if they evaluated a BCC training program with nurses or nursing students. Review authors screened studies, extracted data, and assessed study quality using the MERSQI. Data was synthesized through narrative synthesis, descriptive statistics, and content analysis. RESULTS From a pool of 267 articles, we included 25 articles published between 2003 and 2018. Two studies scored as low quality (8%), 18 as moderate quality (72%), and 5 as high quality (20%). Physical activity (n = 14; 56%) and smoking (n = 11; 44%) were the most frequently targeted health behaviors. Eleven BCC approaches were cited (e.g., motivational interviewing), and 48 BCC techniques were identified (e.g., eliciting and scaling change talk). The median number of training sessions was 3 (interquartile range [IQR] 5), the median training program duration was 3 h (IQR 6.25 h), and median training period was 24.5 days (IQR 110 days). Programs were most often delivered as seminars and workshops. CONCLUSIONS High-quality studies reporting the assessment of BCC training programs with nurses and nursing students are scarce. There was significant heterogeneity in terms of the BCC approaches and techniques taught. Current evidence suggests nurses and nursing students learn BCC mainly through active, realistic practice. However, computer-based training programs are rapidly gaining ground. Further research emphasizing theory-based BCC training programs is warranted.
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Affiliation(s)
- Guillaume Fontaine
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada; Montreal Heart Institute Research Center, 5000 Belanger Street, S-2490, Montreal H1T 1C8, Quebec, Canada.
| | - Sylvie Cossette
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada; Montreal Heart Institute Research Center, Montreal, Quebec, Canada
| | - Marc-André Maheu-Cadotte
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada; Montreal Heart Institute Research Center, Montreal, Quebec, Canada; University of Montreal Hospital Research Center, Montreal, Quebec, Canada
| | - Tanya Mailhot
- Montreal Heart Institute Research Center, Montreal, Quebec, Canada; Department of Pharmacy and Health Systems Sciences, Bouvé College of Health Sciences, Northeastern University, United States of America
| | - Sonia Heppell
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada; Montreal Heart Institute, Montreal, Quebec, Canada
| | | | - José Côté
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada; University of Montreal Hospital Research Center, Montreal, Quebec, Canada
| | - Marie-Pierre Gagnon
- Faculty of Nursing, Laval University, Quebec, Quebec, Canada; CHU de Québec Research Center, Quebec, Quebec, Canada
| | - Véronique Dubé
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada
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13
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Giroux D, Tremblay M, Latulippe K, Provencher V, Poulin V, Giguere A, Dubé V, Sévigny A, Guay M, Ethier S, Carignan M. Promoting Identification and Use of Aid Resources by Caregivers of Seniors: Co-Design of an Electronic Health Tool. JMIR Aging 2019; 2:e12314. [PMID: 31518284 PMCID: PMC6744817 DOI: 10.2196/12314] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 04/25/2019] [Accepted: 05/28/2019] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND The importance of supporting caregivers is recognized in home care for older persons, and facilitating their help-seeking process is a way to meet that need. The use of electronic health (eHealth) is a potentially promising solution to facilitate caregivers' help-seeking process. OBJECTIVE The aim of this research was to develop, in partnership with community organizations, health and social service professionals and caregivers, an eHealth tool promoting the earlier identification of needs of older persons and an optimal use of available resources. METHODS To design the tool, 8 co-design sessions (CoDs) were conducted and 3 advisory committees were created (in 11 regions) in Quebec between May 2017 and May 2018. A variety of methods were used, including the sorting method, the use of personas, eHealth tool analysis, brainstorming, sketching, prototyping, and pretesting. RESULTS A total of 74 co-designers (women n=64 and men n=10) were recruited to participate in the CoDs or the advisory committees. This number allowed for the identification of needs to which the tool must respond and for the identification of its requirements (functionalities and content), as well as for the development of the information architecture. Throughout the study, adjustments were made to the planning of CoD, notably because certain steps required more sessions than expected. Among others, this was true for the identification of functionalities. CONCLUSIONS This study led to the development of an eHealth tool for caregivers of functionally dependent older persons to help them identify their needs and the resources available to meet them. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.2196/11634.
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Affiliation(s)
- Dominique Giroux
- Department of Rehabilitation, Université Laval, Québec, QC, Canada.,Center of Excellence on Aging Quebec, Québec, QC, Canada
| | - Mélanie Tremblay
- Department of Teaching and Learning Studies, Université Laval, Québec, QC, Canada
| | - Karine Latulippe
- Department of Teaching and Learning Studies, Université Laval, Québec, QC, Canada
| | - Véronique Provencher
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.,Center of Research on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Valérie Poulin
- Université du Québec in Trois-Rivières, Trois-Rivières, QC, Canada.,Interdisciplinary Center for Research in Rehabilitation and Social Integration, Université Laval, Québec, QC, Canada
| | - Anik Giguere
- Center of Excellence on Aging Quebec, Québec, QC, Canada.,Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada.,Research Centre of the University Hospital of Montreal, Montréal, QC, Canada
| | - Andrée Sévigny
- Center of Excellence on Aging Quebec, Québec, QC, Canada.,School of Social Work and Criminology, Université Laval, Québec, QC, Canada
| | - Manon Guay
- School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.,Center of Research on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Sophie Ethier
- Center of Excellence on Aging Quebec, Québec, QC, Canada.,School of Social Work and Criminology, Université Laval, Québec, QC, Canada
| | - Maude Carignan
- Center of Excellence on Aging Quebec, Québec, QC, Canada
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14
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Tremblay M, Latulippe K, Giguere AM, Provencher V, Poulin V, Dubé V, Guay M, Ethier S, Sévigny A, Carignan M, Giroux D. Requirements for an Electronic Health Tool to Support the Process of Help Seeking by Caregivers of Functionally Impaired Older Adults: Co-Design Approach. JMIR Aging 2019; 2:e12327. [PMID: 31518279 PMCID: PMC6715009 DOI: 10.2196/12327] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 03/28/2019] [Accepted: 04/22/2019] [Indexed: 01/27/2023] Open
Abstract
Background In Quebec, Canada, many public, community, and private organizations provide resources to caregivers of functionally impaired older adults. Nevertheless, these resources may be difficult for caregivers to find. A co-design study was conducted to address the gap between caregivers and access to resources. The purpose of this study was to support the process of help seeking by caregivers of functionally impaired older adults through electronic health (eHealth). Objective The purpose of this study was to focus on the identification of functional and content requirements for an eHealth tool to support the help-seeking process of caregivers of functionally impaired older adults. Methods This study uses a co-design process based on qualitative action research approach to develop an eHealth tool with health and social service professionals (HSSPs), community workers, and caregivers. The participants acted as co-designers in identifying requirements for the tool. A total of 4 design workshops and 1 advisory committee session were held in different locations in Quebec, Canada. Activities were videotaped and analyzed with a conceptual framework of user experience. Results A total of 11 caregivers, 16 community workers, and 11 HSSPs participated in identifying the requirements for the eHealth tool. Several functional and content requirements were identified for each user need (19). Content requirements differed depending on the category of participant, corresponding to the concept of user segmentation in the design of information and communication technology. Nevertheless, there were disagreements among co-designers about specific functionalities, which included (1) functionalities related to the social Web, (2) functionalities related to the evaluation of resources for caregivers, and (3) functionalities related to the emerging technologies. Several co-design sessions were required to resolve disagreements. Conclusions Co-designers (participants) were able to identify functional and content requirements for each of the previously identified needs; however, several discussions were required to achieve consensus. Decision making was influenced by identity, social context, and participants’ knowledge, and it is a challenge to reconcile the different perspectives. The findings stressed the importance of allowing more time to deal with the iterative aspect of the design activity, especially during the identification of requirements of an eHealth tool. International Registered Report Identifier (IRRID) RR2-10.2196/11634
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Affiliation(s)
- Mélanie Tremblay
- Department of Teaching and Learning Studies, Université Laval, Québec, QC, Canada
| | - Karine Latulippe
- Department of Teaching and Learning Studies, Université Laval, Québec, QC, Canada
| | - Anik Mc Giguere
- Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada.,Centre of Excellence on Aging Quebec, Québec, QC, Canada
| | - Véronique Provencher
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada.,Centre of Research on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Valérie Poulin
- Université du Québec in Trois-Rivières, Trois-Rivières, QC, Canada.,Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Québec, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada.,Research Centre of the University Hospital of Montreal, Montreal, QC, Canada
| | - Manon Guay
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada.,Centre of Research on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Sophie Ethier
- Centre of Excellence on Aging Quebec, Québec, QC, Canada.,School of Social Work and Criminology, Université Laval, Québec, QC, Canada
| | - Andrée Sévigny
- Centre of Excellence on Aging Quebec, Québec, QC, Canada.,School of Social Work and Criminology, Université Laval, Québec, QC, Canada
| | - Maude Carignan
- Centre of Excellence on Aging Quebec, Québec, QC, Canada
| | - Dominique Giroux
- Centre of Excellence on Aging Quebec, Québec, QC, Canada.,Department of Rehabilitation, Université Laval, Québec, QC, Canada
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15
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Latulippe K, Tremblay M, Poulin V, Provencher V, Giguere AM, Sévigny A, Dubé V, Éthier S, Guay M, Carignan M, Giroux D. Prioritizing the Needs of Caregivers of Older Adults to Support Their Help-Seeking Process as a First Step to Developing an eHealth Tool: The Technique for Research of Information by Animation of a Group of Experts (TRIAGE) Method. JMIR Aging 2019; 2:e12271. [PMID: 31518269 PMCID: PMC6716487 DOI: 10.2196/12271] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 04/02/2019] [Accepted: 04/22/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Caregivers of functionally dependent older persons sometimes seek formal services to support their relatives. However, this process of help-seeking is complex. OBJECTIVE The overall aim of the study was to use a co-design approach to develop an electronic health (eHealth) tool to support caregivers in their process of help-seeking. This study presents the first step of the design phase, which aimed to prioritize the user needs to be considered during the development of an eHealth tool. METHODS A total of 3 groups of caregivers, community workers, and health and social service professionals participated in either a co-design session (1 or 2) or an advisory committee in 2 rural areas and 1 urban area. The needs identified in the academic literature and during a previous study were sorted (Technique for Research of Information by Animation of a Group of Experts [TRIAGE] method) by the participants (referred to in this study as co-designers) to obtain a consensus on those to be prioritized. Needs identified, grouped, and removed were ranked and compared. RESULTS Of the initial list of 32 needs, 12 were modified or merged, 3 added, and 7 deleted as the co-designers felt that the needs were poorly formulated, redundant, irrelevant, or impossible to meet. In the end, 19 needs were identified for the design of the eHealth tool. CONCLUSIONS Many of the identified needs are informational (eg, having access to up-to-date information) and are probably met by existing tools. However, many others are emotional (eg, being encouraged to use the services) and offer an interesting challenge to eHealth tool development. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.2196/11634.
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Affiliation(s)
- Karine Latulippe
- Department of Teaching and Learning Studies, Laval University, Quebec, QC, Canada
| | - Mélanie Tremblay
- Department of Teaching and Learning Studies, Laval University, Quebec, QC, Canada
| | - Valérie Poulin
- Université du Québec in Trois-Rivières, Trois-Rivières, QC, Canada.,Interdisciplinary Center for Research in Rehabilitation and Social Integration, Quebec, QC, Canada
| | - Véronique Provencher
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada.,Research Centre on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Anik Mc Giguere
- Department of Family Medicine and Emergency Medicine, Laval University, Quebec, QC, Canada.,Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Andrée Sévigny
- Center of Excellence on Aging Quebec, Quebec, QC, Canada.,School of Social Work and Criminology, Laval University, Quebec, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada.,Research Center of the University Hospital of Montreal, Montreal, QC, Canada
| | - Sophie Éthier
- Center of Excellence on Aging Quebec, Quebec, QC, Canada.,School of Social Work and Criminology, Laval University, Quebec, QC, Canada
| | - Manon Guay
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada.,Research Centre on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Maude Carignan
- Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Dominique Giroux
- Center of Excellence on Aging Quebec, Quebec, QC, Canada.,Department of Rehabilitation, Laval University, Quebec, QC, Canada
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16
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Latulippe K, Guay M, Éthier S, Sévigny A, Dubé V, Provencher V, Poulin V, Giguere AM, Tremblay M, Carignan M, Giroux D. Supporting the Process of Help-Seeking by Caregivers of Functionally Dependent Older Persons Through Electronic Health: Protocol for a Multicenter Co-Design. JMIR Res Protoc 2019; 8:e11634. [PMID: 31025956 PMCID: PMC6658263 DOI: 10.2196/11634] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 11/14/2018] [Accepted: 01/23/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND It is often only when the initial signs of exhaustion appear that caregivers first may engage in help-seeking behavior, but it is difficult for them to know which is the most appropriate formal service in their situation. Electronic health (eHealth) can support caregivers in keeping the older person they are caring for at home, but few eHealth tools designed for supporting the process of help-seeking by caregivers of functionally impaired older persons have been developed using a co-design approach. OBJECTIVE This paper aims to describe the protocol of a project that tries to assist caregivers to target their needs and those of the older person they support early in their help-seeking process, and guide them effectively to the formal service most appropriate for their situation. This project aims to answer the following questions: (1) What type of tool can better support caregivers to identify their needs and those of the older person they are caring for and then refer them to an appropriate formal service? and (2) What information should be found in such a tool? METHODS This study presents a description of the process of an ongoing multicenter research project based on a co-design approach, which includes 3 phases (1) identification of caregivers' needs in terms of tools to support their help-seeking behavior, (2) development of a tool, and (3) evaluation of its usability. RESULTS The project began in January 2016 with the ethics application for the 3 phases of the project. For phase 1, recruitment began in December 2016 and ended in September 2017. Phase 2 began in the spring of 2017 and ended in June 2018. All the co-design sessions have been completed. Phase 3 of the project will begin in September 2018. CONCLUSIONS Although there are some challenges associated with this type of methodology, the methodology still remains relevant, as it involves future users in the development of a tool, which increases the chances that the tool will meet the users' needs. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/11634.
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Affiliation(s)
- Karine Latulippe
- Department of Teaching and Learning Studies, Laval University, Quebec, QC, Canada
| | - Manon Guay
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada.,Research Centre on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie-Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Sophie Éthier
- School of Social Work and Criminology, Laval University, Quebec, QC, Canada.,Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Andrée Sévigny
- School of Social Work and Criminology, Laval University, Quebec, QC, Canada.,Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Véronique Dubé
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada.,Research Center, University Hospital Center of Montreal, Montreal, QC, Canada
| | - Véronique Provencher
- School of Rehabilitation, University of Sherbrooke, Sherbrooke, QC, Canada.,Research Centre on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie-Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Valérie Poulin
- Université du Québec in Trois-Rivières, Trois-Rivières, QC, Canada.,Interdisciplinary Center for Research in Rehabilitation and Social Integration, Quebec, QC, Canada
| | - Anick Mc Giguere
- Center of Excellence on Aging Quebec, Quebec, QC, Canada.,Department of Family Medicine and Emergency Medicine, Laval University, Quebec, QC, Canada
| | - Mélanie Tremblay
- Department of Teaching and Learning Studies, Laval University, Quebec, QC, Canada
| | - Maude Carignan
- Center of Excellence on Aging Quebec, Quebec, QC, Canada
| | - Dominique Giroux
- Center of Excellence on Aging Quebec, Quebec, QC, Canada.,Department of Rehabilitation, Laval University, Quebec, QC, Canada
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Provencher V, D’Amours M, Viscogliosi C, Guay M, Giroux D, Dubé V, Delli-Colli N, Corriveau H, Egan M. Risks Perceived by Frail Male Patients, Family Caregivers and Clinicians in Hospital: Do they Change after Discharge? A Multiple Case Study. Int J Integr Care 2019; 19:4. [PMID: 30804726 PMCID: PMC6384319 DOI: 10.5334/ijic.4166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Accepted: 02/06/2019] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION Up to 40% of hospitalised seniors are frail and most want to return home after discharge. Inaccurate estimation of risks in the hospital may lead to inadequate support at home. This study aimed to document convergences and divergences between risks and support needs identified before hospital discharge and perceived at home post-discharge. METHODS This research used a multiple case study design. Three cases were recruited, each involving a hospitalised frail patient aged 70+, the main family caregiver and most of the clinicians who assessed the patient before and after hospital discharge. Thirty-two semi-structured interviews were conducted and their transcripts analysed using a qualitative thematic analysis approach. RESULTS Among risks raised by participants, falls were the only one with total inter-participant/inter-time/inter-case convergence. In all cases, all participants mentioned, before and after discharge, home adaptations and use of technical aids to mitigate this risk. However, clinicians recommended professional services while patients and family caregivers preferred to rely on family members and their own coping strategies. CONCLUSION The divergences identified for most risks and support needs between users and clinicians, before and after discharge, provide new insights into a comprehensive and patient-centred risk assessment process to plan hospital discharge for frail elderly.
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Affiliation(s)
- Véronique Provencher
- School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging, Québec, CA
| | | | - Chantal Viscogliosi
- School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging, Québec, CA
| | - Manon Guay
- School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging, Québec, CA
| | - Dominique Giroux
- Department of Rehabilitation, Faculty of Medicine, Université Laval and Centre of Excellence on Aging, Québec, CA
| | - Véronique Dubé
- Research Centre, Centre hospitalier de l’Université de Montréal (CRCHUM), Québec, CA
| | - Nathalie Delli-Colli
- School of Social Work, Faculty of Arts, Humanities and Social Sciences, Université de Sherbrooke and Research Centre on Aging, Québec, CA
| | - Hélène Corriveau
- School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Centre on Aging, Québec, CA
| | - Mary Egan
- School of Rehabilitation, Faculty of Health Sciences, University of Ottawa, Ontario, CA
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18
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Maheu-Cadotte MA, Cossette S, Dubé V, Fontaine G, Mailhot T, Lavoie P, Cournoyer A, Balli F, Mathieu-Dupuis G. Effectiveness of serious games and impact of design elements on engagement and educational outcomes in healthcare professionals and students: a systematic review and meta-analysis protocol. BMJ Open 2018; 8:e019871. [PMID: 29549206 PMCID: PMC5857654 DOI: 10.1136/bmjopen-2017-019871] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
INTRODUCTION Serious games (SGs) are interactive and entertaining digital software with an educational purpose. They engage the learner by proposing challenges and through various design elements (DEs; eg, points, difficulty adaptation, story). Recent reviews suggest the effectiveness of SGs in healthcare professionals' and students' education is mixed. This could be explained by the variability in their DEs, which has been shown to be highly variable across studies. The aim of this systematic review is to identify, appraise and synthesise the best available evidence regarding the effectiveness of SGs and the impact of DEs on engagement and educational outcomes of healthcare professionals and students. METHODS AND ANALYSIS A systematic search of the literature will be conducted using a combination of medical subject headings terms and keywords in Cumulative Index of Nursing and Allied Health, Embase, Education Resources Information Center, PsycInFO, PubMed and Web of Science. Studies assessing SGs on engagement and educational outcomes will be included. Two independent reviewers will conduct the screening as well as the data extraction process. The risk of bias of included studies will also be assessed by two reviewers using the Effective Practice and Organisation of Care criteria. Data regarding DEs in SGs will first be synthesised qualitatively. A meta-analysis will then be performed, if the data allow it. Finally, the quality of the evidence regarding the effectiveness of SGs on each outcome will be assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. ETHICS AND DISSEMINATION As this systematic review only uses already collected data, no Institutional Review Board approval is required. Its results will be submitted in a peer-reviewed journal by the end of 2018. PROSPERO REGISTRATION NUMBER CRD42017077424.
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Affiliation(s)
- Marc-André Maheu-Cadotte
- Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada
- Montreal Heart Institute Research Center, Montreal, Canada
- Centre de recherche du Centre hospitalier de l'Université de Montréal, Montreal, Canada
| | - Sylvie Cossette
- Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada
| | - Véronique Dubé
- Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada
- Montreal Heart Institute Research Center, Montreal, Canada
| | - Guillaume Fontaine
- Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada
- Montreal Heart Institute Research Center, Montreal, Canada
| | - Tanya Mailhot
- Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada
- Department of Anesthesiology, Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Patrick Lavoie
- William F Connell School of Nursing, Boston College, Boston, Massachusetts, USA
| | - Alexis Cournoyer
- Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada
- Resident in Medicine, Clinician-Scientist Program, Université de Montreal, Montréal, Montreal, Canada
- Hôpital du Sacré-Cœur de Montréal, Montreal, Canada
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Fraser V, Cossette S, Mailhot T, Brisebois A, Dubé V. Evaluation of an Intervention With Nurses for Delirium Detection After Cardiac Surgery. Worldviews Evid Based Nurs 2017; 15:38-44. [DOI: 10.1111/wvn.12266] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2017] [Indexed: 11/25/2022]
Affiliation(s)
- Vanessa Fraser
- Faculty of Nursing, Université de Montréal; Montreal Heart Institute Research Centre; Montreal, Quebec Canada
| | - Sylvie Cossette
- Professor, Faculty of Nursing, Université de Montréal, and Researcher, Montreal Heart Institute Research Centre; Montreal, Quebec Canada
| | - Tanya Mailhot
- Faculty of Nursing, Université de Montréal; Montreal Heart Institute Research Centre; Montreal Quebec Canada
| | - Anie Brisebois
- Clinical Nurse Specialist; Montreal Heart Institute; Montreal Quebec Canada
| | - Véronique Dubé
- Assistant Professor, Faculty of Nursing, Université de Montréal, and Researcher; CHUM Research Centre; Montreal Quebec Canada
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21
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Dubois S, Larue C, Dubé V, Bérubé M, Gélinas C. [Project evaluation of nursing interventions: an algorithm to support the practice of clinicians]. Rech Soins Infirm 2013:88-93. [PMID: 23671989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
It is recognized that nurses regularly have to adapt their clinical practice compared to new scientific breakthroughs. However, changes in practice are possible by the implementation of clinical projects but can sometimes be long and difficult to achieve in health care settings, given the context of care or the profile of the clientele, the care organization, work organization, etc. An algorithmic approach (i.e., sequence of actions) to support nurses in the evaluation of new nursing intervention projects, including other members of the interdisciplinary team, researchers, and patients and their relatives, has been developed. This algorithm considers the clinical environment in which the project will operationalize nursing interventions and involves five steps: 1) identification and description of a care problem to solve or a care practice to improve; 2) the development or adaptation of appropriate nursing intervention, and 3) the choice of evaluation design for this nursing intervention, and 4) testing of the intervention and 5) implementation and reflection on the process.
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Affiliation(s)
- Sylvie Dubois
- Centre hospitalier de l'Université de Montréal (CHUM), Faculté des sciences infirmières, Université de Montréal, Montréal, Canada.
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Dubois S, Larue C, Dubé V, Bérubé M, Gélinas C. Évaluation de projets d'interventions infirmières : un algorithme pour soutenir la pratique des cliniciennes. Rech Soins Infirm 2013. [DOI: 10.3917/rsi.112.0088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Dubé V, Chun K, Osborne R, Sherman C, Nofech-Mozes S, Ismiil N, Saad R, Khalifa M. Androgenetic complete mole with trisomy 13: Report of a case with microsatellite genotyping and review of the literature. Pathol Res Pract 2010; 206:776-81. [DOI: 10.1016/j.prp.2010.02.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2009] [Revised: 02/08/2010] [Accepted: 02/25/2010] [Indexed: 11/28/2022]
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24
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Gortzak-Uzan L, Jimenez W, Nofech-Mozes S, Ismiil N, Khalifa M, Dubé V, Rosen B, Murphy J, Laframboise S, Covens A. Sentinel lymph node biopsy vs. pelvic lymphadenectomy in early stage cervical cancer: Is it time to change the gold standard? Gynecol Oncol 2010; 116:28-32. [DOI: 10.1016/j.ygyno.2009.10.049] [Citation(s) in RCA: 100] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2009] [Revised: 10/03/2009] [Accepted: 10/08/2009] [Indexed: 11/30/2022]
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Ismiil N, Ghorab Z, Covens A, Nofech-Mozes S, Saad R, Dubé V, Khalifa M. Intraoperative margin assessment of the radical trachelectomy specimen. Gynecol Oncol 2009; 113:42-6. [DOI: 10.1016/j.ygyno.2008.12.025] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2008] [Revised: 12/10/2008] [Accepted: 12/11/2008] [Indexed: 11/28/2022]
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Dubé V, Têtu B. Analyse clinico-pathologique de 21 cas de carcinomes ovariens transitionnels. Ann Pathol 2005. [DOI: 10.1016/s0242-6498(05)86191-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Dubé V, Têtu B. Tumeurs ovariennes mucineuses de type endocervical (müllérien) : analyse clinico-pathologique de 17 cas. Ann Pathol 2004. [DOI: 10.1016/s0242-6498(04)93914-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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