CFN Funded ProjectsProducts
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Category |
Date |
Authors |
| Factors influencing the housing decision of frail oder adults : a systematic reviewRoy N, Dubé R, Légaré F, Després C. Factors influencing the housing decision of frail oder adults : a systematic review. International association people-environment studies (IAPS) Annual conference. June 2016, Lund/Alnarp, Sweden. (oral presentation)Core2013-56, IFP2016-28 Laval University | Specialized Publication | 2016-09-28 | | | Factors influencing the housing decision of frail oder adults : a systematic reviewRoy N, Dubé R, Légaré F, Després C. Factors influencing the housing decision of frail oder adults : a systematic review. International association people-environment studies (IAPS) Annual conference. June 2016, Lund/Alnarp, Sweden. (oral presentation)Core2013-56, IFP2016-28 Laval University | Specialized Publication | 2016-09-28 | | | Factors influencing the housing decision of frail oder adults : a systematic reviewRoy N, Dubé R, Légaré F, Després C. Factors influencing the housing decision of frail oder adults : a systematic review. International association people-environment studies (IAPS) Annual conference. June 2016, Lund/Alnarp, Sweden. (oral presentation)Core2013-56, IFP2016-28 Laval University | Specialized Publication | 2016-09-28 | | | The evolution of an interprofessional shared decision-making research program: reflective case study of an emerging paradigmHealthcare research increasingly focuses on interprofessional collaboration and on shared decision making, but knowledge gaps remain about effective strategies for implementing interprofessional collaboration and shared decision-making together in clinical practice. We used Kuhn’s theory of scientific revolutions to reflect on how an integrated interprofessional shared decision-making approach was developed and implemented over time.
In 2007, an interdisciplinary team initiated a new research program to promote the implementation of an interprofessional shared decision-making approach in clinical settings. For this reflective case study, two new team members analyzed the team’s four projects, six research publications, one unpublished and two published protocols and organized them into recognizable phases according to Kuhn’s theory.
The merging of two young disciplines led to challenges characteristic of emerging paradigms. Implementation of interprofessional shared-decision making was hindered by a lack of conceptual clarity, a dearth of theories and models, little methodological guidance, and insufficient evaluation instruments. The team developed a new model, identified new tools, and engaged knowledge users in a theory-based approach to implementation. However, several unresolved challenges remain.
This reflective case study sheds light on the evolution of interdisciplinary team science. It offers new approaches to implementing emerging knowledge in the clinical context.Core2013-56 Laval University, University of Ottawa | Publication | 2016-09-28 | | | In for a penny, in for a pound: the effect of pre-engaging healthcare organizations on their subsequent participation in trialsParticipant recruitment in clinical trials is often challenging. Building partnerships with healthcare organizations during proposal development facilitates access to the community and may influence its subsequent organization participation and participant recruitment. We aimed to assess how pre-engaging directors of homecare organizations influenced organization participation in a subsequent trial.
Repeated cross-sectional study prior to a cluster randomized controlled trial involving 33 eligible Health and Social Services Centres (HSSCs). During proposal development, we asked eligible HSSC directors in a randomized order about their willingness to participate in our trial, if funded. In the pre-engagement phase, 23 directors were contacted until we met sample size requirements (n ≥ 16); 19 of whom wrote letters of intent. Once funded, we contacted all 33 eligible HSSC directors in a randomized order to enroll them. Of the 19 directors who provided letters of intent, 15 agreed to participate (79 %); of the four who did not provide letters, one agreed to participate (25 %); and of the ten who had not been approached in the pre-engagement phase, two agreed to participate (20 %). Fisher exact tests indicated that providing letters of intent was associated with subsequent participation (p = 0.003).
Given that significantly more HSSCs directors who signed letters of intent followed through with study participation, pre-engagement with trial sites during proposal development appears to improve recruitment.
Core2013-56 University of Ottawa, Laval University | Publication | 2016-09-28 | | | A Synthesis Of Knowledge About Caregiver Decision Making Finds Gaps In Support For Those Who Care For Aging Loved OnesWe conducted a mixed-methods knowledge synthesis to assess the effectiveness of interventions to improve caregivers’ involvement in decision making with seniors, and to describe caregivers’ experiences of decision making in the absence of interventions. We analyzed forty-nine qualitative, fourteen quantitative, and three mixed-methods studies. The qualitative studies indicated that caregivers had unmet needs for information, discussions of values and needs, and decision support, which led to negative sentiments after decision making. Our results indicate that there have been insufficient quantitative evaluations of interventions to involve caregivers in decision making with seniors and that the evaluations that do exist found few clinically significant effects. Elements of usual care that received positive evaluations were the availability of a decision coach and a supportive decision-making environment. Additional rigorously evaluated interventions are needed to help caregivers be more involved in decision making with seniors.Core2013-56 Laval University | Publication | 2016-09-28 | Mirjam Garvelink, "Patrice Ngangue ", "Rhéda Adekpedjou ", "NDeye Diouf ", "Larissa Goh ", "Louisa Blair ", France Légaré | | Results of a mixed-methods knowledge synthesis on caregiver experiences of involvement in decision-making with seniors: unmet needs and supportsGarvelink, MM, Ngangue P, Adekpedjou R, Thiab Diouf N, Goh L, Blair L, Légaré F. Results of a mixed-methods knowledge synthesis on caregiver experiences of involvement in decision-making with seniors: unmet needs and supports. Journée de la recherche et de l'érudition au DMFMU. May 2016, Quebec, Quebec. (poster presentation)Core2013-56 Laval University | Specialized Publication | 2016-09-28 | Mirjam Garvelink, "Patrice Ngangue ", "Rhéda Adekpedjou ", "NDeye Diouf ", "Larissa Goh ", "Louisa Blair ", France Légaré | | La prise de décision des aînés et des proches-aidants concernant la localisation des soins des aînés: une étude transversaleAdekpedjou R, Stacey D, Brière N, Freitas A, Garvelink M, Turcotte S, Légaré F. La prise de décision des aînés et des proches-aidants concernant la localisation des soins des aînés: une étude transversale. Journée de la recherche et de l'érudition au DMFMU. May 2016, Quebec, Quebec. (poster presentation)Core2013-56 University of Ottawa, Laval University | Specialized Publication | 2016-09-28 | "Rhéda Adekpedjou ", Dawn Stacey, Nathalie Briere, "Adriana Freitas ", Mirjam Garvelink, "Stéphane Turcotte ", France Légaré | | Results of a mixed-methods knowledge synthesis on caregiver experiences of involvement in decision-making with seniors: unmet needs and supportsGarvelink, MM, Ngangue P, Adekpedjou R, Thiab Diouf N, Goh L, Blair L, Légaré F. Results of a mixed-methods knowledge synthesis on caregiver experiences of involvement in decision-making with seniors: unmet needs and supports. Journée de la recherche et de l'érudition au DMFMU. May 2016, Quebec, Quebec. (poster presentation)Core2013-56 Laval University | Specialized Publication | 2016-09-28 | Mirjam Garvelink, "Patrice Ngangue ", "Rhéda Adekpedjou ", "NDeye Diouf ", "Larissa Goh ", "Louisa Blair ", France Légaré | | Decision-making about location of care among the seniors and their caregivers: a cross-sectional surveyAdekpedjou R, Stacey D, Brière N, Freitas A, Garvelink M, Turcotte S, Légaré F. Decision-making about location of care among the seniors and their caregivers: a cross-sectional survey. Knowledge Translation (KT) Canada Annual Scientific Meeting. June 2016, Toronto, Ontario. (poster presentation)Core2013-56 University of Ottawa, Laval University | Specialized Publication | 2016-09-28 | "Rhéda Adekpedjou ", Dawn Stacey, Nathalie Briere, "Adriana Freitas ", Mirjam Garvelink, "Stéphane Turcotte ", France Légaré | | Development of a decision guide to support elderly in decision making about location of care : An iterative, user-centered designFor the elderly to get the care and services they need, they may need to make the
difficult decision about staying in their home or moving to another home. Many
other people may be involved in their care too (friends, family and healthcare
providers), and can support them in making the decision. We asked informal
caregivers of elderly people to help us develop a decision guide to support them
and their loved ones in making this decision. This guide will be used by health
providers in home care who are trained to help people make decisions. The guide is
in French and English. To design and test this decision guide we involved elderly
people, their caregivers and health administrators. We first asked them what they
needed for making the decision, and then designed a first version of the guide. Then
we asked them to look at it and give feedback, which was used to make the final
version. We then used scientific criteria to check its content and the language used.
The final decision guide was acceptable to the caregivers, their elderly loved ones,
and the health administrators. The guide is currently being evaluated in a large
research project with home care teams in the province of Quebec.Core2013-56 University of Ottawa, Laval University | Publication | 2016-09-28 | Mirjam Garvelink, Julie Emond, Matthew Menear, Nathalie Briere, "Adriana Freitas ", Laura Boland, Maria-Margarita Becerra Perez, "Louisa Blair ", Dawn Stacey, France Légaré | | Assessing the Quality of Care Provided to Older Persons with Frailty in Five Canadian Provinces, Using Administrative DataEnvironmental-Scan Dalhousie University, Laval University | Publication | 2019-07-01 | Cynthia Kendell, Beverley Lawson, Joseph H Puyat, Robin Urquhart, Arminé e Kazanjian, Grace Johnston, Sharon E Straus, Pierre Durand, Lucille Juneau, Alexis F Turgeon, France Légaré, Michele Aubin, Louis Rochette, Anik Giguère |
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