Marie-Claude Jacques | Université de Sherbrooke (University of Sherbrooke) (original) (raw)
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Papers by Marie-Claude Jacques
Pédagogie Médicale
Problématique : Le sentiment d’efficacité du psychothérapeute (SE-PSY) de Larson et Daniels est u... more Problématique : Le sentiment d’efficacité du psychothérapeute (SE-PSY) de Larson et Daniels est un concept dérivé du sentiment d’efficacité personnelle de Bandura, largement appliqué pour l’apprentissage de la psychothérapie chez les psychologues. À notre connaissance, aucune étude ne s’est adressée au SE-PSY chez les résidents de psychiatrie, qui ont la particularité d’être d’abord médecins plutôt que psychothérapeutes. Objectif : L’objectif principal de notre étude était de décrire les composantes du SE-PSY chez les résidents de psychiatrie, lors des premières expériences de psychothérapie. Méthodes : Cette étude a utilisé un devis qualitatif descriptif. Les participants étaient interrogés sur leur expérience de l’apprentissage de la psychothérapie et sur le SE-PSY. L’analyse des données a été effectuée en utilisant l’approche de la théorisation ancrée. Résultats : Les neuf participants étaient âgés entre 25 et 31 ans et avaient une expérience de deux à sept suivis de psychothérap...
BMC Public Health
Background: Vaccination has a huge public health impact. Maintaining vaccine coverage is key to a... more Background: Vaccination has a huge public health impact. Maintaining vaccine coverage is key to avoid the devastating consequences of resurgence. In the Province of Québec, vaccine coverage in young children are suboptimal, mostly due to ambivalence toward vaccine safety and efficacy. We previously conducted a regional study in the Québec's Eastern Townships region, the PromoVac Study, to test a new educational intervention, based on motivational interviewing techniques, aimed at promoting infant vaccination. This first study evidenced that the intervention led to a marked increase in mothers' intention to vaccinate, and vaccine coverage in their infants. The current study protocol aims at scaling up these results at a provincial level using a randomized controlled trial design. Methods: This pragmatic, randomized, controlled, parallel-group clinical trial will compare the effectiveness of the motivational interviewing to an educational intervention, including the distribution of an information flyer as standard of care on vaccination coverage in four maternity wards across the Province of Québec (PromovaQ). Adult mothers of children born in participating maternity wards were recruited between March 2014 and February 2015. Vaccination coverage will be assessed at 3-years of age, thus the trial is expected to be completed in March 2019. Statistical analyses will be conducted under the intention-to-treat principle. Vaccine coverage will be analyzed using Chi-squared distribution testing and logistic regression to identify determinant factors. Secondary outcomes will include vaccine hesitation and intention scores, mother's knowledge, attitudes and beliefs about immunization, and psychosocial determinants of intention to vaccinate. Discussion: In the case results of this Provincial RCT be confirmed, serious consideration should then be given by Ministry of Health authorities to the possible implementation of MI-based strategies across provincial maternity wards. To ensure adequate input and secure implementation, study design and results will be reviewed with relevant stakeholders, including the children's families, and provincial and regional decision-makers. Results will be adapted and shared with all stakeholders.
Eurosurveillance
Background Many countries are grappling with growing numbers of parents who delay or refuse recom... more Background Many countries are grappling with growing numbers of parents who delay or refuse recommended vaccinations for their children. This has created a need for strategies to address vaccine hesitancy (VH) and better support parental decision-making regarding vaccination. Aim To assess vaccination intention (VI) and VH among parents who received an individual motivational-interview (MI) based intervention on infant immunisation during post-partum stay at a maternity ward between March 2014 and February 2015. Methods This non-controlled pre-/post-intervention study was conducted using the results from parents enrolled in the intervention arm of the PromoVaQ randomised control trial (RCT), which was conducted in four maternity wards across the Province of Quebec. Participants (n = 1,223) completed pre- and post-intervention questionnaires on VI and VH using Opel’s score. Pre-/post-intervention measures were compared using McNemar’s test for categorical variables and Wilcoxon signe...
Journal of Psychiatric and Mental Health Nursing
Human vaccines & immunotherapeutics, Jan 10, 2018
Vaccine hesitancy (VH) is a growing problem. The first step in addressing VH is to have an unders... more Vaccine hesitancy (VH) is a growing problem. The first step in addressing VH is to have an understanding of who are the hesitant individuals and what are their specific concerns. The aim of this survey was to assess mothers' level of vaccine hesitancy and vaccination knowledge, attitudes, and beliefs. Mothers of newly-born infants in four maternity wards in Quebec (Canada) completed a self-administered questionnaire. The questionnaire included items to assess VH and intention to vaccinate. VH scores were calculated using the Parents Attitudes about Childhood Vaccines (PACV) survey. Multivariate logistic regression was performed to determine variables associated with intention to vaccinate (OR; 95% CI). Overall, 2645 questionnaires were included in this analysis and 77.5% of respondents certainly intended to vaccinate their infant at 2 months of age. Based on the PACV 100-point scale, 56.4% of mothers had a 0 to ˂30 score (low level of VH); 28.6% had a 30 to ˂50 and 15.0% had a s...
Recherche en soins infirmiers, 2016
Santé mentale au Québec, 2014
Purpose. This paper aims to summarize the current situation regarding the role of families of per... more Purpose. This paper aims to summarize the current situation regarding the role of families of persons with mental disorders within the mental health system in Quebec.Methods. We made a research in the most recent and pertinent papers or books regarding: 1) the history of the family involvement in the mental health system in Quebec; 2) the present situation of these families and the models that we can see and 3) identify in recent governmental or research documents recommendations regarding a greater empowerment of the families in the mental health system.Results. The research provides a historical perspective to the roles occupied by families. First the family was described as a causal agent; the work of the psychoanalyst Freud described the family unit as a source of conflicts in the areas of affect and sexual dynamics, and which results in the appearance of psychiatric symptoms. Later, this view of a causal agent came both from the point of view of genetic and from expressed emoti...
Approches inductives: Travail intellectuel et construction des connaissances, 2015
Cet article propose une réponse aux difficultés reliées à la recherche sur l’adaptation des perso... more Cet article propose une réponse aux difficultés reliées à la recherche sur l’adaptation des personnes atteintes de schizophrénie et dont le soutien social est limité ou inexistant. En effet, la recherche actuelle à ce sujet semble plafonner et les résultats générés par les méthodes traditionnelles ont un impact limité sur la pratique. De plus, les approches utilisées ne réussissent pas à saisir le processus d’adaptation dans son ensemble et ne rendent pas justice à la réalité des personnes concernées. Pour répondre à ces difficultés, il sera démontré que la méthodologie de la théorisation enracinée d’orientation constructiviste offre un cadre prometteur pour l’étude de l’adaptation des personnes vivant avec la schizophrénie. De même, les avantages qui pourraient être tirés de l’utilisation de cette méthodologie sont présentés. Pour conclure, les retombées éventuelles d’une telle recherche sont abordées.
Santé mentale au Québec, 2014
Cet article vise à résumer l’état des lieux quant au rôle des familles de personnes atteintes de ... more Cet article vise à résumer l’état des lieux quant au rôle des familles de personnes atteintes de troubles mentaux au sein du système de santé mentale au Québec. À cet effet, un rappel historique permet de mettre en perspective les différents rôles occupés par les familles, d’agent causal, tant au point de vue de la générique que des émotions exprimées, à prestataire de soins qui peut vivre du fardeau et finalement partenaire. Un modèle élaboré par la FFAPAMM et qui identifie trois rôles principaux permet de contextualiser le rôle actuel dans le système. Ce modèle, intitulé CAP, regroupe et décrit trois rôles des familles qui, s’ils sont tributaires du passé, continuent de se côtoyer à notre époque : celui de client, d’accompagnateur et finalement de partenaire. Des recommandations provenant d’un projet de recherche québécois et d’un rapport de la Commission de santé mentale du Canada permettront d’envisager un avenir où les besoins et les aspirations des familles seront pris en compte.
Recherche en soins infirmiers, Oct 27, 2016
Self-disclosure of patients with schizophrenia is crucial for the establishment of the therapeuti... more Self-disclosure of patients with schizophrenia is crucial for the establishment of the therapeutic relationship and to provide safe and quality care. However, it is reasonable to think that these patients do not fully reveal. But if the disclosure is bound to need help and has the potential to reduce stigma, it also exposes the person to negative consequences. The purpose of this study is to study aims to describe how people living with schizophrenia disclose themselves. These are results from a larger research that used grounded theory. Measures of perceived social support, in behavior and symptoms, and psychiatric comorbidities were also collected. The results describe the unveiling of the modulation process, consisting of four subcategories : be invited to speak authentically, have the ability to disclose, expect to actually be helped and fear of stigma. The results highlight the features of the self-disclosure of people with schizophrenia. Health professionals should pay attenti...
Pédagogie Médicale
Problématique : Le sentiment d’efficacité du psychothérapeute (SE-PSY) de Larson et Daniels est u... more Problématique : Le sentiment d’efficacité du psychothérapeute (SE-PSY) de Larson et Daniels est un concept dérivé du sentiment d’efficacité personnelle de Bandura, largement appliqué pour l’apprentissage de la psychothérapie chez les psychologues. À notre connaissance, aucune étude ne s’est adressée au SE-PSY chez les résidents de psychiatrie, qui ont la particularité d’être d’abord médecins plutôt que psychothérapeutes. Objectif : L’objectif principal de notre étude était de décrire les composantes du SE-PSY chez les résidents de psychiatrie, lors des premières expériences de psychothérapie. Méthodes : Cette étude a utilisé un devis qualitatif descriptif. Les participants étaient interrogés sur leur expérience de l’apprentissage de la psychothérapie et sur le SE-PSY. L’analyse des données a été effectuée en utilisant l’approche de la théorisation ancrée. Résultats : Les neuf participants étaient âgés entre 25 et 31 ans et avaient une expérience de deux à sept suivis de psychothérap...
BMC Public Health
Background: Vaccination has a huge public health impact. Maintaining vaccine coverage is key to a... more Background: Vaccination has a huge public health impact. Maintaining vaccine coverage is key to avoid the devastating consequences of resurgence. In the Province of Québec, vaccine coverage in young children are suboptimal, mostly due to ambivalence toward vaccine safety and efficacy. We previously conducted a regional study in the Québec's Eastern Townships region, the PromoVac Study, to test a new educational intervention, based on motivational interviewing techniques, aimed at promoting infant vaccination. This first study evidenced that the intervention led to a marked increase in mothers' intention to vaccinate, and vaccine coverage in their infants. The current study protocol aims at scaling up these results at a provincial level using a randomized controlled trial design. Methods: This pragmatic, randomized, controlled, parallel-group clinical trial will compare the effectiveness of the motivational interviewing to an educational intervention, including the distribution of an information flyer as standard of care on vaccination coverage in four maternity wards across the Province of Québec (PromovaQ). Adult mothers of children born in participating maternity wards were recruited between March 2014 and February 2015. Vaccination coverage will be assessed at 3-years of age, thus the trial is expected to be completed in March 2019. Statistical analyses will be conducted under the intention-to-treat principle. Vaccine coverage will be analyzed using Chi-squared distribution testing and logistic regression to identify determinant factors. Secondary outcomes will include vaccine hesitation and intention scores, mother's knowledge, attitudes and beliefs about immunization, and psychosocial determinants of intention to vaccinate. Discussion: In the case results of this Provincial RCT be confirmed, serious consideration should then be given by Ministry of Health authorities to the possible implementation of MI-based strategies across provincial maternity wards. To ensure adequate input and secure implementation, study design and results will be reviewed with relevant stakeholders, including the children's families, and provincial and regional decision-makers. Results will be adapted and shared with all stakeholders.
Eurosurveillance
Background Many countries are grappling with growing numbers of parents who delay or refuse recom... more Background Many countries are grappling with growing numbers of parents who delay or refuse recommended vaccinations for their children. This has created a need for strategies to address vaccine hesitancy (VH) and better support parental decision-making regarding vaccination. Aim To assess vaccination intention (VI) and VH among parents who received an individual motivational-interview (MI) based intervention on infant immunisation during post-partum stay at a maternity ward between March 2014 and February 2015. Methods This non-controlled pre-/post-intervention study was conducted using the results from parents enrolled in the intervention arm of the PromoVaQ randomised control trial (RCT), which was conducted in four maternity wards across the Province of Quebec. Participants (n = 1,223) completed pre- and post-intervention questionnaires on VI and VH using Opel’s score. Pre-/post-intervention measures were compared using McNemar’s test for categorical variables and Wilcoxon signe...
Journal of Psychiatric and Mental Health Nursing
Human vaccines & immunotherapeutics, Jan 10, 2018
Vaccine hesitancy (VH) is a growing problem. The first step in addressing VH is to have an unders... more Vaccine hesitancy (VH) is a growing problem. The first step in addressing VH is to have an understanding of who are the hesitant individuals and what are their specific concerns. The aim of this survey was to assess mothers' level of vaccine hesitancy and vaccination knowledge, attitudes, and beliefs. Mothers of newly-born infants in four maternity wards in Quebec (Canada) completed a self-administered questionnaire. The questionnaire included items to assess VH and intention to vaccinate. VH scores were calculated using the Parents Attitudes about Childhood Vaccines (PACV) survey. Multivariate logistic regression was performed to determine variables associated with intention to vaccinate (OR; 95% CI). Overall, 2645 questionnaires were included in this analysis and 77.5% of respondents certainly intended to vaccinate their infant at 2 months of age. Based on the PACV 100-point scale, 56.4% of mothers had a 0 to ˂30 score (low level of VH); 28.6% had a 30 to ˂50 and 15.0% had a s...
Recherche en soins infirmiers, 2016
Santé mentale au Québec, 2014
Purpose. This paper aims to summarize the current situation regarding the role of families of per... more Purpose. This paper aims to summarize the current situation regarding the role of families of persons with mental disorders within the mental health system in Quebec.Methods. We made a research in the most recent and pertinent papers or books regarding: 1) the history of the family involvement in the mental health system in Quebec; 2) the present situation of these families and the models that we can see and 3) identify in recent governmental or research documents recommendations regarding a greater empowerment of the families in the mental health system.Results. The research provides a historical perspective to the roles occupied by families. First the family was described as a causal agent; the work of the psychoanalyst Freud described the family unit as a source of conflicts in the areas of affect and sexual dynamics, and which results in the appearance of psychiatric symptoms. Later, this view of a causal agent came both from the point of view of genetic and from expressed emoti...
Approches inductives: Travail intellectuel et construction des connaissances, 2015
Cet article propose une réponse aux difficultés reliées à la recherche sur l’adaptation des perso... more Cet article propose une réponse aux difficultés reliées à la recherche sur l’adaptation des personnes atteintes de schizophrénie et dont le soutien social est limité ou inexistant. En effet, la recherche actuelle à ce sujet semble plafonner et les résultats générés par les méthodes traditionnelles ont un impact limité sur la pratique. De plus, les approches utilisées ne réussissent pas à saisir le processus d’adaptation dans son ensemble et ne rendent pas justice à la réalité des personnes concernées. Pour répondre à ces difficultés, il sera démontré que la méthodologie de la théorisation enracinée d’orientation constructiviste offre un cadre prometteur pour l’étude de l’adaptation des personnes vivant avec la schizophrénie. De même, les avantages qui pourraient être tirés de l’utilisation de cette méthodologie sont présentés. Pour conclure, les retombées éventuelles d’une telle recherche sont abordées.
Santé mentale au Québec, 2014
Cet article vise à résumer l’état des lieux quant au rôle des familles de personnes atteintes de ... more Cet article vise à résumer l’état des lieux quant au rôle des familles de personnes atteintes de troubles mentaux au sein du système de santé mentale au Québec. À cet effet, un rappel historique permet de mettre en perspective les différents rôles occupés par les familles, d’agent causal, tant au point de vue de la générique que des émotions exprimées, à prestataire de soins qui peut vivre du fardeau et finalement partenaire. Un modèle élaboré par la FFAPAMM et qui identifie trois rôles principaux permet de contextualiser le rôle actuel dans le système. Ce modèle, intitulé CAP, regroupe et décrit trois rôles des familles qui, s’ils sont tributaires du passé, continuent de se côtoyer à notre époque : celui de client, d’accompagnateur et finalement de partenaire. Des recommandations provenant d’un projet de recherche québécois et d’un rapport de la Commission de santé mentale du Canada permettront d’envisager un avenir où les besoins et les aspirations des familles seront pris en compte.
Recherche en soins infirmiers, Oct 27, 2016
Self-disclosure of patients with schizophrenia is crucial for the establishment of the therapeuti... more Self-disclosure of patients with schizophrenia is crucial for the establishment of the therapeutic relationship and to provide safe and quality care. However, it is reasonable to think that these patients do not fully reveal. But if the disclosure is bound to need help and has the potential to reduce stigma, it also exposes the person to negative consequences. The purpose of this study is to study aims to describe how people living with schizophrenia disclose themselves. These are results from a larger research that used grounded theory. Measures of perceived social support, in behavior and symptoms, and psychiatric comorbidities were also collected. The results describe the unveiling of the modulation process, consisting of four subcategories : be invited to speak authentically, have the ability to disclose, expect to actually be helped and fear of stigma. The results highlight the features of the self-disclosure of people with schizophrenia. Health professionals should pay attenti...