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Thomas A, St-Onge C, Renaud JS, George C, Iqbal MZ, Brousseau M, Dyer JO, Gallagher F, Lacasse M, Ledoux I, Vachon B, Rochette A. Measuring Health Care Work-Related Contextual Factors: Development of the McGill Context Tool. THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 2023; 44:18-27. [PMID: 37341570 DOI: 10.1097/ceh.0000000000000514] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/22/2023]
Abstract
INTRODUCTION Contextual factors can influence healthcare professionals' (HCPs) competencies, yet there is a scarcity of research on how to optimally measure these factors. The aim of this study was to develop and validate a comprehensive tool for HCPs to document the contextual factors likely to influence the maintenance, development, and deployment of professional competencies. METHODS We used DeVellis' 8-step process for scale development and Messick's unified theory of validity to inform the development and validation of the context tool. Building on results from a scoping review, we generated an item pool of contextual factors articulated around five themes: Leadership and Agency, Values, Policies, Supports, and Demands. A first version of the tool was pilot tested with 127 HCPs and analyzed using the classical test theory. A second version was tested on a larger sample (n = 581) and analyzed using the Rasch rating scale model. RESULTS First version of the tool: we piloted 117 items that were grouped as per the themes related to contextual factors and rated on a 5-point Likert scale. Cronbach alpha for the set of 12 retained items per scale ranged from 0.75 to 0.94. Second version of the tool included 60 items: Rasch analysis showed that four of the five scales (ie, Leadership and Agency, Values, Policies, Supports) can be used as unidimensional scales, whereas the fifth scale (Demands) had to be split into two unidimensional scales (Demands and Overdemands). DISCUSSION Validity evidence documented for content and internal structure is encouraging and supports the use of the McGill context tool. Future research will provide additional validity evidence and cross-cultural translation.
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Affiliation(s)
- Aliki Thomas
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Christina St-Onge
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Jean-Sébastien Renaud
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Catherine George
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Muhammad Zafar Iqbal
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Martine Brousseau
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Joseph-Omer Dyer
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Frances Gallagher
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Miriam Lacasse
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Isabelle Ledoux
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Brigitte Vachon
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
| | - Annie Rochette
- Aliki Thomas, Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Christina St-Onge, Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Jean-Sébastien Renaud, Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Catherine George, School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada
- Muhammad Zafar Iqbal, Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada.Martine Brousseau, Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Joseph-Omer Dyer, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Frances Gallagher, Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Miriam Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Isabelle Ledoux, Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Brigitte Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Annie Rochette, Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada
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