Adriana Angarita-Fonseca
Postdoctoral Fellow in Sex and Gender Cardiovascular Epidemiology
Research Institute of the McGill University Health Centre, Montréal, Quebec, Canada
Senior Researcher
Universidad de Santander, Bucaramanga, Colombia
Background
Adriana Angarita-Fonseca is a Senior Postdoctoral fellow in Sex and Gender in Cardiovascular Epidemiology at McGill University. She is a former Postdoctoral fellow in Chronic Pain Epidemiology in the Laboratoire de recherche en épidémiologie de la douleur chronique at the Université du Québec en Abitibi-Témiscamingue and the Centre de recherche du Centre hospitalier de l’Université de Montréal. After receiving her Bachelor’s degree in Physiotherapy from the Universidad Industrial de Santander (UIS), Colombia, she obtained a Master’s degree in Epidemiology from the Universidad Industrial de Santander (UIS) and a Master’s degree in Statistics from the Universidad de Valparaiso, Chile. She completed her doctoral training in Community and Population Health Science at the Canadian Centre for Health and Safety in Agriculture’s Ergonomics Laboratory (2015-2020) and the Musculoskeletal Health and Access to Care Research Group (2020) at the University of Saskatchewan. Currently, her main research interest is sex and gender in health outcomes.
In parallel with her Ph.D. studies and as a member of the Network of Rehabilitation Workers of the Americas (NRWA), she coordinated the Visiting Lecturer and Workshop Series in Honduras, which is a professional development program for rehabilitation workers in Honduras organized by the NRWA, School of Rehabilitation Science from the University of Saskatchewan (USask), and the Universidad de Santander (UDES) in Colombia with support from Honduran partners. She had received funding from two internal grants at the Universidad de Santander. From this work, she published two papers as the first author and won second place in a Latin-American paper competition in 2019 and 2021. Additionally, in the context of her position as a faculty and researcher at the Universidad de Santander in Colombia, she has taught different courses. She was a co-supervisor of a summer student at McGill University. Previously, she supervised 12 master students (four as principal supervisor), mostly her colleagues in the UDES physiotherapy program (n=7).
Research Interests
- Cardiopulmonary Epidemiology
- Sex and Gender
- Women’s Health
- Chronic Pain
- Musculoskeletal Health
- Rehabilitation
Curriculum vitae
Positions
Postdoctoral Fellow
McGill University, Montreal, Quebec, Canada
Postdoctoral Fellow
Université du Québec en Abitibi-Témiscamingue, Rouyn Noranda, Quebec, Canada
Centre de recherche du Centre hospitalier de l’Université de Montréal, Montréal, Quebec, Canada
Researcher
Physiotherapy Program
Universidad de Santander, Colombia
Research Assistant, Teaching Assistant
University of Saskatchewan, Canada
Assistant Professor
Physical Culture, Sports, and Recreation Program [Kinesiology]
Universidad Santo Tomas, Colombia
Education
Doctor of Philosophy
in Community and Population Health Sciences
University of Saskatchewan, Canada
Master of Science
in Statistics
Universidad de Valparaiso, Chile
Master of Science
in Epidemiology
Universidad Industrial de Santander, Colombia
Bachelor of Science
in Physiotherapy
Universidad Industrial de Santander, Colombia
2024
Bonet‐Collantes, Milena; Niño‐Pinzón, Diana Marcela; Chaustre‐Porras, Angie Dayana; Salas‐Poloche, Yuli Andrea; Angarita‐Fonseca, Adriana
Enhancing physiotherapists' knowledge and perceptions of telerehabilitation: A before‐after educational intervention study Journal Article
In: Physiotherapy Res Intl, vol. 29, no. 4, 2024, ISSN: 1471-2865.
Abstract | Links | BibTeX | Tags: 2024, Education, Health services, Rehabilitation
@article{Bonet‐Collantes2024,
title = {Enhancing physiotherapists' knowledge and perceptions of telerehabilitation: A before‐after educational intervention study},
author = {Milena Bonet‐Collantes and Diana Marcela Ni\~{n}o‐Pinz\'{o}n and Angie Dayana Chaustre‐Porras and Yuli Andrea Salas‐Poloche and Adriana Angarita‐Fonseca},
doi = {10.1002/pri.2120},
issn = {1471-2865},
year = {2024},
date = {2024-10-00},
urldate = {2024-10-00},
journal = {Physiotherapy Res Intl},
volume = {29},
number = {4},
publisher = {Wiley},
abstract = {\<jats:title\>Abstract\</jats:title\>\<jats:sec\>\<jats:title\>Background and purpose\</jats:title\>\<jats:p\>In the evolving landscape of healthcare, telerehabilitation is emerging as a pivotal modality, especially in delivering services to vulnerable populations. With the increasing reliance on digital health solutions, there is a pressing need for physiotherapists to be adequately trained in telerehabilitation. This training is essential for them to adapt to new technologies and methodologies, ensuring effective and efficient patient care. The aim of this study was to evaluate the effect of a telerehabilitation educational intervention on physiotherapists' knowledge and perceptions in Bucaramanga and its metropolitan area.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Methods\</jats:title\>\<jats:p\>A group of 27 physiotherapists underwent an educational intervention focused on telerehabilitation. Before‐ and after‐intervention assessments were conducted to gauge their perceptions and knowledge.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Results\</jats:title\>\<jats:p\>Participants generally held a positive perception of telerehabilitation both before and after the intervention [Before Median (Md) and interquartile range (IQR): Md = 2.5 (IQR = 2.1\textendash3); after: Md = 2.7 (IQR = 2.4\textendash3.1), \<jats:italic\>p\</jats:italic\> = 0.256]. A significant increase in their knowledge after‐intervention was observed [Before: Md = 55.5 (IQR = 33.3\textendash66.6)]; after: Md = 77.7 (IQR = 66.6\textendash88.8), \<jats:italic\>p\</jats:italic\> = \<0.001, emphasizing the potential benefits of targeted educational interventions.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Conclusions\</jats:title\>\<jats:p\>The educational intervention significantly improved physiotherapists' knowledge of telerehabilitation, underscoring the importance of professional training in this domain. While perceptions remained consistently positive, the notable increase in knowledge suggests that such educational programs are crucial for enhancing the adoption and effective use of telerehabilitation in physiotherapy practice.\</jats:p\>\</jats:sec\>},
keywords = {2024, Education, Health services, Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Angarita-Fonseca, Adriana; Jacome-Hortua, Adriana Marcela; Ortiz-Patiño, Andrea Juliana; Rincón-Rueda, Zully Rocío; Villamizar-Jaimes, Carmen Juliana; Paredes-Prada, Erica Tatiana; Sánchez-Delgado, Juan Carlos
In: Physiother Quart., 2024, ISSN: 2544-4395.
Abstract | Links | BibTeX | Tags: 2024, adults, Cardiac Rehabilitation, Cardiovascular Diseases, Exercise
@article{Angarita-Fonseca2024,
title = {Effect of two different types of exercise volumes on exercise capacity, physical activity and quality of life in subjects undergoing percutaneous coronary intervention: a pilot study},
author = {Adriana Angarita-Fonseca and Adriana Marcela Jacome-Hortua and Andrea Juliana Ortiz-Pati\~{n}o and Zully Roc\'{i}o Rinc\'{o}n-Rueda and Carmen Juliana Villamizar-Jaimes and Erica Tatiana Paredes-Prada and Juan Carlos S\'{a}nchez-Delgado},
doi = {10.5114/pq/178246},
issn = {2544-4395},
year = {2024},
date = {2024-08-09},
urldate = {2024-08-09},
journal = {Physiother Quart.},
publisher = {Termedia Sp. z.o.o.},
abstract = {\<jats:sec\>\<jats:title\>Introduction\</jats:title\>\<jats:p\>Phase II of cardiac rehabilitation includes 36 sessions of exercise developed over 12 weeks, an intervention format that seems to be based on historical practice and not on scientific evidence. The objective was to evaluate the effect of two types of exercise volumes on exercise capacity, physical activity levels, and quality of life in subjects undergoing percutaneous coronary intervention.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Methods\</jats:title\>\<jats:p\>A randomized controlled clinical trial was performed in 17 subjects, who were randomly assigned to two groups. The first (\textit{n} = 7) was trained for eight consecutive weeks, and the second (\textit{n} = 10) for 12 weeks. The six-minute walk test, the International Physical Activity Questionnaire, and the SF-36 were applied before starting the cardiac rehabilitation program at 8 and 12 weeks.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Results\</jats:title\>\<jats:p\>No significant differences were found between the intervention groups. The rise of VO2max was only significant in the 8-week group. Both groups improved the distance walked and sedentary behaviour. The 12-week intervention group improved the quality of life, specifically in physical functioning, and the 8-week intervention group in the domains of social function, physical, and emotional role. Additionally, the percentage of participants meeting physical activity recommendations was higher in the 12-week cardiac rehabilitation group.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Conclusions\</jats:title\>\<jats:p\>The implication for the practice is that the exercise traditionally used in cardiac rehabilitation shows early changes in exercise capacity and quality of life. The results of the levels of physical activity and sedentary behaviour improved after 12 weeks of rehabilitation without the presence of adverse events.\</jats:p\>\</jats:sec\>},
keywords = {2024, adults, Cardiac Rehabilitation, Cardiovascular Diseases, Exercise},
pubstate = {published},
tppubtype = {article}
}
Jacome-Hortua, Adriana Marcela; Rincon-Rueda, Zully Rocio; Sanchez-Ramirez, Diana C.; Angarita-Fonseca, Adriana
Effects of a WhatsApp-Assisted Health Educational Intervention for Cardiac Rehabilitation: A Randomized Controlled Clinical Trial Protocol Journal Article
In: MPs, vol. 7, no. 2, 2024, ISSN: 2409-9279.
Abstract | Links | BibTeX | Tags: 2024, Cardiac Rehabilitation, Cardiovascular Diseases, Education, Health Education, Knowledge, Physiotherapy
@article{Jacome-Hortua2024,
title = {Effects of a WhatsApp-Assisted Health Educational Intervention for Cardiac Rehabilitation: A Randomized Controlled Clinical Trial Protocol},
author = {Adriana Marcela Jacome-Hortua and Zully Rocio Rincon-Rueda and Diana C. Sanchez-Ramirez and Adriana Angarita-Fonseca},
doi = {10.3390/mps7020035},
issn = {2409-9279},
year = {2024},
date = {2024-04-00},
urldate = {2024-04-00},
journal = {MPs},
volume = {7},
number = {2},
publisher = {MDPI AG},
abstract = {\<jats:p\>Although the effectiveness of cardiac rehabilitation (CR) programs in secondary prevention is well-recognized, there is a lack of studies exploring the potential of mobile health to enhance educational interventions within CR. The objective is to assess the impact of a structured WhatsApp-assisted health educational intervention, in conjunction with the usual care, compared to the usual care alone among participants enrolled in a CR program. The trial will recruit 32 participants enrolled in a CR program, who will be randomly assigned to a structured WhatsApp-assisted health educational intervention plus usual care or usual care alone group. The intervention will span 4 weeks, with assessments at baseline, 4 weeks, and 3, 6, and 12 months. The primary outcome measure is the cardiovascular risk factors knowledge score. Secondary outcomes include physical activity levels, anxiety and depression, and quality of life. Expected results include improved knowledge of cardiovascular risk factors, increased physical activity levels, and better mental health outcomes in the intervention group. Additionally, an enhancement in the overall quality of life is anticipated. These findings are expected to underscore the value of integrating mHealth with traditional CR methods, potentially shaping future approaches in chronic disease management and prevention.\</jats:p\>},
keywords = {2024, Cardiac Rehabilitation, Cardiovascular Diseases, Education, Health Education, Knowledge, Physiotherapy},
pubstate = {published},
tppubtype = {article}
}
Kaur, Amanpreet; Fonseca, Adriana Angarita; Lissaman, Rikki; Behlouli, Hassan; Rajah, M. Natasha; Pilote, Louise
Sex Differences in the Association of Age at Hypertension Diagnosis With Brain Structure Journal Article
In: Hypertension, vol. 81, no. 2, pp. 291–301, 2024, ISSN: 1524-4563.
Abstract | Links | BibTeX | Tags: 2024, adults, Cardiovascular Diseases, Epidemiology
@article{Kaur2024,
title = {Sex Differences in the Association of Age at Hypertension Diagnosis With Brain Structure},
author = {Amanpreet Kaur and Adriana Angarita Fonseca and Rikki Lissaman and Hassan Behlouli and M. Natasha Rajah and Louise Pilote},
doi = {10.1161/hypertensionaha.123.22180},
issn = {1524-4563},
year = {2024},
date = {2024-02-00},
urldate = {2024-02-00},
journal = {Hypertension},
volume = {81},
number = {2},
pages = {291--301},
publisher = {Ovid Technologies (Wolters Kluwer Health)},
abstract = {\<jats:sec\>
\<jats:title\>BACKGROUND:\</jats:title\>
\<jats:p\>Sex differences exist in the likelihood of cognitive decline. The age at hypertension diagnosis is a unique contributor to brain structural changes associated with cerebral small vessel disease. However, whether this relationship differs between sexes remains unclear. Therefore, our objective was to evaluate sex differences in the association between the age at hypertension diagnosis and cerebral small vessel disease\textendashrelated brain structural changes.\</jats:p\>
\</jats:sec\>
\<jats:sec\>
\<jats:title\>METHODS:\</jats:title\>
\<jats:p\>We used data from the UK Biobank to select participants with a known age at hypertension diagnosis and brain magnetic resonance imaging (n=9430) and stratified them by sex and age at hypertension diagnosis. Control participants with magnetic resonance imaging scans but no hypertension were chosen at random matched by using propensity score matching. For morphological brain structural changes, generalized linear models were used while adjusting for other vascular risk factors. For the assessment of white matter microstructure, principal component analysis led to a reduction in the number of fractional anisotropy variables, followed by regression analysis with major principal components as outcomes.\</jats:p\>
\</jats:sec\>
\<jats:sec\>
\<jats:title\>RESULTS:\</jats:title\>
\<jats:p\>Males but not females with a younger age at hypertension diagnosis exhibited lower brain gray and white matter volume compared with normotensive controls. The volume of white matter hyperintensities was greater in both males and females with hypertension than normotensive controls, significantly higher in older females with hypertension. Compared with normotensive controls, white matter microstructural integrity was lower in individuals with hypertension, which became more prominent with increasing age.\</jats:p\>
\</jats:sec\>
\<jats:sec\>
\<jats:title\>CONCLUSIONS:\</jats:title\>
\<jats:p\>Our study demonstrates that the effect of hypertension on cerebral small vessel disease\textendashrelated brain structure differs by sex and by age at hypertension diagnosis.\</jats:p\>
\</jats:sec\>},
keywords = {2024, adults, Cardiovascular Diseases, Epidemiology},
pubstate = {published},
tppubtype = {article}
}
<jats:title>BACKGROUND:</jats:title>
<jats:p>Sex differences exist in the likelihood of cognitive decline. The age at hypertension diagnosis is a unique contributor to brain structural changes associated with cerebral small vessel disease. However, whether this relationship differs between sexes remains unclear. Therefore, our objective was to evaluate sex differences in the association between the age at hypertension diagnosis and cerebral small vessel disease–related brain structural changes.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>METHODS:</jats:title>
<jats:p>We used data from the UK Biobank to select participants with a known age at hypertension diagnosis and brain magnetic resonance imaging (n=9430) and stratified them by sex and age at hypertension diagnosis. Control participants with magnetic resonance imaging scans but no hypertension were chosen at random matched by using propensity score matching. For morphological brain structural changes, generalized linear models were used while adjusting for other vascular risk factors. For the assessment of white matter microstructure, principal component analysis led to a reduction in the number of fractional anisotropy variables, followed by regression analysis with major principal components as outcomes.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>RESULTS:</jats:title>
<jats:p>Males but not females with a younger age at hypertension diagnosis exhibited lower brain gray and white matter volume compared with normotensive controls. The volume of white matter hyperintensities was greater in both males and females with hypertension than normotensive controls, significantly higher in older females with hypertension. Compared with normotensive controls, white matter microstructural integrity was lower in individuals with hypertension, which became more prominent with increasing age.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>CONCLUSIONS:</jats:title>
<jats:p>Our study demonstrates that the effect of hypertension on cerebral small vessel disease–related brain structure differs by sex and by age at hypertension diagnosis.</jats:p>
</jats:sec>
Angarita-Fonseca, A.; Peebles, A.; Pilote, L.
Gender-related Factors Associated with Outcomes of Acute Coronary Syndrome in Young Females Journal Article
In: CJC Open, vol. 6, iss. 2, pp. 370-379, 2024, ISSN: 2589-790X.
Abstract | Links | BibTeX | Tags: 2024, Cardiology and Cardiovascular Medicine, Cardiovascular Diseases, Women's health
@article{Angarita-Fonseca2023,
title = {Gender-related Factors Associated with Outcomes of Acute Coronary Syndrome in Young Females},
author = {A. Angarita-Fonseca and A. Peebles and L. Pilote},
doi = {10.1016/j.cjco.2023.11.019},
issn = {2589-790X},
year = {2024},
date = {2024-01-01},
journal = {CJC Open},
volume = {6},
issue = {2},
pages = {370-379},
publisher = {Elsevier BV},
abstract = {Acute Coronary Syndrome (ACS) remains a significant global health concern, with a growing recognition of its impact on young adults, particularly young females. While gender-related factors, defined as a social construct that encompasses four distinct dimensions (gender roles, gender identity, gender relations, and institutionalized gender) are undoubtedly relevant across age groups, young females with ACS face specific challenges and disparities in outcomes compared to other populations. This narrative review examines the role of gender-related factors - specifically gender roles, gender identity, gender relations, and institutionalized gender - in influencing objective and subjective ACS outcomes in young females. In the five manuscripts identified, the objective outcomes included hospital readmission, door-to-ECG time, and coronary atherosclerosis progression. Subjective outcomes such as physical and mental functional status, quality of life, physical limitations, and vital exhaustion were also examined. Employment status, a gender role, emerged as a protective factor against hospital readmission. Gender identity factors like depression and stress correlated with negative outcomes, while anxiety influenced door-to-ECG times. Institutional factors, including income disparities, affected readmission likelihood. Strong social support improved physical limitations post-ACS, whereas financial challenges and lower education negatively impacted quality of life and vital exhaustion. These findings underscore the intricate interplay of gender dimensions in shaping ACS outcomes among young females. Integrating these insights into clinical practice and research can enhance care, mitigate disparities, and foster improved cardiovascular health in this vulnerable population.},
keywords = {2024, Cardiology and Cardiovascular Medicine, Cardiovascular Diseases, Women's health},
pubstate = {published},
tppubtype = {article}
}
Lovo, Stacey; Imeah, Biaka; Sari, Nazmi; O’Connell, Megan E; Milosavljevic, Steve; Angarita-Fonseca, Adriana; Bath, Brenna
In: DIGITAL HEALTH, vol. 10, 2024, ISSN: 2055-2076.
Abstract | Links | BibTeX | Tags: 2024, Chronic Pain, Rehabilitation
@article{Lovo2024,
title = {Effectiveness of an interprofessional assessment and management approach for people with chronic low back disorders delivered via virtual care: A randomized controlled trial pilot intervention},
author = {Stacey Lovo and Biaka Imeah and Nazmi Sari and Megan E O’Connell and Steve Milosavljevic and Adriana Angarita-Fonseca and Brenna Bath},
doi = {10.1177/20552076241260569},
issn = {2055-2076},
year = {2024},
date = {2024-01-00},
urldate = {2024-01-00},
journal = {DIGITAL HEALTH},
volume = {10},
publisher = {SAGE Publications},
abstract = {\<jats:sec\>\<jats:title\>Objective\</jats:title\>\<jats:p\> Virtual care for chronic conditions has seen uptake due to COVID-19. Evaluation of virtual models is important to ensure evidence-based practice. There is a paucity of research in the use of virtual care for management of chronic back disorders. The objective of this study was to evaluate effectiveness of a team-based virtual care model for back disorder assessment where a physical therapist uses virtual care to join a nurse practitioner and patient in a rural Saskatchewan, Canada community. \</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Methods\</jats:title\>\<jats:p\> Sixty-four rural adults with chronic back disorders were randomly allocated to receive either: (1) team-based virtual care ( n = 24); (2) care from an urban physical therapist travelling to community ( n = 20); or (3) care from a rural nurse practitioner ( n = 20). The team-based care group involved a nurse practitioner located with a rural patient, and a physical therapist joining using virtual care. The physical therapist alone and the nurse practitioner alone groups received in-person assessments. Groups with a physical therapist involved had follow-up treatments by in-person physical therapy. Outcomes over six months included pain, disability, back beliefs, satisfaction, quality-adjusted health status and management-related costs. \</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Results\</jats:title\>\<jats:p\> There were no significant differences for pain, disability, back beliefs and satisfaction between groups. The average cost per patient for implementing in-person physical therapist assessment ($135) was higher compared with the team over virtual care ($118) and NP care ($59). \</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Conclusion\</jats:title\>\<jats:p\> Primary outcomes were not different by group. Physical therapist alone was more costly than other groups. Future research should include more participants, longer follow-up time and refined cost parameters. \</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Trial Registration\</jats:title\>\<jats:p\> ClinicalTrials.gov NCT02225535; https://clinicaltrials.gov/ct2/show/NCT02225535 (Archived by WebCite at http://www.webcitation.org/6lqLTCNF7 ). \</jats:p\>\</jats:sec\>},
keywords = {2024, Chronic Pain, Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Angarita-Fonseca, Adriana; Roy, Mathieu; Lacasse, Anaïs; Léonard, Guillaume; Rainville, Pierre; Marin, Marie-France; Tufa, Iulia; Gentile, Erika L.; Pagé, M. Gabrielle
Trajectories of pain and depressive symptoms among people living with low back pain during the COVID-19 pandemic: a 24-month longitudinal study Journal Article
In: PR9, vol. 9, no. 4, 2024, ISSN: 2471-2531.
Abstract | Links | BibTeX | Tags: 2024, Chronic Pain, COVID-19, Pain Measurement
@article{Angarita-Fonseca2024b,
title = {Trajectories of pain and depressive symptoms among people living with low back pain during the COVID-19 pandemic: a 24-month longitudinal study},
author = {Adriana Angarita-Fonseca and Mathieu Roy and Ana\"{i}s Lacasse and Guillaume L\'{e}onard and Pierre Rainville and Marie-France Marin and Iulia Tufa and Erika L. Gentile and M. Gabrielle Pag\'{e}},
doi = {10.1097/pr9.0000000000001165},
issn = {2471-2531},
year = {2024},
date = {2024-00-00},
urldate = {2024-00-00},
journal = {PR9},
volume = {9},
number = {4},
publisher = {Ovid Technologies (Wolters Kluwer Health)},
abstract = {\<jats:title\>Abstract\</jats:title\>
\<jats:p\>
\<jats:bold\>Introduction:\</jats:bold\> We explored trajectories of pain intensity and depressive symptoms over the first 24 months of the pandemic in people with low back pain.\</jats:p\>
\<jats:p\>
\<jats:bold\>Methods:\</jats:bold\> This longitudinal study was conducted alongside the Quebec Low Back Pain Study. Starting in April 2020 and every 3 months until July 2022, 291 participants completed an online survey. Group-based trajectory modeling was used to identify patterns of pain intensity and depressive symptoms. Onset outbreak characteristics were then put in relation with trajectory groups using multivariate logistic regression.\</jats:p\>
\<jats:p\>
\<jats:bold\>Results:\</jats:bold\> The analysis revealed 5 trajectories of pain intensity and depressive symptoms, respectively. The pain trajectories were stable mild (n = 17, 5.8%); stable moderate (n = 103, 35.4%); stable severe (n = 81, 27.8%); U-shape (n = 24, 8.3%), and inverted U-shape (n = 66, 22.7%). The trajectories of depressive symptoms were stable none (n = 58, 19.9%); stable very mild (n = 61, 21.0%); stable mild (n = 85, 29.2%); stable moderate (n = 59, 21.7%); and severe slightly improving (n = 24, 8.3%). Pre-COVID everyday/nearly everyday pain, average pain intensity, and widespread bodily pain were predictive of pain trajectory groups. Higher pre-COVID depression, acute stress disorder, and lockdown measures-related stress were associated with moderate/severe depressive trajectories.\</jats:p\>
\<jats:p\>
\<jats:bold\>Discussion:\</jats:bold\> Our findings indicated relative stability of pain and depressive symptoms among participants during the COVID-19 pandemic but also highlighted subgroups of people who experienced temporary deterioration or improvement over the first months of the pandemic that then reverted back to baseline levels. Modifiable risk factors were identified before the onset of the pandemic, which could give preventive measures in targeted populations.\</jats:p\>},
keywords = {2024, Chronic Pain, COVID-19, Pain Measurement},
pubstate = {published},
tppubtype = {article}
}
<jats:p>
<jats:bold>Introduction:</jats:bold> We explored trajectories of pain intensity and depressive symptoms over the first 24 months of the pandemic in people with low back pain.</jats:p>
<jats:p>
<jats:bold>Methods:</jats:bold> This longitudinal study was conducted alongside the Quebec Low Back Pain Study. Starting in April 2020 and every 3 months until July 2022, 291 participants completed an online survey. Group-based trajectory modeling was used to identify patterns of pain intensity and depressive symptoms. Onset outbreak characteristics were then put in relation with trajectory groups using multivariate logistic regression.</jats:p>
<jats:p>
<jats:bold>Results:</jats:bold> The analysis revealed 5 trajectories of pain intensity and depressive symptoms, respectively. The pain trajectories were stable mild (n = 17, 5.8%); stable moderate (n = 103, 35.4%); stable severe (n = 81, 27.8%); U-shape (n = 24, 8.3%), and inverted U-shape (n = 66, 22.7%). The trajectories of depressive symptoms were stable none (n = 58, 19.9%); stable very mild (n = 61, 21.0%); stable mild (n = 85, 29.2%); stable moderate (n = 59, 21.7%); and severe slightly improving (n = 24, 8.3%). Pre-COVID everyday/nearly everyday pain, average pain intensity, and widespread bodily pain were predictive of pain trajectory groups. Higher pre-COVID depression, acute stress disorder, and lockdown measures-related stress were associated with moderate/severe depressive trajectories.</jats:p>
<jats:p>
<jats:bold>Discussion:</jats:bold> Our findings indicated relative stability of pain and depressive symptoms among participants during the COVID-19 pandemic but also highlighted subgroups of people who experienced temporary deterioration or improvement over the first months of the pandemic that then reverted back to baseline levels. Modifiable risk factors were identified before the onset of the pandemic, which could give preventive measures in targeted populations.</jats:p>
2023
Angarita-Fonseca, A.; Lacasse, A.; Choinière, M.; Kaboré, J. L.; Sylvestre, M. P.; Dinkou, G. D. Tchouangue; Bruneau, J.; Martel, M. O.; Hovey, R.; Motulsky, A.; Rahme, E.; Pagé, M. G.
In: Pharmacoepidemiol Drug Saf, 2023, ISSN: 1099-1557.
Abstract | Links | BibTeX | Tags: Chronic Pain, Epidemiology, Pain Measurement, Patient-important outcome, Treatment
@article{pmid37800356,
title = {Trajectories of opioid consumption as predictors of patient-reported outcomes among individuals attending multidisciplinary pain treatment clinics},
author = {A. Angarita-Fonseca and A. Lacasse and M. Choini\`{e}re and J. L. Kabor\'{e} and M. P. Sylvestre and G. D. Tchouangue Dinkou and J. Bruneau and M. O. Martel and R. Hovey and A. Motulsky and E. Rahme and M. G. Pag\'{e}},
doi = {10.1002/pds.5706},
issn = {1099-1557},
year = {2023},
date = {2023-10-01},
urldate = {2023-10-01},
journal = {Pharmacoepidemiol Drug Saf},
abstract = {PURPOSE: This study aimed to identify opioid consumption trajectories among persons living with chronic pain (CP) and put them in relation to patient-reported outcomes 6 months after initiating multidisciplinary pain treatment.nnMETHODS: This study used data from the Quebec Pain Registry (2008-2014) linked to longitudinal Quebec health insurance databases. We included adults diagnosed with CP and covered by the Quebec public prescription drug insurance plan. The daily cumulative opioid doses in the first 6 months after initiating multidisciplinary pain treatment were transformed into morphine milligram equivalents. An individual-centered approach involving principal factor and cluster analyses applied to longitudinal statistical indicators of opioid use was conducted to classify trajectories. Multivariate regression models were applied to evaluate the associations between trajectory group membership and outcomes at 6-month follow-up (pain intensity, pain interference, depression, and physical and mental health-related quality of life).nnRESULTS: We identified three trajectories of opioid consumption: "no or very low and stable" opioid consumption (n = 2067, 96.3%), "increasing" opioid consumption (n = 40, 1.9%), and "decreasing" opioid consumption (n = 39, 1.8%). Patients in the "no or very low and stable" trajectory were less likely to be current smokers, experience polypharmacy, use opioids or benzodiazepine preceding their first visit, or experience pain interference at treatment initiation. Patients in the "increasing" opioid consumption group had significantly greater depression scores at 6-month compared to patients in the "no or very low and stable" trajectory group.nnCONCLUSION: Opioid consumption trajectories do not seem to be important determinants of most PROs 6 months after initiating multidisciplinary pain treatment.},
keywords = {Chronic Pain, Epidemiology, Pain Measurement, Patient-important outcome, Treatment},
pubstate = {published},
tppubtype = {article}
}
Angarita-Fonseca, A.; Torres-Castro, R.; Benavides-Cordoba, V.; Chero, S.; M., Morales Satan; B., Hernandez Lopez; Salazar, R.; Larrateguy, S.; Sanchez-Ramirez, D. C.
Exploring long COVID condition in Latin America: its impact on patients’ activities and associated healthcare use Journal Article
In: Frontiers in Medicine, vol. 10, 2023.
Abstract | Links | BibTeX | Tags: COVID-19, Health services, Mobility limitations, Respiratory system
@article{2023-Angarita-COVID19,
title = {Exploring long COVID condition in Latin America: its impact on patients’ activities and associated healthcare use},
author = {A. Angarita-Fonseca and R. Torres-Castro and V. Benavides-Cordoba and S. Chero and Morales Satan M. and Hernandez Lopez B. and R. Salazar and S. Larrateguy and D.C. Sanchez-Ramirez},
doi = {10.3389/fmed.2023.1168628},
year = {2023},
date = {2023-03-27},
journal = {Frontiers in Medicine},
volume = {10},
abstract = {Background: Studies exploring long COVID condition (LCC) in low- and middle-income countries are scarce. Further characterization of LCC patients experiencing activity limitations and their associated healthcare use is needed. This study aimed to describe LCC patients’ characteristics, it’s impact on activities, and associated healthcare use in Latin America (LATAM).
Participants: Individuals who (cared for someone or) had COVID-19 and could read, write, and comprehend Spanish and lived in a LATAM country were invited to complete a virtual survey. Sociodemographic characteristics, COVID-19 and LCC symptoms, activity limitations, and healthcare use.
Results: Data from 2466 people from 16 countries in LATAM was analyzed (females = 65.9%; mean age of 39.5 ± 53.3 years). 1178 (48%) of the respondents had LCC symptoms (≥3 months). These were more likely to have COVID-19 earlier in the pandemic, were older, had no COVID vaccines, had more comorbidities, needed supplementary oxygen and reported significantly more COVID-19 symptoms during the infectious period. 33% of the respondents visited a primary care provider, 13% went to the emergency department, 5% were hospitalized, 21% visited a specialist, and 32% consulted ≥1 therapist for LCC symptoms mainly extreme fatigue, sleep difficulties, headaches, muscle or joint pain, and shortness of breath with activity. The most consulted therapists were respiratory therapists (15%) and psychologists (14%), followed by physical therapists (13%), occupational therapists (3%) and speech pathologists (1%). One-third of LCC respondents decreased their regular activities (e.g., work, school) and 8% needed help with activities of daily living (ADLs). LCC respondents who reduced their activities reported more difficulty sleeping, chest pain with activity, depression, and problems with concentration, thinking and memory; while those who needed help with ADLs were more likely to have difficulty walking, and shortness of breath at rest. Approximately 60% of respondents who experienced activity limitations sought a specialist and 50% consulted therapists.
Conclusions and relevance: Results supported previous findings in terms of the LCC demographics, and provided insight into LCC impact on patients’ activities and healthcare services used in LATAM. This information is valuable to inform service planning and resource allocation in alignment with the needs of this population.},
key = {Activity limitations, Long Covid, healthcare use, long COVID disability, Latin America},
keywords = {COVID-19, Health services, Mobility limitations, Respiratory system},
pubstate = {published},
tppubtype = {article}
}
Participants: Individuals who (cared for someone or) had COVID-19 and could read, write, and comprehend Spanish and lived in a LATAM country were invited to complete a virtual survey. Sociodemographic characteristics, COVID-19 and LCC symptoms, activity limitations, and healthcare use.
Results: Data from 2466 people from 16 countries in LATAM was analyzed (females = 65.9%; mean age of 39.5 ± 53.3 years). 1178 (48%) of the respondents had LCC symptoms (≥3 months). These were more likely to have COVID-19 earlier in the pandemic, were older, had no COVID vaccines, had more comorbidities, needed supplementary oxygen and reported significantly more COVID-19 symptoms during the infectious period. 33% of the respondents visited a primary care provider, 13% went to the emergency department, 5% were hospitalized, 21% visited a specialist, and 32% consulted ≥1 therapist for LCC symptoms mainly extreme fatigue, sleep difficulties, headaches, muscle or joint pain, and shortness of breath with activity. The most consulted therapists were respiratory therapists (15%) and psychologists (14%), followed by physical therapists (13%), occupational therapists (3%) and speech pathologists (1%). One-third of LCC respondents decreased their regular activities (e.g., work, school) and 8% needed help with activities of daily living (ADLs). LCC respondents who reduced their activities reported more difficulty sleeping, chest pain with activity, depression, and problems with concentration, thinking and memory; while those who needed help with ADLs were more likely to have difficulty walking, and shortness of breath at rest. Approximately 60% of respondents who experienced activity limitations sought a specialist and 50% consulted therapists.
Conclusions and relevance: Results supported previous findings in terms of the LCC demographics, and provided insight into LCC impact on patients’ activities and healthcare services used in LATAM. This information is valuable to inform service planning and resource allocation in alignment with the needs of this population.
Angarita-Fonseca, A.; Pagé, M. G.; Meloto, Carolina B.; Gentile, Erika Lauren; Léonard, Guillaume; Massé-Alarie, Hugo; Tufa, Iulia; Roy, Jean-Sébastien; Stone, Laura S.; Choinière, Manon; Fortin, Maryse; Roy, Mathieu; Sean, Monica; Tétreault, Pascal; Rainville, Pierre; Deslauriers, Simon; Lacasse, A.
The Canadian version of the NIH minimum dataset for chronic low back pain research: reference values from the Quebec Low Back Pain Study Journal Article
In: PAIN, vol. 64, iss. 2, pp. 325-335, 2023, ISSN: 0304-3959.
Abstract | Links | BibTeX | Tags: Back pain, Chronic Pain, Low Back Pain, Pain Measurement
@article{RN380,
title = {The Canadian version of the NIH minimum dataset for chronic low back pain research: reference values from the Quebec Low Back Pain Study},
author = {A. Angarita-Fonseca and M. G. Pag\'{e} and Carolina B. Meloto and Erika Lauren Gentile and Guillaume L\'{e}onard and Hugo Mass\'{e}-Alarie and Iulia Tufa and Jean-S\'{e}bastien Roy and Laura S. Stone and Manon Choini\`{e}re and Maryse Fortin and Mathieu Roy and Monica Sean and Pascal T\'{e}treault and Pierre Rainville and Simon Deslauriers and A. Lacasse},
url = {https://journals.lww.com/pain/Fulltext/2023/02000/The_Canadian_version_of_the_National_Institutes_of.15.aspx},
doi = {10.1097/j.pain.0000000000002703},
issn = {0304-3959},
year = {2023},
date = {2023-01-21},
urldate = {2023-01-21},
journal = {PAIN},
volume = {64},
issue = {2},
pages = {325-335},
abstract = {The National Institutes of Health (NIH) minimum dataset for chronic low back pain (CLBP) was developed in response to the challenge of standardizing measurements across studies. Although reference values are critical in research on CLBP to identify individuals and communities at risk of poor outcomes such as disability, no reference values have been published for the Quebec (Canada) context. This study was aimed to: 1) provide reference values for the Canadian version of the NIH minimum dataset among individuals with CLBP in Quebec, both overall and stratified by gender, age, and pain impact stratification (PIS) subgroups; and 2) assess the internal consistency of the minimum dataset domains (pain interference (PI), physical function (PF), emotional distress/depression (EDD), sleep disturbance (SD), and PIS score). We included 2847 individuals living with CLBP who completed the baseline web survey of the Quebec Low Back Pain Study (age: 44.0±11.2 years, 48.1% women), and were recruited through social media and health care settings. The mean score was 6.1±1.8 for pain intensity. PI, PF, EDD, SD, and PIS scores were 12.9±4.1, 14.4±3.9, 9.8±4.4, 13.0±3.6, and 26.4±6.6, respectively. EDD showed floor effects. Good to excellent internal consistency was found overall and by language, gender, and age subgroups for all domains (alpha: 0.81-0.93) and poor to excellent internal consistency for PIS subgroups (alpha: 0.59\textendash0.91). This study presents reference values and recommendations for using the Canadian version of the NIH minimum dataset for CLBP that can be useful for researchers and clinicians. },
keywords = {Back pain, Chronic Pain, Low Back Pain, Pain Measurement},
pubstate = {published},
tppubtype = {article}
}
Honors & Awards
UQAT – Health Research Student Emerging Award.
This award highlighted the quality of scientific articles published in the past year at the UQAT.
View moreUniversidad de Santander Achievement Award
The University of Santander granted a recognition, for the Senior Researcher (IS) categorization, within the framework of the call 894 of 2021, "National call for the recognition and measurement of research groups, technological development or innovation and the recognition of researchers from the National System of Science, Technology and Innovation - SNCTI, Colombia 2021".
View moreCAPT’s 25th Anniversary Scholarship for Early Career Investigator or Leader.
The Canadian Association for Population Therapeutics. A competition among applicants who completed a graduate program at a recognized Canadian academic institution and who have demonstrated exceptional academic achievement, the ability to innovate and/or lead within their respective program/academic institution/professional environment; based on an one letter of support, CV, and written statement.
View moreSecond place of the Physiotherapy and Kinesiology Latin American Faculty Research Award
[Capacity building in rehabilitation in Honduras through workshops: an international collaboration strategy]. International conference: X Encuentro Latinoamericano de Academicos en Fisioterapia y kinesiologia. Medellin, Colombia. [Online]. A paper competition among Latin-American senior researchers with a double-blind peer reviewed policy.
View morePostdoctoral Training Award (Citizens of other countries), Fonds de recherche du Québec – Santé (FRQS)
Project: Le projet PAIR - Exploiter le Registre québécois de la douleur et les bases de données administratives de la santé du Québec pour étudier l'utilisation réelle des opioids
View moreThe CRDCN Emerging Scholars Grant.
Project: Physical activity and chronic back disorders in Canadian adults. Canadian Research Data Centre Network, Canada.
View moreSecond place of the Physiotherapy and Kinesiology Latin American Faculty Research Award
[Capacity building in rehabilitation in Honduras through workshops: an international collaboration strategy]. International conference: IX Encuentro Latinoamericano de Academicos en Fisioterapia y kinesiologia. Barranquilla, Colombia. A paper competition among Latin-American senior researchers with a double-blind peer reviewed policy.
View moreUniversidad de Santander Achievement Award
This award recognizes researchers for having obtained the Senior Researcher Category in the Colombian Administrative Department of Science, Technology and Innovation (COLCIENCIAS). Bucaramanga, Colombia
View moreSecond prize of the best paper competition
[The Effects of Phase III and IV Cardiac Rehabilitation: A Systematic Review]. International conference: VI Congreso de Solacur, V congreso internacional de rehabilitación cardiorespiratoria y II concurso de investigadores cardiorespiratorios. Cusco, Peru
View moreWinner of the Best Paper Presentation Competition
[Family influences on body mass index in low-income pre-kindergarten students of Floridablanca, Colombia]. National conference: XII Congreso Peruano de Nutrición. Sociedad Peruana de Nutricion. Lima, Peru.
View more