Faculty Member

Monique A.M. Gignac Ph.D.

Email Address(es)
Office Phone
416-927-2027, ext 2150
Office Address
Institute for Work and Health 481 University Avenue Suite 800 Toronto, Ontario M5G 2E9
Social & Behavioural Health Sciences Division
Office of Global Public Health Education & Training
SGS Status
Full Member
Appointment Status
Status Only

Research Interests


Health models of disability and participation; Employment and disability; Appraisals, coping, & adaptation to adult onset chronic illness & disability; Independence & dependence in older adults with disability

Provision of care & collaborative alliances in community care of older adults with disability; Gender differences in disability & use of health services and treatments; Appraisals, expectations & decision-making around health services; Evaluation of self-management programs for people with disability

Appraisals & coping of family members caring for older adults with chronic illness including stroke and Alzheimer’s disease; Program and policy challenges of family support & care of the elderly; Caregiving & work/family conflict, Workplace responses to employees’ family responsibilities


Quantitative & qualitative methods; survey methods; scale development; regression analyses; multivariate analyses of variance; factor analysis; reliability analyses; content analysis


Growth, adaptation, & coping approaches to aging; Models of cognitive-affective development

Education & Training History

Ph.D. 1991, University of Waterloo, Waterloo, Ontario, Canada: Social Psychology.

M.A. 1988, University of Waterloo, Waterloo, Ontario, Canada: Social Psychology.

B.Sc. 1985, University of Toronto, Toronto, Ontario, Canada: Psychology with High Distinction

Postdoctoral Fellowship, 1991 – 1995, CARNET: The Canadian Aging Research Network, Network of Centres of Excellence (NCE), Gerontology Research Centre, University of Guelph, Guelph, Ontario

Other Affiliations

Professional Affiliations:

American Psychological Association (APA)

Canadian Association on Gerontology (CAG)

Gerontological Society of America (GSA)

Association of Rheumatology Health Professionals (ARHP)

Primary Teaching Responsibilities

CHL5203H: Survey Methods in Health Sciences

Professional Summary & Appointments

Core Appointments:

Professor, July 2015 to present, Dalla Lana School of Public Health, University of Toronto

Associate Scientific Director, August 2013 to present, Institute for Work and Health, Toronto, Ontario

Senior Scientist, April 2012 to present, Institute for Work and Health, Toronto, Ontario

Affiliate Scientist, July 2014 to present, Division of Health Care & Outcomes Research, Toronto Western Research Institute, The University Health Network, Toronto, Ontario

Senior Scientist, August 2005 to June 2014, Division of Outcomes & Population Health, Toronto Western Research Institute, University Health Network, Toronto, Ontario

Associate Professor, July 1, 2005 to present, Dalla Lana School of Public Health (formerly Department of Public Health Sciences), Faculty of Medicine, University of Toronto, Status Appointment, Toronto, Ontario

Scientist, Division of Outcomes & Population Health, Toronto Western Research Institute, University Health Network, Toronto, Ontario

Assistant Professor, January 1996 to June 30, 2005, Department of Public Health Sciences (formerly the Department of Behavioural Science), Faculty of Medicine, University of Toronto, Status Appointment, Toronto, Ontario

Research Investigator, July 1995 to present, Arthritis Community Research and Evaluation Unit (ACREU), University Health Network

Postdoctoral Fellowship, 1991 – 1995, CARNET: The Canadian Aging Research Network, Network of Centres of Excellence (NCE), Gerontology Research Centre, University of Guelph, Guelph, Ontario


Chair, June 2011-April 2016, Institute Advisory Board (IAB), Institute for Musculoskeletal Health and Arthritis (IMHA), Canadian Institutes of Health Research (CIHR)

Co-Scientific Director, April 2008 to March 2014, Canadian Arthritis Network (CAN), Networks of Centres of Excellence (NCE)

Full Member, July 2007 to present, School of Graduate Studies, University of Toronto

Associate Member, July 1998 to July 2007, Graduate Department of Public Health Sciences (formerly Graduate Department of Community Health), University of Toronto

Honours and Awards:

Kiran van Rijn Award for Outstanding Contributions made to the Health Care, Technology and Place (HCTP) Canadian Institutes of Health Research (CIHR) Strategic Research Training Program, March 2015

Distinguished Lecturer Award, Association of Rheumatology Health Professionals (ARHP), November 2014

Distinguished Scholar Award, Association of Rheumatology Health Professionals (ARHP), November 2013

Queen Elizabeth II Diamond Jubilee Award, Governor General’s Office, for service to The Arthritis Society, 2013

Recognition Award: Outstanding Leadership and Research Excellence, Networks of Centres of Excellence (NCE), 2011

Award of Merit, Canadian Arthritis Network (CAN), 2006

Award of Merit, Canadian Arthritis Network (CAN), 2005

University of Toronto, St. Michael’s College Gold Medal in Psychology 1985;

Current Research Projects

Beaton, D.E. (PI), Jain, R., Bogoch, E., Da Costa D., Fortin, P., Gignac, M.A.M., Jaglal, S., Josse, R., Kennedy, C., Mamdani, M., Rotondi, N., Sale, J., Sujic, R., Thorpe, K. (2015). “Make this break your last”: pilot testing an educational intervention to improve fragility fracture patients’ awareness of their risk of re-fracture. Canadian Institutes of Health Research (CIHR), $100,000, 1 yr.

 Gignac, M.A.M. (Co-Principal Investigator), Irvin, E. (Co-Principal Investigator). Co-Investigators: McLeod, C., Backman, C., Van Eerd, D., Beaton, D., Mahood, Q. (2014). Osteoarthritis and Work: A Systematic Review. WorkSafeBC. 1 year, $62,813 (RS2014-SR03).

Sale, J. (PI), Beaton, D., Bogoch, E., Gignac, M.A.M., Hawker, G., Ho, J. (2014). How do fracture patients with comorbidities manage bone health treatment? Canadian Institutes of Health Research. 2 years, $153,832.

Martin Ginis, K. (PI), Connolly, C., Borisoff, J., Bray, J., Hayes, K., Latimer-Cheung, A., Mortenson, B., Beauchamp, M., Miller, B., Noreau, L., Rimmer, J., Horrocks, J., Tucker, S., Gignac, M.A.M., Bassett-Gunter, R., (2014). Enhancing community participation in Canadians with physical disabilities: Development, implementation and evaluation of a partnered strategy.  Social Sciences and Humanities Research Council. 7 years, $2,643,997 (file 895-2013-1021).

 Gignac, M.A.M. (PI), Johnson, S. (Co-PI), Davis, A., Badley, E.M., Jetha, A. (2013). New perspectives on arthritis and work: The role of gender in employment across the life course. SeXX Matters Research Initiative, Arthritis and Autoimmunity Research Foundation. 2 years, $60,000.

Gignac, M.A.M., (PI), Badley, E.M., Beaton, D., Kristman, V., Mustard, C., Smith, P. (2013). Employment needs and experiences of workers with arthritis and diabetes: Keeping the Boom(ers) in the labour market. Canadian Institutes of Health Research. 2 years, $166,466.

Steenstra, I.A., (PI), Lowe, G., McIntosh, G., Saunders, R., Chappel, J., Geary, J., White, M., Beaton, D.E., Gignac, M.A.M, Gross, D., Irvin, E., Loisel, P., Pransky, G., Puts, M., Scott-Marshall, H., Tompa, E., Van Eerd, D., Wilkie, R., (2013). A review of the role of aging in return to work and stay at work. Canadian Institutes of Health Research Knowledge Synthesis Grant. 1 year $89,622. Sept 2013-Sept 2014.

Cameron, J.I. (PI), Naglie, G., Bayley, M., Gignac, M.A.M., Silver, F., Huijbregts, M., Cheung, A., Warner, G., Phillips, S., Green, T. (2012). Collaborators: S. Sharpe, M. Morris, B. Brownlee, P. Bodnar, A.Waller, D. Bowman, C. MacPhail, T. MacGillivary, A. Tee. Enhancing Stroke Survivor Community Re-Integration by Supporting their Family Caregiver across the Care Continuum. Ontario Stroke Network. 2 years, $99,750

Sale, J. (PI), Beaton, D., Gignac, M.A.M., Hawker, G., Bogoch, E. (2012). What are fracture patients’ understanding of risk of future fracture? Canadian Institutes of Health Research. 2 years, $173,680

Lacaille, D. (PI), Backman, C., Esdaile, J., Gignac, M.A.M., Goldsmith, C., Li, L., Marra, C. (2011). A randomized control trial evaluating the effectiveness of the Making It Work program at preventing work loss and improving at work productivity in employed people with inflammatory arthritis. Canadian Institutes of Health Research. 5 years, $116,858/year. MOP 245743.

Verstappen, S.M.M. (PI), Fautrel, B., Boonen, A., Petersson, I., Lacaille, D., Beaton, D.E., Tang, K., Gignac, M.A.M., Bosworth, A., Chirol, S., Kobelt, G., Schiepers, A., Hofstetter, C. (2011). Towards a patient global measure to assess at-work limitations/productivity loss in patients with inflammatory arthritis and osteoarthritis. European League Against Rheumatism (EULAR), €150,000, 3 years.

Coyte, P.C (PI), Clifford, T., Fernie, G., Krahn, M., Levin, L., Culyer, A., Andrews, G., Gignac, M., Jadad, A., Miller, F., Upshur, R., et al. (2009). Health Care Technology and Place (HCTP): A Strategic Training Initiative. Canadian Institutes of Health Research. 6 years, $325,000/year.

Gignac, M.A.M. (2008) Psychosocial aspects of arthritis. Funding from the Canadian Arthritis Network (CAN), Networks of Centres of Excellence (NCE). $400,000, 6 years


Dhanhani, A. A., Gignac, M.A.M., Beaton, D., Su, J., Fortin, P. (in press). Job accommodation availability and utilization among people with lupus: An examination of workplace activity limitations and work context factors. Arthritis Care & Research

Wong, I.S., Smith, P.M., Mustard, C.A., Gignac, M.A.M. (in press). Health and occupational outcomes among injured, nonstandard shift workers. Journal of Occupational and Environmental Medicine.

Beaton, D., Dyer, S., Boonen, A., Verstappen, S., Escorpizo, R., Lacaille, D., Bosworth, A., Gignac, M.A.M., Leong, A., Purcaru, O., Leggett, S., Hofstetter, C., Petersson, I., Tang, K., Fautrel, B., Bombardier, C., Tugwell, P. (in press) OMERACT filter evidence supporting the measurement of at-work productivity loss as an outcome measure in rheumatology research. Journal of Rheumatology 

Gignac, M.A.M., Cao, X., McAlpine, J. (2015). Availability, need for, and use of work accommodations and policies: Are they related to employment outcomes in people with arthritis? Arthritis Care & Research, 67(6), 855-864. [Epub ahead of print] PMID: 25370701

Stolwijk, C., Castillo-Ortiz, J-D., Gignac, M.A.M., Luime, J., Boonen, A., and the OMERACT Work Productivity Group. (2015). Importance of contextual factors when measuring work outcome in ankylosing spondylitis: A systematic review by the OMERACT worker productivity group. Arthritis Care & Research, 67(9), 1316-1327

Jetha, A., Badley, E.M., Beaton, D., Fortin, P.R., Shiff, N.J., Gignac, M.A.M. (2015). Unpacking early work experiences of young adults with rheumatic disease: An examination of absenteeism, job disruptions and perceived productivity loss. Arthritis Care & Research, 67(9), 1246-1254.

Badley, E.M., Canizares, M., Perruccio, A., Hogg-Johnson, S., Gignac, M.A.M. (2015). Benefits gained-benefits lost: a longitudinal cohort study (1994-2010) of the differential impact of changes in socio-economic status, smoking and obesity on self-rated health comparing baby boomers to other generations. Milbank Quarterly, 93(1), 40-72. First published online: Mar 5 2015, DOI: 10.1111/1468-0009.12105. PMID:25752350

Gignac, M.A.M., Cao, C., Ramanathan, S., White, L.M., Hurtig, M., Kunz, M., Marks, P.H. (2015). Perceived Personal Importance of Exercise and Fears of Re-injury: A Longitudinal Study of Psychological Factors Related to Activity After Anterior Cruciate Ligament Reconstruction. BMC Sports Science, Medicine and Rehabilitation. 2015. 7:4. doi: 10.1186/2052-1847-7-4. [Free article]

Cameron, J.I, Naglie, G., Green, T., Gignac, M.A.M., Bayley, M., Huijbregts, M., Silver, F., Czerwonka, A. (2014). A feasibility and pilot randomized controlled trial of the “Timing it Right Stroke Family Support Program.” Clinical Rehabilitation. DOI: 10.1177/0269215514564897. PMID: 25552525

Bastawrous, M., Gignac, M.A.M., Kapral, M.K., Cameron, J.I. (2014).  Factors that contribute to adult children caregivers’ well-being: a scoping review. Health and Social Care in the Community. Dec 4. doi: 10.1111/hsc.12144. [Epub ahead of print] PMID: 25472851

 Jetha, A., Badley, E.M., Beaton, D., Fortin, P.R., Shiff, N.J., Rosenberg, A.M., Tucker, L.B., Mosher, D.P., Gignac, M.A.M. (2014). Transitioning to employment with a rheumatic disease: The role of independence, overprotection and social support. Journal of Rheumatology. Dec;41(12):2386-94. doi: 10.3899/jrheum.140419. Epub 2014 Oct 1 PMID: 25274887

Bastawrous, M., Gignac, M.A.M., Kapral, M.K., Cameron, J.I. (2014). Adult daughters providing post-stroke care to a parent: a qualitative study of the impact that role overload has on lifestyle, participation and family relationships. Clin Rehabil. 2014 Sep 25. pii: 0269215514552035. [Epub ahead of print] PMID: 25258424

Wong, I.S., Smith, P.M., Mustard, C.A., Gignac, M.A.M. (2014). For better or worse? Changing shift schedules and the risk of work injury among men and women. Scandinavian Journal of Work, Environment and Health. 2014 Nov 1; 40(6):621-30. doi: 10.5271/sjweh.3454. Epub 2014 Sep 17. PMID: 25229551

Sale, J., Bogoch, E., Hawker, G., Gignac, M.A.M. , Beaton, D., Jaglal, S., Frankel, L. (2014). Patient perceptions of provider barriers to post-fracture secondary prevention. Osteoporosis International. 2014 Nov;25(11):2581-9. doi: 10.1007/s00198-014-2804-4. Epub 2014 Aug 1. PMID: 25082555

Carruthers, E.C., Rogers, P., Backman, C., Goldsmith, C.H., Gignac, M.A.M., Marra, C., Village, J., Li, L., Esdaile, J.M., Lacaille, D. (2014). “Employment and Arthritis: Making it Work” A randomized control trial evaluating an on-line program to help people with inflammatory arthritis maintain employment (study protocol). BMC Medical Informatics and Decision Making 2014, 14:59  doi:10.1186/1472-6947-14-59 PMID: 25043631 Free PMC Article

Wong, I., Smith, PM., Mustard, CA., Gignac, M.A.M. (2014). Work-injury absence and compensation among partnered and lone mothers and fathers. American Journal of Industrial Medicine. 2014 Aug;57(8):960-9. doi: 10.1002/ajim.22351. Epub 2014 Jun 20. PMID: 24953226.

Al Dhanhani AM, Gignac, M.A.M., Beaton, D.E., Su, J., Fortin, PR. (2014). Work factors are associated with workplace activity limitations in systemic lupus erythematosus. Rheumatology (Oxford), 2014 Nov;53(11):2044-52. doi: 10.1093/rheumatology/keu242. Epub 2014 Jun 10. PMID: 24917563

Gignac, M.A.M., Lacaille, D., Beaton, D.E., Backman, C.L., Cao, X., Badley, E.M. (2014). Striking a balance: Work-health-personal life conflict in women and men with arthritis and its association with work outcomes. Journal of Occupational Rehabilitation, 24(3), 573-584. DOI 10.1007/s10926-013-9490-5. PMID: 24370635 Free PMC Article

Tang, K., Boonen, A., Verstappen, S.M., Escorpizo, R., Luime, J.J., Lacaille, D., Fautrel, B., Bosworth, A., Cifaldi, M., Gignac, M.A., Hofstetter, C., Leong, A., Montie, P., Peterson, I.F., Purcaru, O., Bombardier, C., Tugwell, P.S., Beaton, D.E. (2014). Worker productivity outcome measures: OMERACT filter evidence and agenda for future research. Journal of Rheumatology, 41 (1), 165-176. PMID: 24128774.

Sale, JE., Gignac, M.A.M., Hawker, G., Beaton, D., Bogoch, E., Webster, F., Frankel, L., Elliot-Gibson, V., (2014). Non-pharmacological strategies used by patients at high risk for future fracture to mange fracture risk – A qualitative study. Osteoporosis International. 25(1):281-8 PMID: 23740423

Sujic, R., Gignac, M.A.M., Cockerill, R., Beaton, D.E. (2013). Factors predictive of the perceived osteoporosis-fracture link in fragility fracture patients. Maturitas, 76 (2), 179-184. PMID: 23962530

Sankar, A., Davis, A.M., Palaganas, M.P., Beaton, D.E., Badley, E.M., Gignac, M.A.M. (2013). Return to work and workplace activity limitations following total hip and knee replacement. Osteoarthritis and Cartilage, 21(10), 1485-1493. PMID: 23774473 Free Article

Tang, K., Beaton, D.E., Lacaille, D., Gignac, M.A.M., Bombardier, C., (2013). Beyond psychometric evaluations: Sensibility attributes of five at-work productivity measures were appraised by patients with osteoarthritis and rheumatoid arthritis. Journal of Clinical Epidemiology, 66, 546-556.

Gignac, M.A.M., Backman, C., Davis, A., Lacaille, D., Cao, X., Badley, E.M. (2013). Social role participation and the life course in healthy adults and individuals with osteoarthritis: Are we overlooking the impact on the middle-aged? Social Science and Medicine, 81, 87-93.

Gignac, M.A.M., Backman, C.L., Kaptein, S., Lacaille, D., Beaton, D.E., Hofstetter, C., & Badley, E.M. (2012). Tension at the Borders: Perceptions of Role Overload, Conflict, Strain and Facilitation in Work, Family and Health Roles among Employed Individuals with Arthritis. Rheumatology, 51, 324-332. (Advance Access Oct 27, 2011. doi:10.1093/rheumatology/ker317)

Hawker, G.A., Gignac, M.A.M., Badley, E.M., Davis, A.M., French, M.R., Li, Y., Perruccio, A., Power, D., Sale, J., Lou, W. (2011). A longitudinal study to explain the pain-depression link in adults with osteoarthritis. Arthritis Care & Research, 63, 1382-1390.

Gignac, M.A.M., Cao, X., Tang, K., Beaton, D.E. (2011). An Examination of Arthritis-Related Workplace Activity Limitations and Intermittent Disability Over Four and a Half Years and its Relationship to Job Modifications and Outcomes. Arthritis Care & Research, 63, 953-962.

Tang, K., Escorpizo, R., Beaton, D.E., Bombardier, C., Lacaille, D., Zhang, W., Anis, A.H., Boonen, A., Verstappen, S.M.M., Buchbinder, R., Osborne, R.H., Fautrel, B., Gignac, M.A.M., Tugwell, P.H. (2011). Measuring the impact of arthritis on worker productivity: Perspectives, methodologic issues, and contextual factors. Journal of Rheumatology, 38, 1776-1790.

Zhang, W., Gignac, M.A.M., Beaton, D., Tang, K., Anis, A. on behalf of the Canadian Arthritis Network (CAN) Work Productivity Group (2010). Productivity loss due to presenteeism among patients with arthritis: Estimates from four instruments. Journal of Rheumatology, 37, 1805-1814.

Beaton, D.E., Tang, K., Gignac, M.A.M., Lacaille, D., Badley, E.M., Anis, A.H., Bombardier, C. (2010). Reliability, validity and responsiveness of five at-work productivity measures in persons with rheumatoid arthritis or osteoarthritis: a 12-month multi-centre study. Arthritis Care & Research, 62, 28-37

Gignac, M.A.M. & Cao, X. (2009). “Should I tell my employer and co-workers I have arthritis?”: A longitudinal examination of self-disclosure in the workplace. Arthritis Care & Research, 61, 1753-1761. Kaptein, S., Gignac, M.A.M., & Badley, E.M. (2009), Differences in the workforce experiences of women and men with arthritis disability: A population health perspective. Arthritis Care & Research, 61, 605-613.

Dhanhani, A.M, Gignac, M.A.M., Su, J., Fortin, P. (2009). Work disability in SLE patients. Arthritis Care & Research, 61, 378-385.

Gignac, M.A.M., Cao, X., Lacaille, D., Anis, A.H., Badley, E.M. (2008). Arthritis-related work transitions: A prospective analysis of reported productivity losses, work changes, and leaving employment. Arthritis Care & Research, 59, 1805-1813.

Lacaille, D., White, M.A., Rogers, P.A., Backman, C.L., Gignac, M.A.M., Esdaile, J.M. (2008) “Employment and Arthritis: Making it Work” – A Proof of Concept Study, Arthritis Care & Research, 59, 1647-1655.

Gignac, M.A.M., Backman, C.L., Davis, A.M., Lacaille, D., Mattison, C.A., Montie, P., Badley, E.M. (2008). Understanding social role participation: What matters to people with arthritis? Journal of Rheumatology, 35, 1655-1663.

Cameron, J.I., & Gignac, M.A.M. (2008). “Timing it right”: A conceptual framework for addressing family caregivers’ support needs from the hospital to the home. Patient Education and Counseling, 70, 305-314.