France Légaré
Biographic Data
| ID | 349624 |
|---|---|
| NAME | France Légaré |
| GIVEN NAMES | France |
| FAMILY NAME | Légaré |
| SIGNATURE | LÉGARÉ F |
| AFFILIATIONS | Université Laval |
| ORCID | 0000-0002-2296-6696 |
| VERIFIED | Yes |
| TOTAL WORKS | 39 |
| TOTAL CITATIONS | 13 |
| AUTHOR COUNT | 39 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Equitable Patient and Public Involvement Strategies for Scaling Health and Social Care Interventions
Designing Meaningful Engagement for Older Adults
BACKGROUND: Co-design is increasingly used to involve older adults in the development of digital tools, yet less attention has been given to how to engage them effectively in these processes. Older adults represent a highly diverse population, but co-design practices often overlook this heterogeneity and rely on limited representation. Similarly, co-design approaches vary widely in structure and degree of user involvement. While evaluations often…
What personal support workers need to support older adults in making informed and shared decisions within home care teams
Background: Personal support workers (PSWs) are the largest group of home care providers who can play a pivotal role in helping their vulnerable older clients in making informed and shared decisions together with their home care teams. Shared decision making refers to a process whereby individuals and their care teams make health care choices together.[] Despite the many benefits of shared decision making (SDM), vulnerable older adults in the hom…
Prototypes of Digital Tools to Support the Housing Decisions of Older Adults
Suitable housing is essential for older adults at risk of deteriorating health, yet housing decision support is often lacking. A 5-day co-design sprint was conducted to develop digital prototypes supporting informed housing decisions. Key stakeholders including older adults, healthcare professionals, and technology- and architecture professionals participated. Notes from observations and textual content of the prototypes were thematically analyze…
Strategies for involving patients and the public in scaling initiatives in health and social services
Strategies for engaging patients and families in collaborative mental health care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Exploring assets of people with memory problems and dementia in public space
With more people with dementia living at home, neighborhoods and public spaces are being recognized as dementia care settings. Further, there is a shift from emphasizing the loss and decline of a person with dementia to a focus on strength and capacity. The aim of this paper is to identify assets that contribute to the well-being of people with memory problems and dementia living in a community context in the Netherlands. A deductive content anal…
Features of the social and built environment that contribute to the well-being of people with dementia who live at home
This scoping review summarizes findings from 23 qualitative articles on how social and built environments contribute to the well-being of people with dementia who live at home. Through thematic analysis, two themes were identified: i) connection to society and supportive relationships and ii) interaction with natural environments and public space. Features of the social and built environment contribute to well-being both positively and negatively…
Targeting ethical considerations tied to image-based mobile health diagnostic support specific to clinicians in low-resource settings
Background: mHealth applications assist workflow, help move towards equitable access to care, and facilitate care delivery. They have great potential to impact care in low-resource countries, but have significant ethical concerns pertaining to patient autonomy, safety, and justice.Objective: To achieve consensus among stakeholders on how to address concerns pertaining to autonomy, safety, and justice among mHealth developers and users in low-reso…
The pitfalls of scaling up evidence-based interventions in health
Policy-makers worldwide are increasingly interested in scaling up evidence-based interventions (EBIs) to larger populations, and implementation scientists are developing frameworks and methodologies for achieving this. But scaling-up does not always produce the desired results. Why not? We aimed to enhance awareness of the various pitfalls to be anticipated when planning scale-up. In lower- and middle-income countries (LMICs), the scale-up of hea…
Piloting the “Rural Emergency 360” project in two emergency departments in Quebec, Canada
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Rural emergency care 360°
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Choosing between staying at home or moving
Diabetes‐related complications
This study confirmed the importance of research topics among a population of people living with or caring for someone with diabetes. Findings from this study were used to inform the vision for Diabetes Action Canada-a pan-Canadian Strategy for Patient-Oriented Research (SPOR) Network on diabetes and its complications
Factors associated with shared decision making among primary care physicians
BACKGROUND: Despite growing recognition that shared decision making (SDM) is central for patient-centred primary care, adoption by physicians remains limited in routine practice. OBJECTIVE: To examine the characteristics of physicians, patients and consultations associated with primary care physicians' SDM behaviours during routine care. METHODS: A multicentre cross-sectional survey study was conducted with 114 unique patient-physician dyads recr…
Decision aids for people facing health treatment or screening decisions
BACKGROUND: Decision aids are interventions that support patients by making their decisions explicit, providing information about options and associated benefits/harms, and helping clarify congruence between decisions and personal values. OBJECTIVES: To assess the effects of decision aids in people facing treatment or screening decisions. SEARCH METHODS: Updated search (2012 to April 2015) in CENTRAL; MEDLINE; Embase; PsycINFO; and grey literatur…
Le chez-soi à l'épreuve des pratiques professionnelles
Are mobile health applications useful for supporting shared decision making in diagnostic and treatment decisions
Mobile health (mHealth) applications intended to support shared decision making in diagnostic and treatment decisions are increasingly available. In this paper, we discuss some recent studies on mHealth applications with relevance to shared decision making. We discuss the potential advantages and disadvantages of using mHealth in shared decision making in various contexts, and suggest some directions for future research in this quickly expanding …
Caring for seniors living with dementia means caring for their caregivers too
The Evolution of an Interprofessional Shared Decision-Making Research Program
Introduction: Healthcare research increasingly focuses on interprofessional collaboration and on shared decision making, but knowledge gaps remain about effective strategies for implementing interprofessional collaboration and shared decision-making together in clinical practice. We used Kuhn’s theory of scientific revolutions to reflect on how an integrated interprofessional shared decision-making approach was developed and implemented over time…
Exploration of shared decision‐making processes among dieticians and patients during a consultation for the nutritional treatment of dyslipidaemia
BACKGROUND: Shared decision making (SDM) holds great potential for improving the therapeutic efficiency and quality of nutritional treatment of dyslipidaemia by promoting patient involvement in decision making. Adoption of specific behaviours fostering SDM during consultations has yet to be studied in routine dietetic practice. OBJECTIVE: Using a cross-sectional study design, we aimed to explore both dieticians' and patients' adoption of SDM beha…
Shared decision‐making behaviours in health professionals
Assessments of the extent to which health‐care providers involve patients in decision making
The impact of Decision +2 on patient intention to engage in shared decision making
BACKGROUND: Training health professionals in shared decision making (SDM) may influence their patients' intention to engage in SDM. OBJECTIVE: To assess the impact of DECISION+2, a SDM training programme for family physicians about the use of antibiotics to treat acute respiratory infections (ARIs), on their patients' intention to engage in SDM in future consultations. DESIGN: Secondary analysis of a multicentre clustered randomized trial. SETTIN…
Assessing patients’ involvement in decision making during the nutritional consultation with a dietitian
Background Shared decision making (SDM) represents an interesting approach to optimize the impact of dietary treatment, but there is no evidence that SDM is commonly integrated into diet‐related health care. Objective To assess the extent to which dietitians involve patients in decisions about dietary treatment. Methods We audiotaped dietitians conducting nutritional consultations with their patients, and we transcribed the tapes verbatim. Three …
Interpersonal perception in the context of doctor-patient relationships
The limitations of a negotiation model for perimenopausal women
The clinical negotiation model proposed by Katon and Kleinman (1981) puts culture at the very heart of the patient-doctor relationship. As opposed to the asymmetric model that stresses an unequal power relationship between a dominant physician and a powerless patient, this transactional model suggests that we view the clinical encounter as the locus of a negotiation that takes place between two kinds of knowledge (lay and professional), and betwe…
Le partage des décisions en santé entre patients et médecins
Les nombreuses enquêtes portant sur la population de plusieurs pays industrialisés incluant le Canada indiquent que de plus en plus, dans le contexte des rencontres médecin-patient, les patients désirent participer activement aux décisions portant sur leur santé. Toutefois, ces enquêtes rapportent aussi que ce partage de la décision entre les patients et les médecins n'a pas préséance. Le présent texte donne les raisons expliquant l'intérêt de la…
The limitations of a negotiation model for perimenopausal women
The clinical negotiation model proposed by Katon and Kleinman (1981) puts culture at the very heart of the patient-doctor relationship. As opposed to the asymmetric model that stresses an unequal power relationship between a dominant physician and a powerless patient, this transactional model suggests that we view the clinical encounter as the locus of a negotiation that takes place between two kinds of knowledge (lay and professional), and betwe…
Factors associated with the difference in score between women's and doctors' decisional conflict about hormone therapy
Objective: To explore factors associated with the difference in score between women's and doctors’ decisional conflict about hormone therapy (HT). Design: Secondary analysis. Setting and participants: family doctors were randomized to prepare women for counselling about HT using either a decision aid or a pamphlet. Main variables studied: After each counselling session, decisional conflict was assessed in women and doctors using the Decisional Co…
Prediction of health professionals' intention to screen for decisional conflict in clinical practice
Objective To identify the determinants of the intention of physicians to screen for decisional conflict in clinical practice. Background Screening for decisional conflict is one of the key competencies when educating health professionals about shared decision making. Theory‐based knowledge about variables predicting their intention to screen for decisional conflict in clinical practice would help design effective implementation interventions in t…
Barriers and facilitators to implementing shared decision-making in clinical practice
Development of a theory of implementation and integration
BACKGROUND: Theories are important tools in the social and natural sciences. The methods by which they are derived are rarely described and discussed. Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes. This paper describes the process by which it was built. METHODS: Between 1998 and 2008, we d…
Why Consider Patients’ Preferences
BACKGROUND: Several organizations are advocating for patients' preferences to be considered in clinical practice guideline development and implementation. However, lack of agreement on the goal and meaning of this policy curtails evaluation and development of patient involvement programs. GOAL: To describe guideline developers' discourses on the goal of considering patients' preferences. DESIGN: Qualitative study using discourse analysis. SUBJECT…
Le partage des décisions en santé entre patients et médecins
Les nombreuses enquêtes portant sur la population de plusieurs pays industrialisés incluant le Canada indiquent que de plus en plus, dans le contexte des rencontres médecin-patient, les patients désirent participer activement aux décisions portant sur leur santé. Toutefois, ces enquêtes rapportent aussi que ce partage de la décision entre les patients et les médecins n'a pas préséance. Le présent texte donne les raisons expliquant l'intérêt de la…
Interpersonal perception in the context of doctor-patient relationships
Training family physicians in shared decision making for the use of antibiotics for acute respiratory infections
Background Experts estimate that the prevalence of antibiotics use exceeds the prevalence of bacterial acute respiratory infections (ARIs). Objective To develop, adapt and validate DECISION+ and estimate its impact on the decision of family physicians (FPs) and their patients on whether to use antibiotics for ARIs. Design Two‐arm parallel clustered pilot randomized controlled trial. Setting and participants Four family medicine groups were random…
Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults
In recent years, there has been an increasing recognition of the failure to translate research findings into clinical practice. Therefore, knowledge translation efforts need to prioritize effective interventions that will be the most relevant for practice and end-users by adapting them to the local context. Our study will provide decision makers in the field of dietetic practice with essential knowledge on adherence for elaborating educational ac…
They're Made in Factories and Not by Witches on the Allotment”
This article explores midlife women's experiences and approaches related to complementary and alternative therapies (CAMS). Ninety-six midlife women were asked about their use of CAMs as part of their overall approach to midlife health. Qualitative thematic analysis was combined with a case-based approach. Women set their experience of CAMs in the context of conventional medicine taking and discussed their safety and different uses. For treatment…
Shared decision making
Although many clinicians feel they already use shared decision making, research shows a perception-reality gap. A M Stiggelbout and colleagues discuss why it is important and highlight some best practices.
Turning signals into meaning –‘Shared decision making’ meets communication theory
Shared decision making (SDM) is being increasingly challenged for promoting an innovative role model while adhering to an archaic approach to patient‐clinician communication, both in clinical practice and the research field. Too often, SDM has been studied at the individual level, which ignores the interpersonal system between patients and physicians. We aimed to encourage debate by reflecting on the essentials of SDM in terms of epistemology. We…
Assessing patients’ involvement in decision making during the nutritional consultation with a dietitian
Background Shared decision making (SDM) represents an interesting approach to optimize the impact of dietary treatment, but there is no evidence that SDM is commonly integrated into diet‐related health care. Objective To assess the extent to which dietitians involve patients in decisions about dietary treatment. Methods We audiotaped dietitians conducting nutritional consultations with their patients, and we transcribed the tapes verbatim. Three …
Introducing the patient's perspective in hospital health technology assessment ( HTA )
BACKGROUND: The recent establishment of health technology assessment (HTA) units in University hospitals in the Province of Quebec (Canada) provides a unique opportunity to foster increased participation of patients in decisions regarding health technologies and interventions at the local level. However, little is known about factors that influence whether the patient's perspective is taken into consideration when such decisions are made. OBJECTI…
Exploration of shared decision‐making processes among dieticians and patients during a consultation for the nutritional treatment of dyslipidaemia
BACKGROUND: Shared decision making (SDM) holds great potential for improving the therapeutic efficiency and quality of nutritional treatment of dyslipidaemia by promoting patient involvement in decision making. Adoption of specific behaviours fostering SDM during consultations has yet to be studied in routine dietetic practice. OBJECTIVE: Using a cross-sectional study design, we aimed to explore both dieticians' and patients' adoption of SDM beha…
Shared decision‐making behaviours in health professionals
Assessments of the extent to which health‐care providers involve patients in decision making
The impact of Decision +2 on patient intention to engage in shared decision making
BACKGROUND: Training health professionals in shared decision making (SDM) may influence their patients' intention to engage in SDM. OBJECTIVE: To assess the impact of DECISION+2, a SDM training programme for family physicians about the use of antibiotics to treat acute respiratory infections (ARIs), on their patients' intention to engage in SDM in future consultations. DESIGN: Secondary analysis of a multicentre clustered randomized trial. SETTIN…
The Evolution of an Interprofessional Shared Decision-Making Research Program
Introduction: Healthcare research increasingly focuses on interprofessional collaboration and on shared decision making, but knowledge gaps remain about effective strategies for implementing interprofessional collaboration and shared decision-making together in clinical practice. We used Kuhn’s theory of scientific revolutions to reflect on how an integrated interprofessional shared decision-making approach was developed and implemented over time…
Decision aids for people facing health treatment or screening decisions
BACKGROUND: Decision aids are interventions that support patients by making their decisions explicit, providing information about options and associated benefits/harms, and helping clarify congruence between decisions and personal values. OBJECTIVES: To assess the effects of decision aids in people facing treatment or screening decisions. SEARCH METHODS: Updated search (2012 to April 2015) in CENTRAL; MEDLINE; Embase; PsycINFO; and grey literatur…
Le chez-soi à l'épreuve des pratiques professionnelles
Are mobile health applications useful for supporting shared decision making in diagnostic and treatment decisions
Mobile health (mHealth) applications intended to support shared decision making in diagnostic and treatment decisions are increasingly available. In this paper, we discuss some recent studies on mHealth applications with relevance to shared decision making. We discuss the potential advantages and disadvantages of using mHealth in shared decision making in various contexts, and suggest some directions for future research in this quickly expanding …
Caring for seniors living with dementia means caring for their caregivers too
Choosing between staying at home or moving
Medicine (26 works) · Patient-Provider Communication in Healthcare (17 works) · Psychology (16 works) · Computer Science (14 works) · Political science (14 works) · Nursing (12 works) · Health care (11 works) · Business (8 works) · Family medicine (8 works) · Psychological intervention (7 works)