Larkin Lamarche
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View article: Nowhere to go: a qualitative study examining the health of people who experience emergency shelter service restrictions in Hamilton, Ontario, Canada
Nowhere to go: a qualitative study examining the health of people who experience emergency shelter service restrictions in Hamilton, Ontario, Canada Open
Introduction Emergency shelters offer temporary accommodation to people deprived of housing. Service restriction is the practice of limiting or denying access to emergency shelters in response to behaviours deemed harmful to staff, communi…
View article: The body mass index: What’s the use?
The body mass index: What’s the use? Open
The body mass index (BMI) is a ubiquitous metric frequently used in body image research: as a correlate, covariate, descriptor, and more. However, the racist history of the measure is often unknown or unacknowledged. BMI was coined by Ance…
View article: Cost-effectiveness analysis of health tapestry, a complex primary care program for older adults: a post-hoc analysis
Cost-effectiveness analysis of health tapestry, a complex primary care program for older adults: a post-hoc analysis Open
Background We initially reported on the cost-effectiveness of a 6-month randomized controlled implementation trial which evaluated Health TAPESTRY, a primary care program for older adults, at the McMaster Family Health Team (FHT) site and …
View article: Nowhere to Go: A parallel convergent mixed methods study examining the health of people who experience emergency shelter service restrictions
Nowhere to Go: A parallel convergent mixed methods study examining the health of people who experience emergency shelter service restrictions Open
Background Emergency shelters offer temporary sleeping accommodation to people deprived of housing and connect them to services. Service restriction is the practice of limiting or denying someone access to emergency shelters. This parallel…
View article: Theoretical Underpinnings of a Model to Reduce Polypharmacy and Its Negative Health Effects: Introducing the Team Approach to Polypharmacy Evaluation and Reduction (TAPER)
Theoretical Underpinnings of a Model to Reduce Polypharmacy and Its Negative Health Effects: Introducing the Team Approach to Polypharmacy Evaluation and Reduction (TAPER) Open
We discuss how TAPER maps to address the specific patient-level, provider-level, and system-level barriers to deprescribing and aligns with three commonly used models and frameworks in medicine (the chronic care model, minimally disruptive…
View article: Team approach to polypharmacy evaluation and reduction: feasibility randomized trial of a structured clinical pathway to reduce polypharmacy
Team approach to polypharmacy evaluation and reduction: feasibility randomized trial of a structured clinical pathway to reduce polypharmacy Open
Background Polypharmacy is associated with poorer health outcomes in older adults. Other than the associated multimorbidity, factors contributing to this association could include medication adverse effects and interactions, difficulties i…
View article: ‘It’s so simple’ Lessons from the margins: a qualitative study of patient experiences of a mobile health clinic in Hamilton, Ontario, Canada
‘It’s so simple’ Lessons from the margins: a qualitative study of patient experiences of a mobile health clinic in Hamilton, Ontario, Canada Open
Objective Our study explored the experiences of clients of HAMSMaRT (Hamilton Social Medicine Response Team), a mobile health service, in the context of their experiences of the overall healthcare system. Design We conducted a qualitative …
View article: Health TAPESTRY Ontario: A Multi-Site Randomized Controlled Trial Testing Implementation and Reproducibility
Health TAPESTRY Ontario: A Multi-Site Randomized Controlled Trial Testing Implementation and Reproducibility Open
We found Health TAPESTRY was successfully implemented for patients in diverse primary care practices; however, implementation did not reproduce the effect on hospitalizations and physical activity found in the initial randomized controlled…
View article: Linking Patients’ Goals and Priorities to Recommendations for Medication Changes in a Polypharmacy-Focused Structured Clinical Pathway
Linking Patients’ Goals and Priorities to Recommendations for Medication Changes in a Polypharmacy-Focused Structured Clinical Pathway Open
Polypharmacy is associated with poorer health outcomes in older adults. It is challenging to minimize the harmful effects of medications while maximizing benefits of single-disease-focused recommendations. Integrating patient input can bal…
View article: Māmawōhkamātowin (Working Together) to Enhance Wellness: Respiratory Health and the House
Māmawōhkamātowin (Working Together) to Enhance Wellness: Respiratory Health and the House Open
CONTEXT: When environmental tobacco smoke (ETS) is combined with other home-based exposures, such as mold, the risks to respiratory health are dramatically increased. OBJECTIVE: To understand the relationships between the house, ETS and re…
View article: Interventions to address polypharmacy in older adults living with multimorbidity
Interventions to address polypharmacy in older adults living with multimorbidity Open
Polypharmacy interventions are associated with reductions in potentially inappropriate prescribing and improvements in medication adherence. However, there is limited evidence of their effectiveness for clinical and intermediate outcomes.
View article: The implementation and validation of the NoMAD during a complex primary care intervention
The implementation and validation of the NoMAD during a complex primary care intervention Open
Background Normalization process theory (NPT) has been widely used to better understand how new interventions are implemented and embedded. The NoMAD (Normalization Measurement Development questionnaire) is a 23-item NPT instrument based o…
View article: Lessons Learned Through Two Phases of Developing and Implementing a Technology Supporting Integrated Care: Case Study
Lessons Learned Through Two Phases of Developing and Implementing a Technology Supporting Integrated Care: Case Study Open
Background As health care becomes more fragmented, it is even more important to focus on the provision of integrated, coordinated care between health and social care systems. With the aging population, this coordination is even more vital.…
View article: Understanding volunteer retention in a complex, community‐centred intervention: A mixed methods study in Ontario, Canada
Understanding volunteer retention in a complex, community‐centred intervention: A mixed methods study in Ontario, Canada Open
Volunteers are critical to supporting health care systems worldwide. For organisations that rely on volunteers, service to clients can be disrupted when volunteers leave their roles. Volunteer retention is a multi-layered phenomenon. In th…
View article: Exploring Patient Perspectives of Body Image Conversations in Primary Care: Understandings, Experiences, and Expectations
Exploring Patient Perspectives of Body Image Conversations in Primary Care: Understandings, Experiences, and Expectations Open
Primary care physicians (PCPs) and patients identified body image conversations to be difficult but necessary. As first points of contact in the healthcare system, PCPs are ideal candidates for addressing body image concerns. Through laten…
View article: Lessons Learned Through Two Phases of Developing and Implementing a Technology Supporting Integrated Care: Case Study (Preprint)
Lessons Learned Through Two Phases of Developing and Implementing a Technology Supporting Integrated Care: Case Study (Preprint) Open
BACKGROUND As health care becomes more fragmented, it is even more important to focus on the provision of integrated, coordinated care between health and social care systems. With the aging population, this coordination is even more vital…
View article: The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study
The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study Open
Introduction Infective endocarditis (IE) is a severe and highly prevalent infection among people who inject drugs (PWID). While short-term (30-day) outcomes are similar between PWID and non-PWID, the long-term outcomes among PWID after IE …
View article: The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study
The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study Open
Introduction Infective endocarditis (IE) is a severe and highly prevalent infection among people who inject drugs (PWID). While short-term (30-day) outcomes are similar between PWID and non-PWID, the long-term outcomes among PWID after IE …
View article: Exploring primary care providers’ understandings of body image in patient care
Exploring primary care providers’ understandings of body image in patient care Open
Research has shown that healthcare providers lack confidence in having the knowledge needed to have conversations about body image with their patients. No research to date has explicitly explored how providers in primary healthcare underst…
View article: Peer Support Workers as a Bridge: A Qualitative Study Exploring the Role of Peer Support Workers in the Care of People Who Use Drugs During and After Hospitalization 
Peer Support Workers as a Bridge: A Qualitative Study Exploring the Role of Peer Support Workers in the Care of People Who Use Drugs During and After Hospitalization Open
Background: To describe the key qualities and unique roles of peer support workers in the care of people who inject drugs during and after hospitalization.Methods: We conducted a qualitative study. Key stakeholders were recruited including…
View article: Health TAPESTRY Ontario: protocol for a randomized controlled trial to test reproducibility and implementation
Health TAPESTRY Ontario: protocol for a randomized controlled trial to test reproducibility and implementation Open
Background Health TAPESTRY (Health Teams Advancing Patient Experience: STRengthening qualitY) aims to help people stay healthier for longer where they live by providing person-focused care through the integration of four key program compon…
View article: Health TAPESTRY Ontario: Protocol for a Randomized Controlled Trial to Test Reproducibility and Implementation
Health TAPESTRY Ontario: Protocol for a Randomized Controlled Trial to Test Reproducibility and Implementation Open
Background: Health TAPESTRY (Health Teams Advancing Patient Experience: STRengthening qualitY) aims to help people stay healthier for longer where they live by providing person-focused care through the integration of four key program compo…
View article: Experiences of integrating community volunteers as extensions of the primary care team to help support older adults at home: a qualitative study
Experiences of integrating community volunteers as extensions of the primary care team to help support older adults at home: a qualitative study Open
Background Increasing the integration of community volunteers into primary health care delivery has the potential to improve person-focused, coordinated care, yet the use of volunteers in primary care is largely unexplored. Health Teams Ad…
View article: Health TAPESTRY Ontario: Protocol for a Randomized Controlled Trial to Test Reproducibility and Implementation
Health TAPESTRY Ontario: Protocol for a Randomized Controlled Trial to Test Reproducibility and Implementation Open
Background: Health TAPESTRY (Health Teams Advancing Patient Experience: STRengthening qualitY) aims to help people stay healthier for longer where they live by providing person-focused care through the integration of four key program compo…
View article: Examining University Men’s Psychobiological and Behavioral Response-Recovery Profile From a Social-Evaluative Body Image Threat
Examining University Men’s Psychobiological and Behavioral Response-Recovery Profile From a Social-Evaluative Body Image Threat Open
Negative body image, which often results from social-evaluative body image threats, is common in young men and related to many harmful outcomes. Using social self-preservation theory (SSPT), the present study investigated the psychobiologi…