{"id":{"repo_id":"sherbrooke","oai_identifier":"oai:usherbrooke.scholaris.ca:11143/12255"},"canonical_url":"https://search.dev.ndltd.org/etd/sherbrooke/oai:usherbrooke.scholaris.ca:11143/12255","repository":{"repo_id":"sherbrooke","name":"Université de Sherbrooke","base_url":"https://usherbrooke.scholaris.ca/server/oai/request"},"display":{"title":"Une recherche-action participative au soutien à domicile : vers des pratiques ergothérapiques axées sur la participation sociale des aînés","abstract":"To foster older adults’ social participation, occupational therapists can provide community-based services ranging from individual to population level. However, their current practice in homecare rarely addresses social participation, which illustrates the importance of supporting such change in their practice. This study aimed to remodel community occupational therapy services by: 1) identifying practices to integrate to foster older adults’ social participation, 2) exploring factors that could influence their integration, and 3) identifying actions to leverage to integrate these practices in homecare. A community-based participatory research partnership involved a steering committee with 12 stakeholders from a local community homecare setting in Montréal (Québec). Four focus groups meetings and seven individual interviews with 28 key informants were transcribed and analyzed. Key informants identified a continuum of emerging interventions, including personalised interventions, group-based interventions and community development interventions. The integration of these practices was influenced by enablers, such as clinical support, partnerships and communication as well as user involvement. However, this integration is hindered by organizational and systemic barriers, such as institutional culture and performance indicators. Finally, different levers of action were identified, including involving citizens in developing new performance indicators, creating partnerships with community organizations and supporting occupational therapists’ change agent role to modify their practice. This research led to co-design a continuum of emerging occupational therapy interventions and reflected with key stakeholders on possible factors affecting the integration of these practices. Based on a fruitful research-practice partnership, the next steps of this participatory research will aim at implementing these promising initiatives.","abstract_html":"To foster older adults’ social participation, occupational therapists can provide community-based services ranging from individual to population level. However, their current practice in homecare rarely addresses social participation, which illustrates the importance of supporting such change in their practice. This study aimed to remodel community occupational therapy services by: 1) identifying practices to integrate to foster older adults’ social participation, 2) exploring factors that could influence their integration, and 3) identifying actions to leverage to integrate these practices in homecare. A community-based participatory research partnership involved a steering committee with 12 stakeholders from a local community homecare setting in Montréal (Québec). Four focus groups meetings and seven individual interviews with 28 key informants were transcribed and analyzed. Key informants identified a continuum of emerging interventions, including personalised interventions, group-based interventions and community development interventions. The integration of these practices was influenced by enablers, such as clinical support, partnerships and communication as well as user involvement. However, this integration is hindered by organizational and systemic barriers, such as institutional culture and performance indicators. Finally, different levers of action were identified, including involving citizens in developing new performance indicators, creating partnerships with community organizations and supporting occupational therapists’ change agent role to modify their practice. This research led to co-design a continuum of emerging occupational therapy interventions and reflected with key stakeholders on possible factors affecting the integration of these practices. Based on a fruitful research-practice partnership, the next steps of this participatory research will aim at implementing these promising initiatives.","abstract_has_math":false,"creators":["Turcotte, Pier-Luc"],"institution":"Université de Sherbrooke","degree_name":"M. Sc.","degree_level":"Maîtrise","degree_discipline":"Sciences cliniques","degree_department":null,"school":null,"contributors":[],"advisors":["Levasseur, Mélanie","Carrier, Annie"],"committee_chairs":[],"committee_members":[],"year":2018,"date_issued":"2018","date_published":"2018","updated_at":"2026-07-27T21:07:49Z","subjects":["Développement des communautés","Ergothérapie","Indicateurs de performance","Partenariat","Participation sociale","Promotion de la santé","Recherche-action","Vieillissement","Action research","Aging","Community development","Health promotion","Occupational therapy","Partnership","Performance indicators","Social participation"],"languages":["fr","en"],"rights":[],"rights_urls":["http://creativecommons.org/licenses/by-sa/2.5/ca/"],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11143/12255","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Levasseur, Mélanie","Carrier, Annie"]},{"key":"dc:creator","label":"Author","values":["Turcotte, Pier-Luc"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2018-05-23T14:12:11Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2018-05-23T14:12:11Z"]},{"key":"dc:date.issued","label":"Date","values":["2018"]},{"key":"dc:publisher","label":"Institution","values":["Université de Sherbrooke"]},{"key":"dc:type","label":"Dc Type","values":["Mémoire de maîtrise"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Sciences cliniques"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Maîtrise"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M. 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However, their current practice in homecare rarely addresses social participation, which illustrates the importance of supporting such change in their practice. This study aimed to remodel community occupational therapy services by: 1) identifying practices to integrate to foster older adults’ social participation, 2) exploring factors that could influence their integration, and 3) identifying actions to leverage to integrate these practices in homecare. A community-based participatory research partnership involved a steering committee with 12 stakeholders from a local community homecare setting in Montréal (Québec). Four focus groups meetings and seven individual interviews with 28 key informants were transcribed and analyzed. Key informants identified a continuum of emerging interventions, including personalised interventions, group-based interventions and community development interventions. The integration of these practices was influenced by enablers, such as clinical support, partnerships and communication as well as user involvement. However, this integration is hindered by organizational and systemic barriers, such as institutional culture and performance indicators. Finally, different levers of action were identified, including involving citizens in developing new performance indicators, creating partnerships with community organizations and supporting occupational therapists’ change agent role to modify their practice. This research led to co-design a continuum of emerging occupational therapy interventions and reflected with key stakeholders on possible factors affecting the integration of these practices. Based on a fruitful research-practice partnership, the next steps of this participatory research will aim at implementing these promising initiatives.","Pour favoriser la participation sociale des aînés, les ergothérapeutes peuvent offrir des services communautaires tant à l’échelle individuelle que populationnelle. Pourtant, leur pratique courante au soutien à domicile aborde rarement la participation sociale, ce qui illustre l’importance d’accompagner un changement de leur pratique. Cette étude visait à repenser l’ergothérapie en milieu communautaire pour : 1) identifier des pratiques à intégrer pour favoriser la participation sociale des aînés, 2) explorer les facteurs pouvant influencer l’intégration de ces pratiques et 3) identifier les actions à déployer pour intégrer ces pratiques au soutien à domicile. Un partenariat de recherche-action participative en milieu communautaire a impliqué un comité de pilotage formé de 12 partenaires d’un programme local de soutien à domicile à Montréal (Québec). Quatre groupes de discussion focalisée et sept entretiens individuels avec 28 informateurs clés ont été transcrits puis analysés. Les informateurs-clés ont identifié un continuum d’interventions émergentes, incluant des interventions individuelles, des interventions de groupe et des interventions de développement des communautés. L’intégration de ces pratiques est influencée par des facilitateurs tels que le soutien clinique, les partenariats et la communication de même que l’implication des usagers. Toutefois, cette intégration est menacée par l’influence d’obstacles organisationnels et systémiques, incluant la présence d’une culture institutionnelle contradictoire et les indicateurs de performance. Enfin, des leviers d’action ont été identifiés, dont l’implication des citoyens dans la conception de nouveaux indicateurs de performance, la création de partenariats avec le milieu communautaire et le soutien au rôle d’agent de changement des ergothérapeutes pour modifier leur pratique. Cette recherche a permis de coconstruire un continuum d’interventions ergothérapiques émergentes et de réfléchir avec des partenaires clés aux facilitateurs et aux obstacles pouvant influencer l’intégration de ces pratiques. S’appuyant sur un riche partenariat entre la pratique et la recherche, les prochaines étapes de cette recherche participative viseront l’implantation de ces initiatives prometteuses."]},{"key":"dc:title","label":"Title","values":["Une recherche-action participative au soutien à domicile : vers des pratiques ergothérapiques axées sur la participation sociale des aînés"]}]}],"canonical_facts":{"dc:contributor.advisor":["Levasseur, Mélanie","Carrier, Annie"],"dc:creator":["Turcotte, Pier-Luc"],"dc:date.accessioned":["2018-05-23T14:12:11Z"],"dc:date.available":["2018-05-23T14:12:11Z"],"dc:date.issued":["2018"],"dc:description.abstract":["To foster older adults’ social participation, occupational therapists can provide community-based services ranging from individual to population level. However, their current practice in homecare rarely addresses social participation, which illustrates the importance of supporting such change in their practice. This study aimed to remodel community occupational therapy services by: 1) identifying practices to integrate to foster older adults’ social participation, 2) exploring factors that could influence their integration, and 3) identifying actions to leverage to integrate these practices in homecare. A community-based participatory research partnership involved a steering committee with 12 stakeholders from a local community homecare setting in Montréal (Québec). Four focus groups meetings and seven individual interviews with 28 key informants were transcribed and analyzed. Key informants identified a continuum of emerging interventions, including personalised interventions, group-based interventions and community development interventions. The integration of these practices was influenced by enablers, such as clinical support, partnerships and communication as well as user involvement. However, this integration is hindered by organizational and systemic barriers, such as institutional culture and performance indicators. Finally, different levers of action were identified, including involving citizens in developing new performance indicators, creating partnerships with community organizations and supporting occupational therapists’ change agent role to modify their practice. This research led to co-design a continuum of emerging occupational therapy interventions and reflected with key stakeholders on possible factors affecting the integration of these practices. Based on a fruitful research-practice partnership, the next steps of this participatory research will aim at implementing these promising initiatives.","Pour favoriser la participation sociale des aînés, les ergothérapeutes peuvent offrir des services communautaires tant à l’échelle individuelle que populationnelle. Pourtant, leur pratique courante au soutien à domicile aborde rarement la participation sociale, ce qui illustre l’importance d’accompagner un changement de leur pratique. Cette étude visait à repenser l’ergothérapie en milieu communautaire pour : 1) identifier des pratiques à intégrer pour favoriser la participation sociale des aînés, 2) explorer les facteurs pouvant influencer l’intégration de ces pratiques et 3) identifier les actions à déployer pour intégrer ces pratiques au soutien à domicile. Un partenariat de recherche-action participative en milieu communautaire a impliqué un comité de pilotage formé de 12 partenaires d’un programme local de soutien à domicile à Montréal (Québec). Quatre groupes de discussion focalisée et sept entretiens individuels avec 28 informateurs clés ont été transcrits puis analysés. Les informateurs-clés ont identifié un continuum d’interventions émergentes, incluant des interventions individuelles, des interventions de groupe et des interventions de développement des communautés. L’intégration de ces pratiques est influencée par des facilitateurs tels que le soutien clinique, les partenariats et la communication de même que l’implication des usagers. Toutefois, cette intégration est menacée par l’influence d’obstacles organisationnels et systémiques, incluant la présence d’une culture institutionnelle contradictoire et les indicateurs de performance. Enfin, des leviers d’action ont été identifiés, dont l’implication des citoyens dans la conception de nouveaux indicateurs de performance, la création de partenariats avec le milieu communautaire et le soutien au rôle d’agent de changement des ergothérapeutes pour modifier leur pratique. Cette recherche a permis de coconstruire un continuum d’interventions ergothérapiques émergentes et de réfléchir avec des partenaires clés aux facilitateurs et aux obstacles pouvant influencer l’intégration de ces pratiques. S’appuyant sur un riche partenariat entre la pratique et la recherche, les prochaines étapes de cette recherche participative viseront l’implantation de ces initiatives prometteuses."],"dc:identifier.uri":["http://hdl.handle.net/11143/12255"],"dc:language.iso":["fr","en"],"dc:publisher":["Université de Sherbrooke"],"dc:rights.uri":["http://creativecommons.org/licenses/by-sa/2.5/ca/"],"dc:subject":["Développement des communautés","Ergothérapie","Indicateurs de performance","Partenariat","Participation sociale","Promotion de la santé","Recherche-action","Vieillissement","Action research","Aging","Community development","Health promotion","Occupational therapy","Partnership","Performance indicators","Social participation"],"dc:title":["Une recherche-action participative au soutien à domicile : vers des pratiques ergothérapiques axées sur la participation sociale des aînés"],"dc:type":["Mémoire de maîtrise"],"thesis:degree_discipline":["Sciences cliniques"],"thesis:degree_level":["Maîtrise"],"thesis:degree_name":["M. 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