Une recherche-action participative au soutien à domicile : vers des pratiques ergothérapiques axées sur la participation sociale des aînés

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.

Name thesis:degree_name

M. Sc.

Level thesis:degree_level

Maîtrise

Discipline thesis:degree_discipline

Sciences cliniques

Grantor dc:publisher

Université de Sherbrooke

Year dc:date.issued

2018

Author dc:creator

• Turcotte, Pier-Luc

Advisors dc:contributor.advisor

• Levasseur, Mélanie
• Carrier, Annie

• 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

Licence dc:rights.uri

• http://creativecommons.org/licenses/by-sa/2.5/ca/

Language dc:language.iso

fr, en

Handle dc:identifier.uri

http://hdl.handle.net/11143/12255

OAI identifier oai:identifier

oai:usherbrooke.scholaris.ca:11143/12255