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Article ; Online: How Does Community-Based Housing Foster Social Participation in Older Adults: Importance of Well-Designed Common Space, Proximity to Resources, Flexible Rules and Policies, and Benevolent Communities.

Nguyen, T H Trang / Levasseur, Mélanie

2022 Volume 66, Issue 1, Page(s) 103–133

Abstract: As supporting active and healthy aging calls for different community-based housing alternatives, integrated knowledge of their impacts on older adults' social participation is required. This study aimed to explore how community-based housing fostered ... ...

Abstract	As supporting active and healthy aging calls for different community-based housing alternatives, integrated knowledge of their impacts on older adults' social participation is required. This study aimed to explore how community-based housing fostered social participation in older adults. A scoping review was used to systematically identify relevant studies according to 32 keywords in 8 electronic databases. Published during 2000-2021, the 46 studies were carried out in North America, Europe, Oceania, and Asia, documenting older adults' social participation in six community-based housing models. Targeting different clienteles, these models mainly promote older adults' social participation by providing: 1) accessible common space in a design favorable to social interactions; 2) proximity to resources; 3) flexible rules and policies that facilitate residents' interactions with not only co-residents but community neighbors; and 4) benevolent communities. These results highlight the interactions between the physical and social environments; they suggest the importance of building benevolent communities as well as of sharing resources among residences and local communities to create a supportive living and neighborhood environment for active and healthy aging. Future studies should further explore the role of different stakeholders in developing benevolent communities by considering the dynamics between the person and the environment.
MeSH term(s)	Humans ; Aged ; Social Participation ; Housing ; Community Participation ; Policy
Language	English
Publishing date	2022-10-21
Publishing country	United States
Document type	Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	779365-0
ISSN	1540-4048 ; 0163-4372
ISSN (online)	1540-4048
ISSN	0163-4372
DOI	10.1080/01634372.2022.2133199
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Article ; Online: Telehealth interventions in occupational therapy with older adults: Results from a scoping review targeting better health promotion.

Chagnon, Mathilde / Levasseur, Mélanie / Boissy, Patrick

Australian occupational therapy journal

2023 Volume 71, Issue 1, Page(s) 190–208

Abstract: Introduction: Telehealth interventions have the potential to enhance access to care and improve efficiency while reducing the burden on patients. Although telehealth interventions are well accepted and adopted in physical therapy, their usage in ... ...

Abstract	Introduction: Telehealth interventions have the potential to enhance access to care and improve efficiency while reducing the burden on patients. Although telehealth interventions are well accepted and adopted in physical therapy, their usage in occupational therapy for older adults is less common, and limited information exists regarding their setting and context. Objective: To provide an inventory and synthesis of telehealth interventions in occupational therapy for older adults. Method: For published studies on telehealth-based occupational therapy interventions in older adults between 2000 and 2022, six databases were reviewed. Data extraction and analysis were guided by the taxonomies developed by Tulu, McColl and Law and informed by the Canadian Model of Occupational Performance and Engagement. Findings: Twenty-three studies on telehealth interventions in occupational therapy for older adults were identified, mostly from North American authors (n = 11; 47.8%) and randomised clinical trials (n = 9; 39.1%). Most participants had a health problem (n = 20; 87.0%), mainly stroke (n = 9; 39.1%). Interventions focussed primarily on symptom management education (n = 12; 52.2%) of community-dwelling adults with health conditions, using videoconferencing systems or applications (n = 14; 60.7%). Interventions were delivered from the healthcare centre (n = 6; 26.1%) to the person's home (n = 18; 78.3%) synchronously (n = 19; 82.6%). About one third (n = 8; 34.8%) of the studies specified the therapist's location. Conclusion: Published studies on telehealth interventions in occupational therapy with older adults have mainly focussed on the synchronous training and education of participants using videoconferencing systems or applications. According to these studies, the scope of interventions is limited and could be expanded, for example, through occupational development and environmental modification. To better understand and describe best practices in the use of telehealth in occupational therapy, future studies should provide more details about the interventions performed, the technology used and the environmental settings of the therapist.
MeSH term(s)	Humans ; Aged ; Occupational Therapy ; Canada ; Telemedicine ; Health Promotion ; Independent Living ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2023-10-27
Publishing country	Australia
Document type	Journal Article ; Review
ZDB-ID	604554-6
ISSN	1440-1630 ; 0045-0766
ISSN (online)	1440-1630
ISSN	0045-0766
DOI	10.1111/1440-1630.12910
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Article ; Online: Social participation experiences of older adults with an early-onset physical disability: a systematic review protocol.

Turcotte, Samuel / Simard, Pascale / Levasseur, Mélanie / Raymond, Émilie / Routhier, François / Lamontagne, Marie-Ève

JBI evidence synthesis

2024 Volume 22, Issue 2, Page(s) 298–304

Abstract: Objective: The objective of this review is to assess and synthesize the available qualitative evidence on the experiences of social participation of older adults with an early-onset physical disability.: Introduction: Understanding the experiences of ...

Abstract	Objective: The objective of this review is to assess and synthesize the available qualitative evidence on the experiences of social participation of older adults with an early-onset physical disability. Introduction: Understanding the experiences of social participation among older adults with a physical disability acquired earlier in life can guide the development of interventions and policies. It will also help with fostering meaningful community participation and aid in improving the quality of their social participation. Inclusion criteria: This review will consider primary studies that explore the experiences of social participation of older adults with an early-onset physical disability. The review will focus on qualitative data, including methods such as phenomenology, grounded theory, ethnography, action research, and feminist research. Studies in French or English will be considered for inclusion, and there will be no limitation on publication dates. Methods: A keyword search strategy will be carried out in MEDLINE (Ovid), PsycINFO (Ovid), CINAHL (EBSCOhost), Web of Science, and the Cochrane Library. ProQuest Dissertations and Theses (ProQuest) will be searched for unpublished articles. Two independent reviewers will perform the screening and inclusion process, assess the quality of the evidence, and complete data extraction. The JBI approach to critical appraisal, study selection, data extraction, and data synthesis (meta-aggregation) will be used. The ConQual approach will be used to establish confidence in the synthesized findings. Review registration: PROSPERO CRD42022371027.
MeSH term(s)	Humans ; Aged ; Qualitative Research ; Social Participation ; Systematic Reviews as Topic ; Anthropology, Cultural ; Review Literature as Topic
Language	English
Publishing date	2024-02-01
Publishing country	United States
Document type	Journal Article
ISSN	2689-8381
ISSN (online)	2689-8381
DOI	10.11124/JBIES-23-00018
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Article ; Online: Sex and gender differences in social participation among community-dwelling older adults: a systematic review.

Ong, Chuan Hong / Pham, Bang Linh / Levasseur, Mélanie / Tan, Guang Rong / Seah, Betsy

Frontiers in public health

2024 Volume 12, Page(s) 1335692

Abstract: Background: Frequent social participation among older adults is associated with greater health. Although understanding how sex and gender influence social participation is important, particularly in developing sex-inclusive health promotion and ... ...

Abstract	Background: Frequent social participation among older adults is associated with greater health. Although understanding how sex and gender influence social participation is important, particularly in developing sex-inclusive health promotion and preventive interventions, little is known about factors influencing engagement of older women and men in social activities. Aim: This study thus aimed to examine factors influencing social activities of older women and men. Methods: A mixed-method systematic review was conducted in nine electronic databases from inception to March 2023. The studies had to define social participation as activities with others and examine its influencing factors among community-dwelling older women and men. Data were analyzed using convergent synthesis design from a socio-ecological perspective. Results: Forty-nine studies, comprising 42 quantitative, five qualitative and two mixed method design were included. Themes identified concerned: (a) sociodemographic factors, (b) personal assets, (c) interpersonal relationships and commitments, (d) physical environment, and (e) societal norms and gender expectations. The findings identified the heterogeneous needs, preferences and inequalities faced by older women and men, considerations on sociocultural expectations and norms of each gender when engaging in social activities, and the importance of having adequate and accessible social spaces. Overall, this review identified more evidence on factors influencing social participation among women than in men. Conclusion: Special attention is needed among community care providers and healthcare professionals to co-design, implement or prescribe a combination of sex and gender-specific and neutral activities that interest both older women and men. Intersectoral collaborative actions, including public health advocates, gerontologists, policymakers, and land use planners, are needed to unify efforts to foster social inclusion by creating an age-friendly and sustainable healthy environment. More longitudinal studies are required to better understand social participation trajectories from a sex and gender perspective and identify factors influencing it. Systematic reviews registration: http://www.crd.york.ac.uk/PROSPERO, identifier [CRD42023392764].
MeSH term(s)	Humans ; Social Participation ; Aged ; Independent Living ; Female ; Male ; Sex Factors ; Aged, 80 and over ; Interpersonal Relations
Language	English
Publishing date	2024-04-12
Publishing country	Switzerland
Document type	Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2024.1335692
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Article ; Online: Practices countering resident-to-resident aggression and promoting wellness care for older adults in congregate residential facilities: results from a systematic review.

Falardeau, Marie-Chantal / Beaulieu, Marie / Carbonneau, Hélène / Levasseur, Mélanie

Journal of elder abuse & neglect

2023 Volume 35, Issue 4-5, Page(s) 174–211

Abstract: Resident-to-resident aggression (RRA) is an important issue in congregate residential facilities (CRFs) for older adults and has devastating effects. This study aimed to provide an inventory and content analysis of the practices used to counter RRA and ... ...

Abstract	Resident-to-resident aggression (RRA) is an important issue in congregate residential facilities (CRFs) for older adults and has devastating effects. This study aimed to provide an inventory and content analysis of the practices used to counter RRA and promote wellness care for older adults in CRFs. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, original, peer-reviewed research and systematic reviews published in 14 electronic databases and two gray literature sources were examined. Of the 6196 articles identified, 28 met the inclusion criteria. Practices aimed to prevent, track or intervene in RRA, mostly in long-term care centers, but few were evidence-based and ready for widespread implementation. It emerges that continuous training of staff is necessary and that it should prioritize a person-centered approach. CRFs' managers must promote a culture of wellness care and policymakers should consider the prevention practices to improve the quality of life of older adults in CRFs.
MeSH term(s)	Aged ; Humans ; Aggression ; Nursing Homes ; Quality of Life ; Elder Abuse/prevention & control ; Residential Facilities
Language	English
Publishing date	2023-12-10
Publishing country	England
Document type	Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	1018101-5
ISSN	1540-4129 ; 0894-6566
ISSN (online)	1540-4129
ISSN	0894-6566
DOI	10.1080/08946566.2023.2283746
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Article ; Online: Influence of Hearing Loss on Social Participation in Older Adults: Results From a Scoping Review.

Prieur Chaintré, Agathe / Couturier, Yves / Nguyen, T H Trang / Levasseur, Mélanie

Research on aging

2023 Volume 46, Issue 1, Page(s) 72–90

Abstract: This study aimed to provide a comprehensive understanding of the influence of hearing loss on social participation in older adults and including its facilitators and barriers. Following the rigorous methodological framework of scoping studies, nine ... ...

Abstract	This study aimed to provide a comprehensive understanding of the influence of hearing loss on social participation in older adults and including its facilitators and barriers. Following the rigorous methodological framework of scoping studies, nine multidisciplinary databases were searched with 44 keywords. Published mainly in the last decade, 41 studies using primarily a quantitative cross-sectional design were selected. Older adults with hearing loss have been found to have difficulty maintaining relationships and social activities. While social support and engaged-coping strategies were major facilitators of social participation, barriers included greater hearing loss, communication difficulties, comorbidities and reduced mental health. To better promote the social participation of older adults, early detection of hearing loss, holistic assessment, and interprofessional collaboration must be considered. Future research is necessary to better address the stigma related to hearing loss in older adults and challenges of early detection, and to propose innovative solutions to develop interprofessional collaboration.
MeSH term(s)	Humans ; Aged ; Social Participation ; Cross-Sectional Studies ; Hearing Loss ; Social Behavior ; Databases, Factual
Language	English
Publishing date	2023-05-09
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	424452-7
ISSN	1552-7573 ; 0164-0275
ISSN (online)	1552-7573
ISSN	0164-0275
DOI	10.1177/01640275231174561
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Article ; Online: How environments can promote active aging: results from a case study of two municipalities in Quebec, Canada.

McNeil-Gauthier, Anne-Lou / Milot, David-Martin / Levasseur, Mélanie

Canadian journal of public health = Revue canadienne de sante publique

2023 Volume 115, Issue 1, Page(s) 117–131

Abstract: Objectives: To address global aging, a paradigm shift is needed from disease prevention and treatment towards active aging, i.e., optimizing opportunities for health, participation, and security as people age. Little is known about how age-friendly ... ...

Abstract	Objectives: To address global aging, a paradigm shift is needed from disease prevention and treatment towards active aging, i.e., optimizing opportunities for health, participation, and security as people age. Little is known about how age-friendly environments promote active aging. This study thus aimed to explore how (through which mechanisms and in what contexts) environments can promote active aging and, specifically, positive health, social participation, and health equity. Methods: Using a realist approach and semi-structured focus groups, a case study was used in two Quebec municipalities known for best fostering active aging. Data also included participants' logbooks, sociodemographic questionnaires, municipalities' sociodemographic profiles, and policy documents. A conceptual framework and thematic content analysis were carried out. Results: A total of 24 participants (9 older adults, 4 health professionals, 3 community-based actors, 5 municipal employees, and 3 elected officials) took part in 5 focus groups. Regarding contexts, both cases were midsize municipalities having an income and education level higher to Quebec's averages with supportive active aging policies. Two main themes explained how the environments promoted active aging: (1) by ensuring proximity through built (urban planning), social (network structures), services (variety and availability of local and outreach resources), and organizational (active listening to older adults' needs for active aging) environments; and (2) by fostering transversality through built (universal accessibility, intergenerational spaces), social (intergenerational opportunities for social participation), and political/organizational (unified and complementary policies) environments. Conclusion: To better promote active aging through age-friendly environments, practices should focus on fostering proximity and transversality, and act simultaneously on multiple environments.
MeSH term(s)	Humans ; Aged ; Quebec ; Cities ; Aging ; Canada ; Delivery of Health Care
Language	English
Publishing date	2023-08-17
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	417262-0
ISSN	1920-7476 ; 0008-4263
ISSN (online)	1920-7476
ISSN	0008-4263
DOI	10.17269/s41997-023-00806-0
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Article ; Online: [Indice du potentiel de participation sociale des Québécois âgés : cartographie des inégalités des zones métropolitaines, urbaines et rurales].

Naud, Daniel / Généreux, Mélissa / Bruneau, Jean-François / Levasseur, Mélanie

Canadian journal on aging = La revue canadienne du vieillissement

2023 Volume 43, Issue 1, Page(s) 84–98

Abstract: Afin de mieux comprendre la distribution géographique des facilitateurs et des obstacles à la participation sociale des Québécois âgés, cette étude visait à documenter l'Indice du potentiel de participation sociale (IPPS) selon les zones métropolitaines, ...

Abstract	Afin de mieux comprendre la distribution géographique des facilitateurs et des obstacles à la participation sociale des Québécois âgés, cette étude visait à documenter l'Indice du potentiel de participation sociale (IPPS) selon les zones métropolitaines, urbaines et rurales. Des analyses de données secondaires, dont l'Enquête transversale sur la santé des collectivités canadiennes, ont permis de développer et de cartographier un indice composé de facteurs environnementaux associés à la participation sociale, pondérés par une analyse factorielle. En zones métropolitaines, l'IPPS était supérieur au centre qu'en périphérie, compte tenu d'une concentration accrue d'aînés et des transports. Bien qu'atténuée, la configuration était similaire en zones urbaines. En zone rurale, un IPPS élevé était associé à une concentration d'aînés et un accès aux ressources accru, sans configuration spatiale. Pour favoriser la participation sociale, l'IPPS soutient que les transports et l'accès aux ressources doivent respectivement être améliorés en périphérie des métropoles et en zone rurale.
Language	French
Publishing date	2023-10-17
Publishing country	Canada
Document type	English Abstract ; Journal Article
ZDB-ID	632851-9
ISSN	1710-1107 ; 0714-9808
ISSN (online)	1710-1107
ISSN	0714-9808
DOI	10.1017/S071498082300051X
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Article ; Online: Multiple Case Study of Changes in Participation of Adults with Myotonic Dystrophy Type 1: Importance of Redesigning Accomplishment and Resilience.

Raymond, Kateri / Gagnon, Cynthia / Levasseur, Mélanie

Journal of neuromuscular diseases

2022 Volume 9, Issue 6, Page(s) 731–755

Abstract: Background: Myotonic dystrophy type 1 (DM1) is the most prevalent adult form of neuromuscular disorders, for which a decrease of participation with age is known. However, little is known about facilitators and barriers to participation, especially from ... ...

Abstract	Background: Myotonic dystrophy type 1 (DM1) is the most prevalent adult form of neuromuscular disorders, for which a decrease of participation with age is known. However, little is known about facilitators and barriers to participation, especially from the perspective of both patients and caregivers. Objective: This study explored and explained changes in participation post-diagnosis with myotonic dystrophy type 1 from the perspective of six adults, their relatives and nurse case managers. Methods: A multiple case study was carried out with these triads (n = 6) using semi-structured individual interviews, medical charts, and a participation patient-reported outcome measure. The six cases were built around three women and three men (age: 40-56 years; disease duration: 19-39 years). Their "relatives" were mainly family members. Nurse case managers had done annual follow-ups with all the adults for approximately ten years. Changes in participation were characterized generally by: 1) heterogeneity, 2) insidious increase in restrictions, and more specifically by: 3) redesigning accomplishment, 4) progressive social isolation, 5) restrictions in life-space mobility, and 6) increasingly sedentary activities. Results: Important facilitators of participation were the adult's resilience, highly meaningful activities, social support, living arrangement, and willingness to use technical aids. Barriers were mostly related to symptoms and a precarious social network, and were affected by misfit and potential syndemic interactions between personal (e.g., comorbidities) and environmental (e.g., stigma) factors. Conclusion: This study identified key facilitators and barriers and their underlying processes, which should be integrated into the evaluation and intervention framework to optimize participation over time.
MeSH term(s)	Adult ; Male ; Humans ; Female ; Middle Aged ; Myotonic Dystrophy ; Activities of Daily Living ; Caregivers ; Family
Language	English
Publishing date	2022-10-23
Publishing country	Netherlands
Document type	Journal Article
ISSN	2214-3602
ISSN (online)	2214-3602
DOI	10.3233/JND-210780
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Article ; Online: Attendant's experience with the personalized citizen assistance for social participation (APIC).

Gagnon, Karine / Levasseur, Mélanie

BMC geriatrics

2020 Volume 20, Issue 1, Page(s) 503

Abstract: Background: To promote healthy aging, the social participation needs of older adults must be better met. Previous studies have shown the benefits of the Personalized citizen assistance for social participation (APIC), but few explored its influence on ... ...

Abstract	Background: To promote healthy aging, the social participation needs of older adults must be better met. Previous studies have shown the benefits of the Personalized citizen assistance for social participation (APIC), but few explored its influence on attendants. This study explored the assistance experience of attendants in providing the APIC to older adults with disabilities. Methods: A qualitative design inspired by a phenomenological approach was used with six female attendants who participated in individual interviews. Results: The APIC attendants felt useful, developed meaningful relationships with their older adults, and improved their self-knowledge. Attendants had the opportunity to reflect on their lives and self-aging. They contributed to older adults' functional independence, motivation, and participation in social activities. Attendants encountered challenges related to withdrawn behavior in older adults, such as refusing to participate in activities. Conclusions: Considering the identified benefits of the APIC for attendants, further studies should explore personalized assistance to preserve older adults' health.
MeSH term(s)	Aged ; Aging ; Disabled Persons ; Female ; Humans ; Self Concept ; Social Participation
Language	English
Publishing date	2020-11-25
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2059865-8
ISSN	1471-2318 ; 1471-2318
ISSN (online)	1471-2318
ISSN	1471-2318
DOI	10.1186/s12877-020-01897-x
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