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Faire des courses avec des atteintes cognitives : l’influence des facteurs environnementaux / Stéphanie GAUTHIER in Alter, Vol. 8, n°3 (Juillet / Septembre 2014)
[article]
Titre : Faire des courses avec des atteintes cognitives : l’influence des facteurs environnementaux Titre original : Shopping with an injured brain: Coping with a cognitively complex environment Type de document : texte imprimé Auteurs : Stéphanie GAUTHIER, Auteur Année de publication : 2014 Article en page(s) : p.170 - p.182 Langues : Français (fre) Mots-clés : Traumatisme craniocérébral Environnement Faire les courses Facilitateurs Obstacles Traumatic brain injury Environment Shopping Facilitators Barriers Résumé : Les personnes qui ont subi un traumatisme craniocérébral (TCC) connaissent souvent une diminution de leur indépendance pour réaliser des activités complexes telles que faire les courses, et ces difficultés sont probablement accentuées en raison d’une interaction inadéquate entre les incapacités cognitives de la personne et l’environnement au magasin d’alimentation. L’étude a pour objectif d’identifier les facteurs environnementaux présents au magasin d’alimentation qui influencent, positivement ou négativement, l’indépendance des personnes qui ont subi un TCC dans la réalisation de l’activité de faire les courses. Il s’agit d’une étude exploratoire réalisée sous forme d’analyse qualitative de la performance de dix participants ayant subi un TCC modéré ou sévère procédant à la tâche « faire les courses » du Profil des activités instrumentales. Les principaux facilitateurs observés au magasin d’alimentation sont l’organisation des aliments et la présence d’indications écrites. Les principaux obstacles sont les distractions, la grande variété des aliments et le changement récent d’emplacement d’un aliment. La fréquentation d’un supermarché semble entraîner une augmentation de l’utilisation des facilitateurs environnementaux. Cette étude met en lumière les divers éléments environnementaux qui aident ou nuisent à la réalisation des courses. Lors des interventions auprès de ces personnes, une attention particulière doit être portée aux éléments du magasin qui font le plus obstacles à l’accomplissement des emplettes.
People who have suffered a traumatic brain injury (TBI) often experience a decreased ability to carry out complex daily activities such as shopping, and these difficulties are likely amplified when confronted with a shopping environment that is not adapted to their cognitive difficulties.
Goal
The purpose of this study was to identify the environmental factors present within a grocery store that influence, positively or negatively, the independence of persons who have suffered a TBI within the activity of shopping for groceries. This is an exploratory study in the form of a qualitative analysis of the performance of 10 participants with moderate or severe TBI who completed the “shopping for groceries” task of the IADL Profile. The main facilitators observed at the grocery store were the organization of food and the presence of signs. The main obstacles were the distractions, the wide variety of food and recent changes in food placement. Frequenting a supermarket appears to cause an increase in the use of environmental facilitators. This study highlights the various environmental factors that help or hinder grocery shopping for individuals with cognitive deficits. Particular attention should be paid to environmental obstacles in a grocery store when working with these individuals.Permalink : ./index.php?lvl=notice_display&id=33821
in Alter > Vol. 8, n°3 (Juillet / Septembre 2014) . - p.170 - p.182[article] Faire des courses avec des atteintes cognitives : l’influence des facteurs environnementaux = Shopping with an injured brain: Coping with a cognitively complex environment [texte imprimé] / Stéphanie GAUTHIER, Auteur . - 2014 . - p.170 - p.182.
Langues : Français (fre)
in Alter > Vol. 8, n°3 (Juillet / Septembre 2014) . - p.170 - p.182
Mots-clés : Traumatisme craniocérébral Environnement Faire les courses Facilitateurs Obstacles Traumatic brain injury Environment Shopping Facilitators Barriers Résumé : Les personnes qui ont subi un traumatisme craniocérébral (TCC) connaissent souvent une diminution de leur indépendance pour réaliser des activités complexes telles que faire les courses, et ces difficultés sont probablement accentuées en raison d’une interaction inadéquate entre les incapacités cognitives de la personne et l’environnement au magasin d’alimentation. L’étude a pour objectif d’identifier les facteurs environnementaux présents au magasin d’alimentation qui influencent, positivement ou négativement, l’indépendance des personnes qui ont subi un TCC dans la réalisation de l’activité de faire les courses. Il s’agit d’une étude exploratoire réalisée sous forme d’analyse qualitative de la performance de dix participants ayant subi un TCC modéré ou sévère procédant à la tâche « faire les courses » du Profil des activités instrumentales. Les principaux facilitateurs observés au magasin d’alimentation sont l’organisation des aliments et la présence d’indications écrites. Les principaux obstacles sont les distractions, la grande variété des aliments et le changement récent d’emplacement d’un aliment. La fréquentation d’un supermarché semble entraîner une augmentation de l’utilisation des facilitateurs environnementaux. Cette étude met en lumière les divers éléments environnementaux qui aident ou nuisent à la réalisation des courses. Lors des interventions auprès de ces personnes, une attention particulière doit être portée aux éléments du magasin qui font le plus obstacles à l’accomplissement des emplettes.
People who have suffered a traumatic brain injury (TBI) often experience a decreased ability to carry out complex daily activities such as shopping, and these difficulties are likely amplified when confronted with a shopping environment that is not adapted to their cognitive difficulties.
Goal
The purpose of this study was to identify the environmental factors present within a grocery store that influence, positively or negatively, the independence of persons who have suffered a TBI within the activity of shopping for groceries. This is an exploratory study in the form of a qualitative analysis of the performance of 10 participants with moderate or severe TBI who completed the “shopping for groceries” task of the IADL Profile. The main facilitators observed at the grocery store were the organization of food and the presence of signs. The main obstacles were the distractions, the wide variety of food and recent changes in food placement. Frequenting a supermarket appears to cause an increase in the use of environmental facilitators. This study highlights the various environmental factors that help or hinder grocery shopping for individuals with cognitive deficits. Particular attention should be paid to environmental obstacles in a grocery store when working with these individuals.Permalink : ./index.php?lvl=notice_display&id=33821 Exemplaires (1)
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Exclu du prêtFeasibility of a Sensory-Adapted Dental Environment for Children With Autism / Sharon A. Cermak in American Journal of Occupational Therapy, Vol. 69/3 (mai -juin 2015)
[article]
Titre : Feasibility of a Sensory-Adapted Dental Environment for Children With Autism Type de document : texte imprimé Auteurs : Sharon A. Cermak ; Marian E. Williams ; Leah I. Stein DUKER ; et al. Année de publication : 2015 Article en page(s) : p.1-10 Langues : Anglais (eng) Mots-clés : Autisme Soins dentairesChild development disorders/persuasive Dental care Environment Occupational therapy Sensation disorders Stress/physiological Résumé : OBJECTIVE. To provide an example of an occupational therapy feasibility study and evaluate the implementation of a randomized controlled pilot and feasibility trial examining the impact of a sensory-adapted dental environment (SADE) to enhance oral care for children with autism spectrum disorder (ASD).
METHOD. Twenty-two children with ASD and 22 typically developing children, ages 6–12 yr, attended a dental clinic in an urban hospital. Participants completed two dental cleanings, 3–4 mo apart, one in a regular environment and one in a SADE. Feasibility outcome measures were recruitment, retention, accrual, dropout, and protocol adherence. Intervention outcome measures were physiological stress, behavioral distress, pain, and cost.
RESULTS. We successfully recruited and retained participants. Parents expressed satisfaction with research study participation. Dentists stated that the intervention could be incorporated in normal practice. Intervention outcome measures favored the SADE condition.
CONCLUSION. Preliminary positive benefit of SADE in children with ASD warrants moving forward with a large-scale clinical trial.Permalink : ./index.php?lvl=notice_display&id=35898
in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-10[article] Feasibility of a Sensory-Adapted Dental Environment for Children With Autism [texte imprimé] / Sharon A. Cermak ; Marian E. Williams ; Leah I. Stein DUKER ; et al. . - 2015 . - p.1-10.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-10
Mots-clés : Autisme Soins dentairesChild development disorders/persuasive Dental care Environment Occupational therapy Sensation disorders Stress/physiological Résumé : OBJECTIVE. To provide an example of an occupational therapy feasibility study and evaluate the implementation of a randomized controlled pilot and feasibility trial examining the impact of a sensory-adapted dental environment (SADE) to enhance oral care for children with autism spectrum disorder (ASD).
METHOD. Twenty-two children with ASD and 22 typically developing children, ages 6–12 yr, attended a dental clinic in an urban hospital. Participants completed two dental cleanings, 3–4 mo apart, one in a regular environment and one in a SADE. Feasibility outcome measures were recruitment, retention, accrual, dropout, and protocol adherence. Intervention outcome measures were physiological stress, behavioral distress, pain, and cost.
RESULTS. We successfully recruited and retained participants. Parents expressed satisfaction with research study participation. Dentists stated that the intervention could be incorporated in normal practice. Intervention outcome measures favored the SADE condition.
CONCLUSION. Preliminary positive benefit of SADE in children with ASD warrants moving forward with a large-scale clinical trial.Permalink : ./index.php?lvl=notice_display&id=35898 Réservation
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DisponibleHome safety for children with autistic spectrum disorder: local authority occupational therapy intervention / Paul BOYLE in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)
[article]
Titre : Home safety for children with autistic spectrum disorder: local authority occupational therapy intervention Type de document : texte imprimé Auteurs : Paul BOYLE, Auteur ; David HAINES, Auteur ; Linda LOVELOCK, Auteur ; Kati INNES, Auteur Année de publication : 2014 Article en page(s) : p.243 - p.250 Langues : Anglais (eng) Mots-clés : autistic spectrum disorder (ASD) safety home environment Résumé : Introduction
Health and social care agencies are encouraged to provide child-centred services that respond to needs that change over time. There is evidence that occupational therapists are concerned about how to respond to issues of harmful behaviour in the home environment whilst promoting child development. This study explored occupational therapists" experiences regarding harmful behaviour and the safety of children with Autistic Spectrum Disorder.
Method
Seven community occupational therapists, employed by a local authority and working in social care, participated in two focus groups.
Findings
An inductive thematic analysis identified five broad themes. These were: 'assessment is complex', 'chidl development and the home environment', 'importance of family-centred services', 'the need for additional services', and 'management of the disabled facilities grant'.
Conclusion
Local authority occupational therapists prioritize supporting families to keep children safe. It is necessary to adapt the home reduce hazards and for alternative interventions to be made available to address behavioural and sensory needs. Services such as sensory integration are lacking, and where they are available access is difficult. Is is common for disabled facilities gratns to fund adaptations; however, management of grants could be improved to meet the needs of these children and their families.Permalink : ./index.php?lvl=notice_display&id=33889
in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.243 - p.250[article] Home safety for children with autistic spectrum disorder: local authority occupational therapy intervention [texte imprimé] / Paul BOYLE, Auteur ; David HAINES, Auteur ; Linda LOVELOCK, Auteur ; Kati INNES, Auteur . - 2014 . - p.243 - p.250.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.243 - p.250
Mots-clés : autistic spectrum disorder (ASD) safety home environment Résumé : Introduction
Health and social care agencies are encouraged to provide child-centred services that respond to needs that change over time. There is evidence that occupational therapists are concerned about how to respond to issues of harmful behaviour in the home environment whilst promoting child development. This study explored occupational therapists" experiences regarding harmful behaviour and the safety of children with Autistic Spectrum Disorder.
Method
Seven community occupational therapists, employed by a local authority and working in social care, participated in two focus groups.
Findings
An inductive thematic analysis identified five broad themes. These were: 'assessment is complex', 'chidl development and the home environment', 'importance of family-centred services', 'the need for additional services', and 'management of the disabled facilities grant'.
Conclusion
Local authority occupational therapists prioritize supporting families to keep children safe. It is necessary to adapt the home reduce hazards and for alternative interventions to be made available to address behavioural and sensory needs. Services such as sensory integration are lacking, and where they are available access is difficult. Is is common for disabled facilities gratns to fund adaptations; however, management of grants could be improved to meet the needs of these children and their families.Permalink : ./index.php?lvl=notice_display&id=33889 Exemplaires (1)
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Exclu du prêtThe home environments and occupational engagement of people with intellectual disabilities in supported living / Danielle Ashley in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)
[article]
Titre : The home environments and occupational engagement of people with intellectual disabilities in supported living Type de document : texte imprimé Auteurs : Danielle Ashley ; Ellie M. Fossey Année de publication : 2019 Article en page(s) : p. 698-709 Note générale : doi.org/10.1177/0308022619843080 Langues : Anglais (eng) Mots-clés : Intellectual disability supported living occupational engagement environment occupational therapy Résumé : Introduction
Social inclusion for people with intellectual disabilities includes engagement in the occupations of daily life. Given the focus on people with intellectual disabilities living independently with support, identifying the qualities of their home environments is integral to understanding the possibilities for engagement in occupations of daily life and better quality of life outcomes. In turn, this can inform the types of person-centred supports, such as active support, necessary to enable increased engagement for people with intellectual disabilities.
Method
A case study methodology and mixed methods were utilised to develop an in-depth understanding of the home environments of six people with intellectual disabilities in supported living, and their experience of how these environments impacted their occupational engagement both at home and in their community. Semi-structured interviews and observation of participants’ home environments, using the Residential Environment Impact Survey – Short Form, were completed.
Findings
Participants valued the opportunity to be self-reliant and live in their own homes. They had adequate means to engage in basic daily activities; however, their homes lacked expression of their occupational identity, and they had minimal occupational opportunities and demands, resulting in limited occupational engagement.
Conclusion
For people with intellectual disabilities, it is important to increase opportunities for participation in valued occupations that foster social identities, and to provide adequate environmental supports and demands, to enable sustained occupational engagement and social inclusion.Permalink : ./index.php?lvl=notice_display&id=85660
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 698-709[article] The home environments and occupational engagement of people with intellectual disabilities in supported living [texte imprimé] / Danielle Ashley ; Ellie M. Fossey . - 2019 . - p. 698-709.
doi.org/10.1177/0308022619843080
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 698-709
Mots-clés : Intellectual disability supported living occupational engagement environment occupational therapy Résumé : Introduction
Social inclusion for people with intellectual disabilities includes engagement in the occupations of daily life. Given the focus on people with intellectual disabilities living independently with support, identifying the qualities of their home environments is integral to understanding the possibilities for engagement in occupations of daily life and better quality of life outcomes. In turn, this can inform the types of person-centred supports, such as active support, necessary to enable increased engagement for people with intellectual disabilities.
Method
A case study methodology and mixed methods were utilised to develop an in-depth understanding of the home environments of six people with intellectual disabilities in supported living, and their experience of how these environments impacted their occupational engagement both at home and in their community. Semi-structured interviews and observation of participants’ home environments, using the Residential Environment Impact Survey – Short Form, were completed.
Findings
Participants valued the opportunity to be self-reliant and live in their own homes. They had adequate means to engage in basic daily activities; however, their homes lacked expression of their occupational identity, and they had minimal occupational opportunities and demands, resulting in limited occupational engagement.
Conclusion
For people with intellectual disabilities, it is important to increase opportunities for participation in valued occupations that foster social identities, and to provide adequate environmental supports and demands, to enable sustained occupational engagement and social inclusion.Permalink : ./index.php?lvl=notice_display&id=85660 Exemplaires (1)
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Exclu du prêtSports organisés : environnements d’influence et habitudes de vie des adolescents - Organized sports: Environmental influences and health behaviours among adolescents / P. DUBREUIL in Science & sports, volume 29 numéro 5 (Octobre 2014)
[article]
Titre : Sports organisés : environnements d’influence et habitudes de vie des adolescents - Organized sports: Environmental influences and health behaviours among adolescents Type de document : texte imprimé Auteurs : P. DUBREUIL, Auteur ; J. LEMOYNE, Auteur ; M.C. RIVARD, Auteur Année de publication : 2014 Article en page(s) : p.248- p.257 Langues : Français (fre) Mots-clés : Activité physique Alimentation Adolescents Environnements d’influence Comportements santé Physical activity Nutrition Environment Healthy behaviours Résumé : Objectifs
Cette étude vise quatre objectifs : 1) comparer la proportion des « sportifs » et des « élèves » au niveau des habitudes d’activités physiques et d’alimentation en ce qui a trait à l’atteinte des recommandations nationales, 2) vérifier la relation entre les habitudes de vie des adolescents et l’influence des environnements, 3) comparer la proportion des « sportifs » versus celle des « élèves » au regard des environnements d’influence sur les habitudes de vie, et 4) vérifier si le processus de socialisation institutionnelle peut expliquer les différences quant aux influences de l’environnement chez les adolescents.
Matériels et méthodes
L’échantillon compte 2573 adolescents âgés de 12 à 17ans (F=49,6 % et G=50,4 %), soit participant à la finale des jeux du Québec (n=1865), soit fréquentant deux écoles secondaires de la Mauricie (n=708). Tous ont complété un questionnaire portant sur les habitudes de vie et les environnements d’influence au regard de l’adoption des habitudes d’activités physiques et d’alimentation.
Résultats
Les résultats indiquent que l’échantillon composé d’adolescents « sportifs » est plus actif et consomme une plus grande proportion de légumes et fruits que l’échantillon formé d’« élèves ». De plus, les résultats indiquent qu’il y a une relation significative entre les environnements d’influence et les comportements de santé. Finalement, les « sportifs » rapportent, de façon générale, être davantage influencés par leurs environnements (école, pairs, famille).
Conclusion
L’étude apporte un aspect novateur à la littérature en s’intéressant spécifiquement aux environnements pouvant influencer l’adoption de saines habitudes de vie chez les adolescents « sportifs ». On y apprend que le fait d’être engagé dans le sport organisé influence positivement les habitudes de vie des adolescents et que les environnements d’influence jouent un rôle important à ce niveau.
Objectives
This study aims to: 1) compare the proportion of “athletes” vs “students”, who attained the levels recommended on physical activity and nutrition national guidelines, 2) analyze the relationships between the adolescents’ environmental influences and the adoption of healthy behaviours, 3) verify if environmental influences on adolescents involved in organized sport are different from those who are less involved in organized sport, and 4) verify if the process of institutional socialization can explain the differences on environmental influences in adolescent.
Materials and methods
The whole sample includes 2573 adolescents aged between 12 and 17 years old (G=49.6% and B=50.4%). The “sport” sample was drawn from the Quebec's Games summer finals participants (n=1865), and the “students” sample were adolescents attending two high schools in Mauricie region (n=708). All completed a self-report questionnaire about their physical activity, nutrition habits, and their perceived environmental influences related to physical activity and nutrition.
Results
Results revealed that adolescents in the “sport” sample are more active and consume a higher proportion of fruit and vegetables than the “students” sample. Also, results indicate that there are significant relationships between environmental influence and health behaviours. Finally, the “sport” sample generally seemed to be more influenced by their environments towards healthy eating and physical activity.
Conclusion
The study provides an innovative aspect to the literature by focusing specifically on influential environments that may foster adoption of healthy behaviours during adolescence, especially among those who are involved in organized sport. We learned that participation in organized sport positively influences adolescents’ behaviours and that environmental influences play a major role in this issue.Permalink : ./index.php?lvl=notice_display&id=33609
in Science & sports > volume 29 numéro 5 (Octobre 2014) . - p.248- p.257[article] Sports organisés : environnements d’influence et habitudes de vie des adolescents - Organized sports: Environmental influences and health behaviours among adolescents [texte imprimé] / P. DUBREUIL, Auteur ; J. LEMOYNE, Auteur ; M.C. RIVARD, Auteur . - 2014 . - p.248- p.257.
Langues : Français (fre)
in Science & sports > volume 29 numéro 5 (Octobre 2014) . - p.248- p.257
Mots-clés : Activité physique Alimentation Adolescents Environnements d’influence Comportements santé Physical activity Nutrition Environment Healthy behaviours Résumé : Objectifs
Cette étude vise quatre objectifs : 1) comparer la proportion des « sportifs » et des « élèves » au niveau des habitudes d’activités physiques et d’alimentation en ce qui a trait à l’atteinte des recommandations nationales, 2) vérifier la relation entre les habitudes de vie des adolescents et l’influence des environnements, 3) comparer la proportion des « sportifs » versus celle des « élèves » au regard des environnements d’influence sur les habitudes de vie, et 4) vérifier si le processus de socialisation institutionnelle peut expliquer les différences quant aux influences de l’environnement chez les adolescents.
Matériels et méthodes
L’échantillon compte 2573 adolescents âgés de 12 à 17ans (F=49,6 % et G=50,4 %), soit participant à la finale des jeux du Québec (n=1865), soit fréquentant deux écoles secondaires de la Mauricie (n=708). Tous ont complété un questionnaire portant sur les habitudes de vie et les environnements d’influence au regard de l’adoption des habitudes d’activités physiques et d’alimentation.
Résultats
Les résultats indiquent que l’échantillon composé d’adolescents « sportifs » est plus actif et consomme une plus grande proportion de légumes et fruits que l’échantillon formé d’« élèves ». De plus, les résultats indiquent qu’il y a une relation significative entre les environnements d’influence et les comportements de santé. Finalement, les « sportifs » rapportent, de façon générale, être davantage influencés par leurs environnements (école, pairs, famille).
Conclusion
L’étude apporte un aspect novateur à la littérature en s’intéressant spécifiquement aux environnements pouvant influencer l’adoption de saines habitudes de vie chez les adolescents « sportifs ». On y apprend que le fait d’être engagé dans le sport organisé influence positivement les habitudes de vie des adolescents et que les environnements d’influence jouent un rôle important à ce niveau.
Objectives
This study aims to: 1) compare the proportion of “athletes” vs “students”, who attained the levels recommended on physical activity and nutrition national guidelines, 2) analyze the relationships between the adolescents’ environmental influences and the adoption of healthy behaviours, 3) verify if environmental influences on adolescents involved in organized sport are different from those who are less involved in organized sport, and 4) verify if the process of institutional socialization can explain the differences on environmental influences in adolescent.
Materials and methods
The whole sample includes 2573 adolescents aged between 12 and 17 years old (G=49.6% and B=50.4%). The “sport” sample was drawn from the Quebec's Games summer finals participants (n=1865), and the “students” sample were adolescents attending two high schools in Mauricie region (n=708). All completed a self-report questionnaire about their physical activity, nutrition habits, and their perceived environmental influences related to physical activity and nutrition.
Results
Results revealed that adolescents in the “sport” sample are more active and consume a higher proportion of fruit and vegetables than the “students” sample. Also, results indicate that there are significant relationships between environmental influence and health behaviours. Finally, the “sport” sample generally seemed to be more influenced by their environments towards healthy eating and physical activity.
Conclusion
The study provides an innovative aspect to the literature by focusing specifically on influential environments that may foster adoption of healthy behaviours during adolescence, especially among those who are involved in organized sport. We learned that participation in organized sport positively influences adolescents’ behaviours and that environmental influences play a major role in this issue.Permalink : ./index.php?lvl=notice_display&id=33609 Exemplaires (1)
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Exclu du prêtSynthèse des facteurs externes qui influencent la capacité des ergothérapeutes à agir en tant qu’agents de changement / Corinne Valiquette in Revue Francophone de Recherche en Ergothérapie [périodique éléctronique], Vol.8, n°2 (21/12/2022)
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