Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie最新文献

{"title":"Advancing knowledge about Lifestyle Redesign^® and associated interventions: Why now and in occupational therapy?","authors":"Mélanie Levasseur, Stacey L Schepens Niemiec","doi":"10.1177/00084174261440963","DOIUrl":"https://doi.org/10.1177/00084174261440963","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"93 2","pages":"133-140"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linking Social Prescribing and Lifestyle Redesign^®: A Step Toward Health and Equity?","authors":"Marie-Hélène Lévesque, Mya Fischer, Mélanie Levasseur","doi":"10.1177/00084174251401660","DOIUrl":"10.1177/00084174251401660","url":null,"abstract":"<p><p><b>Background.</b> Presented as a response to unmet social needs and a way toward a more equitable, sustainable, and healthier society, social prescribing (SP) is gaining international attention. However, it also faces challenges and criticisms, particularly regarding its evidence base, implementation processes, and relevance across diverse contexts. To date, little is known about its compatibility with preventive occupational therapy, notably with Lifestyle Redesign (LR), a landmark intervention that shares similarities with SP. <b>Purpose.</b> To synthesize knowledge about SP, its areas of compatibility and tension, as well as its linkages with LR. <b>Key issues.</b> While evidence regarding SP is conflicting, a critical examination of its connection with LR could help better meet the complex and evolving needs of older adults, especially those facing structural or social marginalization. Given their affinities, SP and LR present several promising points of integration, including: (1) offering LR within social prescription, (2) assigning a dedicated SP navigator to LR, and (3) positioning occupational therapists as SP navigators. <b>Implications.</b> Linking social prescribing and LR could contribute to tackling global public health priorities such as loneliness, social isolation, and chronic diseases, while advancing knowledge and practices that empower occupational therapists to address social determinants of health.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"230-244"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting Lifestyle Redesign^®: Navigating Fidelity and Contextual Fit Across Four Case Examples.","authors":"Stacey L Schepens Niemiec, Lauren Styer, Jasmine Chapman, Elizabeth A Pyatak, Mélanie Levasseur, Gabrielle Granados, Valerie A Tapia, Chantelle Rice Collins, Robyn Martinez, Tze-Woei Tan","doi":"10.1177/00084174251397723","DOIUrl":"10.1177/00084174251397723","url":null,"abstract":"<p><strong>Background: </strong>Lifestyle Redesign^® occupational therapy (LR-OT) originated in the Well Elderly studies as a preventive intervention for older adults, demonstrating positive health and cost outcomes. Although LR-OT later expanded to chronic condition management and inspired numerous programme adaptations for different contexts and populations, systematic reporting of intervention modifications remains scarce. This gap extends beyond OT, reflecting a broader movement in implementation science.</p><p><strong>Purpose: </strong>This study applies the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) to systematically document adaptations across four LR-OT programmes. Additionally, we examine fidelity-consistency by mapping programme components to the Well Elderly programme and core LR-OT elements. <b>Methods.</b> Four teams implementing adapted programmes-diabetic foot ulcer self-management, primary care chronic condition management, <i>Remodeler sa Vie</i> for French-Canadian older adults, and LR weight management-participated in a structured mapping exercise to align programmes with FRAME and LR-OT principle components. <b>Results.</b> Adaptation approaches varied from highly structured to loosely standardized methods. Despite numerous modifications, all programmes strongly aligned with LR-OT's core characteristics and domains. <b>Conclusion.</b> This study highlights LR-OT's adaptability across diverse contexts while maintaining fidelity to its foundational framework. Findings contribute to implementation research, providing a model for systematically documenting and characterizing adaptations made to client-centred, evidence-based OT programmes.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"245-267"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13223262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Feasibility Study of a Community-Based Program for Individuals Living With Dementia.","authors":"Patricia Belchior, Mélanie Levasseur, Meena Ramachandran, Nathalie Bier, Johanne Filiatrault, Claire Craig","doi":"10.1177/00084174251394952","DOIUrl":"10.1177/00084174251394952","url":null,"abstract":"<p><p><b>Background.</b> Engagement in meaningful social and everyday activities is crucial for maintaining overall well-being and quality of life. However, individuals diagnosed with dementia are more likely to experience a decline in participation, which can lead to social isolation and loneliness. This highlights the need for programs that help individuals to adapt to the changes following a dementia diagnosis. <i>Journeying through Dementia</i> (JtD) is one such program, designed to encourage continued meaningful participation. <b>Purpose.</b> This study aimed to explore the feasibility of implementing the JtD program in Quebec and to collect preliminary data to inform future trials. Five feasibility criteria were assessed: (a) acceptability of the program; (b) appropriateness of content and delivery; (c) adherence and retention; (d) suitability of recruitment strategies; and (e) appropriateness of outcome measures. <b>Methods.</b> A single-site exploratory feasibility study was conducted, guided by the Medical Research Council (MRC) framework. The intervention consisted of eight 2-hour group sessions held at a research center. The MRC framework also guided data collection and analysis. <b>Finding.</b> Three participants completed the program. They reported several benefits and found both the content and delivery appropriate. Adherence and retention rates were high. Partners also expressed interest in participating in the study and contributed valuable insights. Feedback on recruitment and the use of outcome measures was provided for consideration in the next phases of the study. <b>Conclusion.</b> Findings support the feasibility and acceptability of the JtD program in the Québec context and highlight considerations for future evaluation.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"268-278"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Stroke Prevention Intervention Make My Day in Swedish Primary Healthcare.","authors":"Emelie Mälstam, Eric Asaba, Elisabet Åkesson, Susanne Guidetti, Ann-Helen Patomella","doi":"10.1177/00084174261421395","DOIUrl":"10.1177/00084174261421395","url":null,"abstract":"<p><p><b>Background.</b> Studying the implementation of occupation-based stroke prevention interventions in primary healthcare is necessary and will provide insights of interventions' feasibility in clinical practice. <b>Purpose.</b> To explore the implementation of the Make My Day (MMD) stroke prevention intervention in Swedish primary healthcare with health professionals (HPs) and among persons at risk for stroke. <b>Method.</b> The Medical Research Councils process evaluation framework domains, implementation, mechanisms of impact and context, guided investigation of the implementation. Data were collected through logbooks, fieldnotes, and interviews. Descriptive statistics were used to analyze process data while thematic analysis was applied to explore experiences of and interactions with the MMD intervention and contextual influences. <b>Results.</b> There was a high belief in using engaging occupations to facilitate lifestyle habit change among HP's and persons at risk for stroke. The HP's complementary competencies, sharing experiences within groups and digital self-monitoring was valued. Time constraints and age differences in groups impacted MMD delivery. Reaching a representative sample, and different Swedish primary healthcare settings was challenging. <b>Conclusion.</b> The occupation-based framework and intervention implementation was feasible yet sustainability in Swedish primary healthcare requires securing HP staff and time to deliver prevention like MMD, and reaching hard-to-reach groups in the study population.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"151-163"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and Barriers to Implementing French-Canadian Lifestyle Redesign^® in Occupational Therapy Practice.","authors":"Marie-Hélène Lévesque, Nathalie Delli-Colli, Yves Couturier, Nadine Larivière, Johanne Filiatrault, Valérie Poulin, Véronique Provencher, Dominique Giroux, Émilie Lagueux, Mélanie Levasseur","doi":"10.1177/00084174251381405","DOIUrl":"10.1177/00084174251381405","url":null,"abstract":"<p><p><b>Background.</b> Although Lifestyle Redesign^® is an important preventive occupational therapy approach fostering meaningful routines to support health and well-being, little data exists to support its implementation in new sociocultural contexts. <b>Purpose.</b> To explore facilitators and barriers to a future implementation of the French-Canadian Lifestyle Redesign^® (Remodeler sa vie^®) in occupational therapy practice, as perceived by occupational therapists (OTs), occupational therapy students, decision makers and community partners. <b>Method.</b> Guided by the Consolidated Framework for Implementation Research, this action-research study involved 58 purposefully selected participants trained in the approach. Eleven focus groups were conducted using three semi-structured interview guides and facilitation tools. <b>Findings.</b> Participants (86.2% women, aged 20 to 72; mean = 43.2, SD = 12.5) identified 36 influential factors, with public sector OTs facing the most barriers. Key facilitators included the approach's strong evidence base, its relevance to aging populations, key actors' openness and engagement, and new social trends. Barriers stemmed from the approach's complexity, resource constraints, socio-political challenges, implementation efforts and uncertainty about older adults' engagement in this approach. Equitable access to the approach was a common concern. <b>Conclusion.</b> By addressing the factors influencing the implementation of Remodeler sa vie^®, this study advances knowledge on integrating preventive approaches to promote healthy aging in Canada and internationally.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"217-229"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Canadian Adaptation of REVEAL(OT) for Chronic Pain Management: Rapid Qualitative Analysis Results.","authors":"Julie Masse, Svetlana S Nielsen, Jeanette R Christensen, Søren T Skou, José Côté, Sara Saunders, Émilie Lagueux, Aline Boulanger, Marc O Martel, Mark A Ware, Mélanie Lussier, M Gabrielle Pagé","doi":"10.1177/00084174251394959","DOIUrl":"10.1177/00084174251394959","url":null,"abstract":"<p><p><b>Background.</b> Chronic pain brings on many lifestyle changes. Redesign your Everyday Activities and Lifestyle with Occupational Therapy (REVEAL(OT)) is an evidence-based Danish intervention that benefits the daily functioning of individuals living with chronic pain. <b>Purpose.</b> To understand the perspectives of patients, clinicians and managers about REVEAL(OT) and identify format- and content-related modifications that are necessary to adapt to the Canadian context. <b>Method.</b> Based on a qualitative descriptive approach, focus groups and individual interviews with partners (<i>n</i> = 45 participants in total) were conducted in two Montreal specialized pain clinics. The interview guide was inspired by Proctor's implementation model and a qualitative rapid analysis was performed. <b>Findings.</b> Participants recognized the need for (a) a flexible, personalized and hands-on intervention, (b) integrating multimodal approaches, (c) support to develop and implement healthy life habits, (d) addressing gaps in care supporting the need for an OT intervention, and (e) pragmatic organisational considerations for implementation. <b>Conclusion.</b> REVEAL(OT) is capable of addressing the occupational needs of patients but adaptations are required to fit within a new healthcare ecosystem. Our findings promote the use of lifestyle-oriented interventions along with current care and will generate the initial intervention manual to be tested and refined.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"182-193"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Family Support in the Stroke Prevention Program Make My Day.","authors":"Kristin Norefors, Eric Asaba, Elisabet Åkesson, Lisette Farias, Ann-Helen Patomella","doi":"10.1177/00084174261433649","DOIUrl":"10.1177/00084174261433649","url":null,"abstract":"<p><p><b>Background.</b> Numerous risk factors for stroke are modifiable and are associated with lifestyle and daily habits. An occupational perspective in prevention, which emphasizes habits and routines, can facilitate sustainable and healthy lifestyle changes. Additionally, lifestyle changes generally take place within a social context, making family involvement indispensable. <b>Purpose.</b> This study aims to explore family support from the perspective of persons with risk for stroke (PWRS) who participated in an occupation-based stroke prevention program, and their family members. <b>Method.</b> Explorative qualitative design using interviews was conducted with 10 PWRS who participated in the Make My Day intervention and 10 family members of intervention participants, including both married and nonmarried partners and adult children. Data were analyzed using an inductive semantic approach and reflexive thematic analysis. <b>Findings.</b> Family support depends on the nature of relationships, the family's willingness to accept support, and expectations. Three themes were generated through the analysis: (a) shared perspectives on lifestyle influence support, (b) balancing support and individual responsibility, and (c) generating tensions from different views on health and lifestyle habits. <b>Conclusion.</b> Family support encourages lifestyle changes by sharing activities, offering encouragement, and providing positive reinforcement. Nonetheless, difficulties can occur in maintaining a balance between supporting family members and respecting their personal responsibility, particularly when family members have varying levels of understanding regarding health.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"194-203"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L'approche Remodeler sa vie pour réduire l'usage des écrans chez les jeunes.","authors":"Emmanuelle Jasmin, Mélanie Levasseur, Mélanie M Couture, Mélissa Généreux, Caroline Fitzpatrick","doi":"10.1177/00084174251365684","DOIUrl":"10.1177/00084174251365684","url":null,"abstract":"<p><p><b>Background.</b> Excessive screen time is a real public health issue among young people given its negative consequences. It is important to rely on proven interventions to better support young people in adopting a healthy and meaningful lifestyle. The Lifestyle Redesign occupational therapy approach could help achieve this, but it has not yet been documented or explored with this population. <b>Purpose.</b> To demonstrate the relevance of adapting and testing the Lifestyle Redesign approach with young people who spend excessive amounts of time in front of screens, in the hopes of inspiring research or innovation projects in youth practice settings. <b>Key issues.</b> Many young people spend too much time using screens during their leisure activities. During adolescence, young people tend to increase their screen time during leisure activities, while also isolating themselves socially, struggling with boredom, and replacing physical activity with sedentary activities. Therefore, effective interventions would help to improve the life balance of these young people. <b>Implications.</b> A project to adapt and test the Lifestyle Redesign approach for young people would address this need. This project could include young people aged 10 to 12, their parents, and key partners. Drawing on other evidence-based practices related to commitment and screen time reduction would be beneficial to the intervention, which should also target, among other things, developing young people's repertoire of interests.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"141-150"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-Year Recovery After Traumatic Brachial Plexus Injury: Mixed-Methods Study of Patient Outcomes.","authors":"Maryam Farzad, Joy MacDermid, Hossein Abdolrazaghi, Mahdyeh Karbalaee, Ali Abdolahi, Mobin Nakhai","doi":"10.1177/00084174261456386","DOIUrl":"https://doi.org/10.1177/00084174261456386","url":null,"abstract":"<p><p><b>Background.</b> Recovery after traumatic brachial plexus injury (BPI) involves complex interactions between injury, physical, psychosocial, and environmental factors that affect occupational performance and participation in life roles. This study examined the interrelationships between these outcomes. <b>Method.</b> This cross-sectional, mixed-methods study included 41 adults one-year postsurgical BPI repair. Quantitative measures included the Disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) (upper-extremity disability), the Canadian Occupational Performance Measure (COPM: performance, satisfaction), and the Participation Behaviour Questionnaire (PBQ). Qualitative data from semistructured COPM interviews were thematically analyzed (interpretive description) and linked to International Classification of Functioning Disability and Health categories using standard linking rules. <b>Results.</b> Self-care (88%) and productivity (68%) were the most frequently reported challenges. The mean QuickDASH score was 38.40/100 (SD = 22.70); COPM performance and satisfaction scores averaged 4.6/10 (SD = 1.61) and 4.0/10 (SD = 1.80); COPM performance showed a moderate, nonsignificant negative correlation with QuickDASH scores (<i>r</i> = -.32, <i>P</i> = 0.093) and a strong positive correlation with satisfaction (<i>r</i> = .90, <i>P</i> < 0.001). The QuickDASH scores were strongly correlated with PBQ participation restriction (<i>r</i> = .84, <i>P</i> < 0.001). Qualitative findings revealed a capacity-performance gap and psychosocial impacts, emotional regulation difficulties, altered identity, and existential concerns, that were not captured by quantitative measures. <b>Implications.</b> One year after BPI, participants showed partial functional recovery but continued to face personal and environmental barriers to real-world participation. Qualitative interviews identified areas of concern not sufficiently revealed by quantitative outcomes. Rehabilitation should incorporate physical restoration, environmental adaptation, and psychosocial support to rebuild occupational competence, identity, and participation.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261456386"},"PeriodicalIF":1.7,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148102084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}