Karine Latulippe

Background: Aging in place is a priority for many older adults but often requires home adaptations when temporary or permanent physical disabilities arise. It reduces the risk of falls, improves health-related quality of life, and enhances social participation. Two new digital innovations aim to support home adaptation: Hygiene 2.0, which facilitates the adaptation of baths and showers, and MapIt, which provides 3D mapping of the environment. Objective: This action study aims to cocreate and evaluate the implementation of the Hygiene 2.0 and MapIt innovations and to measure their impact on supporting older adults who experience difficulties with personal hygiene or are in the process of adapting their homes. Methods: This study uses a multiple case study approach with a mixed convergent design, guided by the i-PARIHS (integrated-Promoting Action on Research Implementation in Health Services) framework. We will conduct semistructured interviews with 66 participants, including 8 older adults-informal caregiver dyads (or individual older adults when no informal caregiver is available) for MapIt only, 20 dyads for Hygiene 2.0 or the combined use of Hygiene 2.0 and MapIt, and 10 assistive technology advisors across all innovation scenarios. A cost analysis will be conducted from both the Quebec public system and patient perspectives. Qualitative data and mixed data integration will be analyzed using analytical questioning. Results: This study was conducted within the framework of, and with financial support from, the Bien vieillir chez soi au Bas-Saint-Laurent action research program. Recruitment began in May 2024. We completed data collection in February 2026 and began data cleaning and analysis in March 2026. As of September 2025, we enrolled 1 dyad of older adults and informal caregivers using MapIt, 5 dyads using Hygiene 2.0 or the combination of Hygiene 2.0 and MapIt, and 10 assistive technology advisors. The manuscript describing the results of the study is expected to be published at the beginning of 2027. May. Conclusions: This study will provide valuable insights into how innovative digital tools can facilitate home adaptations that promote aging in place. By assessing their implementation, usability, and cost-effectiveness, the findings are expected to inform best practices, guide decision-making for health and social care stakeholders, and ultimately contribute to improving the quality of life and autonomy of older adults.

Un diagnostic de maladie complexe impose aux patients et à leurs proches d’acquérir de nouvelles connaissances et de développer de nouvelles compétences (médical, autogestion, navigation dans le système de santé avec les professionnels). Des ressources éducatives validées et fiables sont nécessaires pour répondre à ces besoins. L’intégration des ressources validées et accessibles, combinée à la mobilisation des technologies d’intelligence artificielle (IA), permet de constituer une banque de ressources exploitables au sein de parcours d’apprentissage personnalisés, adaptés aux besoins des patients et des professionnels en situation d’apprentissage. Notre équipe a développé l’environnement numérique SPÉCIAL (Scénarisation PÉdagogique Collaborative Intégrant des Alternatives et des Liens), centré sur l’engagement de l’apprenant-patient et l’optimisation de la collaboration interprofessionnelle dans le contexte de la COVID longue. Dans une démarche itérative de recherche basée sur le design, associant une patiente partenaire dès la phase initiale, nous avons développé différents prototypes de solutions numériques misant sur l’établissement d’une synergie entre les ressources en accès libre et la mobilisation de technologies de l’IA. Celles-ci s’appuient sur des revues de littérature sur les technologies utilisées en santé et leurs enjeux ainsi que sur la scénarisation de parcours et de ressources d’apprentissage considérant la diversité des besoins et des cultures professionnelles.

Purpose: The Inclusive Society partnership research model aims to promote change in society for people with disabilities by supporting research teams composed of researchers and partner organizations. The objective of this article is to identify the strengths and limitations of this research model.Material and methods: An autoethnography approach was used. Thematic analysis of four methods was undertaken: semi-directed interviews with members of the research teams funded by Inclusive Society (researchers, partners), a focus group with the Inclusive Society's intersectoral collaboration agents, their logbooks, and Inclusive Society's annual reports.Results: Strengths and limitations of the Inclusive Society model were identified through their networking activities, the role and support of the intersectoral collaboration agents and the partnership research program.Conclusions: Networking activities are an essential element of Inclusive Society. They are indispensable for composing intersectoral research teams that will work on answering needs of people with disabilities. Intersectoral collaboration agents are also a strength of the model, but their role could be clarified to better frame what tasks are in their scope of practice and what the research teams could ask from them. Finally, the research program eligibility criteria could be improved to support, among others, the projects' appropriation phases.

To identify partnership research challenges and facilitators, as experienced by members of the Inclusive Society (IS) initiative.A case study was conducted on all partnership research projects cond... Partnership research has the potential to contribute to a more inclusive society for people with disabilities.Challenges and facilitators are identified for the stages of creating, implementing, an...

Background: Occupational therapists who work in hospitals need to assess patients’ home environment in preparation for hospital discharge in order to provide recommendations (eg, technical aids) to support their independence and safety. Home visits increase performance in everyday activities and decrease the risk of falls; however, in some countries, home visits are rarely made prior to hospital discharge due to the cost and time involved. In most cases, occupational therapists rely on an interview with the patient or a caregiver to assess the home. The use of videoconferencing to assess patients’ home environments could be an innovative solution to allow better and more appropriate recommendations. Objective: The aim of this study was (1) to explore the added value of using mobile videoconferencing compared with standard procedure only and (2) to document the clinical feasibility of using mobile videoconferencing to assess patients’ home environments. Methods: Occupational therapists assessed home environments using, first, the standard procedure (interview), and then, videoconferencing (with the help of a family caregiver located in patients’ homes, using an electronic tablet). We used a concurrent mixed methods design. The occupational therapist's responsiveness to telehealth, time spent on assessment, patient’s occupational performance and satisfaction, and major events influencing the variables were collected as quantitative data. The perceptions of occupational therapists and family caregivers regarding the added value of using this method and the nature of changes made to recommendations as a result of the videoconference (if any) were collected as qualitative data, using questionnaires and semistructured interviews. Results: Eight triads (6 occupational therapists, 8 patients, and 8 caregivers) participated. The use of mobile videoconferencing generally led occupational therapists to modify the initial intervention plan (produced after the standard interview). Occupational therapists and caregivers perceived benefits in using mobile videoconferencing (eg, the ability to provide real-time comments or feedback), and they also perceived disadvantages (eg, videoconferencing requires additional time and greater availability of caregivers). Some occupational therapists believed that mobile videoconferencing added value to assessments, while others did not. Conclusions: The use of mobile videoconferencing in the context of hospital discharge planning has raised questions of clinical feasibility. Although mobile videoconferencing provides multiple benefits to hospital discharge, including more appropriate occupational therapist recommendations, time constraints made it more difficult to perceive the added value. However, with smartphone use, interdisciplinary team involvement, and patient participation in the videoconference visit, mobile videoconferencing can become an asset to hospital discharge planning. Trial Registration:

Background: Knowledge translation (KT) is an important means of improving the health service quality. Most research on the effectiveness of KT strategies has focused on individual strategies, i.e., those directly targeting the modification of allied health professionals’ knowledge, attitudes, and behaviors, for example. In general, these strategies are moderately effective in changing practices (maximum 10% change). Effecting change in organizational contexts (e.g., change readiness, general and specific organizational capacity, organizational routines) is part of a promising new avenue to service quality improvement through the implementation of evidence-based practices. The objective of this study will be to identify why, how, and under what conditions organizational KT strategies have been shown to be effective or ineffective in changing the (a) knowledge, (b) attitudes, and (c) clinical behaviors of allied health professionals in traumatology settings. Methods: This is a realist review protocol involving four iterative steps: (1) Initial theory formulation, (2) search for Evidence search, (3) knowledge extraction and synthesis, and (4) recommendations. We will search electronic databases such as PubMed, Embase, CINHAL, Cochrane Library, and Conference Proceedings Citation Index - Science. The studies included will be those relating to the use of organizational KT strategies in trauma settings, regardless of study designs, published between January 1990 and October 2020, and presenting objective measures that demonstrate change in allied health professionals’ knowledge, attitudes, and clinical behaviors. Two independent reviewers will select, screen, and extract the data related to all relevant sources in order to refine or refute the context-mechanism-outcome (CMO) configurations developed in the initial theory and identify new CMO configurations. Discussion: Using a systematic and rigorous method, this review will help guide decision-makers and researchers in choosing the best organizational strategies to optimize the implementation of evidence-based practices. Systematic review registration: PROSPERO CRD42020216105

Human–animal interactions may positively impact the health and well-being of older adults. Considering about one third of community-dwelling older adults report owning a pet, better understanding the benefits, challenges, and the role of pet ownership may help support the relationships between older adults and their pets. This case study aims to better understand the role of pet ownership in the daily lives of older adults and explore the benefits and the challenges of owning a pet for this population. Interviews were conducted with Violet, a 77-year-old dog owner and her healthcare provider. Qualitative data were analyzed by two evaluators and validated by the participants. Both participants agree that the benefits outweigh the challenges for both the older adult and her pet. The benefits and challenges were the following: Violet, taking care of her dog (Jack), (1) could provide Violet with a sense of safety and positively influence her mood; (2) may introduce a slight fall risk; (3) includes financial costs to consider. Ensuring Jack’s well-being is important for Violet and her dog benefits from Violet’s continual presence and care. The findings suggest that improving the fit between characteristics of the owner and their pet may support the meaningful role of pet ownership within the context of aging-in-place.