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Description.: Recently translated and adapted to the French-Canadian context, the program Remodeler sa vie (Lifestyle Redesign) aims to develop meaningful and healthy lifestyle. The influence of this newly adapted program on older French-Canadians was, however, unknown., Objective.: The aim of this study was to describe the influence of the Remodeler sa vie on older French-Canadians' life balance, engagement in meaningful activities, self-compassion and gratitude., Method.: A mixed-method design (preexperimental and qualitative clinical) was used in a pilot study with 16 participants distributed in two groups (with and without disabilities). Pre- and post-intervention questionnaires as well as semi-structured interviews were completed., Results.: An increase of life-balance in all participants ( p = .03) and of engagement in meaningful activities in older adults without disability ( p = .02) was observed. The participants also reported improvements for all outcomes., Conclusion.: Remodeler sa vie is a culturally promising program to promote health among older French-Canadians.

Background.: In occupational therapy practice, client assessments are essential for establishing treatment priorities and determining the effectiveness of interventions. However, occupational therapists' assessment practices are not well documented., Purpose.: This work aimed to provide an overview of the assessment practices of Quebec occupational therapists based on the person-environment-occupation components and clienteles., Method.: A cross-sectional survey was conducted using an online survey that was sent to occupational therapists in Quebec., Findings.: In paediatrics, occupational therapists tend to use standardized tools to assess physical and neurological abilities. Adult assessment focuses mainly on physical abilities and productivity. For seniors, assessment focuses mainly on functional aspects (physical abilities, personal care, and home safety) and screening for cognitive difficulties., Implications.: Occupational therapy assessment mostly focuses on physicial abilities. To ensure a holistic approach, more occupational and environmental components should be included in the assessment practices.

Background.: Occupational therapists who provide community-based services are well positioned to foster older adults' social participation. However, community occupational therapists rarely address social participation and require support to change their practice., Purpose.: This study initiated a remodelling of community occupational therapy services by (a) selecting practices fostering older adults' social participation and (b) identifying factors that could affect their integration., Method.: A community-based participatory research study was conducted in a large Canadian city. Four focus group meetings and seven individual interviews were held with 28 key informants., Findings.: A continuum of emerging practices was identified, including personalized, group-based, and community-based interventions. Potential enablers of these practices included clinical support, better communication, and user involvement. Organizational and systemic barriers were related to the institutional culture and performance indicators., Implications.: These results point to innovative ways to foster older adults' social participation and identify potential enablers and barriers affecting their integration.

Background.: The Lifestyle Redesign® (LR) aims to support health, functioning, and quality of life of older adults through the development of healthy and meaningful routines. However, evidence concerning the effectiveness and cost-effectiveness of this intervention is scattered., Purpose.: This study aimed to synthetize the clinical effects and cost-effectiveness of the LR as well as to verify the applicability of the results in a community-based setting in Quebec., Method.: A systematic review of the literature was conducted, followed by a focus group with four occupational therapists., Findings.: Considered as cost-effective (under $50,000 in quality-adjusted life-years), the LR offers benefits for both mental and physical health. According to occupational therapists, the LR is clearly relevant for their practice but involves some challenges., Implications.: The LR is an occupational therapy intervention with promising clinical effects and cost-effectiveness for older adults living in the community.

Background: Chronic disease self-management is a priority in health care. Personal and environmental barriers for populations with neuromuscular disorders might diminish the efficacy of self-management programs, although they have been shown to be an effective intervention in many populations. Owing to their occupational expertise, occupational therapists might optimize self-management program interventions., Purpose: This study aimed to adapt the Stanford Chronic Disease Self-Management Program (CDSMP) for people with myotonic dystrophy type 1 (DM1) and assess its acceptability and feasibility in this population., Method: Using an adapted version of the Stanford CDSMP, a descriptive pilot study was conducted with 10 participants (five adults with DM1 and their caregivers). A semi-structured interview and questionnaires were used., Findings: The Stanford CDSMP is acceptable and feasible for individuals with DM1. However, improvements are required, such as the involvement of occupational therapists to help foster concrete utilization of self-management strategies into day-to-day tasks using their expertise in enabling occupation., Implications: Although adaptations are needed, the Stanford CDSMP remains a relevant intervention with populations requiring the application of self-management strategies., (© CAOT 2016.)

Background: Despite the interest in the concept of life balance, no questionnaire is currently available in French to measure it well., Purpose: This study aimed to translate the Life Balance Inventory (Objective 1) and to verify the convergent validity of the French version (Objective 2)., Method: A cross-cultural validation was first carried out, followed by a cross-sectional descriptive study, with 152 adults ages 40 and over, with and without physical disabilities. Questionnaires were used to measure the following variables, life balance, stress, health, and quality of life., Results: A better life balance is associated with a lower degree of stress (r = -.36; p < .01) as well as higher physical health (r = .42; p = .01), mental health (r = .36; p = .01), and quality of life (r = .54; p < .01)., Implications: The French version of the Life Balance Inventory is a valid questionnaire to assist occupational therapists when assessing time use of their clients.

Background: It is important to understand the coping strategies that optimize or restrict participation or quality of life, especially for older adults., Purpose: The purpose of this study was to examine the associations between, on the one hand, problem- and emotion-focused coping strategies used to deal with aging limitations or health problems and, on the other hand, participation and quality of life., Method: A cross-sectional design was used with 82 community-dwelling participants aged 65 and older., Findings: Participants used both problem-focused (distancing, self-control) and emotion-focused (seeking social support, planful problem solving, positive appraisal) coping strategies to deal with aging limitations or health problems. Only a few moderately significant associations were found except for escape-avoidance coping strategies, which were significantly associated with lower participation and quality of life., Implications: Before developing interventions to improve or maintain older adults' participation and quality of life, more studies are needed to better understand coping strategies used by older adults to deal with aging limitations or health problems and especially escape-avoidance strategies.

Background: Occupational therapists can bring a unique and valuable perspective to the national dialogue on health promotion. Current approaches have a narrow focus on diet and exercise; a broader focus on occupation has the potential to enrich understanding regarding forces that contribute to health and well-being., Purpose: A new "Do-Live-Well" framework will be presented that is grounded in evidence regarding the links between what people do every day and their health and well-being., Key Issues: Elements of the framework include eight different dimensions of experience and five key activity patterns that impact health and well-being outcomes. Personal and social forces that shape activity engagement also affect the links to health and well-being., Implications: The framework is designed to facilitate individual reflection, community advocacy, and system-level dialogue about the impact of day-to-day occupations on the health and well-being of Canadians.

Background: The conceptualisation of participation is important for both clinicians and researchers. Purpose. Analyse and compare two conceptual models, the Disability Creation Process (DCP) and the International Classification of Functioning, Disability and Health (ICF), with particular emphasis on the participation component., Method: Conceptual comparative analysis of the DCP and ICF models focused on participation., Results: We found more differences than similarities between the DCP and ICF models. Similarities concerned approaches, objectives, elements of the models' components, and, to some extent, the participation component itself Differences were mainly in the underlying models, conceptualisation of components including participation, and the measurement tools of participation., Practice Implications: Based on the results of this conceptual comparison, occupational therapists working in clinical and research settings are encouraged to consider using the DCP, which is an excellent model to choose in regard to participation. Empirical studies are still needed to clarify the concept of participation.

Background: The ultimate goal of the occupational therapist is to enhance or maintain a client's quality of life., Purpose: It is difficult, however, to find an operational definition of this concept. This article presents the results of a concept analysis of quality of life in the context of older adults with physical disabilities., Results: Quality of life is defined by a subjective evaluation of the life circumstances of an individual with respect to his/her values. The results indicate the importance of physical, psychological, social and spiritual well-being, the satisfaction with life and the accomplishment of meaningful occupations. A satisfying functional state, manifested by the presence of adapted behaviors and the feeling of control over one's life are also useful to consider., Practice Implications: This definition suggests that occupational therapists should broaden the vision of their treatment objectives (beyond the realization of activities of daily living and instrumental activities of daily living) and offer some avenues for the enhancement of quality of life.