Facilitators and Barriers to Implementing French-Canadian Lifestyle Redesign ® in Occupational Therapy Practice.
Background. 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. Purpose. To explore facilitators and barriers to a future...
| Publicado en: | Canadian Journal of Occupational Therapy Vol. 93; no. 2; pp. 217 - 230 |
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| Autores principales: | , , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193858252&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193858252 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00084174 G34 jtl: Canadian Journal of Occupational Therapy issn: 00084174 maglogo: Y pubinfo: dt: Jun2026 vid: 93 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 193858252 188383538 193858252 193858252 10.1177/00084174251381405 193858252 ppf: 217 ppct: 13 formats: tig: atl: Facilitators and Barriers to Implementing French-Canadian Lifestyle Redesign ® in Occupational Therapy Practice. aug: au: Lévesque, Marie-Hélène Delli-Colli, Nathalie Couturier, Yves Larivière, Nadine Filiatrault, Johanne Poulin, Valérie Provencher, Véronique Giroux, Dominique Lagueux, Émilie Levasseur, Mélanie sug: subj: Occupational Therapy Methods Life Style Changes Occupational Therapy Practice Implementation Science Health Services Accessibility Occupational Therapist Attitudes Evaluation Student Attitudes Evaluation Attitude of Health Personnel Evaluation Human Male Female Adult Middle Age Aged Quebec Qualitative Studies Action Research Validation Studies Academic Medical Centers Comparative Studies Descriptive Statistics Data Analysis Software Semi-Structured Interview Questionnaires Health Promotion Methods Health Services for Older Persons Software Design Community Health Services Decision Making, Clinical Occupational Therapists Students, Occupational Therapy Attitude to Health Attitude to Medical Treatment Cultural Competence Transcultural Care Life Style Psychological Well-Being Preventive Health Care Occupational Therapy Practice, Evidence-Based Health Behavior Cultural Diversity Focus Groups Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background. 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. Purpose. 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. Method. 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. Findings. 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. Conclusion. 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. Description. Bien que Lifestyle Redesign® soit une importante approche d'ergothérapie préventive pour favoriser le développement de routines saines et signifiantes, peu de données existent pour appuyer sa mise en œuvre dans de nouveaux contextes socioculturels. But. Explorer les facilitateurs et les obstacles à une mise en œuvre future de la version franco-canadienne du Lifestyle Redesign® (Remodeler sa vie®) dans la pratique de l'ergothérapie, tels que perçus par des ergothérapeutes, des personnes étudiantes, des décideurs et des partenaires communautaires. Méthodologie. Guidée par le Cadre consolidé pour la recherche sur la mise en oeuvre, cette étude de recherche action a mobilisé 58 personnes recrutées par choix raisonné et formées à l'approche. Onze groupes de discussion ont été organisés à l'aide de trois guides d'entretien semi-structurés et d'outils de facilitation. Résultats. Les personnes participantes (86,2% de femmes, 20 à 72 ans; moyenne = 43 ans; écart-type = 12,5) ont identifié 36 facteurs d'influence, les ergothérapeutes du secteur public étant ceux rencontrant le plus grand nombre d'obstacles. Les principaux facilitateurs comprenaient la force des résultats probants de l'approche, sa pertinence pour les populations vieillissantes, l'ouverture et l'engagement des acteurs clés et les nouvelles tendances sociales. Les obstacles découlaient de la complexité de l'approche, des contraintes en matière de ressources, des défis sociopolitiques, des efforts requis pour la mise en œuvre et de l'incertitude quant à l'engagement des personnes aînées. L'accès équitable à cette approche était une préoccupation commune. Conclusion. En abordant les facteurs d'influence à la mise en œuvre du Remodeler sa vie®, cette étude fait progresser les connaissances sur l'intégration d'approches préventives pour favoriser le vieillissement en santé au Canada et à l'international. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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