Publications by authors named "Michele Hebert"

: There is international agreement that military families (MFs)-active service members, reservists, veterans, and their families-must be resilient to overcome military life adversities. Resilience is defined either as skillsets or as processes implicating multi-systems in a socio-ecological context. While research on resilience-building specific to children and families who face adversity is growing, there is a paucity of evidence on MF-centred resilience-building.

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Background: The transition from pediatric to adult care poses a significant health system-level challenge impeding the delivery of quality health services for youth with chronic health conditions. In Canada and globally, the transition to adult care is regarded as a top priority in adolescent health in need of readily applicable, adaptable, and relevant national metrics to evaluate and benchmark transition success across disease populations and clinical care settings. Unfortunately, existing literature fails to account for the lack of engagement from youth and caregivers in developing indicators, and its applicability across chronic conditions, primary care involvement, and health equity considerations.

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Introduction: Patient engagement and integrated knowledge translation (iKT) processes improve health outcomes and care experiences through meaningful partnerships in consensus-building initiatives and research. Consensus-building is essential for engaging a diverse group of experienced knowledge users in co-developing and supporting a solution where none readily exists or is less optimal. Patients and caregivers provide invaluable insights for building consensus in decision-making around healthcare, policy and research.

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Background: At present, little is known about the factors that contribute to the relatively low uptake of government-funded disability programs in Canada.

Aim: Understand how parents/caregivers of Canadian youth with neurodevelopmental disability (NDD) experience the process of applying for and accessing disability programs.

Methods And Procedures: This mixed methods sequential explanatory study utilized two phases: an online survey (quantitative), followed by semi-structured interviews (qualitative).

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Article Synopsis
  • The study investigates the acceptability of the Work Readiness Inventory (WRI) and a modified Ansell-Casey Life Skills Assessment (ACLSA-M) for measuring employment readiness in youth/young adults on the autism spectrum, as their effectiveness in this group hasn't been previously confirmed.
  • By employing a mixed-methods approach that includes quantitative and qualitative assessments, the research found both measures to be broadly acceptable, with slight modifications needed to better suit individual and job-specific requirements.
  • The findings suggest that a combination of assessment methods is essential for accurately evaluating employment readiness in this population, considering their lower participation rates in the workforce.
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Purpose: This paper proposes practice guidelines to evaluate community-based rehabilitation (CBR) programs.

Method: These were developed through a rigorous three-phase research process including a literature review on good practices in CBR program evaluation, a field study during which a South Africa CBR program was evaluated, and a Delphi study to generate consensus among a highly credible panel of CBR experts from a wide range of backgrounds and geographical areas.

Results: The 10 guidelines developed are summarized into a practice model highlighting key features of sound CBR program evaluation.

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Purpose: The objective of this study was to generate expert consensus on best evaluative practices for community-based rehabilitation (CBR). This consensus includes key features of the evaluation process and methods, and discussion of whether a shared framework should be used to report findings and, if so, which framework should play this role.

Method: A Delphi study with two predefined rounds was conducted.

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This study investigates occupational therapy for early communication in children with autism spectrum disorders (ASD). The research explored the role of occupational therapists in supporting children with ASD to become better communicators by considering their inter-professional collaboration with speech-language pathologists. Convenience samples of 21 clinical occupational therapists and speech-language pathologists were recruited to participate in semi-structured audio-recorded focus groups, using a qualitative design.

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Purpose: Community-based rehabilitation (CBR) must prove that it is making a significant difference for people with disabilities in low- and middle-income countries. Yet, evaluation is not a common practice and the evidence for its effectiveness is fragmented and largely insufficient. The objective of this article was to review the literature on best practices in program evaluation in CBR in relation to the evaluative process, the frameworks, and the methods of data collection.

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Background: Disruptive behaviors are frequent and often the first predictor of institutionalization. The goal of this multi-center study was to explore the perceptions of family and staff members on the potential contribution of environmental factors that influence disruptive behaviors and quality of life of residents with dementia living in long-term care homes.

Methods: Data were collected using 15 nominal focus groups with 45 family and 59 staff members from eight care units.

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Background: Occupational therapists are increasingly involved in the diagnostic process of cognitive impairment in the elderly.

Purpose: Three tools designed to facilitate the evaluation process were examined in order to document their diagnostic qualities and the nature of the association between their results: the Mini-Mental State Examination (MMSE), the Protocole d'examen cognitif de la personne âgée (PECPA-2r) and the Système de mesure de l'autonomie fonctionnelle (SMAF).

Methods: A cross-sectional correlative study was used in order to document the association between the results obtained with the three tools when they were used with aging adults referred to the project by their attending physician.

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Occupational therapists working in the community have adapted their knowledge to the distinct characteristics and expectations of the various settings. To do so, they have had to reflect on the professional nature of their interventions, while intervening. This simultaneous process has yielded specific knowledge that is solidly anchored in current clinical reality.

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