465 results match your criteria: "Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal[Affiliation]"

Primary Objective: To explore the experiences of program mentors, participants, and employees involved in a peer-based physical activity (PA) program for adults with moderate-to-severe TBI, being piloted by a community fitness center, to develop the program as a measurable intervention.

Research Design: We adopted an exploratory case study approach through an interpretivist paradigm, which focused on discovering realities about the peer-based PA program across the study participants' views, backgrounds, and experiences.

Methods And Procedures: Semi-structured focus groups and individual interviews were conducted with nine adult program participants (3 peer mentors, 6 participants), and three program employees.

View Article and Find Full Text PDF

Background: Electronic knowledge resources are readily available and typically target different audiences, including health professionals and the public, that is, those with lived experience and their relatives. The knowledge-to-action framework, in combination with the information assessment method (IAM), considering both the value-of-information construct and the conceptual model of acquisition-cognition-application, can be used to support the evaluation process of such resources. As an example, Stroke Engine is an evidence-based knowledge translation resource in stroke rehabilitation (assessments and interventions) for health professionals and students as well as individuals who have sustained a stroke and their relatives.

View Article and Find Full Text PDF

Background: Acquired brain injury (ABI) often leads to deficits in executive functioning (EF) which is responsible for severe and longstanding disabilities in activities of daily living. The "Cooking Task" (CT), an ecological test of EF involving multi-tasking, was developed in France and exhibits excellent psychometric properties but has not yet been adapted and validated for the French-Canadian context.

Objectives: Conduct a cross-cultural adaptation and validation of the CT for the French-Canadian context.

View Article and Find Full Text PDF

Objectives: Physical activity interventions are effective to reduce the symptoms and recovery time after a mild traumatic brain injury; such interventions are not always embedded in all interdisciplinary outpatient settings. Service providers of a specialized rehabilitation program recognized the need to implement emerging evidence-based approaches to improve physical activity delivery. Understanding the perceptions of managers, clinicians, and users regarding the strengths, weaknesses, opportunities, and threats of the current physical activity intervention delivered to outpatient adults with a mild traumatic brain injury could inform local and widespread intervention development, enhancement, and implementation of evidence-based physical activity interventions.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines eligibility criteria for discharging individuals with traumatic spinal cord injury (AIS-D) to home-based rehabilitation instead of inpatient facilities, aiming to enhance resource utilization.
  • About 37.9% of participants met the criteria for home rehabilitation, showing younger age and better overall health compared to those who went to inpatient care.
  • The results indicate that home-based rehabilitation leads to better long-term functional status and quality of life without causing any readmissions due to rehabilitation failures.
View Article and Find Full Text PDF

TelereHUB-CHILD: An online integrated knowledge translation tool to optimize telerehabilitation evidence-based practices for children with disabilities and their families.

Front Rehabil Sci

March 2023

Department of Medicine and Health Sciences, School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.

Background: Pediatric telerehabilitation has been quickly adopted by clinicians during the pandemic. This precipitated shift in the model of healthcare delivery is significant and compounded by clinicians' training and knowledge needs related to evidence-based practices. This instigated a knowledge translation initiative TelereHUB-CHILD-an online platform designed for clinicians, patients, and families.

View Article and Find Full Text PDF

The objective was to explore the care experiences and service design related to rehabilitation for mobility and participation in the community among individuals with acquired brain injury (ABI), as perceived by clinicians and patients. Five focus groups were held: three with clinicians and two with individuals with ABI. Focus group discussions were transcribed and analyzed using an inductive and deductive thematic content approach.

View Article and Find Full Text PDF
Article Synopsis
  • Pediatric compliance with lower extremity orthotics is low despite reported benefits, prompting a review of factors influencing this issue using the ICF framework.
  • A total of 81 articles were analyzed, identifying universal barriers in mental functions, sensory functions, and family attitudes, while only one universal facilitator related to mobility was noted.
  • Key findings stress the significance of orthotic fit and comfort, as well as the child's self-perception and environmental influences, as crucial for improving compliance.
View Article and Find Full Text PDF
Article Synopsis
  • Occupational therapists (OTs) and physiotherapists (PTs) are trained to use evidence-based practices (EBP) but research on their competencies in EBP is limited, particularly after graduation in Canada.
  • The study utilized surveys and focus groups over three years to assess how EBP skills and usage evolve among new graduates, finding that over half experienced a decline in EBP use.
  • Key influences on EBP utilization included personal experiences, client expectations, and available resources, raising concerns about the sustainability of EBP in practice.
View Article and Find Full Text PDF

Community-based physical activity opportunities have been shown to help adults with physical disabilities improve their participation in daily activities and reduce social isolation. Despite the known benefits, substantial barriers and challenges inhibit accessibility to these physical activity opportunities. To facilitate the co-construction of strategies to overcome accessibility issues pertaining to community-based physical activity opportunities.

View Article and Find Full Text PDF

Background: To promote and ensure coaches' fidelity in delivering an online health coaching program to parents of children with suspected developmental delay, we developed and implemented a novel coaching fidelity rating tool, CO-FIDEL (COaches Fidelity in Intervention DELivery). We aimed to (1) Demonstrate CO-FIDEL's feasibility in evaluating coaches' fidelity and its change over time; and (2) Explore coaches' satisfaction with and usefulness of the tool.

Methods: In an observational study design, coaches ( = 4) were assessed using the CO-FIDEL following each coaching session ( = 13-14 sessions/parent-participant) during the pilot phase of a large randomized clinical trial involving eleven ( = 11) parent-participants.

View Article and Find Full Text PDF

Patient engagement in a national research network: barriers, facilitators, and impacts.

Res Involv Engagem

March 2023

Faculty of Medicine and Health Sciences, School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir William Osler, Montréal, H3G 1Y5, Canada.

Background: Little is known about patient engagement in the context of large teams or networks. Quantitative data from a larger sample of CHILD-BRIGHT Network members suggest that patient engagement was beneficial and meaningful. To extend our understanding of the barriers, facilitators, and impacts identified by patient-partners and researchers, we conducted this qualitative study.

View Article and Find Full Text PDF

Purpose: English-language podcasts on stuttering are numerous. However, stuttering-related podcasts in French are far more rare. In order to create a space to explore stuttering for a French-speaking population, the Association bégaiement communication (ABC), a French-Canadian stuttering organization, produced "Je je je suis un podcast".

View Article and Find Full Text PDF

Barriers and Facilitators to Knowledge Brokering Activities: Perspectives from Knowledge Brokers Working in Canadian Rehabilitation Settings.

J Contin Educ Health Prof

April 2023

Dr. Gaid: McGill University, School of Physical and Occupational Therapy, Montreal, Quebec, Canada, and The Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada. Dr. Ahmed: McGill University, School of Physical and Occupational Therapy, Montreal, Quebec, Canada, and The Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada, and Research Institute McGill University Health Center, Centre for Outcomes Research and Evaluation (CORE), Montreal, Quebec, Canada. Dr. Thomas: McGill University, School of Physical and Occupational Therapy, Montreal, Quebec, Canada, and The Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada, and Institute of Health Sciences Education, Montreal, Quebec, Canada. Dr. Bussières: Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada, and McGill University, School of Physical and Occupational Therapy, Montreal, Quebec, Canada, and The Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada.

Introduction: Knowledge translation experts advocate for employing knowledge brokers (KBs) to promote the uptake of research evidence in health care settings. Yet, no previous research has identified potential barriers for KBs to promote the uptake of research evidence in rehabilitation settings. This study aimed to identify the barriers and facilitators for KBs in Canadian rehabilitation settings as perceived by individuals serving as KBs.

View Article and Find Full Text PDF
Article Synopsis
  • Locomotion involves intricate interactions between spinal and brain systems, with vestibular input primarily studied for its effects on gait stability.
  • Galvanic vestibular stimulation (GVS) has shown potential to reduce gait variability and enhance speed, yet its influence on detailed gait parameters like cycle duration remains unclear.
  • In a study with 15 participants, GVS produced distinct responses in leg muscles, affecting gait cycle duration based on the electrode positioning, with notable prolongation of certain muscle activity only when the electrode was placed behind the right ear.
View Article and Find Full Text PDF

Candrive-Development of a Risk Stratification Tool for Older Drivers.

J Gerontol A Biol Sci Med Sci

December 2023

Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada.

Background: Assessing an older adult's fitness-to-drive is an important part of clinical decision making. However, most existing risk prediction tools only have a dichotomous design, which does not account for subtle differences in risk status for patients with complex medical conditions or changes over time. Our objective was to develop an older driver risk stratification tool (RST) to screen for medical fitness-to-drive in older adults.

View Article and Find Full Text PDF

Background: Clinical research coordinators (CRCs) facilitate the interaction between researchers and knowledge users in rehabilitation centres to promote and sustain evidence-informed practices. Despite their presence in rehabilitation settings in Quebec for over 20 years, little is known about their profiles and knowledge translation (KT) activities nor how they can best enact their role. This study explored CRCs' roles and perspectives on the barriers, enablers, and strategies for improving KT activities in rehabilitation settings.

View Article and Find Full Text PDF
Article Synopsis
  • * This scoping review aims to explore existing literature on the perceived needs of individuals with chronic pain in relation to physiotherapy services, emphasizing the importance of understanding these perspectives.
  • * The review will follow a structured six-step framework and will include studies in English and French, utilizing both qualitative and quantitative research to synthesize findings on patient needs.
View Article and Find Full Text PDF

Measurement Properties of the Mayo-Portland Adaptability Inventory (MPAI-4) and Related Measures: A Systematic Review.

Arch Phys Med Rehabil

August 2023

School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; McGill University Health Center, Clinical Epidemiology, Montréal, Canada. Electronic address:

Objective: To assess the Mayo-Portland Adaptability Inventory-version 4 (MPAI-4) and related measures' measurement properties and the quality of evidence supporting these results; and identify the interpretability and feasibility of the MPAI-4 and related measures.

Data Sources: We conducted a systematic review according to COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. We searched 9 electronic databases and registries, and hand searched reference lists of included articles.

View Article and Find Full Text PDF

Introduction: Adolescents and young adults require age-appropriate healthcare services delivered by clinicians with expertise in adolescent medicine. However, resident family physicians report a low perceived self-efficacy and under-preparedness to deliver adolescent medical care. We conducted a scoping review to map the breadth and depth of the current evidence about adolescent medicine training for family medicine residents.

View Article and Find Full Text PDF

Measuring communication as a core outcome in aphasia trials: Results of the ROMA-2 international core outcome set development meeting.

Int J Lang Commun Disord

July 2023

School of Speech-Language Pathology and Audiology, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada.

Background: Evidence-based recommendations for a core outcome set (COS; minimum set of outcomes) for aphasia treatment research have been developed (the Research Outcome Measurement in Aphasia-ROMA, COS). Five recommended core outcome constructs: communication, language, quality of life, emotional well-being and patient-reported satisfaction/impact of treatment, were identified through three international consensus studies. Constructs were paired with outcome measurement instruments (OMIs) during an international consensus meeting (ROMA-1).

View Article and Find Full Text PDF

Is research on 'smart living environments' based on unobtrusive technologies for older adults going in circles? Evidence from an umbrella review.

Ageing Res Rev

February 2023

Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, CIUSSS Centre-sud-de l'île-de-Montréal, Montreal, Quebec, Canada; Ecole de réadaptation, Université de Montréal, Montreal, Quebec, Canada.

Context And Aims: To enable ageing in place, innovative and integrative technologies such as smart living environments may be part of the solution. Despite extensive published literature reviews on this topic, the effectiveness of smart living environments in supporting ageing in place, and in particular involving unobtrusive technologies, remains unclear. The main objective of our umbrella review was to synthesize evidence on this topic.

View Article and Find Full Text PDF

Background: The sheer number of measures evaluating mobility and inconsistencies in terminology make it challenging to extract potential core domains and items. Automating a portion of the data synthesis would allow us to cover a much larger volume of studies and databases in a smaller fraction of the time compared to the usual process. Thus, the objective of this study was to identify a comprehensive outcome set and develop preliminary banks of items of mobility among individuals with acquired brain injury (ABI) using Natural Language Processing (NLP).

View Article and Find Full Text PDF

Harnessing a knowledge translation framework to implement an undergraduate medical education intervention: A longitudinal study.

Perspect Med Educ

December 2022

School of Physical and Occupational Therapy and Institute of Health Sciences Education, Faculty of Medicine, McGill University, Montréal, Quebec, Canada.

Introduction: Implementation of evidence-informed educational interventions (EEI) involves applying and adapting theoretical and scientific knowledge to a specific context. Knowledge translation (KT) approaches can both facilitate and structure the process. The purpose of this paper is to describe lessons learned from applying a KT approach to help implement an EEI for clinical reasoning in medical students.

View Article and Find Full Text PDF