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Personne :
Careau, Emmanuelle

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Careau

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Emmanuelle

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Université Laval. Département de réadaptation

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ncf11855285

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  • PublicationRestreint
    Life habits performance of individuals with brain injury in different living environments
    (Taylor & Francis, 2013-02-05) Lamontagne, Marie-Eve; Poncet, Frederique; Careau, Emmanuelle; Sirois, Marie-Josée; Boucher, Normand
    Background: Little is known about variations in social participation among individuals with traumatic brain injury (TBI) living in different environments. Objective: To examine the social participation of individuals with moderate-to-severe TBI across various living arrangements. Methods: One hundred and thirty-six individuals with moderate-to-severe TBI, living either in natural settings (e.g. home), intermediate settings (e.g. group homes or foster families) or structured settings (e.g. nursing home or long-term care facilities) and requiring daily assistance, were interviewed using the LIFE-H tool, which measures the level of difficulty and the assistance required to carry out life habits and resulting social participation. Participation in six categories of life habits pertaining to Activities of Daily Living and five categories pertaining to Social Roles were examined. Results: The level of difficulty and the assistance required to carry out the life habits and the overall level of social participation were associated with living arrangements. Participation scores in Activities of Daily Living varied across living arrangements while Social Roles scores did not. Conclusion: Living arrangements (such as intermediate settings) may better support social participation in individuals with TBI. There is a need to further study the issue of living arrangements as they seem to facilitate the performance of life habits, which impacts the social participation of individuals with TBI.
  • PublicationAccès libre
    La téléréadaptation auprès de la clientèle ayant subi un traumatisme cranio-cérébral : une étude descriptive sur le travail en équipe interdisciplinaire
    (2008) Careau, Emmanuelle; Vincent, Claude; Noreau, Luc
    L'arrivée des modalités d'intervention à distance, tel que la visioconférence, modifie le fonctionnement des équipes en réadaptation; notamment lors des plans d'intervention interdisciplinaires (PII) interétablissements. Pourtant, très peu d'études portent sur cette problématique. Ce mémoire a pour but de décrire le fonctionnement du travail en équipe interdisciplinaire par visioconférence et de documenter les avantages/inconvénients de cette modalité. Treize enregistrements de rencontres par visioconférence ont été analysés à l'aide d'une grille d'observation. Globalement, un travail d'équipe efficace est observé. Le taux de productivité est de 96% tandis que le pourcentage de temps dédié à la résolution de problèmes techniques est de 2%. Ce sont le coordonnateur clinique, l'ergothérapeute du centre d'expertise ainsi que le client qui participent le plus lors des visioconférences. Finalement, la qualité sonore variable est l'inconvénient le plus souvent mentionné. En conclusion, les résultats encouragent l'adoption de cette modalité et suggèrent quelques lignes directrices pour l'élaboration des PII.
  • PublicationRestreint
    Analysis of the strengths, weaknesses, opportunities and threats of the network form of organization of traumatic brain injury service delivery systems
    (Taylor & Francis, 2011-09-22) Lamontagne, Marie-Eve; Swaine, Bonnie Ruth; Lavoie, André; Careau, Emmanuelle
    Networks are an increasingly popular way to deal with the lack of integration of traumatic brain injury (TBI) care. Knowledge of the stakes of the network form of organization is critical in deciding whether or not to implement a TBI network to improve the continuity of TBI care. Goals of the study: To report the strengths, weaknesses, opportunities, and threats of a TBI network and to consider these elements in a discussion about whether networks are a suitable solution to fragmented TBI care. Methods: In-depth interviews with 12 representatives of network organization members. Interviews were qualitatively analyzed using the EGIPSS model of performance. Results : The majority of elements reported were related to the network's adaptation to its environment and more precisely to its capacity to acquire resources. The issue of value maintenance also received considerable attention from participants. Discussion : The network form of organization seems particularly sensitive to environmental issues, such as resource acquisition and legitimacy. The authors suggest that the network form of organization is a suitable way to increase the continuity of TBI care if the following criteria are met: (1) expectations toward network effectiveness to increase continuity of care are moderate and realistic; (2) sufficient resources are devoted to the design, implementation, and maintenance of the network; (3) a network's existence and actions are deemed legitimate by community and organization member partners; and (4) there is a good collaborative climate between the organizations.