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            "note": "<p>Imprimé et lu par Lucie.</p>\n<p>Intéressant: personnes qui ne vont pas en services de BV, à cause de facteurs externes à eux, mais aussi interne (exemple: envie d'afficher de l'indépendance --&gt; ne vont pas chercher l'assistance de services de BV).</p>\n<p>En partie sur l'acceptation du handicap (surtout dès la p. 590).</p>\n<p>Sera certainement utile pour l'analyse (plein d'idées de pourquoi les gens refusent). &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>\n<p>&nbsp;</p>\n<p><span style=\"background-color: #ffff00;\">Résumé</span>:</p>\n<p>Raisons de non-utilisation de services de BV par des PA candiennes.</p>\n<p>Les <strong><span style=\"text-decoration: underline;\">raisons de non-utilisation</span></strong> en lien avec l'<span style=\"text-decoration: underline;\">information</span> sont: une connaissance insuf<span style=\"color: #000000;\">fisante, <em>managing</em> (personnes qui peuvent faire les tâches critiques, pensent que la BV c'est pour les aveugles et qui se font aider dans les activités difficiles) et l</span>e comportement des practiciens.</p>\n<p>Les <span style=\"text-decoration: underline;\">attitudes des PA</span> qui créent leur<span style=\"color: #ff0000;\"> image de soi/représentations</span> (<em>self-presentation</em>)* et leur non-utilisation des services de BV sont: un fort besoin d'indépendance, une relativisation de la perte visuelle par rapport aux autres pertes et une acceptation de la perte visuelle dans la vie quotidienne.</p>\n<p>*Influence aussi l'utilisation ou non des services de BV.</p>\n<p>Barrières aux services de BV: méconnaissances et incompréhensioons sur la BV et ses services, coûts pour les usagers, rémunération insuffisante des prestataires, médecins pas assez formés en BV (ne conseillent pas à la P d'aller en BV -&gt; la P se dit que ce n'est pas utile pour elle), localisation des services de BV.</p>\n<p>Attitudes des PA sur la vieillesse, le H et la réabilitation --&gt; barrières aux services de BV.</p>\n<p>&nbsp;</p>\n<p><span style=\"background-color: #ffff00;\">Références possibles</span>:</p>\n<p>Certaines PA considèrent que leur perte visuelle est normale/qu'elle fait partie de la vie/vieillesse =&gt; \"acceptation de la perte\" qui contribue à la non-utilisation des services de BV (p. 593).</p>\n<p>Dépression =&gt; peut aussi contribuer à limiter l'utilisation des services de BV (p. 595).</p>\n<p>&nbsp;</p>",
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            "note": "<p>Imprimé et lu par Lucie.</p>\n<p>&nbsp;</p>\n<p>NB: Article très difficile et/ou contradictoire, qui n'a pas les résultats espérés et semble donc remettre la faute de cela sur les instruments utilisés. --&gt; Peu intéressant...</p>\n<p>&nbsp;</p>\n<p><span style=\"background-color: #ffff00;\">Résumé</span></p>\n<p><span style=\"text-decoration: underline;\"><strong>But de l'article</strong></span>: investiguer les changements longitudinaux de la dépendance dans les AVQ et les aspects d'utilisabilité pour les personnes ayant eu une adaptation du domicile.</p>\n<p>&nbsp;</p>\n<p>Définition d'adaptation du domicile, effets des adaptations (diminue le déclin fonctionnel et les coûts des services de santé, réduit les chutes).</p>\n<p>Dans beaucoup d'études sur l'adaptation du domicile, les définitions conceptuelles diffèrents (p. 297).</p>\n<p>Définitions d'activité et d'utilisabilité (dont les aspects liés à P, E, A)</p>\n<p>&nbsp;</p>\n<p><span style=\"text-decoration: underline;\"><strong>Matériel et méthode</strong></span></p>\n<p><span style=\"text-decoration: underline;\"><strong>Résultats</strong></span>:</p>\n<p>Dépendance dans les A: 48% des P dépendants dans les AIVQ et 37% dans les AVQ et AIVQ. Pas de changement significatif dans les A. Moins de clients étaient dépendants pour le bain à 6-7 mois après les adaptations qu'à 2-3 mois après.</p>\n<p>Utilisabilité: pas de changement significatif pour les \"aspects de l'activité\", mais les P perçoivent que leur environnement domicilaire supporte mieux les A quotidiennes (entre T1 et T2). \"Aspects personnels et sociaux\": pas de différence significative, sauf entre T2 et T3.</p>\n<p>&nbsp;</p>\n<p><span style=\"text-decoration: underline;\"><strong>Discussion</strong></span>:</p>\n<p>Les adaptations du domicile représentent une intervention très individualisée, qui affecte les buts personnels et dont l'intervention peut avoir des effets positifs.</p>\n<p>\"The results indicate that housing adaptations contribute to improved activity performance and usability in housing\" --&gt; J'ai comprs l'inverse en lisant l'étude... Donc soit j'ai mal compris, soit ils contredisent leurs résultats.</p>\n<p>&nbsp;</p>\n<p>&nbsp;</p>\n<p><span style=\"background-color: #ffff00;\">Autres articles intéressants d'après cet article</span></p>\n<p><span style=\"background-color: #ffffff;\">Compliance avec les adaptations </span>(p. 297):</p>\n<ul>\n<li>Gorcoran, M., Sc Gitlin, L. N. (2001). Family caregiver acceptance and use of environmental strategies provided in an occupational therapy intervention. Physical and Occupational Therapy in Geriatrics, 19, 1-20.</li>\n<li>Gumming, R. G., Thomas, M., Szonyi, G., Frampton, G., Salkeld, G., &amp; Glemson, L. (2001). Adherence to occupational therapist recommendations for home modifications for falls prevention. American journal of Occupational Therapy 55, 641-648.</li>\n</ul>",
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