Précis – Discours commémoratif Muriel Driver 2017 Possibilités en matière de bien-être: Le droit à la participation occupationnelle

Digitalization of Activities of Daily Living and Its Influence on Social Participation for Community-Dwelling Older Adults: A Scoping Review

Everyday technology (ET) has been defined as the broad set of devices and artefacts that are currently present in people's lives both inside and outside of the home. A subgroup within ET is known as everyday information and communication technologies (EICTs). The main characteristic of these technologies is that they can facilitate or disrupt the engagement of individuals in their daily activities. This scoping review aims to identify what is known about how ET can function as facilitators or barriers to occupations, such as the social participation of older adults. The proposed scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR) guidelines and checklist. The scoping review was conducted across five online databases (PubMed, Scopus, Web of Science, MEDLINE and PsycoINFO [EBSCO]) to identify published, peer-reviewed records. Studies were screened by two independent reviewers against the inclusion criteria. This review considered studies concerning the use of ET or EICTs in community-dwelling adults aged over 60 years, with or without cognitive impairment or dementia. All of the articles were in English, and reviews were not included. Eleven papers were selected and showed that despite the increasing demand for technologies of daily life and the digitalization of society and processes, according to our research, few studies addressed the limitations in the social participation of older adults. In conclusion, ET can provide a way to promote and maintain the personal autonomy for older adults in community dwellings. However, cognitive impairment hinders the use of electronic technologies and increases perceived problems.

Does Migration Distance Affect Happiness? Evidence From Internal Migrants in China

Background

Happiness is a complex concept involving many subjects such as society, psychology, and ethics. How will migration distance affect migrants' happiness under the new trend of migration in China? The goal of this paper is to analyze the influence and transmission mechanism of migration distance on happiness of migrant individuals, and the heterogeneity of this effect on urban and rural migrants.

Methods

Employing data of 129,803 observations from the 2012 China Migrants Dynamic Survey, we first estimate the effects of migration distance on happiness by the ordinal logistic regression and propensity score matching (PSM) method. Second, we examine the heterogeneity of effect by splitting the sample into the urban and rural migrants. Finally, we analyze the transmission mechanism of migration distance on happiness by mediating effect model.

Results

The migration distance of internal migrants in China has a significant negative impact on happiness. Urban migrant individuals show a stronger response to migration distance compared to rural counterparts. Social integration is proved as the potential mechanism through which the effect of migration distance on happiness.

Conclusion

The results emphasize happiness of internal migrant and other mental health problems. Moreover, particular attention should be paid to social integration on happiness, such as strengthening the cultural exchange in different areas, narrowing the income gap between urban and rural areas, promoting rational migrant decision of individual, and enhancing the happiness of them.

Cognitive Reserve Characteristics and Occupational Performance Implications in People with Mild Cognitive Impairment

The Cognitive Reserve hypothesis suggests that there are individual differences in the ability to cope with the pathologic changes in Alzheimer's Disease. The proportion of elderly individuals has increased in recent years; this increase emphasizes the importance of early detection of mild cognitive impairment and the promotion of healthy ageing. The purpose of our study is to characterize cognitive reserve and occupational performance implications in people with mild cognitive impairment. 125 patients with mild cognitive impairment were enrolled. The Montreal Cognitive Assessments (MoCA) was used to evaluate cognitive status and the Cognitive Reserve Index Questionnaire (CRIq) as an indicator of cognitive reserve. Higher level of education was associated with higher MoCA scores (r = 0.290, p = 0.001). Positive significant correlations were observed between MoCA and total CRIq (r = 0.385, p < 0.001) as well as its three sub-domains, education (r = 0.231, p = 0.010), working activity (r = 0.237, p = 0.008) and leisure time (r = 0.319, p < 0.001). This study findings provide the importance of considering socio-behavioral factors in cognitive status. This research helps to describe the importance of engaging occupationally along the whole life-course as a potential protective factor in ageing, and includes a perspective of occupational therapy regarding the hypothesis of cognitive reserve.