Fonds de Recherche du Québec - Société et culture

BACKGROUND: The Extension for Community Healthcare Outcomes (ECHO) Model of continuing tele-education is an innovative guided-practice model aiming at amplifying healthcare professionals' competencies in the management of chronic and complex health conditions. While data on the impact of the ECHO model is increasingly available in the literature, what influences the model effectiveness remains unclear. Therefore, the overarching aim of this systematic review is to identify, appraise, and synthesize the available quantitative (QUAN) and qualitative (QUAL) evidence regarding the ECHO Model effectiveness and the experiences/views of ECHO's participants about what influences the development of competencies in healthcare professionals. METHODS: The proposed systematic review was inspired by the Joanna Briggs Institute (JBI) methodology for Mixed Methods Systematic Reviews (MMSR) and will follow a convergent segregated approach. A systematic search will be undertaken using QUAN, QUAL and mixed methods (MM) studies of ECHO-affiliated programs identified in six databases. A publication date filter will be applied to find the articles published from 2003 onwards. Sources of unpublished studies and gray literature will be searched as well. Retrieved citations will independently be screened by two reviewers. Disagreements will be resolved through discussion until a consensus is reached or by including a third reviewer. Studies meeting the predefined inclusion criteria will be assessed on methodological quality and the data will be extracted using standardized data extraction forms. Separate QUAN and QUAL synthesis will be performed, and findings will be integrated using a matrix approach for the purpose of comparison and complementarity. DISCUSSION: This MMSR will fulfill important gaps in the current literature on the ECHO Model as the first to provide estimates on its effectiveness and consider simultaneously the experiences/views of ECHO's participants. As each replication of the ECHO Model greatly varies depending on the context, topic, and targeted professionals, a better understanding of what influences the model effectiveness in developing healthcare professionals' competencies is crucial to inform future implementation. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020197579.

Background Inclusion in early childhood contributes to building equitable and diverse educational settings, fostering societal acceptance to differences. Nevertheless, obstacles remain to implementing inclusive practices from an early age. Professional development, particularly through coaching, is seen as a factor facilitating quality early childhood education practices. As part of an action-research project, therefore, this study aims to document the perceptions of educators and managers after 1 year of professional development based on the use of a curriculum-based assessment and embedded intervention/instruction in inclusive childcare settings. Method This article describes a qualitative study aimed at documenting the perceptions of educators and managers as regards changes perceived following the professional development received. The perceptions of 14 educators and 6 managers are analyzed using semi-structured interviews. Results Results suggest that professional development helps support quality inclusive educational practices. Participants address certain aspects of their educational practices, such as observation and intervention planning, to fine-tune the learning opportunities offered consistent with children’s development. They report that coaching is an opportunity to examine their practice, which fosters their sense of competence. Results also underline the importance of the leadership role of childcare managers in supporting educational staff. Discussion The perceptions of educators and managers highlight the value of coaching in supporting educational practices in inclusive childcare settings. Improved individualization of educational practices based on the developmental needs of each and every child enhances environments’ capacity for quality intervention for all children.

Background Inclusion in childcare centers involves a support system that includes funding policies, inclusive practices and access to ongoing training. The province of Quebec (Canada) benefits from a network of subsidized childcare services for children from birth to 5 years old. Although two financial measures support educational childcare centers welcoming children with disabilities, there is a lack of knowledge about how these measures are used. Research questions The research questions are: (1) How do childcare centers use financial measures to support inclusion? (2) What adaptations are made in childcare centers? and (3) What is the ongoing training of educators to support inclusion? Method This research presents the results of an online survey completed by 94 childcare management staff and 154 childcare educators. The survey was developed using a two-way process involving the researchers along with representatives from government ministries and agencies and childcare management staff. Results Results reveal that just over half of management staff request financial measures for all children with special needs and does so mainly to hire additional and specialized human resources and replace staff in meetings with specialized services. The financial measures are perceived to meet material adaptation needs better than those for human resources. Adaptations made by educators relate to instructions, individual interventions, equipment, group activities, physical environment, and schedule and routines. Over half the educators report that adaptations involving group activities and schedules and routines are the most difficult to implement. Less than half the managers and educators had received ongoing training on inclusive practices. Issues addressed during such training include commonly recognized interventions based on diagnoses, collaboration with parents, collaboration with partner agencies or institutions, instructions, individual interventions, group activities, equipment, physical environment, and schedules and routines. Discussion Results are discussed in terms of (1) needs met and funding model, and (2) dimensions of quality inclusive practices such as leadership of childcare management staff, training and professional development, collaboration with health and specialized social services, learning environments and partnership with families.

"Prediction of bone anisotropic mechanical properties in osteoporotic human vertebral body from microstructural parameters." Computer Methods in Biomechanics and Biomedical Engineering, 16(sup1), pp. 326–327Keywords:: vertebral trabecular boneanisotropic mechanical propertiesmicrostructure AcknowledgementsThis work was financially supported by CRSNG, CFI, FRQNT, ETS and IFSTTAR.

Bien que Laure Conan occupe une place majeure dans l’histoire littéraire du xix e siècle québécois, il existe un décalage entre la mémoire de cette écrivaine et sa vie réelle. C’est cet écart que l’article mesure, en proposant également quelques hypothèses sur ses fondements et ses causes. Les auteurs s’intéressent d’abord aux représentations fictives de Conan dans la littérature de manière à cerner l’imaginaire entourant l’écrivaine. Ce portrait est ensuite confronté aux données factuelles concernant la trajectoire et la production de l’écrivaine, ce qui met en lumière une tout autre image de Conan, qui est loin de se réduire à celle largement répandue de pionnière sacrifiée. Ce parcours montre également l’importance d’un pan occulté de sa production littéraire, celui du roman historique, auquel seuls quelques commentateurs se sont intéressés.

Cet article présente les résultats d’une recherche évaluant le Service de consultation interculturelle (SCI) du Centre jeunesse de Montréal — Institut universitaire pour l’intervention en contexte de diversité culturelle. Les 30 intervenantes interviewées expriment des besoins variés relatifs à leur compréhension du vécu et de la culture des familles et leur relation avec ces dernières, mais aussi quant à l’intervention à effectuer. Le SCI est apprécié lorsqu’il répond à leurs besoins et bonifie leur pratique, mais l’approche réflexive préconisée est parfois source d’insatisfaction, notamment lorsque les intervenantes recherchent des solutions immédiates aux difficultés rencontrées.

RemerciementsJe tiens à remercier Fabrice Fernandez qui a supervisé le mémoire de maîtrise à l'origine de cet ouvrage et qui a généreusement accepté d'en signer la préface.Son imagination sociologique et sa capacité à faire dialoguer la théorie et l'empirie ont durablement influencé ma conception de la recherche sociologique ; que les pages qui suivent en soient le témoignage.Je remercie chaudement ma

This creative response interrogates the persona that seems to inhabit sex webcam platforms, online services where people can stream and monetize amateur sexual performances (Henry & Farvid 2017; Jones 2020). If the perception of authenticity has been a crucial feature of camming since its inception (Senft 2008), this impression is no longer conveyed only through amateur signifiers (Hernández 2019). Domesticity on the sexcam platform oscillates between two poles. One of them is incarnated by the professional webcam studio, where uninhabited rooms are presented as private yet generic spaces (Korody 2019). The other pole is the personal space, staged for its transmission through the platform. Decorative trends and habits crossover between these extremes, creating a new type of domesticity with no other purpose than the sexual spectacle. The product of this mutual influence is referred to as ‘post-authentic domesticity’ in this article. Drawing upon literary studies, post-authenticity implies a fiction that engages with an ‘authentic’ referent but does not aim to replicate it (Gefter Wondrich 2020). As such, domesticity in the sexcam platform is both a second-hand reference and a space where its online persona unfolds.The exploration of this post-authentic domesticity is conveyed by means of a website that replicates some of the graphic conventions of sexcam performers’ profiles. The website is divided into different pages that address distinct aspects in the form of short poems. The images accompanying the texts, created by the author, were made using ASCII characters and they reference empty webcam rooms observed in the sexcam platform Chaturbate during 2022. The abstract character of the images aims to emphasize the role of the audience in the construction of online intimacy and meaning.