Purpose: To examine the social network factors associated with changes in nutrition risk scores, measured by SCREEN-8, over three years, in community-dwelling Canadians aged 45 years and older, using data from the Canadian Longitudinal Study on Aging (CLSA).Methods: Change in SCREEN-8 scores between the baseline and first follow-up waves of the CLSA was calculated by subtracting SCREEN-8 scores at follow-up from baseline scores. Multivariable linear regression was used to examine the factors associated with change in SCREEN-8 score.Results: The mean SCREEN-8 score at baseline was 38.7 (SD = 6.4), and the mean SCREEN-8 score at follow-up was 37.9 (SD = 6.6). The mean change in SCREEN-8 score was -0.90 (SD = 5.99). Higher levels of social participation (participation in community activities) were associated with increases in SCREEN-8 scores between baseline and follow-up, three years later.Conclusions: Dietitians should be aware that individuals with low levels of social participation may be at risk for having their nutritional status decrease over time and consideration should be given to screening them proactively for nutrition risk. Dietitians can develop and support programs aimed at combining food with social participation.

Purpose: Major changes were made to Canada\'s Food Guide (CFG) in 2019. This study aimed to understand the perceptions of older adults toward this newest version.Methods: Older adults were invited to participate via newsletters sent to older adults and retirees\' organizations in the Province of Quebec. Participants completed an online survey about their baseline familiarity with the 2019 CFG using a 5-point Likert scale and took part in an individual semi-structured online interview, which explored their perceptions toward the 2019 CFG. A thematic qualitative analysis of the interview transcripts was performed.Results: Fifty-eight older adults (>65 years, 30 women, 28 men, including 19 consumers and 39 non-consumers of plant-based protein (PBP) foods) participated in the study. Older adults were mostly familiar with the 2019 CFG and had a positive perception of its features. They appreciated the design, proposed recipes, and healthy eating recommendations. Perceptions about the three food groups were mixed, mainly regarding the decreased emphasis on dairy products. Some appreciated that animal proteins were less prominent, while others raised issues on how to integrate PBP into their diet. Perceptions appeared to be influenced by sex and PBP consumption.Conclusion: Older adults in the Province of Quebec view most of the 2019 CFG recommendations positively. Our observations may be useful to dietitians and public health practitioners when developing strategies to improve adherence.

Notre recherche visait à mettre en lumière les pratiques bientraitantes des préposées aux bénéficiaires en milieux d\'hébergement pour aînés au Québec. L\'objet de l\'article est de faire ressortir la dichotomie entre les définitions de la bientraitance et son opérationnalisation. Dans la première partie, la notion de bientraitance dans le cadre de deux politiques gouvernementales québécoises est présentée. Ensuite, il est question du travail des préposées aux bénéficiaires en tant que vectrices de cette bientraitance dans la pratique. La troisième partie présente les résultats de notre recherche qui viennent soulever trois constats remettant en cause l\'applicabilité des politiques publiques en cette matière : l\'absence de reconnaissance d\'un métier par définition bientraitant; les injonctions normatives à l\'encontre du sens attribué à la bientraitance, et les obstacles organisationnels et sociopolitiques à la bientraitance. Ces constats sont réexaminés à la lumière des écrits dans la discussion, laquelle ouvre sur la notion de maltraitance organisationnelle.

This study aimed to develop an efficient data collection and curation process for all drugs and natural health products (NHPs) used by participants to the Canadian Longitudinal Study on Aging (CLSA). The three-step sequential process consisted of (a) mapping drug inputs collected through the CLSA to the Health Canada Drug Product Database (DPD), (b) algorithm recoding of unmapped drug and NHP inputs, and (c) manual recoding of unmapped drug and NHP inputs. Among the 30,097 CLSA comprehensive cohort participants, 26,000 (86.4%) were using a drug or an NHP with a mean of 5.3 (SD 3.8) inputs per participant user for a total of 137,366 inputs. Of those inputs, 70,177 (51.1%) were mapped to the Health Canada DPD, 20,729 (15.1%) were recoded by algorithms, and 44,108 (32.1%) were manually recoded. The Direct algorithm correctly classified 99.4 per cent of drug inputs and 99.5 per cent of NHP inputs. We developed an efficient three-step process for drug and NHP data collection and curation for use in a longitudinal cohort.

La présente étude visait à documenter l\'implantation de l\'Accompagnement-citoyen personnalisé d\'intégration communautaire (APIC), lors duquel des bénévoles soutiennent la participation sociale d\'aînés, dans des organismes communautaires en identifiant les facteurs favorables et défavorables ainsi que ses conditions essentielles. Soutenu par un devis qualitatif descriptif de type recherche clinique, une rencontre et six entretiens semi-dirigés ont été réalisés afin de documenter cette implantation dans six organismes communautaires œuvrant en milieu urbain au Québec (Canada). Selon les six coordonnatrices de l\'APIC, les cinq directeurs généraux et l\'agente de recherche, le principal facteur favorable est la conviction des responsables de l\'implantation en la valeur ajoutée de l\'intervention, incluant sa concordance avec la mission et les valeurs des organismes et les besoins de la population qu\'ils desservent. Les facteurs défavorables sont principalement la répartition aléatoire et le temps accordé pour l\'implantation. Ces résultats permettront de mieux guider l\'implantation de l\'APIC à plus grande échelle.

It is not known if nutrition risk screening of older adults should be a standard practice in primary care. The evidence in support of nutrition risk screening of older adults in primary care was examined and critically analyzed using an umbrella review. The peer reviewed and grey literature were searched for clinical practice guidelines (CPGs) and systematic reviews (SRs). Titles and abstracts were independently screened by the two authors. Resources were excluded if they did not apply to older adults, did not discuss nutrition/malnutrition risk screening, or were in settings other than primary care. Full texts were independently screened by both authors, resulting in the identification of six CPGs and three SRs that met the review criteria. Guidelines were appraised with the AGREE II tool and SRs with the AMSTAR 2 tool. The quality of the CPGs was high, while the quality of the SRs was low. The CPGs and SRs acknowledged a lack of high-quality research on the benefits of regular nutrition risk screening for older adults in primary care; however, CPGs recommended annual screening for older adults in primary care practices or other community settings. High-quality research investigating nutrition risk screening of older adults in primary care is needed.

Older adults are the fastest-growing demographic group in Canada, and the majority of older adults want to age-in-place within their communities. Many older adults live in naturally occurring retirement communities (NORCs), unplanned communities with a high proportion of older residents. NORC supportive services programs can help older adults successfully age-in-place. One such program is Oasis Senior Supportive Living, a partnership between older adults, building owners and managers, community partners, funders, and researchers. Using a qualitative approach, interviews were conducted with Oasis participants to understand their experiences of Oasis. This article will describe the three pillars upon which Oasis programming is based and provide insights from Oasis participants. It will discuss nutrition programming implemented in these NORCs and suggest how dietitians can support NORC residents.

The cessation of driving is a difficult transition for the elderly, but it can be facilitated through interventions. The purpose of this study was to explore the satisfaction, usefulness and applicability of the CarFreeMe intervention in the French-Canadian context. A qualitative clinical research device was used on ten older adults aged between 61 and 90 years. The participants had stopped driving within the last twelve months or were planning to stop driving in the near future and did not have cognitive impairments. After the intervention, the participants were generally satisfied and reported on its usefulness and applicability in a French-Canadian context. In addition, they identified the positive impacts related to their social involvement as they re-engaged in or pursued their significant activities. Further research is required to assess the intervention\'s effects and the practicability of implementing it in Canada.

RÉSUMÉCette étude visait à identifier les facilitateurs, les obstacles et la faisabilité d\'implanter un Accompagnement-citoyen personnalisé d\'intégration communautaire (APIC) pour des aînés en perte d\'autonomie et vivant dans la communauté. L\'APIC est un suivi hebdomadaire de trois heures réalisé par un accompagnateur non professionnel formé et supervisé qui vise à optimiser la réalisation d\'activités sociales et de loisirs de personnes ayant des incapacités. Une recherche-action a permis de réaliser des entretiens semi-dirigés auprès de 16 participants de la communauté. Les principaux facilitateurs de l\'implantation sont l\'adaptabilité de l\'APIC et son appui scientifique, la reconnaissance d\'un besoin, l\'expertise et la collaboration. La présence de leaders ouverts à la nouveauté et d\'individus offrant du soutien est favorable. Le financement de l\'implantation, associé à un contexte économique défavorable, est un obstacle. La majorité des participants perçoivent qu\'il serait faisable d\'implanter l\'APIC en l\'intégrant à des structures bénévoles déjà existantes. Ces connaissances permettront d\'optimiser l\'implantation de l\'APIC ou d\'interventions similaires dans la communauté.

Malgré une attention académique considérable au rôle de la famille des soignants avec la population générale, peu de recherches ont été menées avec les familles autochtones. Cette étude qualitative vise à combler cette lacune en se concentrant sur l\'expérience des soignants Metis, fournir des soins aux adultes Metis plus âges. Des groupes de discussions et des entrevues ont été menés avec des aidants familiaux Metis (n - 79), aînés Metis (n - 11), et soignants officiels (n - 8). Bien qu\'il existe de parallèles considérables dans les expériences des soins identifiés dans cette étude sur les Metis avec celles déjà documentées dans la littérature, il existe néanmoins des différences importantes pour la prestation des soins culturellement adaptés aux aînés Metis.
Despite considerable academic attention to the role of family caregivers within the general population, little research has been conducted with Indigenous families. This qualitative study aims to fill that gap by focusing on the experiences of Metis caregivers providing care for older Metis adults. Focus groups and interviews were conducted with Metis family caregivers (n = 79), Metis Elders (n = 11) and formal caregivers (n = 8). Although there are considerable parallels in the caregiving experiences identified in this Metis study with those already documented in the literature, there are nonetheless important differences for providing culturally responsive care to Metis seniors.
Malgri tot li zitchud ki lon fayt dan li zikol ipi li universiti powr l’rol di famiyl caregiver dan la populasyon general, il a paw gro d’itchud ki la iti fayt powr li famiyl Michif. L’ichud y va emplyr l’ispaws par konsantri a li ziksperians di Mitchif caregivers ki sa ayd a li plu vyu Michif. Li growp di djiskusyon ipi li interviews itay kondwi avek li caregivers di famiyl Michif (n = 79), li vyu Michif (n = 11), ipi li caregiver formal (n = 8). Mem ki la enmas di shos pareyl dan l’experyans di caregivers indentchifyi dan li leson di Michif avek suslaw dija ikri dan la literachur, il a kanmem tot li djiferens importan powr prodjwir li swin adapti a la kulture powr li vyu Michif.