Chantal Viscogliosi is an occupational therapistShe is a postdoctoral fellow at the School of Indigenous studies at université en Abitibi-Témiscamingue and Centre de recherche sur le vieillissement du CIUSSS de l'Estrie-CHUS.She is interested in health promotion and individual and collective strenght facilitation especially in Indigenous peoples and individuals with cognitive impairments
Indigenous elders have traditionally played an important role in maintaining social cohesion with... more Indigenous elders have traditionally played an important role in maintaining social cohesion within their communities. Today, part of this role has been taken over by government social and healthcare services, but they are having limited success in addressing social challenges. Increasing elders' social participation and intergenerational solidarity might foster community development and benefit young people, families, communities and the elders themselves. However, knowledge of the contribution of elders' social participation and intergenerational solidarity to wellness is scattered and needs to be synthesised. This protocol presents a scoping review on the social participation of indigenous elders, intergenerational solidarity and their influence on individual and community wellness. This scoping review protocol is based on an innovative methodological framework designed to gather information from the scientific and grey literature and from indigenous sources. It was devel...
Les services publics actuels montrent des effets limites dans leur reponse aux besoins et aux enj... more Les services publics actuels montrent des effets limites dans leur reponse aux besoins et aux enjeux complexes de mieux-etre vecus par les peuples autochtones. Afin d’utiliser des approches holistiques misant sur les forces des individus et des communautes, l’implication des aines autochtones peut contribuer a repondre a ces besoins, a surmonter leurs enjeux vecus et a developper le mieux-etre. L’objectif de cette synthese des connaissances visait a mieux comprendre les caracteristiques de la participation sociale des aines autochtones et des solidarites intergenerationnelles ainsi que leurs influences sur les differentes dimensions du mieux-etre des personnes et des communautes. Un comite consultatif compose d’utilisateurs de connaissances a ete implique tout au long de la recherche. En plus de la recherche dans les bases de donnees, 17 entrevues individuelles avec des aines autochtones et six cafe-rencontres ont ete realises dans des communautes de huit nations (Abenaquis, Anishna...
Canadian Journal on Aging / La Revue canadienne du vieillissement
RÉSUMÉCette étude a examiné les types d’aide fournis par des proches aidants qui visaient à optim... more RÉSUMÉCette étude a examiné les types d’aide fournis par des proches aidants qui visaient à optimiser la participation de personnes aînées ayant des déficits cognitifs (personnes aidées) consécutifs à un accident vasculaire cérébral (AVC), et la façon dont ces types d’aide différaient selon le niveau de fardeau des proches aidants. Un devis longitudinal mixte a été utilisé. Douze proches aidants d’aînés ayant subi un AVC ont complété un questionnaire sur le fardeau du proche aidant et ont participé à des entrevues semi-structurées qui ont été réalisées trois semaines, trois mois et six mois suivant le congé de l’hôpital (soins aigus), de l’unité de réadaptation fonctionnelle intensive ou de l’hôpital de jour. Les personnes aidées ont passé des tests cognitifs et ont rempli un questionnaire sur la participation sociale. Les types d’aide fournis par les proches aidants ont différé selon la quantité d’aide apportée, selon le niveau de préoccupation associé au bien-être de la personne a...
Journal of the American Geriatrics Society, Jan 4, 2018
There is no consensus on the efficacy of cognitive training in persons with mild cognitive impair... more There is no consensus on the efficacy of cognitive training in persons with mild cognitive impairment (MCI) because of the paucity of well-designed randomized controlled trials. The objective was to assess the effect of memory training on the cognitive functioning of persons with MCI and its durability and to evaluate whether this effect generalizes to daily life and whether positive effects could be obtained from psychosocial intervention. Single-blind randomized controlled trial. Research centers of the Institut Universitaire de Gériatrie de Montréal and Institut Universitaire en Santé Mentale de Québec. Older adults meeting criteria for amnestic MCI (N = 145). Participants were randomized to cognitive training, a psychosocial intervention, or a no-contact control condition. Interventions were provided in small groups in eight 2-hour sessions. Outcome measures were immediate and delayed composite performance memory scores, psychological health (depression, anxiety, well-being), an...
The goal of this study was to determine the impact of a group activity program on the level of fu... more The goal of this study was to determine the impact of a group activity program on the level of functioning of a person in instrumental activities of daily living (IADL). This program was specifically designed for people with mild cognitive deficiencies living at home and attending a day centre. Using a single subject design of AB type, eleven persons were assigned randomly to a experimental group (n = 7) and to a control group (n = 4). Their cognitive functioning was found to be between the 5th and the 25th percentile on the Modified Mini-Mental State Examination (3MS), which corresponds to stage 3 on the Reisberg Scale. The 18 week long multi-strategic program consisted of two weekly meetings of one and a half hours each. This program included physical exercises, psychomusical techniques, cognitive games and tasks related to IADL. The level of functioning of the subjects in their IADL was measured six times at home using the Assessment of Motor and Process Skills (AMPS), before, du...
Services to meet adequate rehabilitation needs of elderly stroke survivors are not always provide... more Services to meet adequate rehabilitation needs of elderly stroke survivors are not always provided. Indeed, since 1995, in the wake of the Quebec shift to ambulatory care, home care services, mainly those related to rehabilitation of the elderly, are either unavailable or incomplete. The aim of this study was to examine the rehabilitation needs of this clientele from their hospitalization to their reintegration into the community. The "Handicap Production Process" conceptual approach was chosen to help identify the rehabilitation needs of persons affected by physical or cognitive disabilities due to the interactions between personal and environmental factors, and (activities of daily living, social roles). This qualitative exploratory study was performed in 2003. Data were collected among four groups of experts: patients, caregivers, health care providers and administrators. Data triangulation was used to ensure a rigorous analysis and validity of the results. Unfulfilled ...
ABSTRACTBackground:Several studies have suggested that cognitive training is a potentially effect... more ABSTRACTBackground:Several studies have suggested that cognitive training is a potentially effective way to improve cognition and postpone cognitive decline in older adults with mild cognitive impairment (MCI). The MEMO+ study is a randomized, controlled, single-blind trial designed to test the efficacy, specificity, and long-term effect of a cognitive training intervention and a psychosocial intervention in persons with MCI.Methods:One hundred and sixty-two participants with MCI will be recruited. They will be randomized into three groups: cognitive training, psychosocial intervention, and no-contact. Each intervention will last for eight weeks (one session per week) and a booster training session will be provided three months after the end of the intervention. Various proximal and distal outcomes will be measured at pre-intervention as well as at one week, three months, and six months post-training. Proximal outcomes include memory and psychological health measures. Distal outcome...
Much more attention should be paid to instruments documenting social participation as this area i... more Much more attention should be paid to instruments documenting social participation as this area is increasingly considered a pivotal outcome of a successful rehabilitation. The purpose of this study was to document the reliability of a participation measure, the Assessment of Life Habits (LIFE-H), in older adults with functional limitations. Eighty-four individuals with physical disabilities living in three different environments were assessed twice with the LIFE-H, an instrument that documents the quality of social participation by assessing a person's performance in daily activities and social roles (life habits). The intraclass correlation coefficients (ICC) computed for intrarater reliability exceeded 0.75 for seven out of the 10 life habits categories. For interrater reliability, the total score and daily activities subscore are highly reliable (ICC </=0.89), and the social roles subscore is moderately reliable (ICC = 0.64). 'Personal care' is the category with the highest ICC, and for five other categories ICCs are moderate to high (< 0.60). LIFE-H is a valuable addition to instruments that mostly emphasize the concepts of function or functional independence. It is particularly meaningful to evaluate the participation of older adults in significant social role domains such as recreation and community life. It may be considered among the instruments having the best fit with the ICF definition of participation (the person's involvement in a life situation) and a majority of its related domains.
This study compared participation following a stroke according to the presence of specific cognit... more This study compared participation following a stroke according to the presence of specific cognitive deficits. Participation is defined as the involvement of a person in daily activities and social roles. Three weeks after being discharged home, 197 older adults (aged 65 years and older) who had a stroke were evaluated using the Assessment of Life Habits, which includes 12 domains of daily activities and social roles. The presence of a cognitive deficit was determined by the scores obtained on tests assessing memory, visual perception, language, unilateral attention, and the inhibition component of executive functions. After adjusting for depressive symptoms, time since stroke, and comorbidities, five of the domains of participation are significantly more restricted by some cognitive deficits. Memory deficits affect the communication (p = .006) and leisure (p = .032) domains. In the presence of visual perception deficits, the nutrition (p = .019), communication (p = .004), and responsibilities (p < .0005) domains are more limited. Language deficits have an impact on several domains of participation, namely communication (p < .0005), responsibilities (p < .0005), community life (p = .001), and leisure (p = .021). Unilateral neglect and deficits in the inhibition component of executive functions are not found to restrict participation. Overall, participation after stroke is related to cognitive function. Looking carefully at individual domains of activities and roles provides essential information in guiding rehabilitation interventions aimed at enhancing participation after discharge.
Objective Wellness is a challenge for Indigenous peoples, partly because Western services do not ... more Objective Wellness is a challenge for Indigenous peoples, partly because Western services do not adopt a holistic approach. By devaluing traditional knowledge, Indigenous values and beliefs, these services lower Indigenous power and affect cultural identities. Indigenous elders participate in intergenerational solidarity by transmitting knowledge, values, and culture in a holistic approach. Despite widespread acceptance of the importance of Indigenous elders’ contributions to wellness, a rigorous synthesis of knowledge has never been done. This study aimed to provide a comprehensive understanding of how Indigenous elders’ social participation contributes to individual and community wellness. Method A scoping review was conducted with Indigenous elders and stakeholders in Québec (Canada). Sixteen databases were searched with 57 keywords. Data from the documents retrieved were analyzed, organized, and synthesized based on the International Classification of Functioning, Disability and...
Introduction Indigenous elders have traditionally
played an important role in maintaining social ... more Introduction Indigenous elders have traditionally played an important role in maintaining social cohesion within their communities. Today, part of this role has been taken over by government social and healthcare services, but they are having limited success in addressing social challenges. Increasing elders’ social participation and intergenerational solidarity might foster community development and benefit young people, families, communities and the elders themselves. However, knowledge of the contribution of elders’ social participation and intergenerational solidarity to wellness is scattered and needs to be synthesised. This protocol presents a scoping review on the social participation of indigenous elders, intergenerational solidarity and their influence on individual and community wellness. Methods and analysis This scoping review protocol is based on an innovative methodological framework designed to gather information from the scientific and grey literature and from indigenous sources. It was developed by an interdisciplinary team including indigenous scholars/ researchers, knowledge users and key informants. In addition to searching information databases in fields such as public health and indigenous studies, an advisory committee will ensure that information is gathered from grey literature and indigenous sources. Ethics The protocol was approved by the Ethics Review Board of the Université du Québec en AbitibiTémiscamingue and the First Nations of Quebec and Labrador Health and Social Services Commission. Discussion The comprehensive synthesis of the scientific and grey literature and indigenous sources proposed in this protocol will not only raise awareness within indigenous communities and among healthcare professionals and community organisations, but will also enable decision-makers to better meet the needs of indigenous people. Conclusion The innovative methodological framework proposed in this scoping review protocol will yield richer information on the contribution of elders to community wellness. This work is an essential preliminary step towards developing research involving indigenous communities, drawing on the social participation of elders and intergenerational solidarity.
Indigenous elders have traditionally played an important role in maintaining social cohesion with... more Indigenous elders have traditionally played an important role in maintaining social cohesion within their communities. Today, part of this role has been taken over by government social and healthcare services, but they are having limited success in addressing social challenges. Increasing elders' social participation and intergenerational solidarity might foster community development and benefit young people, families, communities and the elders themselves. However, knowledge of the contribution of elders' social participation and intergenerational solidarity to wellness is scattered and needs to be synthesised. This protocol presents a scoping review on the social participation of indigenous elders, intergenerational solidarity and their influence on individual and community wellness. This scoping review protocol is based on an innovative methodological framework designed to gather information from the scientific and grey literature and from indigenous sources. It was devel...
Les services publics actuels montrent des effets limites dans leur reponse aux besoins et aux enj... more Les services publics actuels montrent des effets limites dans leur reponse aux besoins et aux enjeux complexes de mieux-etre vecus par les peuples autochtones. Afin d’utiliser des approches holistiques misant sur les forces des individus et des communautes, l’implication des aines autochtones peut contribuer a repondre a ces besoins, a surmonter leurs enjeux vecus et a developper le mieux-etre. L’objectif de cette synthese des connaissances visait a mieux comprendre les caracteristiques de la participation sociale des aines autochtones et des solidarites intergenerationnelles ainsi que leurs influences sur les differentes dimensions du mieux-etre des personnes et des communautes. Un comite consultatif compose d’utilisateurs de connaissances a ete implique tout au long de la recherche. En plus de la recherche dans les bases de donnees, 17 entrevues individuelles avec des aines autochtones et six cafe-rencontres ont ete realises dans des communautes de huit nations (Abenaquis, Anishna...
Canadian Journal on Aging / La Revue canadienne du vieillissement
RÉSUMÉCette étude a examiné les types d’aide fournis par des proches aidants qui visaient à optim... more RÉSUMÉCette étude a examiné les types d’aide fournis par des proches aidants qui visaient à optimiser la participation de personnes aînées ayant des déficits cognitifs (personnes aidées) consécutifs à un accident vasculaire cérébral (AVC), et la façon dont ces types d’aide différaient selon le niveau de fardeau des proches aidants. Un devis longitudinal mixte a été utilisé. Douze proches aidants d’aînés ayant subi un AVC ont complété un questionnaire sur le fardeau du proche aidant et ont participé à des entrevues semi-structurées qui ont été réalisées trois semaines, trois mois et six mois suivant le congé de l’hôpital (soins aigus), de l’unité de réadaptation fonctionnelle intensive ou de l’hôpital de jour. Les personnes aidées ont passé des tests cognitifs et ont rempli un questionnaire sur la participation sociale. Les types d’aide fournis par les proches aidants ont différé selon la quantité d’aide apportée, selon le niveau de préoccupation associé au bien-être de la personne a...
Journal of the American Geriatrics Society, Jan 4, 2018
There is no consensus on the efficacy of cognitive training in persons with mild cognitive impair... more There is no consensus on the efficacy of cognitive training in persons with mild cognitive impairment (MCI) because of the paucity of well-designed randomized controlled trials. The objective was to assess the effect of memory training on the cognitive functioning of persons with MCI and its durability and to evaluate whether this effect generalizes to daily life and whether positive effects could be obtained from psychosocial intervention. Single-blind randomized controlled trial. Research centers of the Institut Universitaire de Gériatrie de Montréal and Institut Universitaire en Santé Mentale de Québec. Older adults meeting criteria for amnestic MCI (N = 145). Participants were randomized to cognitive training, a psychosocial intervention, or a no-contact control condition. Interventions were provided in small groups in eight 2-hour sessions. Outcome measures were immediate and delayed composite performance memory scores, psychological health (depression, anxiety, well-being), an...
The goal of this study was to determine the impact of a group activity program on the level of fu... more The goal of this study was to determine the impact of a group activity program on the level of functioning of a person in instrumental activities of daily living (IADL). This program was specifically designed for people with mild cognitive deficiencies living at home and attending a day centre. Using a single subject design of AB type, eleven persons were assigned randomly to a experimental group (n = 7) and to a control group (n = 4). Their cognitive functioning was found to be between the 5th and the 25th percentile on the Modified Mini-Mental State Examination (3MS), which corresponds to stage 3 on the Reisberg Scale. The 18 week long multi-strategic program consisted of two weekly meetings of one and a half hours each. This program included physical exercises, psychomusical techniques, cognitive games and tasks related to IADL. The level of functioning of the subjects in their IADL was measured six times at home using the Assessment of Motor and Process Skills (AMPS), before, du...
Services to meet adequate rehabilitation needs of elderly stroke survivors are not always provide... more Services to meet adequate rehabilitation needs of elderly stroke survivors are not always provided. Indeed, since 1995, in the wake of the Quebec shift to ambulatory care, home care services, mainly those related to rehabilitation of the elderly, are either unavailable or incomplete. The aim of this study was to examine the rehabilitation needs of this clientele from their hospitalization to their reintegration into the community. The "Handicap Production Process" conceptual approach was chosen to help identify the rehabilitation needs of persons affected by physical or cognitive disabilities due to the interactions between personal and environmental factors, and (activities of daily living, social roles). This qualitative exploratory study was performed in 2003. Data were collected among four groups of experts: patients, caregivers, health care providers and administrators. Data triangulation was used to ensure a rigorous analysis and validity of the results. Unfulfilled ...
ABSTRACTBackground:Several studies have suggested that cognitive training is a potentially effect... more ABSTRACTBackground:Several studies have suggested that cognitive training is a potentially effective way to improve cognition and postpone cognitive decline in older adults with mild cognitive impairment (MCI). The MEMO+ study is a randomized, controlled, single-blind trial designed to test the efficacy, specificity, and long-term effect of a cognitive training intervention and a psychosocial intervention in persons with MCI.Methods:One hundred and sixty-two participants with MCI will be recruited. They will be randomized into three groups: cognitive training, psychosocial intervention, and no-contact. Each intervention will last for eight weeks (one session per week) and a booster training session will be provided three months after the end of the intervention. Various proximal and distal outcomes will be measured at pre-intervention as well as at one week, three months, and six months post-training. Proximal outcomes include memory and psychological health measures. Distal outcome...
Much more attention should be paid to instruments documenting social participation as this area i... more Much more attention should be paid to instruments documenting social participation as this area is increasingly considered a pivotal outcome of a successful rehabilitation. The purpose of this study was to document the reliability of a participation measure, the Assessment of Life Habits (LIFE-H), in older adults with functional limitations. Eighty-four individuals with physical disabilities living in three different environments were assessed twice with the LIFE-H, an instrument that documents the quality of social participation by assessing a person's performance in daily activities and social roles (life habits). The intraclass correlation coefficients (ICC) computed for intrarater reliability exceeded 0.75 for seven out of the 10 life habits categories. For interrater reliability, the total score and daily activities subscore are highly reliable (ICC </=0.89), and the social roles subscore is moderately reliable (ICC = 0.64). 'Personal care' is the category with the highest ICC, and for five other categories ICCs are moderate to high (< 0.60). LIFE-H is a valuable addition to instruments that mostly emphasize the concepts of function or functional independence. It is particularly meaningful to evaluate the participation of older adults in significant social role domains such as recreation and community life. It may be considered among the instruments having the best fit with the ICF definition of participation (the person's involvement in a life situation) and a majority of its related domains.
This study compared participation following a stroke according to the presence of specific cognit... more This study compared participation following a stroke according to the presence of specific cognitive deficits. Participation is defined as the involvement of a person in daily activities and social roles. Three weeks after being discharged home, 197 older adults (aged 65 years and older) who had a stroke were evaluated using the Assessment of Life Habits, which includes 12 domains of daily activities and social roles. The presence of a cognitive deficit was determined by the scores obtained on tests assessing memory, visual perception, language, unilateral attention, and the inhibition component of executive functions. After adjusting for depressive symptoms, time since stroke, and comorbidities, five of the domains of participation are significantly more restricted by some cognitive deficits. Memory deficits affect the communication (p = .006) and leisure (p = .032) domains. In the presence of visual perception deficits, the nutrition (p = .019), communication (p = .004), and responsibilities (p < .0005) domains are more limited. Language deficits have an impact on several domains of participation, namely communication (p < .0005), responsibilities (p < .0005), community life (p = .001), and leisure (p = .021). Unilateral neglect and deficits in the inhibition component of executive functions are not found to restrict participation. Overall, participation after stroke is related to cognitive function. Looking carefully at individual domains of activities and roles provides essential information in guiding rehabilitation interventions aimed at enhancing participation after discharge.
Objective Wellness is a challenge for Indigenous peoples, partly because Western services do not ... more Objective Wellness is a challenge for Indigenous peoples, partly because Western services do not adopt a holistic approach. By devaluing traditional knowledge, Indigenous values and beliefs, these services lower Indigenous power and affect cultural identities. Indigenous elders participate in intergenerational solidarity by transmitting knowledge, values, and culture in a holistic approach. Despite widespread acceptance of the importance of Indigenous elders’ contributions to wellness, a rigorous synthesis of knowledge has never been done. This study aimed to provide a comprehensive understanding of how Indigenous elders’ social participation contributes to individual and community wellness. Method A scoping review was conducted with Indigenous elders and stakeholders in Québec (Canada). Sixteen databases were searched with 57 keywords. Data from the documents retrieved were analyzed, organized, and synthesized based on the International Classification of Functioning, Disability and...
Introduction Indigenous elders have traditionally
played an important role in maintaining social ... more Introduction Indigenous elders have traditionally played an important role in maintaining social cohesion within their communities. Today, part of this role has been taken over by government social and healthcare services, but they are having limited success in addressing social challenges. Increasing elders’ social participation and intergenerational solidarity might foster community development and benefit young people, families, communities and the elders themselves. However, knowledge of the contribution of elders’ social participation and intergenerational solidarity to wellness is scattered and needs to be synthesised. This protocol presents a scoping review on the social participation of indigenous elders, intergenerational solidarity and their influence on individual and community wellness. Methods and analysis This scoping review protocol is based on an innovative methodological framework designed to gather information from the scientific and grey literature and from indigenous sources. It was developed by an interdisciplinary team including indigenous scholars/ researchers, knowledge users and key informants. In addition to searching information databases in fields such as public health and indigenous studies, an advisory committee will ensure that information is gathered from grey literature and indigenous sources. Ethics The protocol was approved by the Ethics Review Board of the Université du Québec en AbitibiTémiscamingue and the First Nations of Quebec and Labrador Health and Social Services Commission. Discussion The comprehensive synthesis of the scientific and grey literature and indigenous sources proposed in this protocol will not only raise awareness within indigenous communities and among healthcare professionals and community organisations, but will also enable decision-makers to better meet the needs of indigenous people. Conclusion The innovative methodological framework proposed in this scoping review protocol will yield richer information on the contribution of elders to community wellness. This work is an essential preliminary step towards developing research involving indigenous communities, drawing on the social participation of elders and intergenerational solidarity.
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Papers by Chantal Viscogliosi
played an important role in maintaining social cohesion
within their communities. Today, part of this role has
been taken over by government social and healthcare
services, but they are having limited success in
addressing social challenges. Increasing elders’ social
participation and intergenerational solidarity might foster
community development and benefit young people,
families, communities and the elders themselves.
However, knowledge of the contribution of elders’ social
participation and intergenerational solidarity to wellness
is scattered and needs to be synthesised. This protocol
presents a scoping review on the social participation of
indigenous elders, intergenerational solidarity and their
influence on individual and community wellness.
Methods and analysis This scoping review protocol
is based on an innovative methodological framework
designed to gather information from the scientific and grey
literature and from indigenous sources. It was developed
by an interdisciplinary team including indigenous scholars/
researchers, knowledge users and key informants. In
addition to searching information databases in fields
such as public health and indigenous studies, an advisory
committee will ensure that information is gathered from
grey literature and indigenous sources.
Ethics The protocol was approved by the Ethics
Review Board of the Université du Québec en AbitibiTémiscamingue
and the First Nations of Quebec and
Labrador Health and Social Services Commission.
Discussion The comprehensive synthesis of the
scientific and grey literature and indigenous sources
proposed in this protocol will not only raise awareness
within indigenous communities and among healthcare
professionals and community organisations, but will
also enable decision-makers to better meet the needs of
indigenous people.
Conclusion The innovative methodological framework
proposed in this scoping review protocol will yield richer
information on the contribution of elders to community
wellness. This work is an essential preliminary step
towards developing research involving indigenous
communities, drawing on the social participation of elders
and intergenerational solidarity.
played an important role in maintaining social cohesion
within their communities. Today, part of this role has
been taken over by government social and healthcare
services, but they are having limited success in
addressing social challenges. Increasing elders’ social
participation and intergenerational solidarity might foster
community development and benefit young people,
families, communities and the elders themselves.
However, knowledge of the contribution of elders’ social
participation and intergenerational solidarity to wellness
is scattered and needs to be synthesised. This protocol
presents a scoping review on the social participation of
indigenous elders, intergenerational solidarity and their
influence on individual and community wellness.
Methods and analysis This scoping review protocol
is based on an innovative methodological framework
designed to gather information from the scientific and grey
literature and from indigenous sources. It was developed
by an interdisciplinary team including indigenous scholars/
researchers, knowledge users and key informants. In
addition to searching information databases in fields
such as public health and indigenous studies, an advisory
committee will ensure that information is gathered from
grey literature and indigenous sources.
Ethics The protocol was approved by the Ethics
Review Board of the Université du Québec en AbitibiTémiscamingue
and the First Nations of Quebec and
Labrador Health and Social Services Commission.
Discussion The comprehensive synthesis of the
scientific and grey literature and indigenous sources
proposed in this protocol will not only raise awareness
within indigenous communities and among healthcare
professionals and community organisations, but will
also enable decision-makers to better meet the needs of
indigenous people.
Conclusion The innovative methodological framework
proposed in this scoping review protocol will yield richer
information on the contribution of elders to community
wellness. This work is an essential preliminary step
towards developing research involving indigenous
communities, drawing on the social participation of elders
and intergenerational solidarity.