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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.

The objectives of this study were: (1) to examine the psychometric properties of the Assessment of Life Habits (LIFE‐H) for children; and (2) to draw a profile of the level of participation among children of 5 to 13 years of age with various impairments. The research team adapted the adult version of the LIFE‐H in order to render it more appropriate for the daily life experiences of children. Content validity was verified by an expert panel of 29 people, made up of parents, paediatric clinicians, and researchers. Reliability and construct validity of the LIFE‐H for children (interview‐administered form) was tested during an experiment that comprised three sessions of interviews with a group of 94 parents of children with disabilities (36 males, 58 females; mean age 8y 10mo [SD 2y 6 mo]; diagnostic groups: cerebral palsy, myelomeningocoele, sensory‐motor neuropathy, traumatic brain injury, and developmental delay). Overall, the LIFE‐H showed high intrarater reliability with intraclass correlation coefficient values of 0.78 or higher for 10 out of 11 categories. The correlations between the LIFE‐H and the tools used in pediatric rehabilitation varied, and categories with similar constructs generally led to higher correlations. The psychometric properties of the LIFE‐H are appropriate and its content allows a complete description of participation among children with disabilities.

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This study supports the validity of the Assessment of Life Habits as a participation measure. It suggests the importance of going beyond disability measures to evaluate the overall functioning of older adults correctly.

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Background To promote healthy aging, the social participation needs of older adults must be better met. Previous studies have shown the bene ts of the Personalized citizen assistance for social participation (APIC), but few explored its in uence on attendants. This study explored the assistance experience of attendants when providing the APIC to older adults with disabilities. Methods A qualitative design inspired by a phenomenological approach was used with six female attendants who participated in individual interviews. Results The APIC attendants felt useful, developed meaningful relationships with their older adults, and improved their self-knowledge. Attendants had the opportunity to re ect on their lives and self-aging. They contributed to older adults' functional independence, motivation, and participation in social activities. Attendants encountered challenges related to withdrawn behavior in older adults, such as refusing to participate in activities. Conclusions Considering the identi ed bene ts of the APIC for attendants, further studies should explore personalized assistance to preserve older adults' health. Background Demographic changes lead to challenges requiring concrete interventions to preserve older adults' health and functional independence while avoiding an overburdened healthcare system. In Quebec, some plans have been implemented to improve the living conditions of older adults and avoid or delay chronic illness and disabilities, such as the Quebec Action Plan for all ages [1]. Despite these actions, some older adults' social participation needs are still unmet [2, 3]. De ned as 'a person's involvement in activities that provide interactions with others in the community' [4], social participation is a determinant of older adults' health [5, 6, 7]. Indeed, social participation is a key element of well-being [8], quality of life [9, 10], and a strategy to preserve mobility [11]. Interventions to improve the social participation of older adults, whether they be individual, in a group, formal or informal, are often unavailable [12, 13] or respond inadequately to older adults' needs [14]. When lacking social participation opportunities, older adults, especially those with disabilities, resign themselves to their situation and stay at home [2]. Many older adults are also

This article presents the conceptual origins and the usefulness of an holistic model, stressing the role of environmental determinants in the performance of day-to-day activities and the fulfilment of social roles by persons with disabilities. The Quebec Committee on ICIDH contribution to the development of knowledge on the clarification of the relationship of disabled individual-environment and the understanding of the handicap creation process in relation with ICIDH experimentations is presented. Finally, on the basis of anthropological social research conducted in Quebec, the article illustrates a methodology for environmental analysis of the handicap situations of disabled clients in rehabilitation and social integration support programmes.