The Elder at the Heart of His or Her Living Environment - Social Participation and Community Spirit in Residence for the Elderly
Conditions: Sense of Community
Sponsor: TOPMED

 
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L'aîné au cœur de son milieu de vie - Social participation and 
community spirit in retirement homes 
 
 
 
 
 
 
 
 
Presented to the Véritas IRB Research Ethics Committee 
 
 
 
 
 
 
 
TOPMED  
 
 Version 01 
Date: January 2024    

 
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RESEARCH PROJECT DESCRIPTION 
SCHEDULED START AND END DATES  
January 2024 to December  
 
PROJECT TITLE  
RD-23_0437_L'aîné au cœur de son milieu de vie - Social participation and community spirit in retirement homes 
QUALITIES AND SKILLS OF RESEARCH TEAM MEMBERS  
Principal Investigator  
Édith Martin, Ph.D., Director - Research and Innovation  
TOPMED CCTT, Collège Mérici  
755 Grande-Allée West, Quebec City, Qc, G1S 1C1 
 (418) 683-2104, ext. 1302  
emartin@topmed.ca 
 
Relevant experience  
 
TOPMED researcher since 2014  
B.Ing. Metallurgical Engineering (Materials orientation)  
M.Sc.A. Biomedical Engineering  
Ph.D. Metallurgical Engineering  
 
Project coordinator  
Estelle Houguet 
Research professional  
TOPMED CCTT, Collège Mérici  
755 Grande-Allée West, Quebec City, Qc, G1S 1C1  
(418) 683-2104, ext. 1310  
ehouguet@topmed.ca 
 
Relevant experience  
M.Sc. Industrial Relations 
D.E.S.S Occupational Health and Safety 
 
Other team members 
Catherine Lavoie, T.P., Orthotist-Prosthetist, Research Professional 
TOPMED CCTT, Collège Mérici 
755 Grande-Allée West, Quebec City, Qc, G1S 1C1 
(418) 683-2104, ext. 1309 
clavoie@topmed.ca 
 
Relevant experience (current position, qualifications) 
DEC. Technique in orthotics and orthopaedic prosthetics 
 

 
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Mathieu Germain Robitaille, M.Sc. Kinesiologist, research professional  
TOPMED CCTT, Collège Mérici 
755 Grande-Allée West, Quebec City, Qc, G1S 1C1 
(418) 683-2104, ext. 1310 
mgrobitaille@topmed.ca 
Relevant experience (current position, qualifications) 
B.Sc. Kinesiology  
M.Sc. Kinesiology 
 
Céline Gagnon, M.Sc. teacher in the Special Education Techniques program 
Collège Mérici 
755 Grande-Allée West, Quebec City, Qc, G1S 1C1 
(418)683-1591 ext. 3323 
 
20 years teaching special education techniques 
14 years as a specialized educator for elderly clients with loss of autonomy (day center, CHSLD) 
DEC Techniques en éducation spécialisée 
Bacc. Multidisciplinary with specialization in gerontology 
M.Sc Gérontologie- in progress 
 
Isabelle Tremblay, Research Professional 
TOPMED CCTT, Collège Mérici 
755 Grande-Allée West, Quebec City, Qc, G1S 1C1 
(418) 683-2104, ext. 1308 
itremblay@topmed.ca 
Relevant experience (current position, qualifications) 
Certificate in sociology, 
Participation in geronto-technology research projects, 
Optimization of RPP sports facilities 
 
SOURCE OF FINANCING 
The project is funded by the French Ministry of Higher Education. 
 
PARTNER COMPANY  
SEC Fonds Immobilier Groupe  
John Conway,  Consultant    
Tel.: (514)  
E-mail: JConway@legroupemaurice.com 
 
RESEARCH PROJECT DESCRIPTION 
Issues   
Internationally, in Canada and in Quebec, the social participation (SP) of seniors is now at the heart of government 
issues. But social participation is not always easy. There are a number of factors that can influence its success. At a 
time when there are more and more places to live for the elderly, how can we offer optimal conditions for adequate 

 
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social participation for seniors? The links between participation and a sense of belonging are discussed in the literature. 
There are a few examples of structures that can help foster this feeling, such as the "Alzheimer homes" that are 
beginning to be set up in Europe and, more recently, in Canada. The question that arises, then, is how to envisage and 
enable the emergence of this sense of belonging, a fortiori in living environments such as retirement homes, where the 
elderly move around, often resulting in a loss of identity and landmarks.  
Le Groupe Maurice is a Quebec-based group specializing in the design, development and management of residences 
for the elderly, which aims to embody the possibility of "better aging" by meeting the aspirations of seniors. With a view 
to offering the best possible services, including activities that foster optimal social participation, Groupe Maurice is now 
keen to understand and foster the conditions for social participation, notably through the emergence and sustainability 
of a sense of belonging and community spirit, particularly in the wake of the pandemic that has unfortunately forced 
seniors into physical and social isolation.  
Building on multiple collaborations with TOPMED and Collège Mérici in applied research on enabling environments to 
promote mobility and autonomy, Groupe Maurice is now calling on the college and its CCTT to create a social innovation 
that will document the determinants of social participation (facilitators and obstacles) and highlight the challenges and 
possible solutions for fostering a sense of community in RPAs. Ultimately, Le Groupe Maurice would like to have a 
solution that can be transferred to all its seniors' facilities. 
State of knowledge and project relevance   
Definition: Social participation (SP), understood as both a process and an outcome, can be defined as "taking part in 
activities of a social nature, i.e. maintaining meaningful relationships, being part of a community, and taking part in 
group activities, volunteering or paid work" (Public Health, 2018). Its definition, however, does not enjoy consensus 
within the literature.  
Widely perceived as contributory, it can refer to the performance of daily activities, social interactions, integration into a 
social network or participation in a group of activities of a social nature recognized as being of public interest, such as 
associations (Raymond et al., 2008). However, this contributory acception could be overtaken when it comes to older 
people, as suggested by Raymond, Grenier and Hanley (2014), who highlight the need to understand social 
participation as "a reflection of the choices and needs of older people". Even so, having a unitary definition would 
facilitate study around the concept of "active aging" (Levasseur et al., 2022).  
An important dimension of well-being for the elderly: The way we think about PS and its sustainability is all the more 
important since it has benefits for the elderly. From a health perspective, the literature highlights a positive and 
significant effect on "slowing cognitive and functional decline, reducing medication consumption, improving perception 
of health status and well-being" (Dadmar, Berrut & Campéon., 2018; Gilmour, 2012; Newman & Zainal, 2020; Raymond 
et al., 2008) as well as an impact on the risk of depression (Shiba et al., 2021). In addition, PS is recognized as a factor 
in combating social isolation, a way of increasing self-esteem and feelings of usefulness (Le Guen, 2001) or a way of 
increasing individual coping skills (Altintas et al, 2010; Dadmar, Berrut & Campéon, 2018). At the same time, studies 
recognize the benefit of SP at the collective level, since it can be a means of fostering a sense of belonging and 
attachment, where disabilities and limitations are often risks of social exclusion.  
Determinants, facilitators and obstacles: The determinants of this participation need to be considered in the context of 
active ageing. In this respect, the literature distinguishes four categories of factors influencing PS. Socio-demographic 
factors, personal factors, environmental factors and social network factors. Socio-demographic factors include age, 
gender, education and marital status. In some cases, there also appears to be a socio-cultural and cross-cultural effect 
on social participation (Townsend et al., 2021). Personal factors refer to socio-economic conditions, health status, 
involvement/commitment, adaptation to the living environment, as well as motivation and personal resources. 
Environmental factors refer to the accessibility of activities (means of transport), existing socialization spaces, 
participation adaptations related to physical limitations, knowledge of existing activities, place of residence (rural/urban) 
(Brynjolfsdottir, Palmadottir, & Arnadottir., 2021), or the possibility of carrying out activities outside the place of 
residence. These factors have also been observed in homes for the elderly. In this respect, geographical location and 
the quality of communal and private spaces are recognized as factors that sometimes facilitate, sometimes hinder, PS 

 
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(Kemp, Ball and Perkins., 2012). The social environment is also identified in studies relating to specialized living 
environments for seniors, notably the quality and stability of care staff in residences/institutions, geographical location 
and the quality of relationships with the entourage (Andrianova & Raymond, 2021). Finally, factors related to social 
networks highlight the influence of a social circle (formal, informal, cultural) pre-existing old age. In addition to these 
"objective" factors, subjective factors can be added, linking them to personal factors. Thus, PS "responses to obstacles" 
such as minimizing difficulties or withdrawing into solitary activities, social fears (e.g. rejection, judgment) and the fear 
of losing preferred identities (Goll et al., 2015) constitute obstacles to PS linked to the question of identity applicable to 
the older person. From this observation stems a need to consider these determinants in a non-isolated way, taking into 
account the interactions between them (Townsend, Chen and Wuthrich., 2021). In particular, some authors have 
observed a relationship between environmental factors, personal factors and SP (Nielson, Wiles and Anderson, 2019; 
Raymond & Lacroix, 2016). For example, certain characteristics such as motivation and resilience would modulate 
barriers to participation. However, there are very few studies establishing relationships between the various 
determinants. Moreover, it seems that these determinants are not fixed; depending on circumstances, facilitators of PS 
can become obstacles to it, and vice versa. A contingent approach to these determinants is therefore essential if we 
are to understand the levers of social participation. The literature also notes that it is impossible to generalize results, 
or even to "establish a recipe for social participation" in retirement homes (Andrianova & Raymond, 2021). There is 
therefore no predictable, transferable model of social participation.  
Sense of community belonging and social participation: At the same time, a sense of belonging and social cohesion 
are prerequisites both for the health (Cramm & Nieboer, 2015; Valle Panter, 2013) of older people and for social 
participation (Carver et al., 2018). Indeed, in this study, inclusion in a community, the availability of social resources 
and the quality of relationships between neighbors within a neighborhood, within a city, would influence and prevent, 
where appropriate, the frailty of the elderly. Seniors would also be less isolated. In other words, where you live plays a 
key role in social relations (Bonifas et al., 2014).  
Specificity of living environments: In a residential context, the desired "community" context questions the conditions for 
creating this sense of belonging. Certain structures built around social identity are thus appearing today, such as 
Alzheimer's homes and "villages" (Cucchi, 2017, 2019; Gentile, 2020), or retirement homes addressed to a population 
sharing similar characteristics, such as deafness, to offer a living environment that meets specific needs (Hiddinga & 
Olivier, 2018). In non-institutionalized residential settings, the question of social participation is also raised in view of 
the desire to offer "a ready-made community for residents who want an inclusive and socially engaged lifestyle". Indeed, 
the principle of community is not without influence on the quality of life of the elderly (Évans, 2009). Alongside the 
creation of environments conducive to PS, it would seem that the quality of social relationships (positive, meaningful, 
reciprocal) is essential in these specific spaces, in order to preserve the psychological health of seniors. Involvement 
and activities are ways of creating contact with other residents, right from the moment seniors arrive in a new living 
environment. Group ties are particularly significant, if not more so than individual ties (Haslam et al., 2016); in this 
sense, shared social identity sometimes plays a major role in the latter (Le Guen, 2001). As the individual factor affects 
participation, social engagement is not automatic (Park et al., 2010). What's more, the offer is not always easy to apply.  
Methodologies used : The elderly person is at the heart of this study, and must be the main actor. Among the intervention 
typologies and evaluations, the studies insist on this point in order to gain the support of the people involved. The 
studies surveyed seem to have adopted a research methodology centred on the individual, with an individualized 
approach, choosing to conduct semi-directive interviews in the case of qualitative studies. There appear to be few 
studies using a methodology incorporating group interviews 
 
Research objectives  
Aim of the study: The aim of our study is to propose a model of social participation that emphasizes the creation of a 
community spirit, and that can be transferred from one residence to another with our partner.  
By adopting a contingent approach, we hope to visit several residences with different characteristics, in order to identify 
the challenges and levers of social participation, as well as their interactions. In addition, we want to understand the 

 
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conditions under which a community spirit can be effectively federated and implemented, while at the same time marking 
out and preventing the possible drifts of an exacerbated communitarian spirit. Our study is intended to be participatory. 
Through a co-construction approach (Living Lab) that places the elderly person at the heart of our approach, we want 
the elderly person to feel that they are an actor in their own reality, so as to create conditions that will ensure the long-
term benefits of the project.  
General objective: To propose a model of social participation that fosters a sense of community among seniors, and 
that can be transferred to Groupe Maurice residences 
Specific objectives :  
a. Explore and understand the facilitators and challenges of social participation in a residential setting 
b. Explore and understand the facilitators and challenges of creating a sense of community in a residential 
setting 
c. Test the feasibility of the model  
d. Assess the transferability of the model. 
 
RESEARCH METHODOLOGY  
Research location  
Participants and caregivers working in partner settings will not have to travel to TOPMED's premises to take part in data 
collection (questionnaires, individual interviews, group discussions). Members of the research team will travel to 
participants' living and/or care environments to conduct the sessions.  
For Le Groupe Maurice, two residences co-determined with the partner are included: Gibraltar and Ékla. 
All data will be analyzed on TOPMED's premises at 755 Grande-Allée Ouest, Collège Mérici, Quebec City.  
Measurement, assessment and data collection instruments  
The study is a living-Lab action-research project. 
One of the special features of this research is the implementation of a project support group: this group acts in a 
consultative capacity, with the role of carrying out operational monitoring of the project (progress of tasks, reporting of 
unforeseen events and difficulties for each research cycle). There will be 7 meetings, with 6 to 8 volunteer members 
representing the diversity of residents (new resident, former resident, with and without functional limitations, male, 
female, caregiver). They will be invited to comment on the project if they have any, and may ask questions if they wish. 
Meeting minutes will be taken for follow-up purposes, and comments will be audio-recorded and transcribed by the 
research team. These comments will be used to improve the operational progress of the project 
Exchanges will be audio-recorded. 
 
Action research cycle 1 
The first cycle of action research will establish a realistic picture of social participation and community spirit in two 
residences co-determined with the partner.  
It will be carried out with residents of the targeted residences. It involves a combination of questionnaires and individual 
interviews 
On a voluntary basis, residents will be invited to complete a 20-minute, 10-item paper or digital questionnaire to collect 
the following data 
- 
Socio-demographic data; 

 
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- 
Sense of belonging to a group 
- 
Influence 
- 
Emotional bond 
 
A questionnaire will also be sent to the residence's employees. This questionnaire will focus on their perception of the 
presence of a community spirit and a sense of belonging on the part of residents. 
The following data will be collected:  
- 
Socio-demographic data; 
- 
Sense of belonging to a group 
- 
Influence 
- 
Emotional bond 
 
At the same time, individual 60-minute face-to-face or telephone interviews will be conducted with residents to gather 
their perceptions of community spirit in the partner's two target residences. The interview guide will cover the following 
points: 
- 
The concepts of community spirit and sense of belonging  
- 
Facilitating factors 
- 
Obstacle factors 
- 
Existing resources 
Interviews can be conducted face-to-face or remotely (via telephone or Teams platform). Interviews will be audio-
recorded to facilitate data analysis. 
 
Deliverable: Portrait of community spirit and social participation in each residence 
During the project presentation, volunteer participants will be invited to give their opinion on the portrait presented. This 
will be followed by a 15-minute exercise to formulate a common definition of community spirit. Comments will be audio-
video recorded to facilitate data collection. 
 
Estimated duration of participation  
Project support group: Total duration (240 minutes: 1 meeting of 60 minutes and 6 meetings of 30 minutes) 
The meetings will be detailed as follows: 
- 
Meeting 1: Reading and signing of FIC (if applicable) (15 minutes) 
- 
Meeting 1-2-3-4-5-6-7: Follow-up on the operational progress of the project and answer questions 
and gather feedback. (30 minutes) 
 
Action research cycle 1: Total duration (140 minutes) 
• 
Resident questionnaire: (20 minutes) 
 
• 
Individual resident interview: (60 minutes) 
- 
Reading of the FIC and signature if applicable (15 minutes) 
- 
Completion of socio-demographic form (5 minutes) 
- 
Interview guide (40 minutes) 
 
• 
Manager questionnaire: (15 minutes) 
 
• 
Presentation of results: (60 minutes) 

 
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- 
FIC reminder: (10 minutes) 
- 
Results: (20 minutes) 
- 
Reflective exercise-defining community spirit (10 minutes) 
- 
Gathering comments: (15 minutes) 
 
SCIENTIFIC JUSTIFICATION FOR USING LIVE SUBJECTS  
The participation of living human subjects representative of the clientele is essential for the collection of data that will 
enable the creation of user guides adapted to the reality of seniors. The collection of observable and measurable data 
on the determinants of community spirit will enable us to mobilize seniors to encourage social participation. Data 
collection will also help us to understand the potential levers for establishing a community spirit in the collective living 
environment on a long-term basis.  It would be impossible to validate these data without living subjects. 
 
PARTICIPATION OF SUBJECTS  
In each residence co-determined with the partner, we aim to recruit: 50 independent resident volunteers and 5 facility 
manager volunteers. Here are the details for the project support group and each feedback loop: 
• 
Project support group: 6 to 8 residents 
• 
Research cycle 1: 20 residents for questionnaires and individual interviews; 5 staff members for 
questionnaires 
Inclusion criteria: 
For Groupe Maurice managers 
• 
Management at Groupe Maurice's Ékla and Gibraltar residences 
• 
Head of department 
or 
• 
Hold a General Manager position 
or 
• 
Be a member of the Groupe Maurice head office 
 
For residents  
• 
Residents of the independent wing of Groupe Maurice's Ekla and Gibraltar residences 
• 
Caregiver of a resident of the residences included in the research project 
 
 Exclusion criteria : 
For Groupe Maurice staff and residents 
• 
Neurocognitive disorders 
• 
Significant language difficulties 
• 
Lack of verbal communication 
 
RECRUITMENT  
 
Suitable persons 
Managers: Recruitment information on the research project will be distributed in the employee break room. Those 
interested will be invited to submit their names to the research team via the studies site, topmed. The research team 
will then send them an e-mail containing a link to an information and consent form. The information and consent forms 
will be available in digital format at least two weeks before our first visit. During this period, a member of the research 
team will remain available to answer any questions 

 
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Residents of the independent wing: Information about the research project will be disseminated via the Maurice group's 
internal communication media, which will be co-determined with them. In addition, posters will be distributed to 
residents' mailboxes. Research activities will be integrated into the residences' calendar in agreement with Groupe 
Maurice. On a voluntary basis, participants will be able to contact the Topmed research team in order to participate in 
the various data collection activities, or to express their interest in participating at the residence reception desk and pick 
up consent forms at the residence reception desk or in the Leisure Manager's office. A period of two (2) weeks will be 
allowed for reading and reflection. At each meeting, participants will be reminded of the consent form and asked to 
revalidate their participation. Research activities will then take place. 
 
MEASURES AND STRATEGIES TO PROTECT VULNERABLE OR DEPENDENT PERSONS  
In this project, participants are recruited on a voluntary basis (stakeholders and residents). Given the project's focus 
on discussion and exchange on community spirit, good verbal communication and analytical thinking skills are 
required. Some seniors who find it more difficult to communicate may be accompanied by their caregivers.  For people 
in dependency situations as well as employees, the latter will be recruited on a voluntary basis with a specific 
procedure ensuring accessibility and signature of online consent forms. Participation will be online or in groups of 
similar hierarchical level, to ensure freedom of expression and avoid the possibility of undue influence in study 
participation 
 
RISKS AND DRAWBACKS, AND PROPOSED MITIGATION MEASURES  
 
Disadvantages :  
 For managers 
• 
The length of time it takes to complete the questionnaire and participate in the results-sharing sessions may 
entail some inconvenience, such as a slight disruption to work schedules and daily tasks. Meetings will be 
scheduled in agreement with the partner environment. 
 
For residents 
• 
 This project may entail some inconvenience, such as a slight disruption to the schedule of activities and the 
possibility of emotional reactions. Wherever possible and appropriate, research activities will be planned and 
confirmed in advance.  
 
Risks  
 
Questionnaire 
• 
There is no risk associated with completing the questionnaire. 
 
Individual interviews 
• 
As far as we are aware, apart from the time spent on the interview, participation in this study will not cause 
any physical or psychological harm to the participant. However, it remains possible that the discussion of 
certain themes may make the participant uncomfortable or give rise to discomfort. In such cases, participants 
are free not to answer certain questions. If necessary, they can be referred to appropriate support resources. 
 
Focus groups, working groups and prioritization workshops 
• 
As far as we know, apart from the time spent on the interview, participation in this study will not cause any 
physical or psychological harm to the participant. However, it remains possible that the discussion of certain 
themes may make the participant uncomfortable or give rise to discomfort. In such cases, participants are free 
not to answer certain questions. If necessary, they can be referred to appropriate support resources.  

 
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• 
Despite the means put in place to ensure the confidentiality of group discussions, certain risks inherent in this 
type of consultation cannot be avoided. In other words, the research team cannot guarantee that each group 
participant will keep the information exchanged confidential 
 
Process 
• 
Participation difficulties: the person may fear being judged or rejected. The research team will ensure that 
conditions are in place to create a safe space for expression, including a climate of emotional security 
• 
There may be variations in the person's state of health (fatigue, age-related cognitive loss) or difficulties 
getting around. The research team will make sure to establish consultation times that respect the person's 
health conditions, by choosing discussion areas that are accessible to all.  
• 
Have only socially active people participate in the project. The research team will make sure to reach all 
residents for recruitment and allow participants to choose their participation formula: individual or group.  
• 
Difficulty in keeping people actively involved over the medium-to-long term (the project period): people 
withdraw while the study is being carried out, and may lose the sense of their participation. Explain the 
project's objectives, and monitor progress from one session to the next, to encourage buy-in and commitment. 
Put the individual at the heart of the project: the individual level must be present in the approach and 
discussions, so that participants can find meaning in their participation each time. 
 
 
ADVANTAGES AND BENEFITS  
Benefits for partner managers  
It is anticipated that the research project will support community spirit within the observed environment, as well as the 
possibility of implementing the concept in all the partner's residences. 
 
Benefits for senior participants  
We expect to see an increase in the active social participation of seniors. In addition, this project will provide an 
opportunity to reflect on solutions that will enable seniors to evolve in an environment that resembles their own, and 
that favors the inclusion of everyone, thus combating isolation 
 
Project benefits  
The participation of seniors will enable us to better target the needs of different environments, and gather data on the 
facilitating factors and challenges of community spirit and social participation. The participation of seniors will enable 
us to better target their needs and interests in order to develop solutions adapted to the clientele. 
 
FREE AND INFORMED CONSENT  
The information and consent form will be available online (for staff) and in hard copy (for residents) at two locations in 
the partner community (reception and recreation manager's office). Participants will be able to obtain a copy of the 
document to familiarize themselves with its contents. A two-week period for reading and reflection will be given staff 
and resident participants. During this time, they will be able to contact a member of the research team for further 
information or to ask questions about the project and its progress, if applicable. Completed FICs can be handed in at 
the reception desk or at the leisure leader's office, in a sealed envelope. During the meetings, the form will be re-
explained and the potential participant will be free to consent to take part in the research project. At any time, the 
participant may decide to end his or her participation. 
For the possibility of meeting people on the Teams platform, an explicit registration consent request will be set up. 
 
 
CONFIDENTIALITY AND PROTECTION OF PERSONAL INFORMATION  
 
The ethics committee that evaluated the project can access the research data for control and verification 
purposes 

 
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All information collected will remain strictly confidential to the extent permitted by law. In order to preserve the identity 
of participants and the confidentiality of information, participants will be identified by a code. The list of codes linking 
a name to a research file will be kept in the office of the responsible researcher, in a locked filing cabinet at 
TOPMED at Mérici Collégial Privé, 755 Grande Allée Ouest, Québec, Qc, G1S 1C1. Unless required by law, no 
information that could directly or indirectly reveal the identity of subjects will be released or published without their 
prior explicit consent.  
As part of the project, consent forms presented in digital form are created using the Lime Survey platform. The 
information processed is hosted in Canada on the platform's encrypted servers (Secure Socket Layer procedure), 
which comply with the RGPD standard. In addition, participants will not be required to consent to the platform's terms 
and conditions 
Regarding the methods of storing and securing audio-video recordings, these will be made by cameras recording the 
data on SD cards. Video captures are confidential and will only be used for the purposes of this research project, 
unless otherwise agreed by the participant or his/her legal representative. All data collected will be encrypted on 
servers. Unless required by law, no information that could directly or indirectly reveal their identity will be distributed 
or published without their prior explicit consent. Only members of the research team (all subject to confidentiality) will 
have access to participants' identifying information and encrypted research data, which will be kept separate from 
research materials, data and information and consent forms. 
Documents will be kept for a period of five (5) years following collection, after which they will be destroyed. During this 
5-year retention period, if data is stored on a USB key or other external medium, it will be encrypted.  
 
Any scientific publication resulting from this research project will present statistical data only, and under no 
circumstances will the names of the participants be published or divulged to anyone.  
 
CONTINUOUS EXAMINATION  
Should any inconvenience arise during project validation, subjects will be promptly notified.  
 
DISSEMINATING RESULTS  
No disclosure to participants will be made following completion of their participation.  
 
COMPENSATION  
Stakeholders receive no financial compensation for their participation in the research project.  
For residents, there is  financial compensation for participation in the research project.  
However, for each activity, if no monetary remuneration is given, we will offer snacks to participants following the 
sessions. 
 
RESPONSIBILITY  
The legal rights of each subject will be maintained.  
 
CONFLICT OF INTEREST AND PROPOSED MITIGATION MEASURES  
No conflict of interest.  
 
PROTOCOL SEQUENCE  
 
Posters 
437_Affich-Recrut-site_études 
Posters-social participation-recruitment-V2 
 

 
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Admission 
437_Email_Recruit 
 
Project support group 
437_FIC_Project_Support_Group 
 
First research cycle 
Consent form 
• 
437_FIC_Residents_Cycle 1 
• 
437_FIC_Management_Cycle 1-2-3 
• 
437_FIC_Presentation_Results Cycle 1-2-3 
 
Measuring instruments 
• 
437_Individual interview guide 
• 
437_Questionnaire_Residents_GM 
• 
LimeSurvey Cloud - Your online survey service - 437_Questionnaire_EspCom_Gestion 
 
 
Data processing  
Compilation of questionnaires, interviews, prioritization workshops and results presentation sessions 
 
Compilation of  
Data analysis without statistical inference tests