The new Quebec Civil Code came into effect on January 1,1994. This text enacted among other things the new provisions for consent to experimentation. In this article, we summarize these provisions and highlight the necessity of excluding from the majority of research protocols, people unable to consent without legal representative. Thanks to the database of a recent study, we then show that this provision can render certain gerontological studies invalid. This leads us to recommend that the Civil Code be amended in a way to allow impaired persons who are not legally represented to participate in studies that do not pose any serious risk to their health.

Patients and professionals have difficulty communicating with one another about prescriptions and alternative therapies. The aim of this research was to investigate and contrast 714 seniors and health-professionals' perceptions and communication about the above mentioned health products. First, intensive face-to-face, ethnographic interviews with health professionals and seniors were conducted to elicit relevant issues of concern. Second, focus groups were used to evaluate the issues and wording of question probes developed initially. Third, a survey established associations and predictive validity of variables found in the first two phases. Highlights from the emergent themes include different perceptions of (a) the value and usage of alternative therapies, (b) information adequacy about prescriptions and alternative therapies, and (c) communication about prescription misuses and alternative therapy use. Seniors and professionals suggested insights for improving clinical practice.

This paper investigates socio-demographic, family structure and other factors that predict men's filial care involvement. The concepts guiding this investigation are related to family obligations or motivations to provide care — commitment to care, legitimate excuses, and caring by default. Data for this research come the Work and Eldercare Research Group of CARNET: The Canadian Aging Research Network. This work is based on a sample of 772 men who provide assistance to older parents or parents-in-law. Overall, findings demonstrate the value of the conceptual framework for explaining variations in men's care. For example, distance constraints and the commitment of young children, appear to be legitimate reasons for less care involvement. Further, living nearby and being without siblings may “default” men into being more involved in care. This research recognizes men's filial care as a more complex issue than a ‘gender difference’ focus on caregiving has allowed.

If many efforts have been undertaken by the scientific community in the last years to better understand the interactions between seniors and their informal support network, understanding of their reciprocal relations remain incomplete. In a context of “young” and “old,” where the later group is becoming larger, coexist longer because of increased life expectancy, and where the redistribution of public resources seems to favour seniors, the private inter-generation solidarity takes on considerable importance. These solidarities are especially expressed by helping each other, and this varies depending on the actors involved. This article attempts to describe the orientation and the content of the reciprocal relationships of seniors and to identify the principal determinants of such relations in Quebec. The data come from the Survey of Aging and Independence study undertaken by Statistics Canada in 1991. The results show that about two out of five seniors have this type of relationship and most often with their spouse. For individuals who no longer have a spouse, children, and particularly a daughter become privileged partners. This study also shows that exchanges of help with friends and/or neighbours prove to be essential when seniors live alone. These actors could even become essential in the future for the upholding of the autonomy of these “grandpa-boomers” who are less well surrounded in later life in terms of descendants than the seniors of today. Finally, very old men with small incomes, living alone in an urban setting and with few or no surviving children are the least likely to experience reciprocity with their entourage.

This systematic overview summarizes the published literature reflecting the effectiveness of services or models of care for persons with dementia living in their homes, in specialized institutional care or assisted living centres/congregate homes. A detailed search for literature found studies evaluating respite care, day programs, counselling, congregate living, and special care units in institutions and there is some evidence of the effectiveness of these programs. No scientifically rigorous effectiveness studies, specific for persons with dementia, were found for hospice care, case management or psychogeriatric outreach mental health programs. First and foremost, more research is needed that examines the effectiveness of different programs for specific persons and their caregivers with different characteristics and the measurement of family expenditures as well as costs of programs.