This thesis used attachment theory and the common sense model of illness as theoretical backgrounds to examine the mechanisms that contribute to the quality of the support seeking behaviour and social interactions between patients with type 2 diabetes and their partners. Specifically, this thesis examined actor and spouse effects of working models of attachment on health outcomes, and illness perceptions on health outcomes for both patients and partners. Furthermore, it determined if support seeking, supportive interactions, and negative interactions mediated between the attachment and health outcomes and illness perception and health outcomes. At study entry, 70 patients with type 2 diabetes and their partners completed measures on attachment, illness perceptions, support seeking, receipt of supportive interactions and of negative interactions, satisfaction with support received, and health outcomes. Health outcomes included psychological distress and physical health for patients and partners, and diabetes well-being for patients only. Six months later, participants again completed measures on supportive and negative interactions, satisfaction with support received, and health outcomes. The data were examined both cross-sectionally (including mediational analyses) and longitudinally. The cross-sectional analyses revealed a number of actor and spouse effects in the relationships between attachment and health outcomes, and illness perceptions and health outcomes. Patients who scored higher on attachment-anxiety experienced higher levels of psychological distress and lower levels of diabetes well-being. Also, the partners of these patients experienced higher levels of psychological well-being. Furthermore, covert support seeking behaviour and negative interactions were found to be significant mediators between patient attachment-anxiety and patient psychological distress and diabetes well-being. In addition, support satisfaction mediated the relationship between patient attachment-anxiety and patient psychological distress. Illness perceptions, specifically timeline cyclical perceptions, were also shown to be related to health outcomes, and receipt of negative interactions. Patients and partners who scored higher on timeline cyclical experienced higher levels of psychological distress. Also receipt of negative interactions mediated the relationship between timeline cyclical and psychological distress. Some significant changes over time found when the data were examined longitudinally. For example, patients who scored higher on attachment-anxiety at study entry experienced higher levels of psychological distress over time, and had a partner who also experienced higher levels of psychological distress over time. In addition, partners who scored higher on personal control and who had a spouse (patient) who scored higher on timeline cyclical at study entry experienced higher levels of psychological distress overt time. Taken together, both the cross-sectional and longitudinal findings emphasize the contribution of the partner and his or her interactions with the patient to patient well-being. In the same manner, the results also highlight the effect of the patient’s illness on the partner’s well-being. These findings have important practical implications, especially for practitioners who aim to design intervention to help patients and their partners better adapt to the patient’s illness.

Le présent mémoire explore l’enseignement en classe inversée, tel que rapporté par 25 enseignants de niveau collégial et universitaire au Québec en 2017-2018. L’étude décrite dans ce mémoire documente l’usage de la classe inversée, dans le but d’en favoriser l’usage par la communauté enseignante. Avec le développement rapide de ressources éducatives en ligne en 2020-2021, le contexte technopédagogique est favorable à un plus grand usage de la classe inversée à tous les niveaux de l’éducation. La classe inversée est étudiée comme piste d’amélioration de la réussite scolaire au postsecondaire, puisque la réussite scolaire est une problématique sociale d’actualité qui a des répercussions sur la société, les établissements et les individus. À l’aide d’approches pédagogiques recourant à l’apprentissage actif, les enseignants peuvent concevoir des activités motivantes et engageantes pour les étudiants ce qui a un effet positif sur la motivation. L’approche de la classe inversée, devenue très populaire au postsecondaire, exploite les avantages motivationnels connu de l’apprentissage actif sans sacrifier la capacité à transmettre beaucoup de contenus théoriques durant une session de cours. Le présent mémoire fait l’inventaire des pratiques technopédagogiques en classe inversée et comporte 3 angles d’analyse : l’adoption de la classe inversée, les pratiques d’enseignement et la gestion de classe. Nous avons recours à un modèle de développement professionnel afin de comprendre le contexte de la classe inversée, ses particularités et l’évolution des pratiques des répondants. Ces questions spécifiques sont répondues à l’aide d’une approche où l’on compare 25 différents cas d’usage de la classe inversée pour en faire émerger les convergences. Des entrevues semi-dirigées d’une heure et demie sont analysées à trois reprises pour répondre spécifiquement à ces trois questions, permettant une triangulation par l’analyse qui contribue à dresser un portrait compréhensif de la classe inversée. Premièrement les résultats démontrent que l’adoption de la classe inversée est faite par l’accumulation des pratiques d’enseignement qui la composent au fil du temps. D’un point de départ magistrocentré, on constate que cette accumulation débute plus souvent par l’adoption de nouveaux dispositifs technologiques, puis ensuite de nouvelles approches pédagogiques, plutôt que l’adoption des pédagogies actives, précédant les dispositifs technologiques (Figure 6 à Figure 8). Deuxièmement les résultats permettent d’observer que les pratiques d’enseignement de chaque phase de la séquence pédagogique sont régies par des logiques de conception pédagogique sous-jacentes propres à la classe inversée. La préparation et l’amorce d’un cours sont complémentaires et jouent le rôle de l’acquisition et de la consolidation-réactivation des acquis. Les activités sont davantage magistrocentré et médiatisés hors du cours. Les activités d’apprentissage actif et l’enseignement magistrocentré sont complémentaires en classe, cependant l’enseignement est davantage pédocentré et moins médiatisé hors de la classe. Finalement la conclusion des séances de classe permet généralement aux étudiants de recevoir une rétroaction (ANNEXE VIII). Troisièmement, les résultats indiquent que la gestion de classe en classe inversée se présente sous diverses formes mais favorise généralement le style interactionniste, avec quelques aspects plus interventionnistes ou plus non-interventionnistes (Figure 11). L’étude de la gestion de classe met en lumière les pratiques de contrôle comportemental des étudiants par l’évaluation en classe inversée, en plus de son rôle principal évaluatif et formatif (Figure 12). / This thesis explores the use of flipped classroom teaching, as reported by 25 college and university teachers in Quebec in 2017-2018. The study described in this thesis documents the use of the flipped classroom, with the aim of promoting its use by the teaching community. With the rapid development of online educational resources in 2020-2021, the technopedagogical context is favorable to greater use of the flipped classroom at all levels of education. The flipped classroom is being studied as an avenue for improving post-secondary academic success, since academic success is a topical social issue that has repercussions on society, institutions and individuals. Using active learning pedagogical approaches, teachers can design motivating and engaging activities for students which has a positive effect on motivation. The flipped classroom approach, which has become very popular in post-secondary education, harnesses the known motivational benefits of active learning without sacrificing the ability to convey a lot of theoretical content during a class session. This thesis takes stock of technopedagogical practices in the flipped classroom and includes 3 angles of analysis: its adoption, teaching practices and classroom management. We use a professional development framework to understand the context of the flipped classroom, its peculiarities and the evolution of respondent practices. These specific questions are answered using an approach where we compare 25 different use cases to bring out the convergences. One-and-a-half-hour semi-structured interviews are analyzed three times to specifically answer these three questions, allowing analytical triangulation that helps paint a comprehensive portrait of the flipped classroom. Firstly, the results show that the adoption of the flipped classroom is made by the accumulation of teaching practices that compose it over time. From a teacher-centered point of origin, this accumulation begins more often with the adoption of new technology, then new pedagogical approaches, rather than the adoption of active learning preceding the use of technologies (Figure 6 to Figure 8). Secondly, the results allow us to observe that the teaching practices of each phase of the teaching sequence are governed by underlying teaching design logics specific to the flipped classroom. The preparation and primer of a course are complementary and enable acquisition and consolidationreactivation of acquired knowledge. The activities are more lecture-oriented outside the course. Active learning activities and formal teaching are complementary in the classroom, however teaching is more student-centric in the classroom. Classes concludes generally with feedback (APPENDIX VIII). Thirdly and lastly, the results on classroom management states a variety of approaches but generally favors the interactionist style, with some more interventionist or non-interventionist aspects (Figure 11). Exploring classroom management sheds light on student behavioral control practices through assessments, in addition to its primary evaluative and formative role (Figure 12).