BackgroundSchizophrenia is a severe mental disorder that affects 1 % of the world’s population, including 600,000 people in France. Persons with schizophrenia (PWS) have excess mortality (their life expectancy is reduced by 20 %) and excess morbidity. In addition, such persons may have a large number of missing or decayed teeth. Dental caries and periodontal measurement indexes are often twice as high as the level found in the general population. Poor oral health can also affect quality of life and oral health is inseparable from general health. The management of oral health problems needs a multidisciplinary approach. According to the World Health Organization, the aim of therapeutic education (TE) is to help patients take care of themselves and to improve empowerment and recovery. In this educational approach, it is important to take into account the patient’s personal experience. Though rarely investigated, the personal experience of PWS in oral health quality of life (OHRQoL) must be used to build a therapeutic educational programme in oral health (TEPOH) in a multidisciplinary approach, and the effectiveness of this program must be evaluated.Methods/designWe report the protocol of a randomized controlled cluster study. This study will be conducted in twelve hospitals in France. We hypothesized that a decrease of 20 % in the proportion of patients with CPI ≥ 3 would establish the effectiveness of TEPOH. Therefore, 12 hospitals will be randomly allocated to either TEPOH or no TEPOH. Altogether, they will have to recruit 230 PWS, who will be randomly allocated with a ratio of 1:1 to one of two conditions: control without intervention versus the group benefitting from TEPOH.DiscussionIf successful, the study will generate methodologically sound results that provide knowledge on the effectiveness of a TEP in oral health for PWS. The results can be used to promote OHRQoL in a global health approach and develop appropriate strategies to encourage and facilitate financial support for healthcare, the multidisciplinary treatment of dental disorders, and the development of training in oral and mental health for caregivers. Trial registration Clinical Trials Gov NCT02512367. Date registered 19 July, 2015
The aim of this study was to evaluate the working conditions of employees in a local council as well as their possible relationships to health, particularly to psychosocial risks--an emerging occupational risk which causes physical and mental illness. Between November 2004 and October 2005, 919 employees were asked to fill out a self-administered questionnaire about their working conditions, their self-perceived health status, and sociodemographic characteristics. The exposure to psychosocial risk (job strain) was evaluated using the Job Content Questionnaire developed by Karasek. A total of 625 employees responded to the survey (participation rate = 68%). Their self-perceived health status was good overall, but the prevalence of job strain reached 22%, and was associated with an accrued frequency of work dissatisfaction, strong perception of stressful work and the desire and intent to change job positions.
Introduction : La mauvaise santé orale des patients schizophrènes est un problème de santé publique qui concernerait 600 000 personnes en France. Le but de cet article est de présenter les différentes étapes de la construction d’un programme d’éducation en santé orale, spécifique aux patients schizophrènes et tenant compte de leur savoir expérientiel, ainsi que les résultats de l’étude pilote ce programme. Patients et méthode : La méthode des groupes de discussion ( focus groups ) a été appliquée à un groupe de professionnels de santé et d’usagers afin de faire émerger un corpus exploratoire pour la construction d’un programme d’éducation en santé orale. Un groupe expert composé pour partie de patients schizophrènes a validé les thématiques et les outils de ce programme. Une étude pilote de faisabilité a ensuite été réalisée auprès d’un groupe témoin composé de sept patients schizophrènes. Résultats : Au total, 26 personnes ont participé à cette étude. Les thématiques principales retenues par le groupe expert visent à favoriser l’action consistant à prendre soin de sa santé, à améliorer la pénétrabilité du système de soins et à promouvoir une approche sanitaire globale. L’étude a montré la capacité des acteurs à coconstruire un programme et à faire évoluer les représentations que les patients schizophrènes ont de ce problème de santé. La plupart des outils éducatifs ont été jugés pertinents. Conclusion : Un programme d’éducation en santé orale a été construit dans le cadre d’un partenariat patients-soignants et a montré sa faisabilité. Une étude randomisée multicentrique est en cours pour évaluer l’efficacité de ce programme avec un haut niveau de preuve.
A priority of the French government health section is to promote strategies to develop teenager and young adult abilities to manage their own health. Interventions must be based on digital tools on how to improve it. The Pass’santé Jeunes (PSJ) is a regional measure based on a global, positive, community approaches, and on peers interventions. Managed by the Agence Régionale de Santé since 2013, and lead by the Instance Regional d’Education et de Promotion pour la Santé, this program consists of the provision of two portals: Pass’santé Jeunes and Pass’santé pro. This project aims to renew prevention approaches with youths, and to develop a common culture around efficient intervention strategies with professionals for linkage in digital practices. This initiative has been developed and collaborated with the targeted public, parents, and professionals. We queried the opinions of a youth panel, and requested advice of experts to assure relevance and veracity of the information. Websites were then created for professionals to locate information to support their missions. Analysis of the actual uses of the PSJ were conducted by the University of Burgundy in 2016. Results showed much of the research leaning toward the creation of a prevention tool. For alignment with internet use by youths, we adapted the variety of media (quizzes, videos, apps...). In 2018, the average monthly audience of both sites increased significantly.Greater utilization of these resources is explained by increased awareness by professionals and prevention missions of health students. In the health sector, challenges exist in understanding digital practices of youth and professionals, therefore it is important to play a key liaison role. First identified as an informational medium, these devices are now real resources for meeting and circulating knowledge.Prospects for 2020 are to redirect these tools to the 0-8 years age group, adapt them to situations of disability, and expand to the pregnancy period. Key messages In line with digital practices of youth, the PSJ relies on innovative communication supports, available in different formats (videos, quizzes, games, apps...). Beyond an informational tool for the young, the PSJ turns out to be a tool of knowledge brockering. It facilitates networking, implementation of activities, and improving health practices.
This abstract aims to present a research carried out on a project which organizes knowledge transfer based on digital media in order to promote health of young people. One of the two websites created as part of this project is dedicated exclusively to professionals. They find in it reliable information on different topics. Since then, we may wonder how digital media promote knowledge transfer? And what are the consequences on professional practices? The study conducted between October 2019 and January 2020 uses quantitative and qualitative methods. Professionals were asked about the way in which they mobilized online content in the implementation of actions in promoting young people's health. Participants all work with children or teenagers and represent different professional groups: school nurses, social workers, workers in childcare facilities, teachers etc. One of the major findings of this study is to account for the knowledge transfer that exists through digital media. Websites facilitate professional's access to content that increase their capacity to act in health promotion. For example, they are developing a more participatory approach (workshops, educational games or debates). However, the evolution of professional practices implies at the same time an appropriation of the information provided by websites. Knowledge transfer can't be based only on digital media. In matter of fact, a major resource for knowledge transfer is related to the partnership dynamic driven at the local level. Exchanges of practices organized in real life allow professional to meet and share effective intervention strategies. There is a tangible complementarity between digital media and partnership network in terms of knowledge transfer. Finally, the presentation will search to better understand the role of digital media in public health. The uses in context told by professionals will invite to highlight the innovative character ok knowledge transfer associated with digital media. Key messages This abstract focuses on knowledge transfer in the age of digital media. What innovations can be identified in professional health promotion practices for young people? The aim of this abstract is to discuss how the knowledge transfer based on digital media is organized and the consequences on professional practices: what are the impacts?
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