Un programme de recherche interventionnelle (AAPRISS) visant à réduire les inégalités sociales de santé: méthodes et validation

Villeval, Mélanie; Bidault, E.; Gaborit, Émilie; Grosclaude, Pascale; Haschar-Noé, Nadine; Lang, Thierry

doi:10.17269/cjph.106.4955

Cited by 4 publications

(1 citation statement)

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“…Quelques équipes ont opté pour la seconde démarche et le terme de « recherche interventionnelle » s'est par la suite imposé, importé du Canada comme la déclinaison de PHIR -ou Population Health Intervention Research (Riley et al, 2015). Les équipes impliquées dans la recherche sur les inégalités sociales de santé, notamment à Toulouse, se sont regroupées autour d'un projet intitulé AAPRISS, avec pour objectif de contribuer à la réduction de ces inégalités et comme méthodes de réexaminer les programmes dans le domaine des soins et de la prévention, puis de les transformer, en co-construction avec les acteurs, afin de ne pas aggraver les inégalités, voire d'obtenir leur réduction (Lang et al, 2016b ;Villeval et al, 2015).…”

Section: L'épidémiologie Sociale Et Le Transfert Vers Les Politiques ...unclassified

Inégalités de santé

Arminjon¹

2023

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Quelles sont les raisons de la méconnaissance des travaux sur les inégalités sociales de santé ? Comment l’épidémiologie sociale, discipline à la frontière des sciences biomédicales et des sciences humaines et sociales, reconfigure-t-elle nos représentations du corps, des rapports sociaux, de genre, des causes de maladies ? Ce livre propose une introduction aux fondements historiques et épistémologiques de cette discipline et, ce faisant, apporte une vue synoptique des principales questions et problématiques que soulève la mesure des inégalités sociales de santé. Il s’adresse aux chercheurs en humanités médicales, aux professionnels de santé et, plus généralement, à l’ensemble des citoyens qui souhaitent s’informer sur l’étude des déterminants sociaux de la santé, ses enjeux et les perspectives qu’elle ouvre sur les plans scientifique et politique.

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Section: L'épidémiologie Sociale Et Le Transfert Vers Les Politiques ...unclassified

Inégalités de santé

Arminjon¹

2023

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Enabling the transferability of complex interventions: exploring the combination of an intervention’s key functions and implementation

Villeval

Bidault

Shoveller

et al. 2016

Int J Public Health

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Do the key functions of an intervention designed from the same specifications vary according to context? Investigating the transferability of a public health intervention in France

et al. 2019

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Background The processes at play in the implementation of one program in different contexts are complex and not yet well understood. In order to facilitate both the analysis and transfer of interventions, a “key functions/implementation/context” (FIC) model was developed to structure the description of public health interventions by distinguishing their potentially transferable dimensions (their “key functions”) from those associated with their translation within a specific context (their “form”). It was used to describe and compare preschool preventative nutrition interventions routinely implemented across three territories, in accordance with same national specifications. Methods The interventions were independently described by researchers and intervention’s implementers using the FIC model, during several workshops. Their key functions were then classified into 12 themes and compared to assess the extent to which the three interventions were similar. Results Despite being produced from the same set of specifications and having similar objectives, the key functions of the interventions in the three departments mostly reflected the same major themes, they did not overlap and were in some cases very different. In one of the three departments, the intervention was markedly different from those of the other two departments. The historical context of the interventions and the specificities of the local actors appear highly determinant of the key functions described. Conclusions For the interventions that we studied, some of the key functions varied greatly and translated different concepts of health education and modes of intervention to the population. It now seems vital to improve the description of interventions on the ground in order to highlight the key functions on which they are based, which still often remain implicit. The FIC model could be used to complement other models and theories focusing on the description of the implementation process, its determinants or its evaluation. Its interest is to provide a structure for joint reflection by various actors on the transferable aspects of an intervention, its form and its interactions with the context, in order ultimately to analyse or to improve its potential transferability.

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Un programme de recherche interventionnelle (AAPRISS) visant à réduire les inégalités sociales de santé: méthodes et validation

Abstract: The complexity of the determinants leading to SIH calls for programs that revisit existing projects rather than a new intervention aimed at reducing them.

Cited by 4 publications

References 19 publications

Inégalités de santé

Inégalités de santé

Enabling the transferability of complex interventions: exploring the combination of an intervention’s key functions and implementation

Do the key functions of an intervention designed from the same specifications vary according to context? Investigating the transferability of a public health intervention in France

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