Analysing a quality-of-life survey by using a coclustering model for ordinal data and some dynamic implications

International audienc

Study protocol for a pragmatic cluster randomized controlled trial to improve dietary diversity and physical fitness among older people who live at home (the “ALAPAGE study”)

Background : Diet and physical activity are key components of healthy aging. Current interventions that promote healthy eating and physical activity among the elderly have limitations and evidence of French interventions’ effectiveness is lacking. We aim to assess (i) the effectiveness of a combined diet/physical activity intervention (the “ALAPAGE” program) on older peoples’ eating behaviors, physical activity and fitness levels, quality of life, and feelings of loneliness; (ii) the intervention’s process and (iii) its cost effectiveness. Methods : We performed a pragmatic cluster randomized controlled trial with two parallel arms (2:1 ratio) among people ≥60 years old who live at home in southeastern France. A cluster consists of 10 people participating in a “workshop” (i.e., a collective intervention conducted at a local organization). We aim to include 45 workshops randomized into two groups: the intervention group (including 30 workshops) in the ALAPAGE program; and the waiting-list control group (including 15 workshops). Participants (expected total sample size: 450) will be recruited through both local organizations’ usual practices and an innovative active recruitment strategy that targets hard-to-reach people. We developed the ALAPAGE program based on existing workshops, combining a participatory and a theory-based approach. It includes a 7-week period with weekly collective sessions supported by a dietician and/or an adapted physical activity professional, followed by a 12-week period of post-session activities without professional supervision. Primary outcomes are dietary diversity (calculated using two 24-hour diet recalls and one Food Frequency Questionnaire) and lower-limb muscle strength (assessed by the 30-second chair stand test from the Senior Fitness Test battery). Secondary outcomes include consumption frequencies of main food groups and water/hot drinks, other physical fitness measures, overall level of physical activity, quality of life, and feelings of loneliness. Outcomes are assessed before the intervention, at 6 weeks and 3 months later. The process evaluation assesses the fidelity, dose, and reach of the intervention as its causal mechanisms (quantitative and qualitative data). Discussion : This study aims to improve healthy aging while limiting social inequalities. We developed and evaluated the ALAPAGE program in partnership with major healthy aging organizations, providing a unique opportunity to expand its reach

Quel intérêt d'étudier les trajectoires de qualité de vie du point de vue de la psychologie de la santé ?

National audienc

Quel intérêt d'étudier les trajectoires de qualité de vie du point de vue de la psychologie de la santé ?

National audienc

Quel rôle et quelle mobilisation des comités en recherche en prévention ?

International audienc

Le tabac chez les jeunes

National audienc

Incidence du jeûne chez des femmes atteintes d'un cancer du sein : rôle de certains facteurs psycho-sociaux

National audienc

Evolution du contrôle religieux la première année suivant l’annonce d’un cancer du sein : quels liens avec les stratégies de coping, l’anxiété, la dépression et la qualité de vie ?

International audienceCette étude se centre sur les relations entre le contrôle religieux, le coping, la détresse psychologique et la qualité de vie de patientes atteintes d’un cancer du sein. Cent dix-sept patientes ont complété quatre questionnaires d’auto-évaluation au moment de la chirurgie, puis un, quatre, sept, dix et 13 mois après la première évaluation. Les résultats montrent que le contrôle religieux diminue durant les quatre premiers mois du traitement, puis se stabilise. De plus, le maintien du contrôle religieux est associé à une diminution de l’impuissance-désespoir, du déni, de l’évitement et des préoccupations anxieuses et à une meilleure qualité de vie émotionnelle et physique à tous les temps de l’étude. Nous ne trouvons aucune association avec l’anxiété ou la dépression

Effet des plantes sur la santé, quelles sont les connaissances actuelles ?

National audienc

Bénéfices de la pratique d'activité physique sur les dimensions bio-psyho-sociales des personnes atteintes d'un cancer

National audienc