Comités de concertation en environnement et en santé environnementale : nouvelle gouvernance ?

Actes du Forum tenu les 30 et 31 octobre 2003 à l'Université du Québec à Montréal.Ce Forum a été rendu possible grâce à la contribution financière du ministère de l'Environnement et du ministère de la Santé et des Services sociaux du gouvernement du Québec, ainsi qu'à la participation du Centre québécois de développement durable et de l'Université du Québec à Chicoutimi

Transitions et reflets de société dans la prise en charge de la maternité hors-norme : l'exemple de l'Hospice Saint-Joseph de la Maternité de Québec, 1852-1876

Québec Université Laval, Bibliothèque 201

Linking high school students' achievement goal orientations with their competence beliefs and their perception of teachers' emotional support during the COVID-19 pandemic

Abstract : Due to the COVID-19 pandemic, adolescents have experienced limitations in their everyday activities. Consequently, their mental health has become an area of concern. However, there has been much less of a focus on the factors and mechanisms contributing to how they have approached their various academic activities during the pandemic. The current study fills this gap by investigating associations between adolescents’ competence beliefs and perception of teachers’ emotional support and their achievement goals (mastery, performance, and work avoidance) at the onset of the second wave of this pandemic in Canada. Participants were 90 Canadian high school adolescents in grades 9 and 10 and they were surveyed in November of 2020. Data were analyzed using multiple regression and mediation analyses. Among the most salient results, competence beliefs were found to predict achievement goals, above and beyond teachers’ emotional support, and these beliefs were significantly and positively associated with mastery and performance orientation, and marginally and negatively associated with work avoidance orientation. Results also showed that competence beliefs mediated the association between teachers’ emotional support and the mastery goal orientation. These findings are discussed in light of relevant pre-pandemic evidence about the role of competence beliefs and teachers’ emotional support on achievement goal orientations

Les « enfants disperses » de Mascouche

Ce texte cherche à préciser l’impact des migrations sur la définition des espaces de relations familiales. Cette étude repose principalement sur l’utilisation d’une enquête menée auprès des familles de Mascouche (Québec) par un ancien résident de l’endroit pendant l’année 1909. La confrontation des résultats de ce recensement original avec ceux que nous obtenons à partir du jumelage des données des recensements canadiens et des archives de l’état civil permet la critique de ce document; cette comparaison nous donne aussi l’occasion de signaler certaines limites inhérentes à toute tentative de description des relations familiales à partir de la seule observation des liens de parenté. Ainsi, vus de Mascouche, les espaces familiaux sont modifiés et élargis par la migration et le mariage. Par contre, la connaissance souvent limitée et imprécise des histoires de vie de parents migrants dévoile la grande fragilité des relations maintenues entre les membres d’une même famille. This text seeks to clarify the impact of migration on the definition of family space. The study is based primarily on an inquiry conducted among the families of Mascouche, Quebec, by a former resident in 1909. The results of this original survey have been confronted with those obtained through record linkage in the Canadian census and in parish registers. This comparison permits a critique of the document; it also provides an opportunity to point out certain limits inherent in any attempt to describe family relations on the sole basis of observed kinship ties. Thus, family space - as seen from Mascouche - was modified and expanded by migration and marriage. At the same time, the great fragility of relations maintained among family members is demonstrated by the often limited and vague ways in which the life histories of migrant kin were known

Evaluating the integration of chronic disease prevention and management services into primary health care

Background The increasing number of patients with chronic diseases represents a challenge for health care systems. The Chronic Care Model suggests a multi-component remodelling of chronic disease services to improve patient outcomes. To meet the complex and ongoing needs of patients, chronic disease prevention and management (CDPM) has been advocated as a key feature of primary care producing better outcomes, greater effectiveness and improved access to services compared to other sectors. The objective of this study is to evaluate the adaptation and implementation of an intervention involving the integration of chronic disease prevention and management (CDPM) services into primary health care. Methods/Design The implementation of the intervention will be evaluated using descriptive qualitative methods to collect data from various stakeholders (decision-makers, primary care professionals, CDPM professionals and patients) before, during and after the implementation. The evaluation of the effects will be based on a combination of experimental designs: a randomized trial using a delayed intervention arm (n = 326), a before-and-after design with repeated measures (n = 163), and a quasi-experimental design using a comparative cohort (n = 326). This evaluation will utilize self-report questionnaires measuring self-efficacy, empowerment, comorbidity, health behaviour, functional health status, quality of life, psychological well-being, patient characteristics and co-interventions. The study will take place in eight primary care practices of the Saguenay region of Quebec (Canada). To be included, patients will have to be referred by their primary care provider and present at least one of the following conditions (or their risk factors): diabetes, cardiovascular diseases, chronic obstructive pulmonary disease, asthma. Patients presenting serious cognitive problems will be excluded. Discussion In the short-term, improved patient self-efficacy and empowerment are expected. In the mid-term, we expect to observe an improvement in health behaviour, functional health status, quality of life and psychological well-being. At the organizational level, the project should lead to coordinated service delivery, improved patient follow-up mechanisms and enhanced interprofessional collaboration. Integration of CDPM services at the point of care in primary care practices is a promising innovation in care delivery that needs to be thoroughly evaluated