Int J Environ Res Public Health

Alcohol, a psychoactive substance with addictive potential, has major consequences on the population and public health. In France, alcohol use disorder affects approximately 3.5 million people, and 41,000 persons died in 2015. Alcohol consumption is significantly correlated to the workplace. Thus, the workplace is an area of opportunity to change risky behaviors and must play a key role in the prevention of alcohol misuse. To do this, it is essential to understand the consumption framework and to identify specific environmental risk factors. This qualitative study aims to describe the framework of alcohol consumption in the French public service. A focus group will be organized in France from November to January 2023. The participants will be: (i) representatives of the Local Health Insurance; (ii) over 18 years old; (iii) active or retired civil servants; (iv) mutualist activists; and (v) representatives of the Union of Health Prevention for the Obligatory System of the Public Service. The exclusion criteria for the study will be: (i) lack of consent form; (ii) inability to participate in the focus group, and (iii) early departure during the focus group. The focus groups will be supervised by two researchers following an interview guide. The data will be analyzed using the methodological framework, which consists in carrying out a thematic analysis. This will allow for an understanding of the sources of usage behaviors, and the identification of the most appropriate intervention functions for suitable prevention actions in order to reduce the risk of a transition to alcohol use disorder

« Trois I » et « triptyque séquentiel » : complémentarité dans l'analyse d'une action publique émergente : exemple de la certification qualité des équipes de soins primaires

À l’heure du virage ambulatoire et du développement du lien ville-hôpital, de la prise en charge globalisée et du parcours patient décloisonné, de la recherche de pertinence généralisée des soins et de l’essor des organisations libérales financées partiellement par l’État, pourquoi n’y-a-t-il toujours pas de « certification » qualité pour les structures de villes regroupant des professionnels de santé libéraux, alors que les établissements de santé publics et privés en ont une ?Dans ses premiers résultats, cette recherche va nous prouver la pertinence de notre postulat de départ : il devrait y avoir une « certification » qualité des Équipes de Soins Primaires. La suite va nous éclairer sur ce qui empêcherait sa mise en place. En combinant l’approche moderne d’analyse de l’action publique dite « 3 I » à l’approche classique dite « triptyque séquentiel », et en associant ainsi : intérêts des acteurs & reconnaissance du problème - institutionnalisme historique & processus décisionnel - idées & mise en oeuvre, nous pensons pouvoir évaluer les dynamiques de tendances liées à l’émergence d’une action publique et identifier des déterminants de réussite

Haemophilia in France: Modelisation of the Clinical Pathway for Patients

International audienceProcess-of-care studies participate in improving the efficiency of the care pathway for patient with haemophilia (CPPH) and rationalize the multidisciplinary management of patients. Our objective is to establish a current overview of the different actors involved in the management of patients with haemophilia and to provide an accurate description of the patient trajectory. This is a qualitative exploratory research based on interviews of the principal health professionals of four haemophilia services, between November 2019 and February 2020, in France. Mapping of the CPPH processes within the different institutions and/or services, as well as the rupture zones, were identified. Treatment delivery and biological analyses were carried out exclusively in healthcare institutions. The main liberal health professionals solicited were nurses, physiotherapists and general practitioner. Obstacles and barriers within the specialized service, with other hospital services and external hospital or private services, community health care providers et community environment and individual one was complex and multiples. Our research identified potential concerns that need to be addressed to improve future studies to identify influential elements. Similarly, other qualitative studies will have to be conducted on the perceptions and literacy of patients with haemophilia to develop a global interactive mapping of their trajectories

Patients’ Perception of the Impact of Innovation on Hemophilia Care Management Organization: A Qualitative Study Protocol (INNOVHEMO Study)

International audienc

Knowledge, Attitudes and Practices Related to Medication, Antibiotics, and Vaccination among Public Service Population: National Survey Conducted in France

International audienceMedication, antibiotics, and immunization are three major and cost-effective medical interventions but their use is balanced. Knowledge, attitudes and practices (KAP) are a cornerstone. This retrospective study aims at analyzing KAP related to these concerns among the public service population in order to establish the basis for the implementation of selective preventive actions. From a cross-sectional anonymous online questionnaire-based survey among the insurees of a French mutual organization (Union Prévention Santé pour la Fonction publique, UROPS), 33 questions related to medication, antibiotics and vaccination were extracted to evaluate KAP. New variables were constituted: levels of knowledge, antibiotic misuse, proactive behavior and vaccinophobia. Multiple correspondence analysis was performed to identify respondents’ homogenous groups. In addition, bivariate statistical comparisons were provided and logistic regressions were carried out to identify determinants of these new variables. Public service population (workers and retired) were highly exposed to polymedication (8.7% vs. 24.4%, p < 0.0001), hypnotics overtake (24.3% vs. 18.4%, p < 0.0001), and misuse antibiotics (33.2% vs. 22.6%, p < 0.0001) despite good levels of knowledge. Proportions of vaccinophobia was low (0.8% vs. 1.7%, p < 0.0001). However, workers have different KAP than retired, without shared determinants in the 3 health domains studied. Respondents were proactive (85.8% vs. 81.6%, p < 0.0001), used multiple sources of trustworthy information and seems to be ready for the delegation of health tasks. Thus, preventive actions related to antibiotics and polymedication should be a priority in vaccination education for mutual organizations such as UROPS. Studying their insurees longitudinally could be interesting to highlight the impact of selective prevention on behaviors, through trusted health professionals (general practitioners, pharmacists…

Alcohol Consumption in the Specific Socio-Professional Context of the French Public Service: Qualitative Study Protocol

Alcohol, a psychoactive substance with addictive potential, has major consequences on the population and public health. In France, alcohol use disorder affects approximately 3.5 million people, and 41,000 persons died in 2015. Alcohol consumption is significantly correlated to the workplace. Thus, the workplace is an area of opportunity to change risky behaviors and must play a key role in the prevention of alcohol misuse. To do this, it is essential to understand the consumption framework and to identify specific environmental risk factors. This qualitative study aims to describe the framework of alcohol consumption in the French public service. A focus group will be organized in France from November to January 2023. The participants will be: (i) representatives of the Local Health Insurance; (ii) over 18 years old; (iii) active or retired civil servants; (iv) mutualist activists; and (v) representatives of the Union of Health Prevention for the Obligatory System of the Public Service. The exclusion criteria for the study will be: (i) lack of consent form; (ii) inability to participate in the focus group, and (iii) early departure during the focus group. The focus groups will be supervised by two researchers following an interview guide. The data will be analyzed using the methodological framework, which consists in carrying out a thematic analysis. This will allow for an understanding of the sources of usage behaviors, and the identification of the most appropriate intervention functions for suitable prevention actions in order to reduce the risk of a transition to alcohol use disorder

Supporting health education policies: translation, cross-cultural adaptation and validation of a health literacy instrument, in French

International audienceBackground: Oral health is a fundamental human right and is inseparable andindivisible from overall health and well-being. Oral Health Literacy (OHL) hasbeen proved to be fundamental to promoting oral health and reducing oralhealth inequalities. To our knowledge, no OHL instrument to evaluate OHL levelis currently validated in French language despite the fact it is the fifth most widelyspoken languages on the planet. The Oral health literacy Instrument (OHLI)appears to be the most interesting OHL instrument to adapt into French becauseit is already available in English, Spanish, Russian, Malaysian, and it contains bothreading comprehension and numeracy sections. Its psychometric propertieshave been rated as adequate.Objective: The aim of this study was to translate and adapt cross-culturally theOHLI into French, to evaluate its psychometric properties and to compare itsresults to oral health knowledge.Method: This study followed and applied well-established processes of translation,cross-cultural adaptation and validation, based on the recommendations of theWorld Health Organization guidelines and on the Consensus-Based Standardsfor the Selection of Health Measurement Instruments (COSMIN) study designchecklist for patient-reported outcomes. Two psychometric assessments wereplanned, the comparison of OHLI-F scores according to education level andfrequency of dental visits, and the test–retest reliability of the OHLI-F.Results: A total of 284 participants answered the OHLI-F. The OHLI-F scoreswere significantly different between participants with different levels of educationand frequency of dental visits (p < 0.001). Participants with an education levellower than the baccalaureate, and those who never visit the dentist or only in caseof pain, had significantly lower OHLI-F scores. Internal consistency was excellent(Cronbach’s alpha = 0.881–0.914). Test–retest reliability was very high (intraclasscorrelation = 0.985 to 0.996).Conclusion: The OHLI-F has demonstrated adequate psychometric properties andcan therefore be used to measure oral health literacy in French-speaking populations