Do the elders blame memory slips and controlled processes through their memory complaint ?

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Complementary and Alternative Medicine in Patients With Breast Cancer: Exploratory Study of Social Network Forum Data

International audienceBackground: Patients and health care professionals are becoming increasingly preoccupied in complementary and alternative medicine (CAM) that can also be called nonpharmacological interventions (NPIs). In just a few years, this supportive care has gone from solutions aimed at improving the quality of life to solutions intended to reduce symptoms, supplement oncological treatments, and prevent recurrences. Digital social networks are a major vector for disseminating these practices that are not always disclosed to doctors by patients. An exploration of the content of exchanges on social networks by patients suffering from breast cancer can help to better identify the extent and diversity of these practices. Objective: This study aimed to explore the interest of patients with breast cancer in CAM from posts published in health forums and French-language social media groups. Methods: The retrospective study was based on a French database of 2 forums and 4 Facebook groups between June 3, 2006, and November 17, 2015. The extracted, anonymized, and compiled data (264,249 posts) were analyzed according to the occurrences associated with the NPI categories and NPI subcategories, their synonyms, and their related terms. Results: The results showed that patients with breast cancer use mainly physical (37.6%) and nutritional (31.3%) interventions. Herbal medicine is a subcategory that was cited frequently. However, the patients did not mention digital interventions. Conclusions: This exploratory study of the main French forums and discussion groups indicates a significant interest in CAM during and after treatments for breast cancer, with primarily physical and nutritional interventions complementing approved treatments. This study highlights the importance of accurate information (vs fake medicine), prescription and monitoring of these interventions, and the mediating role that health professionals must play in this regard

Demographic Characteristics, Motivation and Perception of Change as Determinants of Memory Compensation Self-Reports After Acquired Brain Injury

International audienceIntroduction Individuals with brain injuries experience cognitive and emotional changes that have long-lasting impacts on everyday life. In the context of rehabilitation, surveys have stressed the importance of compensating for memory disturbances to ease the impact of disorders on day-to-day autonomy. Despite extensive research on the nature of neurocognitive impairments following brain injury, few studies have looked at patients’ perceptions of these day-to-day compensations. This study examines these perceptions; in particular, what brain-injured people believe they do to compensate for memory deficiencies in everyday life. It also investigates the determinants of reported compensation strategies (age, gender, perceived stress, change awareness and motivation to succeed). Methods Eighty patients and 80 controls completed the French Memory Compensation Questionnaire, a self-report measure of everyday memory compensation. Five forms of compensation were investigated: External and Internal strategies, Reliance on social help, and investments in Time and Effort, along with two general factors: the degree of importance attached to Success (motivation) and perceptions of Change. Participants also completed measures of demographic and emotional aspects that may affect everyday compensation perceptions. Results The brain-injured group reported significantly more frequent use of memory compensation strategies than controls, with the exception of External aids. Large effects were observed for Reliance and Effort. Demographic, motivation and perception of change determinants were found to have different effects depending on the compensation strategy, and mediated the direct effect of brain injury on reported compensation. Conclusion Clinical and rehabilitation neuropsychologists often seek to have a better sense of how their patients perceive their compensatory behaviors. In practice, such an understanding is needed to help select appropriate methods and improve the long-term impact of rehabilitation programs: memory rehabilitation will fail if neuropsychologists do not deal, first and foremost, with the emotional and metacognitive issues surrounding traumatic brain injury (TBI), rather than focusing on cognitive efficiency

Quelle est la place des professionnels de santé dans l’adhésion aux programmes thérapeutiques en ligne de l’insomnie ? Éléments de réflexion issus de l’étude Sleep-4-All-1 et protocole de l’étude Sleep-4-All-2.0

La thérapie cognitivocomportementale de l’insomnie (TCC-I) demeure difficile d’accès pour les patients atteints de cancer. Sa digitalisation semble une solution prometteuse pour bénéficier au plus grand nombre. La faisabilité d’un programme TCC-I québécois a été démontrée en France, tout en révélant les limites d’un dispositif suivi en autonomie et à distance. L’enjeu reste de mieux comprendre le rôle des professionnels de santé dans l’accompagnement des patients dans ce type de programme. C’est l’objectif de l’étude Sleep-4-All-2.0 dont nous présenterons ici le protocole.Cognitive behavioral therapy for insomnia (CBTI) remains difficult to access for patients with cancer. Its digitalization seem like a promising solution to benefit as many people as possible. The feasibility of a Quebec CBTI program was thus demonstrated in France, while revealing the limits of a self-help remote program for patients with cancer. The challenge remains to better understand with the Sleep-4-All-2.0 protocol study the role of healthcare professionals in supporting patients in this type of program

INMCancer : Base de données ouverte des publications d’études interventionnelles en prévention et soin des cancers sur les interventions non médicamenteuses (INM): Revues avant publié une étude interventionnelle sur une INM Publications

Connaître les publications d’études comparatives sur les INM en prévention et soin des cancersInternational audienceLes professionnels de la lutte contre le cancer recourent de plus en plus aux interventions non médicamenteuses (INM). Elles se distinguent des médecines alternatives, des pratiques socioculturelles et des campagnes de santé publique (Ninot, 2019). Ces méthodes ciblées et personnalisées s'intègrent dans le parcours de soin oncologique. Elles sont fondées sur la science, et en particulier sur des études interventionnelles (Ninot, 2020). Elles visent à (1) atténuer les symptômes du cancer et de ses traitements (fatigue, anxiété, douleur…), (2) prévenir la survenue ou la récidive d'un cancer, (3) prévenir des comorbidités, (4) améliorer l'état général de santé et la qualité de vie, (5) et à augmenter la durée de vie sans perte de qualité de vie. De nombreux chercheurs constatent des difficultés à identifier les publications d'études interventionnelles sur les INM dans la littérature (HAS, 2011). Les principales bases de données mondiales sont spécialisées dans une approche disciplinaire (biomédicale pour Pubmed, psychologique pour PsyInfo…), alors que par essence les INM font appel à des mécanismes biopsychosociaux et des contenus associant plusieurs composants (techniques, ingrédients…). Par ailleurs, la transformation numérique de l'édition scientifique ces 10 dernières années a diversifié l'offre de publication d'articles (Open Journals, Archive Ouverte…) de telle manière que de nombreuses études et publications échappent aux bases de données classiques. Ce système inédit, dédié à la prévention des cancers et aux soins de support en oncologie, et spécifique aux INM, se nomme INMCancer

INMCancer : Base de données ouverte des publications d’études interventionnelles en prévention et soin des cancers sur les interventions non médicamenteuses (INM): Revues avant publié une étude interventionnelle sur une INM Publications

Connaître les publications d’études comparatives sur les INM en prévention et soin des cancersInternational audienceLes professionnels de la lutte contre le cancer recourent de plus en plus aux interventions non médicamenteuses (INM). Elles se distinguent des médecines alternatives, des pratiques socioculturelles et des campagnes de santé publique (Ninot, 2019). Ces méthodes ciblées et personnalisées s'intègrent dans le parcours de soin oncologique. Elles sont fondées sur la science, et en particulier sur des études interventionnelles (Ninot, 2020). Elles visent à (1) atténuer les symptômes du cancer et de ses traitements (fatigue, anxiété, douleur…), (2) prévenir la survenue ou la récidive d'un cancer, (3) prévenir des comorbidités, (4) améliorer l'état général de santé et la qualité de vie, (5) et à augmenter la durée de vie sans perte de qualité de vie. De nombreux chercheurs constatent des difficultés à identifier les publications d'études interventionnelles sur les INM dans la littérature (HAS, 2011). Les principales bases de données mondiales sont spécialisées dans une approche disciplinaire (biomédicale pour Pubmed, psychologique pour PsyInfo…), alors que par essence les INM font appel à des mécanismes biopsychosociaux et des contenus associant plusieurs composants (techniques, ingrédients…). Par ailleurs, la transformation numérique de l'édition scientifique ces 10 dernières années a diversifié l'offre de publication d'articles (Open Journals, Archive Ouverte…) de telle manière que de nombreuses études et publications échappent aux bases de données classiques. Ce système inédit, dédié à la prévention des cancers et aux soins de support en oncologie, et spécifique aux INM, se nomme INMCancer

Impact of Complementary Medicines on Survival in Patients with Cancer Treated with Oral Chemotherapy in an Oncology Hospital in France: Exploratory StudyImpact des Thérapies Complémentaires sur la Survie de Patients Atteints d’un Cancer Traités par Chimiothérapie Orale dans un Établissement Hospitalier Français Spécialisé en Oncologie : Étude Exploratoire

International audienceA retrospective observational study carried out in the United States showed a decrease in survival in patients treated for breast, prostate, lung and colorectal cancer with complementary medicines. We verified this result with a French population of consecutive 636 patients diagnosed with the same cancer and treated with oral chemotherapy in an hospital for three years. An interview by a pharmacist before the administration of oral chemotherapy was made to identify the complementary medicines used by the patients. We compared the overall survival using a log-rank test by stratifying the groups (number of cancers, number of comorbidities, age, sex). The results show no significant difference in survival between the group of 191 patients declaring that they use complementary medicines and the group of 445 patients declaring that they do not use (p = 0.126). A descriptive analysis of the 256 mentioned complementary medicines suggests that French patients use non-pharmacological interventions to alleviate cancer-associated symptoms and side effects of antineoplastic treatments, and not alternative medicine prompting patients to refuse conventional treatments compared to United States

De la définition des interventions non médicamenteuses à leur ontologie

Article disponible en ligne à l'adresse : http://hdl.handle.net/2042/65114International audienceLa multiplication des interventions non médicamenteuses (INM) et des doutes résiduels de leur efficacité imposent aujourd’hui de ne plus se cantonner à leur appellation générale et disciplinaire (psychothérapie, thérapie manuelle, complément alimentaire, activité physique adaptée, solution e-santé…) mais d’accéder à leur véritable contenu. Décrite de manière précise, chaque INM pourra être mieux évaluée par la science, surveillée par les professionnels et expliquée au patient. Pour ce faire, il est nécessaire de construire une modélisation de l’ensemble des connaissances scientifiques et d’usage sous la forme d’une ontologie informatique. Cette ontologie des INM facilitera les recherches bibliographiques, les statistiques d’usage et l’amélioration des bonnes pratiques. Une première version de cette classification internationale évolutive est disponible sur le site Internet de la Plateforme universitaire CEPS en accès libre

French Version of the Hayling Sentence Completion Test, Part I: Normative Data and Guidelines for Error Scoring

Objective The Hayling Sentence Completion Test (HSCT) measures prepotent response inhibition, useful to assess inhibition deficit in a variety of clinical conditions. Despite its extensive use by numerous clinical and research groups in France, normative data for the HSCT are not yet available for French speakers. Method A French version of the HCST was administered to a sample of 426 healthy community-dwelling French speaking adults (20-87 years of age). Normative data were calculated using a regression-based approach. Results Regression analyses indicated that both age and education were associated with response latency and number of errors in the inhibition condition. Equations to calculate Z scores are provided for clinical use. In addition, we provided a clear guideline for the error scoring of the inhibition condition by establishing a corpus of errors adjusted for the linguistic and cultural realities of the French population. Using this guideline, a good inter-rater reliability was observed. Because of the restricted ranges of response latency and number of errors in the automatic condition, the relationship between these scores and demographic factors was not explored. By consequence, no norms were proposed for this condition. Conclusions We provide normative data of a French version of the HSCT for adults and elderly patients. These normative data obtained will be extremely useful for clinical practice and research purposes

Hypnosis and cognitive behavioral therapy with online sessions to reduce fatigue in patients undergoing chemotherapy for a metastatic colorectal cancer: Rational and study protocol for a feasibility study

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