Avec le soutien de l’INCa, de la Direction générale de la Santé et de Santé publique France, la Société Française de Santé Publique (SFSP) a mis en œuvre, de 2020 à 2022, un projet de capitalisation portant sur la thématique de la promotion de la participation au dépistage des cancers du sein et du col de l’utérus auprès de personnes en situation de vulnérabilité sociale ou territoriale. Ce projet est piloté par un Groupe de travail composé de représentant.e.s d’institutions (INCa, ARS Île-de-France, les CRCDC d’Auvergne RhôneAlpes, Centre-Val de Loire et Île-de-France, Santé Publique France), d’organismes de recherche (Centre Léon Berard, l’Inserm), d’associations (Fabrique Territoire Santé, France Assos Santé – Corse, Jeune & Rose, La Ligue nationale contre le cancer, Médecins du Monde) et de personnes qualifiées. Autour de cette thématique de la promotion du dépistage des cancers, il s’est agi de capitaliser une vingtaine de projets, afin de mettre en lumière les pratiques des acteurs de terrain et les enseignements de leurs expériences. Sur la base de ces capitalisations, la présente analyse transversale a été formalisée afin de partager les principaux enseignements et les points de discussion liés à la mise en commun de ces récits d’expérience. Après la présentation des éléments clés de la démarche de capitalisation et une description de la méthode de travail employée pour le présent projet, les enseignements transversaux identifiés seront partagés. 

EN SAVOIR PLUS / https://sfsp.fr/images/Rapport-transversal-CAPS-Oct2022.pdf

Health Promot Int. 2022 Oct 1;37(5):daac136. doi: 10.1093/heapro/daac136.

ABSTRACT

This scoping review aims to give a narrative account of existing realist evaluation practices in health promotion. Realist evaluations of health promotion interventions published between 2010 and 2021 were identified by searching five academic databases: Embase, Pubmed, PsycINFO, ScienceDirect and Scopus. A data-charting form was created based on the characteristics of realist evaluation and four core features of an approach appropriate for evaluating health promotion interventions. Seventeen articles met the inclusion criteria. These were classified into two types of studies: those aiming to build an initial program theory and those aiming to test an initial program theory. Our results revealed a great variety of realist evaluation practices and uncovered a growing interest in realist evaluation over the years. Our searches identified a lack of participative practice and capacity-building intention. Our examination of the data collection and analysis methods points to some common practices in using multi-methods. Perspectives on realist evaluation practices and on assessing the effectiveness of health promotion have been identified.

PMID:36166263 | DOI:10.1093/heapro/daac136

Eval Program Plann. 2022 Aug 2;95:102149. doi: 10.1016/j.evalprogplan.2022.102149. Online ahead of print.

ABSTRACT

OBJECTIVE: The aim of this paper was to develop a framework for the use of the capability approach in health promotion projects, which could guide future projects as well as improve the comparability of the projects' effectiveness.

METHOD: The study involved a three-stage process comprising a total of six steps. We first developed a theoretical model and then analyzed data from four empirical studies that had implemented projects using the capability approach between 2015 and 2018 in the settings of kindergartens, schools, vocational training, and communities to promote an active lifestyle. Finally, we developed a framework for the use of the capability approach in health promotion projects based on the analysis of the data.

RESULTS: We developed a theoretical model of the "capability cycle," which was used for further analysis. There were divergent understandings of the capability approach due to existing theoretical constructs that are commonly used by the scientific teams of the projects. Further, the conceptualization, implementation, and evaluation of the capability approach within the four settings showed discrepancies, which inhibited a comparison of their effectiveness. The developed framework comprises recommendations regarding the planning of a project, its implementation, and especially its evaluation in future comparisons of project effectiveness.

CONCLUSION: This paper provides a comprehensive analysis of four projects for which we developed a framework using a participatory approach. The findings can help research teams in the conceptualization, implementation, and evaluation of future projects that focus on improving capabilities in the field of health promotion. Further, the established framework will help facilitate comparisons of capability-oriented health promotion projects in terms of their effectiveness.

PMID:36029567 | DOI:10.1016/j.evalprogplan.2022.102149

BMC Public Health. 2022 Aug 24;22(1):1610. doi: 10.1186/s12889-022-14009-8.

ABSTRACT

BACKGROUND: Many workplace health promotion programs (WHPPs) do not reach blue-collar workers. To enhance the fit and reach, a Citizen Science (CS) approach was applied to co-create and implement WHPPs. This study aims to evaluate i) the process of this CS approach and ii) the resulting WHPPs.

METHODS: The study was performed in two companies: a construction company and a container terminal company. Data were collected by questionnaires, interviews and logbooks. Using the framework of Nielsen and Randall, process measures were categorized in the intervention, context and mental models. Interviews were transcribed and thematically coded using MaxQDA software.

RESULTS: The involvement in the CS approach and co-creating the WHPPs was positively experienced. Information provision, sustained engagement over time and alignment with the workplace's culture resulted in barriers in the CS process. As to the resulting WHPPs, involvement and interaction during the intervention sessions were particularly experienced in small groups. The reach was affected by the unfavorable planning off the WHPPs and external events of re-originations and the covid-19 pandemic.

DISCUSSION: Continuous information provision and engagement over time, better alignment with the workplace's culture and favorable planning are considered to be important factors for facilitating involvement, reach and satisfaction of the workers in a Citizen science approach to design and implement a WHPP. Further studies continuously monitoring the process of WHPPs using the CS approach could be helpful to anticipate on external factors and increase the adaptability.

CONCLUSIONS: Workers were satisfied with the involvement in WHPPs. Organizational and social cultural factors were barriers for the CS approach and its reach. Involvement and interaction in WHPPs were particularly experienced in small grouped sessions. Consequently, contextual and personal factors need be considered in the design and implementation of WHPPs with CS approach among blue-collar workers.

PMID:36002884 | DOI:10.1186/s12889-022-14009-8

La recherche qualitative, quant à elle, s’appuie le plus souvent sur une approche inductive constructiviste. La construction de la connaissance est progressive, souple et ajustée à la complexité des phénomènes humains. L’approche est ouverte sur le monde de l’expérience. La démarche est inductive, c’est-à-dire qu’on explore une problématique complexe sans hypothèse préalable sur le sujet étudié. Les résultats émergent spontanément pendant l’étude. Les connaissances proviennent de l’interaction permanente entre le chercheur qui est sujet et le monde à observer. Le but est d’explorer la dimension subjective en prenant en compte l’individu dans son milieu naturel ainsi que le contexte. Les données recueillies proviennent de la rencontre entre le chercheur et le sujet. L’informant est l’expert et le chercheur, le profane (3). Dans cette configuration, la réalité est interdépendante du chercheur, de l’objet et du contexte. L’objet de recherche est vu comme un champ de savoir à explorer.

EN SAVOIR PLUS / https://www.f2rsmpsy.fr/fichs/21658.pdf

Guide d’évaluation pour appuyer les interventions communautaires visant à prévenir les méfaits liés à la consommation de substances chez les jeunes

Health Promot J Austr. 2022 Jul 25. doi: 10.1002/hpja.642. Online ahead of print.

ABSTRACT

ISSUE ADDRESSED: The Red Lotus Critical Health Promotion Model (RLCHPM) is designed to support critical health promotion practice. This study investigated the impact of the use of the RLCHPM as a pedagogical framework for competency-based university curricula on the practice of graduates from health promotion programs from an Australian regional university.

METHODS: A mixed methods study was undertaken, including an online survey of all 195 graduates from 2008 to 2016, followed by semi-structured interviews with a subset of respondents.

RESULTS: There were 95 survey respondents and 10 interviewees. More than half reported the model impacted health promotion programs they are involved in, however less than a quarter felt it impacted workplace policies. Impact was significantly higher for those with higher levels of knowledge about, confidence in using, and perception of utility of the RLCHPM, and stronger alignment of their practice with critical health promotion values and principles. Graduates' embodiment of the model's values and principles in practice enhanced the impact of the model. Factors that limited the impact included participants' implicit use of components of the model without explicit reference to the model, and the incongruence between participants' professional practice ideals and those of their workplace context.

CONCLUSIONS: The use of the RLCHPM as a pedagogical framework for university health promotion programs positively impacted on graduates' practice within the Australian context. SO WHAT?: The RLCHPM could be used as a pedagogical framework in universities to develop competency-based critical health promotion curricula to enable graduates to progress critical health promotion practice.

PMID:35875837 | DOI:10.1002/hpja.642

J Police Crim Psychol. 2022 Jul 19:1-12. doi: 10.1007/s11896-022-09538-2. Online ahead of print.

ABSTRACT

Police officers routinely face stressful and possibly traumatic events in their work which may result in them experiencing compassion fatigue. The aim of this study was to explore compassion fatigue experiences in police officers, along with the stressful factors that may lead to compassion fatigue and the coping strategies they use in combating compassion fatigue. The convenience sample of 41 police officers was recruited via social media focused on police work. Data were collected using an online battery of questionnaires with open-ended questions prompting them to share their experiences of compassion fatigue, stress factors and self-care strategies. The data were analysed using deductive (theoretical) thematic analysis. After identifying recurring statements, statements were coded using pre-existing individual codes, and each statement was categorized into the emerging domains, subdomains, categories and subcategories. The results described the stressful factors and experiences of compassion fatigue as well as coping strategies in the 7 domains described by Figley in Front Psychol 9:2793, 2002b: emotional, behavioural, personal relations, somatic, spiritual, cognitive and work performance.

PMID:35874902 | PMC:PMC9294839 | DOI:10.1007/s11896-022-09538-2

Front Psychol. 2022 Jul 1;13:910041. doi: 10.3389/fpsyg.2022.910041. eCollection 2022.

ABSTRACT

Persuasive arguments for using theory have been influential in health behavior and health promotion research. The use of theory is expected to improve intervention outcomes and facilitate scientific advancement. However, current empirical evaluations of the benefits of theory have not consistently demonstrated strong effects. A lack of resolution on this matter can be attributed to several features of the current body of evidence. First, the use of theory may be confounded with other features that impact health-related outcomes. Second, measurement of theory use has not been reliable. Third, the field conflates models and theories. Lastly, the evidentiary status and applicability of theories are not considered. Addressing these challenges during the execution of meta-analyses and designing original research specifically to estimate the benefits of theory could improve research and practice.

PMID:35846677 | PMC:PMC9285721 | DOI:10.3389/fpsyg.2022.910041