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See detailLe changement de rôle des patients de maladie Chronique dans l'organisation des soins
Odero, Angela UL; Bucki, Barbara; Baumann, Michèle UL

in Pratiques et interventions en santé (2018)

Introduction: Les patients sont de plus en plus impliqués dans les soins qui exigent leur engagement dans la surveillance, la prévention des risques, l'auto-éducation et l'auto-traitement. Les ... [more ▼]

Introduction: Les patients sont de plus en plus impliqués dans les soins qui exigent leur engagement dans la surveillance, la prévention des risques, l'auto-éducation et l'auto-traitement. Les professionnels, quant à eux, ils sont plus enclins à adopter avec leurs patients des modèles d'interaction équitable. Sur le plan théorique, une Approche Patient Partenaire de Soins (APPS) a été proposée par des chercheurs canadiens. Pour clarifier ce que représente l’APPS, une étude qualitative a tenté d’analyser les facteurs culturels et psychosociaux qui interviennent dans la mise en place d’une APPS. Méthode : Avec l’appui des associations luxembourgeoises, six focus groupes ont été organisés avec 30 patients. A partir des retranscriptions, une analyse de contenu thématique catégorielle a été réalisée avec l’aide de N’Vivo 12 Résultats: Parmi les obstacles qui freinent une APPS, des divergences culturelles entre patients et professionnels de santé sont évoqués. Des patients préfèrent en effet rester en harmonie avec leurs valeurs et refusent de partager les prises de décision, pour eux seuls les professionnels doivent les prendre. Les échanges avec les professionnels restent compliqués car des positions dominantes et autoritaires demeurent. Parmi les facteurs favorisants APPS, on peut retenir le fait que les patients estiment avoir une connaissance de leur corps, et qu’ils ressentent l’impact que peut avoir les effets secondaires des traitements ; ceci à condition qu’ils soient capables de les verbaliser. Enfin l'accent est mis sur une confiance réciproque. Conclusion: Une éducation des patients devrait être développée pour leur permettre d’acquérir un «Capital Culturel en Santé» ; une connaissance de base favorisant la compréhension des soins et facilitant les relations avec les professionnels de santé. De même, une formation médicale et une pratique infirmière plus soutenues par des «Compétences Culturelles» permettaient aux professionnels de mieux reconnaître l'impact socioculturel que peut avoir leur identité lors de leurs relations avec les patients. [less ▲]

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See detailNew cultural competences needed for healthcare teams as a priority in treatment of chronic diseases
Odero, Angela UL; Baumann, Michèle UL

in "Health Psychology across the Lifespan: Uniting Research, Practice and Policy” (2018)

Technological changes and higher prevalence of chronic diseases require changing patients’ and healthcare professionals’ position with more participation in healthcare organization, and more implication ... [more ▼]

Technological changes and higher prevalence of chronic diseases require changing patients’ and healthcare professionals’ position with more participation in healthcare organization, and more implication in their relationships. Based on the Canadian ‘patient-as-partner in healthcare’ approach, our aims were to identify and categorize cultural values underlying this term in Luxembourg, and to characterize a set of cultural competencies needed for its practical application. Method: A qualitative study using a semi-directive guide developed within an INTERREG project was conducted among 30 healthcare professionals. A categorical thematic content analysis was realized using N'Vivo software. Results: For some professionals, the word ‘partner’ is not appropriate in Luxembourgish, but they defined it as a companion who engages in a mutual cooperation, structured collaboration and sharing of information with a common goal: Quality of healthcare. For others, a ‘partner’ is an associate who takes part in decision making, discussions, negotiations and evaluations. This partner approach would allow processes of change, bringing autonomy (surveillance, self-education, and monitoring treatment) to the patients, provided that professionals partly cede their traditional power. Trust and respect would be the main start of this process. Difficulties in communication and relationships would arise when helping the patients understand their disease, adhering to instructions, and giving a balanced place to the information found on Internet. Conclusion: This ‘collaborative accompaniment’ appears to allow decisional balance, an interdisciplinary method which requires training for all partners (physicians GP or specialists, patients and psychologist) and not only case-managers to help patients acquire self-efficacy for behavioral changes. [less ▲]

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See detailReversing social gradient: Impact of patients’ communication with their practitioners on adherence to preventive behaviours
Baumann, Michèle UL; Bucki, Barbara; Tchicaya, Anastase et al

in "Health Psychology across the Lifespan: Uniting Research, Practice and Policy” (2018)

Good communication with a physician has positive effects on the patients’ adopting preventive behaviours. Knowing social inequalities in health, we aimed at analysing in what extent financial situation ... [more ▼]

Good communication with a physician has positive effects on the patients’ adopting preventive behaviours. Knowing social inequalities in health, we aimed at analysing in what extent financial situation influences the associations between quality of communication and improved secondary preventive behaviours and limited risk factors - in cardiovascular diseases: hypertension, overweight, obesity, hypercholesterolemia, diabetes. Methods: 1,289 patients who underwent a coronary angiography in Luxembourg completed a self-administered questionnaire in 2008/09 and 2013/14. The association between improving each preventive eating behaviour (decrease of salt, sugar, fat consumption; increase of fruits/vegetables) and the quality of physician-patient communication (5-items scale) was evaluated using logistic regression models. Perceived financial situation (difficult, easy, and very easy) was introduced in interaction with the communication score. Findings: Patients declared in a difficult or easy financial situation had a higher probability of decreasing their salt intake when physician-patient communication quality was higher (OR [95% CI] respectively: 1.139 [1.045; 1.240], 1.105 [1.032; 1.182]). The pattern was similar for increased consumption of fruits/vegetables in patients with hypertension, diabetes, overweight and hypercholesterolemia. Reduced sugar consumption was associated with communication quality in hypercholesterolemia patients in financial difficulty (OR [95% CI]: 1.095 [1.009; 1.189]). Discussion: The quality of communication has a higher impact on adopting healthy behaviours in patients declaring themselves in financial difficulty. These findings raise awareness on the importance, in patients with perceived financial difficulties, of physician-patient quality to improve adherence to the secondary preventive recommendations. Across the lifespan, it highlights the role of physicians in reversing their patients’ social gradient. [less ▲]

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See detailSudoses et inégalités sociales
Origer, Alain; Baumann, Michèle UL

E-print/Working paper (2017)

Des chercheurs du Ministère de la Santé (Dr. Alain ORIGER) et de l’unité de recherche INSIDE, Institut Santé & Comportement (Pr. Michèle BAUMANN et son équipe) ont publié récemment dans la revue ... [more ▼]

Des chercheurs du Ministère de la Santé (Dr. Alain ORIGER) et de l’unité de recherche INSIDE, Institut Santé & Comportement (Pr. Michèle BAUMANN et son équipe) ont publié récemment dans la revue scientifique PLoS ONE un article intitulé : A social gradient in fatal opioids and cocaine related overdoses ? Sélectionné par un jury d’experts internationaux, cet article a été primé au Scientific Award 2016 dans le cadre de l’European Monitoring Centre for Drugs and Drug Addiction.h ttps://insideblog.uni.lu/surdoses-et-inegalites-sociales/ [less ▲]

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See detailLife satisfaction of non-mobile vs.mobile postgraduates intra EU and outside EU Universities, and its associations with mental health and career attitudes.
Karavdic, Senad UL; Baumann, Michèle UL

in Innovative ideas in Health Psychology (2017)

Specific attention should be devoted to the needs of young adults enrolled in a mobility abroad programme of their universities. Among mobile vs. non-mobile postgraduates, our study analysed their life ... [more ▼]

Specific attention should be devoted to the needs of young adults enrolled in a mobility abroad programme of their universities. Among mobile vs. non-mobile postgraduates, our study analysed their life satisfaction (LS) as well as the associations with mental health-related factors and career attitudes. We determined factors contributing to their LS. Method. In 2012/13, three groups (non-mobile = 66; mobile intra-EU = 382; mobile outside-EU = 44) who had obtained a financial aid from the Luxembourgish government, without family’s socioeconomic criteria. Master students completed an online questionnaire, and analyses included multiple linear regression models in which only relationships (p<0.05) were introduced. Results. Further mobility showed higher levels of LS (outside-EU 8.5/10, intra-EU 7.8 and 7.9 non-mobile). For all groups, health satisfaction (HS) was positively correlated with LS; for mobile outside-EU, it is the only determinant. For mobile intra-EU, the quality of their autonomy and their career adaptability were also associated to LS (regression parameter estimates β: 0.208 and 0.128, respectively), and worry (β:-0.146). For non-mobile, in addition to HS, their career optimism and planning were positively correlated to their LS (β: 0.402 and 0.214, respectively). Conclusion. Promoting programmes proposed by the universities’ services towards counselling and an accompaniment to their career project may enhance postgraduates’ LS which is a major indicator for a successful mobility. The assessment of outside-EU’ LS was higher than the EU-28 LS’ indicator (age group 25-34 years; in 2013: 7.5/10). More cross-cultural research would be warranted to better understand the etiology of their LS. [less ▲]

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See detailQuality of doctor-patient communication in cardiovascular diseases and secondary preventive adherence. The role of gender
Bucki, Barbara UL; Le Bihan, Etienne UL; Baumann, Michèle UL

in Innovative ideas in Health Psychology (2017)

The doctor-patient communication intervenes on the preventive behaviours of chronic patients by reducing their risk factors – in cardiovascular diseases: hypertension, overweight, obesity ... [more ▼]

The doctor-patient communication intervenes on the preventive behaviours of chronic patients by reducing their risk factors – in cardiovascular diseases: hypertension, overweight, obesity, hypercholesterolemia, diabetes. What are the associations between the quality of communication and the improvement of secondary preventive behaviours? How does gender influence these relationships? Methods: 1,289 patients who underwent a coronary angiography in 2008/09 in Luxembourg completed a self-administered questionnaire at the time of the visit, and at a five-year follow-up. The probability of improving each preventive eating behaviour (decrease of salt, sugar, fat consumption and increase of fruits/vegetables), and the quality of doctor-patient communication (5-item scale) were evaluated using logistic regression models. Sex was introduced in interaction with the communication score. Findings: Among hypertensive respondents, a higher quality of communication was associated with a higher probability of decreasing the salt intake in women (OR [95% CI]: 1.139 [1.060; 1.223]) whereas in men, the OR was only 1.086 [1.017; 1.159]. ORs were also higher in women among patients with hypertension, overweight and hypercholesterolemia regarding the increase of fruits/vegetables consumption; among patients with diabetes and hypercholesterolemia regarding sugar decrease or cessation; and among patients with overweight and hypercholesterolemia regarding fat reduction or stop. ORs were slightly higher among men only among diabetic and obese patients, regarding the increase of fruits/vegetables consumption. Discussion: The quality of the communication showed an effect on the adoption of secondary preventive eating behaviours, especially in women patients. Motivational interviews could encourage, especially men patients, to adhere to the recommendations about lifestyle change. [less ▲]

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See detailLife Satisfaction and longitudinal changes in physical activity, diabetes and obesity among patients with cardiovascular diseases.
Baumann, Michèle UL; Tchicaya, Anastase; Lorentz, Nathalie et al

in BMC Public Health (2017), (17), 925

Patients with cardiovascular disease who underwent coronary angiography at the National Institute of Cardiac Surgery and Cardiological Intervention (INCCI) in Luxembourg were surveyed for cardiovascular ... [more ▼]

Patients with cardiovascular disease who underwent coronary angiography at the National Institute of Cardiac Surgery and Cardiological Intervention (INCCI) in Luxembourg were surveyed for cardiovascular risk factors (CVRF) (hypertension, hypercholesterolemia, diabetes, obesity, physical inactivity, tobacco consumption). In 2013/14, their life satisfaction (LS) was also assessed. Our aim was to analyse the relationships between LS on one hand and <br />longitudinal changes in CVRF between 2008/09 and 2013/14 and socioeconomic factors on the other. <br />Methods: 1289 patients completed a self-administered questionnaire. Life Satisfaction, originally recorded on a 1 to 10 scale of complete satisfaction was dichotomized into two groups: ≤ 7 and. >7. We then performed logistic multiple regressions. The event on which the probability was modelled, was LS > 7. Data were adjusted on age, sex and income. Longitudinal changes in CVRF were assessed by their presence or absence in 2008/09 and 2013/ 14 (categories: ‘no-no’; ‘no-yes’; ‘yes-no’; ‘yes-yes’). <br />Results: Physical activity in 2008/09 and 2013/14 was associated with a lower LS (OR = 0.469). The same pattern was observed for obesity and physical inactivity: lower LS was related to the presence of these risks (yes-yes; no-yes) in 2013/14 (mean OR for obesity and physical inactivity in 2013/14: 0.587 and 0.485 respectively), whereas their presence or absence in 2008/09 was not related to LS. Finally, patients who suffered from diabetes in 2008 <br />were more likely to experience a decline in LS, particularly if their diabetes was less severe in 2013/14 (OR = 0.462). <br />Conclusions: The lowest LS was observed when obesity or physical inactivity was present in 2013/14, newly or otherwise. The same trend was seen in diabetes among patients who had it in 2008/9, but were less severely affected in 2013/14. In secondary prevention, CVD-related upheavals could be minimised if professionals and patients ecame ‘Partners in Healthcare’ to better adhere to healthy lifestyles, as well as to reduce CVRF, and thereby enhance LS. [less ▲]

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See detailDisparities in Career Attitudes among Postgraduate Students
Karavdic, Senad UL; Odero, Angela UL; Karathanasi, Chrysoula UL et al

in Pascana, Clara (Ed.) Psychology Applications & Developments II (2016)

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants. Our objective is to analyse the associations between generic employment ... [more ▼]

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants. Our objective is to analyse the associations between generic employment capabilities, career attitudes and related factors among postgraduate students. All masters’ students registered at the Centre for Documentation and Information on Higher Education (CEDIES) database in Luxembourg were contacted by post to participate in an online questionnaire. The five point scale questionnaire was scored as follows: 1) Dynamic Career Attitudes (DCA); 2) Employability Soft-Skills (ESS); 3) Search for Work Self-Efficacy (SWSES); 4) Quality of Life domain Autonomy (QLA); and 5) Socio-demographic characteristics. The data were analysed using bivariate tests, correlations and multiple linear regression models. 481 of the volunteers (26.4 years; SD=5.5) were predominantly women, Luxembourgish, unemployed and had less than or equal to six months of job experience. The higher the ESS, SWSES and QLA scores, the higher the DCA score was. Nationality, being unemployed, having less than six months job experience and being in the first year of a Master’s degree programme were associated with a lower dynamic career attitude score. The Dynamic Career Attitudes scale seems to be an appropriate instrument to evaluate the efficacy of the university career services programme. [less ▲]

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See detailLe statut matrimonial et la qualité des liens sociaux des personnes souffrant de maladies cardiovasculaires influent-ils sur les inégalités liées aux changements des comportements à risque?
Tchicaya, Anastase; Baumann, Michèle UL

in Sociétés en mouvement - Sociologie en changement (2016)

Les maladies cardiovasculaires constituent l’une des principales causes de morbidité et de mortalité dans les pays développés. Liées aux modes de vie et aux choix alimentaires, elles représentent un ... [more ▼]

Les maladies cardiovasculaires constituent l’une des principales causes de morbidité et de mortalité dans les pays développés. Liées aux modes de vie et aux choix alimentaires, elles représentent un problème sociétal et de santé publique majeur. Dans une étude de suivi des patients ayant passé un examen des coronaires 5 ans plus tôt au Luxembourg (n=1289), notre communication tentera de mettre en évidence l’impact du statut matrimonial et des liens sociaux sur la prise de conscience des facteurs de risque de maladies cardiovasculaires dans un monde globalisé dans lequel des mutations sociales inéluctables sont à l’œuvre (famille recomposée, individualisme, identification à de nouvelles communautés à travers les réseaux sociaux, internet, etc.). La cellule familiale actuelle peut-elle rester une ressource centrale dans l’adoption de comportements sains ? Quelle est la place de la qualité des liens sociaux dans le processus de la réflexivité individuelle face à cette prévention secondaire ? Dans ce processus, les savoirs des patients s’enrichissent continuellement en mobilisant plusieurs ressources, à savoir les professionnels de santé, les médias, les réseaux sociaux, la famille et les amis. Ainsi, la modification du comportement (ou son absence) serait-elle la résultante d’un choix délibéré des patients au regard des représentations et des croyances que ceux-ci se feraient des risques qu’entraîneraient leur maladie à la fois pour eux-mêmes et pour leur entourage proche. [less ▲]

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See detailWhat enhances the Life Satisfaction of postgraduates who studied in Luxembourg, in the EU or out-EU universities?
Karathanasi, Chrysoula UL; Odero, Angela UL; Karavdic, Senad et al

in Papanikos, Gregori. T. (Ed.) Education (2016)

Postgraduate students’ Life Satisfaction (LS) has been few explored, in a context where mobility towards universities abroad is increasing. In Luxembourg, more than half of students pursue their studies ... [more ▼]

Postgraduate students’ Life Satisfaction (LS) has been few explored, in a context where mobility towards universities abroad is increasing. In Luxembourg, more than half of students pursue their studies in a different country, and must be able to cope with this transition. Our research questions were (1) which factors are associated with students’ LS, according to their country of studies, and in relation to their mental health, career attitude and socioeconomic characteristics? and (2) which determinants contribute to a better LS for each group? For the years 2012 and 2013, all postgraduates who had obtained a financial aid from the Luxembourgish government were contacted by post to complete an online questionnaire. For the 492 respondents, the regression analysis showed that a higher health satisfaction leads to higher LS. Career optimism and planning were positively associated with LS for students in Luxembourg. Higher were autonomy and career adaptability, and lower was worry, better was the LS for those studying in EU. To enhance students’ LS, it is suggested a preparation for a successful mobility organized by the corresponding CEDIES of every country. Moreover, an accompaniment realized by the hosting university should be also proposed to students in mobility. [less ▲]

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See detailImpact of Patients’ Communication with the Medical Practitioners, on Their Adherence Declared to Preventive Behaviours, Five Years after a Coronary Angiography, in Luxembourg
Baumann, Michèle UL; Tchicaya, Anastase; Lorentz, Nathalie et al

in PLoS ONE (2016), 11(6), 0157321

Patients of the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg who underwent coronary angiography were surveyed for hypertension, hypercholesterolemia, diabetes and ... [more ▼]

Patients of the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg who underwent coronary angiography were surveyed for hypertension, hypercholesterolemia, diabetes and overweight/obesity between 2008/9 and 2013/4. For each cardiovascular risk factor (CVRFs), we analysed the associations between the quality of the patients' communication with the medical practitioner and their adherence declared to preventive behaviours. Methods 1,289 completed a self-administered questionnaire on communication with the medical practitioner (P’Com-5 items scale; Cronbach 0.87). 61.8%stopped smoking, 57.9% reduced or stopped their consumption of salt, 71.9% of fat, and 62.8%of sugar, and whereas 65% increased their consumption of fruit and vegetables and 19.8% increased their physical activity. Around 37% reported having made changes following their doctor's advice. 90% were followed by a cardiologist and 95.9% by an attending physician. Results No link was observed between declaration of physical activity, smoking, fats, and quality of communication. Significant associations: for increased consumption of fruit and vegetables was linked with the quality of doctor-patient communication when patients were overweight (OR = 1.081), obese (OR = 1.130), hypercholesterolemic (OR = 1.102), hypertensive (OR = 1.084) or diabetic (OR = 1.103). Reduction in salt intake was linked only to patients with hypertension (OR = 1.102), whereas reduction or cessation of sugar consumption was linked to overweight (OR = 1.093), and more so obese, (OR = 1.106), hypercholesterolemics (OR = 1.103) and diabetics (OR = 1.173). Conclusions Good doctor-patient communication was related to nutrition, particularly increased consumption of fresh fruits and vegetables. Accurate perception of CVRFs by both patients and medical practitioners is essential for CV protection. The aim of instructing patients is to encourage them to make informed decisions about how to change their lifestyle. In routinely, P’Com-5 scale can collect data to assess the improvement of the professional skills. It can be used in medical training to enhance the quality of the therapeutic communication, especially for nutritional coaching, and to evaluate its efficacy in reducing CVRFs. [less ▲]

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See detailDoctor-patient communication about nutrition on related secondary preventive behaviours, especially for hypertension
Baumann, Michèle UL; Tchicaya, Anastase

in Hypertension (2016)

Inadequate consumption of fruit and vegetables and salt intake are two major factors that can play a role in increased to secondary prevention behaviours. Doctor-patient relationship intervenes on the ... [more ▼]

Inadequate consumption of fruit and vegetables and salt intake are two major factors that can play a role in increased to secondary prevention behaviours. Doctor-patient relationship intervenes on the adherence of these advices. For hypertension, hypercholesterolemia, diabetes, overweight and obesity, our study’s aim was to analyse the associations between the quality of the doctor-patient communication, evaluated in 2013, and patients’ adherence to their general practitioner (GP)’s nutritional advices, between 2008 and 2013. Methods Performed by the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg, 4391 patients were contacted. Five years after a coronary angiography, 1289 completed a self-rating questionnaire assessing the GP’Com-5 items scale (Cronbach 0.87). The variables were analysed with a multiple logistic regression model. Results Patients declared that 57.9% reduced or stopped their consumption of salt intake, whereas 65% increased their consumption of fresh fruits and vegetables. Around 37% of the patients reported having made changes following the advice of their doctor. An increased consumption of fresh fruits and vegetables was linked with the quality of doctor-patient communication when patients were hypertension (odd ratio (OR) = 1.084, IC 95%, [1.017-1.157]), overweight (1.081 [1.013-1.155]), obesity (OR = 1.130 [1.056-1.209]), hypercholesterolemia (OR = 1.102 [1.033–1.175]) and diabetes (OR = 1.103 [1.029-1.181]). The decreased of salt intake consumption was associated with the quality of physician-patient communication when the patient was hypertension (OR = 1.102 [1.034 – 1.176]). Conclusion Doctor-patient communication is a relevant determinant in obtaining a favourable behavioural outcome, especially on nutrition. The rehabilitation program must promote more exchange and telephone assistance to develop a mutual engagement. [less ▲]

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See detailThe welcome and integration contract of Luxembourg: satisfaction with the quality of services according to non-EU immigrants
Odero, Angela UL; Karathanasi, Chrysoula UL; Baumann, Michèle UL

in Pracana, Clara; Wang, Michael (Eds.) International psychological Applications Conference and Trends (2016)

Evaluating satisfaction with the quality of services is a central concern of social and educational programs, whose mission is to adhere as closely as possible to the needs of the population. Based on ... [more ▼]

Evaluating satisfaction with the quality of services is a central concern of social and educational programs, whose mission is to adhere as closely as possible to the needs of the population. Based on methodological and investigator triangulation methods, our aims were to analyze the level of satisfaction with the Welcome and Integration Contract of Luxembourg (Contract d’accueil et d’integation CAI) and its respective activities (citizenship courses, language courses and an orientation day). First, 233 out of 1084 Non-EU immigrant beneficiaries responded to a self-administrated questionnaire. Second, 11 semi-structured focus groups with 50 volunteers were conducted around four themes: Quality of activities, organization, availability of support personnel and utility of the information received. More than 72% of the participants were very satisfied with the quality, organisation and availability of personnel, in regard to the information session and the civic courses. Divergences exist because various needs were recognized. Potential activities to reduce the quality gap were proposed, for instance the creation of an interactive online platform where the beneficiaries could regularly get information and, exchange experiences and/or help each other whenever possible. The dynamism and interactivity in the focus groups revealed that the users would like to actively contribute to improving the process. Indeed, the needs and requirements of each immigrant group cannot be totally covered by these activities as they stand. Involving users in the strategy and action plans would help create more accurate solutions. [less ▲]

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See detailSurdoses et inégalités sociales. Mieux comprendre les décès liés à l’usage de drogues pour mieux agir
Origer, Alain; Baumann, Michèle UL

Book published by L'harmattan - Académia (2016)

Les abus de drogues posent d’importants défis en termes sociaux, économiques, de sécurité et de santé publique. Quel est le profil socio-économique des consommateurs ? Quelles sont les différentes ... [more ▼]

Les abus de drogues posent d’importants défis en termes sociaux, économiques, de sécurité et de santé publique. Quel est le profil socio-économique des consommateurs ? Quelles sont les différentes trajectoires familiales, professionnelles et sociales d’usagers de drogues victimes de surdose fatale ? Quel est l’impact des inégalités sociales dans la survenue de surdoses impliquant des drogues illicites? Quel rôle pourrait avoir la réduction des inégalités sociales ? Quel enjeu pour les stratégies de prévention et de réduction des risques ? Un ensemble de recherches originales menées au Luxembourg, s’appuyant sur des méthodologies innovantes et une revue de littérature scientifique abondante, ont analysé les liens qui existent entre mortalités par surdose de drogues illicites et inégalités socio-économiques d’usagers suivis durant dix-huit ans. Les pistes de réflexion mises en avant dans cet ouvrage permettent de mieux saisir comment les conséquences néfastes pour l’individu, sa famille et la collectivité peuvent être en partie évitées ou réduites grâce à la mise en place de stratégies adaptées de prévention, de programmes de promotion de la santé et d’interventions psycho-socioéducatives. Cet ouvrage fournit des éléments de réflexion aux décideurs politiques, aux intervenants spécialisés en toxicomanie, aux professionnels de santé et du social pour pouvoir mieux décider et agir. [less ▲]

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See detailInception of an Instrument on Health Capability of Family Caregivers
Bucki, Barbara; Baumann, Michèle UL

in Pracana, Clara (Ed.) Psychology Applications & Developments II (2016)

The health capability of family caregivers has already been studied through eight factors: physical and psychological functioning, lifestyle value, self-efficacy towards health services, family support ... [more ▼]

The health capability of family caregivers has already been studied through eight factors: physical and psychological functioning, lifestyle value, self-efficacy towards health services, family support, social capital, socio-economic conditions and access to health services. Our aim was to identify new factors. Family caregivers of stroke victims living at home were recruited in the Lorraine region (France; n=8) and Luxembourg (n=6). Semi-structured interviews about their health statuses, how they currently take care of their health, and the internal resources they need to achieve optimal health were conducted face-to-face. Verbatim transcriptions were open-coded and grouped into new factors of health capability. Items reflecting the main idea of the categories were formulated. Seven women and seven men (age 63.6±10.1) participated. Statements were regrouped together into new ways, giving rise to seven new emergent factors: health knowledge, health self-efficacy, health value, life skills, health decision-making, motivation, and attitude towards the future. Of them, 76 items were generated, 51 reflecting generic abilities while 26 being specific to family caregiving. Content analysis of these factors first allows guiding the preparation of innovative supports to promote health capability. Second, this list can serve as a basis to elaborate a guide to which clinicians can refer to, in orienting family caregivers according to their needs. Further research is needed to complete the validation of the HCFC instrument. [less ▲]

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See detailHealth capability of family caregivers: how different factors interrelate and their respective contributions using a Bayesian approach
Bucki, Barbara UL; Le Bihan, Etienne UL; Baumann, Michèle UL

in BMC Public Health (2016), 16

The lifestyles of family caregivers pose risks to their physical, mental and social health. The capability to stay healthy may be protective in the context of poor socioeconomic conditions and risk ... [more ▼]

The lifestyles of family caregivers pose risks to their physical, mental and social health. The capability to stay healthy may be protective in the context of poor socioeconomic conditions and risk behaviours, but the interrelations between its aspects and their respective influences remain unclear. The aim of this study was to evaluate the interrelations between the factors comprising health capability of family caregivers (HCFC) and the respective contributions of its components. Methods: All stroke patients admitted to all hospitals in Luxembourg were identified by the ‘Inspection Générale de la Sécurité Sociale’ using the national database system for care expenditure reimbursement, and asked to designate the main person caring for them. Sixty-two caregivers (mean age 59.3 years; 40 women and 22 men) responded face to face, to a questionnaire including 20 items measuring eight aspects of health capability (physical functioning, psychological functioning, lifestyle value, self-efficacy towards the use of health services, family support, social capital, material conditions/sense of security, and satisfaction with the interactions with health services). Using a Bayesian approach, significance values were estimated by comparing the test values to the posterior distribution of the parameters. Structural equation modelling with standard deviations was applied. Results: Female family caregivers had lower scores than men in physical and psychological functioning. Family caregivers with the lowest incomes had the least lifestyle value, social capital and material conditions/security. Self-efficacy towards health services increased with age. The material conditions/sense of security factor was positively correlated with almost all the others. The items that impacted health capability factors the most were - for physical functioning – fatigue, and - for family support - feeling abandoned by the family. Conclusions: During the chronic phase, relationships between risk behaviours can help guide social and health decision-makers to determine their priorities in improving the lives of family caregivers. Enhancing health capability involves implementing programs that relieve family caregivers physically, and foster family networking around the person being cared for. Special attention should also be paid to the socially disadvantaged in order to fight inequalities in health capability. [less ▲]

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See detailFactors that contribute to work satisfaction of master students and graduates
Karathanasi, Chrysoula UL; Odero, Angela UL; Baumann, Michèle UL

in Pracana, Clara; Wang, Michael (Eds.) International psychological Applications Conference and Trends (2016)

From employers to university managers, they all want their employees or students to be the most satisfied in their work or studies respectively. Our study aim was to analyze the associations between work ... [more ▼]

From employers to university managers, they all want their employees or students to be the most satisfied in their work or studies respectively. Our study aim was to analyze the associations between work satisfaction (WS) with psychosocial job-related factors, general and psychological quality of life, and socioeconomic characteristics. An online questionnaire was completed by Master students (N=66) and graduates (N=71). WS was assessed with a single item (1 to 10=very satisfied). Determinants of Postgraduates’ WS were: physical working conditions, recognition you get for good work, opportunity to use ones abilities as well as general and psychological quality of life. These results show that their entrance into the job market is recent and hasn’t yet allowed them to feel the reinforcement they are entitled to expect. Indeed, for Masters Students, the higher their WS was, the better the financial situation they declared was, and the higher the freedom to choose their own work methods and relationships with colleagues and fellow workers were. Whereas for graduates, it is the amount of responsibility they are given, which was higher. The perceptions of graduates’ WS in relation to their career attitudes and at different stages of their careers must be further explored with a longitudinal study. [less ▲]

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See detailAnalysing Life Satisfaction of immigrants benefitting from 'The Welcome and Integration Contract in Luxembourg'
Bucki, Barbara; Baumann, Michèle UL

in European Health Psychology Society & Division of health Psychology Annual Conference 2016 (2016)

Detailed reference viewed: 58 (12 UL)