Laboratoire Éducations et Promotion de la Santé (LEPS UR 3412)

ÉTUDE LICCORN

Literacy and innovative coordination of ENT cancer prevention pathways

Project overview Context
In France in 2017, cancers of the ENT sphere affected more than 15,000 new patients. If cancer mortality shows social inequalities in health, these are all the more marked for cancers of the upper aerodigestive tract (VADS). The main risk factors (alcohol and tobacco consumption) are avoidable, so the role of primary and secondary prevention seems to be predominant. However, the prevention actions carried out have little effect on the behavior of people at risk.
Among the major elements to consider in prevention, it is important to consider the links between literacy skills, personal knowledge and cancer screening. The "pro-literacy" approach considers literacy in a collective and structural way, so that beyond the individual capacities of people, the organization of the actors in the field who make up the prevention offer contributes to taking into account the level of health literacy of its users in order to facilitate the navigation, comprehension and use of information and services.
Objective
The main objective of the LICOORN study is to characterize the primary and secondary prevention needs of people with a high risk of developing ENT cancers (linked to regular smoking, alcohol consumption and a diet low in fruits and vegetables) in primary care, as well as the possibilities and constraints of prevention actors, with a view to proposing a prevention model that takes into account the characteristics of a pro-literacy approach in the Auvergne-Rhône-Alpes region.
Method
This collaborative qualitative research, of a naturalistic type, aims to integrate users as co-researchers, in order to carry out a research "with" the users and all the people concerned, rather than a research "on" them. It will aim at a better understanding and not only at a change of practice. Thanks to the co-construction, and the crossing between two views, between different forms of knowledge, between different experiences of researchers and users, with different understandings, this type of research allows the construction of a certain new knowledge on an object linked to the practice, a new knowledge, resulting from a crossing of two logics.
Expected results
Planned to last 18 months, the proposed research will contribute to a better understanding of the primary and secondary prevention needs (including environmental needs) of people at high risk of developing ENT cancers, from the point of view of all stakeholders. It will result in the proposal of structuring elements for the development of a territorial intervention model in primary and secondary prevention for people at high risk of developing ENT cancers in primary care.

Collaboration Auvergne- Rhône- Alpes Regional Health Education and Promotion Institute

Research team

Aurore MARGAT

Professeure d'université ; Directrice EUR SIePS ; Directrice adjointe LEPS UR 3412 UFR SMBH

Trained as a nurse, since December 2019 I have been working as a Senior Lecturer and then as a Professor in the Éducations et Promotion de la Santé (LEPS) UR 3412 Laboratory at the UFR SMBH. I have become the deputy director of this laboratory, and I am also the director of the first French university nursing research school (EUR SIePS).

Activités récentes : The main objective of my research is to clarify the nature of the relationship between health education and health literacy in order to propose intervention models aimed at adapting health education programs to the specific needs of patients with low literacy skills, particularly those who are illiterate. In order to better understand this phenomenon and to design models or experiences that can be modeled, I link a discipline, nursing, a field of practice and study, health pedagogy, and a concept, that of a context of vulnerability. I thus study the learning that people develop to acquire health skills in contexts considered, at first glance, to be unfavorable to learning.

As for teaching, I coordinate or co-coordinate several training programs within the USPN: the 2nd year of the Bachelor of Science for Health (LSPS) health/city track; the DE IPA (emergency and stabilized chronic diseases track); the Master 2 of Public Health, Engineering and Training in Health (IFS) track; the Master 2 of Public Health track for the partnership between the USPN and the Institut de Formation des Cadres de Santé at Picpus (AP-HP).
I am also responsible for several teaching units within the Master of Public Health courses of the LEPS UR 3412 and the RSI Chair, the DE IPA, the Bachelor of Science in Health and Social Sciences, the Bachelor of Science in Health Sciences (2nd and 3rd year) and the APES class.

Publications récentes : Margat, A., & Gagnayre, R. (2021). L’éducation thérapeutique du patient chronique en situation d’illettrisme. Revue Education, Santé, Sociétés, Volume 8, Numéro 1, 41 64. https://doi.org/10.17184/eac.5347

Pétré, B., Servotte, J.-C., Piazza, J., Ghuysen, A., Margat, A., Gagnayre, R., & Leclercq, D. (2020). CEdRIC: Strategy for Patient Education During COVID-19 Triage. Western Journal of Emergency Medicine, 21(6). https://doi.org/10.5811/westjem.2020.7.47907
https://pubmed.ncbi.nlm.nih.gov/33052818/

Buscail, C., Margat, A. (co-first), Petit, S., Gendreau, J., Daval, P., Lombrail, P., Hercberg, S., Latino-Martel, P., Maurice, A., & Julia, C. (2018). Fruits and vegetables at home (FLAM) : A randomized controlled trial of the impact of fruits and vegetables vouchers in children from low-income families in an urban district of France. BMC Public Health, 18(1), 1065. BioMed Central. https://doi.org/10.1186/s12889-018-5908-5
https://pubmed.ncbi.nlm.nih.gov/30153820/

Margat, A., Gagnayre, R., Lombrail, P., Andrade, V. de, & Azogui-Levy, S. (2017). Interventions en littératie en santé et éducation thérapeutique : Une revue de la littérature. Santé Publique, 29(6), 811‑820. https://doi.org/10.3917/spub.176.0811

ORCID Resume Publication 1 Publication 2 Publication 3 Publication 4

Juliette EKPE

Ingénieure d’études, doctorante

Activités récentes : Coordinator of the partnership with the Institute of Health Executives Training (IFCS) of the Assistance publique des hôpitaux de Paris (AP-HP)
Coordinator of the master's degree leading to the state diploma of Advanced Practice Nurse (APN)

Resume

Vincent DE ANDRADE

Assistant ingénieur - documentaliste

I am a librarian, I manage the documentation room of the LEPS. I realize the scientific watches, I help the researchers, the doctoral students and the students in their bibliographical research. I participate in the Open Science movement by contributing to HAL in connection with the BU Jean DAUSSET.

Publications récentes : 1. de Andrade V, Margat A, Verheye J-C, Gagnayre R. Information, éducation du patient et littératie en santé : un rôle à jouer pour les bibliothécaires/documentalistes en France ? Education Thérapeutique du Patient - Therapeutic Patient Education. 2018;10(1):10502.

2. de Andrade V. Comment utiliser PubMed pour les recherches bibliographiques en éducation thérapeutique du patient. Education Thérapeutique du Patient - Therapeutic Patient Education. 2014;6(2):20201.

Email : vincent.deandrade@univ-paris13.fr

ORCID Publication 1 Publication 2

Chloé HAMANT

Sociologue Re´fe´rente Recherche

Université : Instant Re´gionale d’Education et de promotion de la sante´ Auvergne- Rho^ne- Alpes

Research themes

Individual and collective skills to support empowerment

Health Promoting Environments

Reorientation of health services and professional training

Technical data

Code
Funding: Yes
Period of realization: In preparation

Back to the projects

Researches