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 des universités ; Directrice LEPS UR 3412 UFR SMBH ; Directrice EUR SIePS

Aurore Margat joined Sorbonne Paris Nord University in 2019 as a Senior Lecturer before being appointed University Professor in the Éducations et Promotion de la Santé Laboratory (LEPS - UR 3412), of which she is now Director.
She also heads the École Universitaire de Recherche en Sciences Infirmières et Promotion de la Santé (EUR SIePS), the first EUR in nursing sciences in France.

Activités récentes :
Research areas
Her research focuses on understanding health literacy as a lever for reducing social inequalities in health and improving individual autonomy. She designs and evaluates innovative therapeutic education programs and, more broadly, health promotion programs, integrating the participation of the people concerned and the principles of epistemic justice.
She is also interested in the implementation of new professional practices, such as advanced practice nursing, and develops pedagogical models for the training of healthcare professionals.
Institutional and scientific commitment
- Director of EUR SIePS and LEPS UR 3412
- Scientific integrity correspondent and member of the USPN Research Ethics Committee (CER)
- Vice-President of the CNU health section (Nursing - 92) and of the Collège Français des Enseignants-Chercheurs Universitaires en Sciences Infirmières (CoFECSI)
- Jury member and expert for PHRIP, ANSM, ANR and SSHRC (Canada)
- Elected to the Board of Directors of the European Therapeutic Education Society
Teaching activities
She is responsible for several training programs at USPN:
- Master 2 Health Engineering - Health Training Engineering and Research and Innovations in Care courses
- IPA State Diploma (Emergencies and Stabilized Chronic Diseases)

Publications récentes : Nokovitch, L., El Hajj, H., Deneuve, S., De Andrade, V., Gagnayre, R., Margat, A. (2025). Visual–spatial abilities enhancement and spatial anatomy learning: A systematic review. Medical Education.
Havard, C. et al. (2025). Use of an observer tool to enhance learning of anaesthesia resident’s non-technical skills during high-fidelity simulation. BMC Medical Education, 25(1), 97.
Pétré, B., Gagnayre, R., Margat, A. (2025). Therapeutic patient education and health promotion: A forgotten link in the new WHO guidelines ? Education Thérapeutique du Patient – Therapeutic Patient Education, 17(1), 10301.
Margat, A. (2024). Une école universitaire de recherche : Quelles perspectives pour le développement des sciences infirmières ? Éducation Permanente, 241(4), 103-114.
Quesnay, P., Margat, A. (2024). L’Académie Populaire de la Santé : formation par et pour les personnes concernées. Éducation et Socialisation, 71.
Buscail, C., Margat, A. (co-first) et al. (2018). Fruits and vegetables at home (FLAM): A randomized controlled trial… BMC Public Health, 18(1), 1065.
Margat, A., Gagnayre, R., Lombrail, P., De Andrade, V., Azogui-Levy, S. (2017). Interventions en littératie en santé et éducation thérapeutique : une revue de la littérature. Santé Publique, 29(6), 811-820.

ORCID Resume Publication 1 Publication 2 Publication 3 Publication 4 Publication 5

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