L’IM (Injection Intramusculaire) en psychiatrie : faire évoluer les pratiques / Benjamin Guillot in Santé mentale, HS AOUT 2024 (Aout 2024)

Public ISBD [article]  inSanté mentale > HS AOUT 2024 (Aout 2024) . - p. 40-44 Titre : L’IM (Injection Intramusculaire) en psychiatrie : faire évoluer les pratiques Type de document : texte imprimé Auteurs : Benjamin Guillot ; Candy Guiguet-Auclair ; Jennifer Fernandes ; Elisabeth Gregoire ; Thibault Noel ; Jean-Paul Lanquetin ; Guillaume Legrand Année de publication : 2024 Article en page(s) : p. 40-44 Langues : Français (fre) Mots-clés : Soins infirmiers en psychiatrie  Pratique professionnelle  Alliance thérapeutique  Douleur  Neuroleptiques  Enseignement  injection intramusculaire Résumé : En psychiatrie, l’injection intramusculaire (IM) est un soin courant. On observe cependant une grande variété de pratiques et une méconnaissance de certains aspects techniques mais aussi relationnels. Une étude a permis d’élaborer des recommandations. Permalink : ./index.php?lvl=notice_display&id=118663 [article] L’IM (Injection Intramusculaire) en psychiatrie : faire évoluer les pratiques [texte imprimé] / Benjamin Guillot ; Candy Guiguet-Auclair ; Jennifer Fernandes ; Elisabeth Gregoire ; Thibault Noel ; Jean-Paul Lanquetin ; Guillaume Legrand . - 2024 . - p. 40-44. Langues : Français (fre) in Santé mentale > HS AOUT 2024 (Aout 2024) . - p. 40-44 Mots-clés : Soins infirmiers en psychiatrie  Pratique professionnelle  Alliance thérapeutique  Douleur  Neuroleptiques  Enseignement  injection intramusculaire Résumé : En psychiatrie, l’injection intramusculaire (IM) est un soin courant. On observe cependant une grande variété de pratiques et une méconnaissance de certains aspects techniques mais aussi relationnels. Une étude a permis d’élaborer des recommandations. Permalink : ./index.php?lvl=notice_display&id=118663

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Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188 Titre : Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial Type de document : texte imprimé Auteurs : Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 181-188 Note générale : doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) Mots-clés : Physical activity level  Exercise  Osteoarthritis  Education  Self-management Résumé : Background The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated. Objective This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level. Methods This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded. Results In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively). Conclusions This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level. Permalink : ./index.php?lvl=notice_display&id=90793 [article] Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial [texte imprimé] / Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre . - 2020 . - p. 181-188. doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188 Mots-clés : Physical activity level  Exercise  Osteoarthritis  Education  Self-management Résumé : Background The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated. Objective This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level. Methods This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded. Results In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively). Conclusions This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level. Permalink : ./index.php?lvl=notice_display&id=90793

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Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire / N. Coste in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 202-208 Titre : Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire Type de document : texte imprimé Auteurs : N. Coste ; Candy Guiguet-Auclair ; Laurent Gerbaud ; B. Pereira ; P. Berland ; C. Gay ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 202-208 Note générale : doi.org/10.1016/j.rehab.2019.07.009 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis  Questionnaire  Physical activity  Barriers  Facilitators  Construct  Validation Résumé : Background The physical activity (PA) level of individuals with knee osteoarthritis is lower than in the general population. International recommendations recommend a non-pharmacological intervention including a self-management education program, weight loss and an adapted exercise program. However, we have no scale assessing the perceived barriers to and facilitators of PA in this population. Objective We constructed and validated a self-administered questionnaire assessing perceived barriers to and facilitators of regular practice of PA in people with knee osteoarthritis. Methods Semi-structured interviews identified 24 barriers and facilitators. We developed a 24-item questionnaire, Evaluation of the Perception of Physical Activity (EPPA) that was completed by 548 individuals with knee osteoarthritis, to assess acceptability, construct validity, internal consistency and convergent validity. Participants also completed the Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Physical Activity Questionnaire (IPAQ). Reliability and sensitivity to change were evaluated in a second group of 168 people with knee osteoarthritis at a 3-week spa therapy resort. Results Factorial analysis identified 17 items grouped into 4 subscales (Barriers, Facilitators, Motivation and Beliefs). The internal consistency was good for Barriers, Facilitators and Motivation subscales (Cronbach α > 0.70) and intermediate for the Beliefs subscale (Cronbach α = 0.64). The EPPA subscale scores were significantly correlated with KOFBeQ and WOMAC scores but not associated with IPAQ physical activity level. Reliability was good for all subscales, with intraclass correlation coefficients > 0.60. A sensitivity to change was found for only the Beliefs subscale, with a moderate effect size. Conclusions The EPPA questionnaire has good psychometric properties and can help guide the management of knee osteoarthritis. It can be used in research for evaluating the perception of physical activity. Permalink : ./index.php?lvl=notice_display&id=90796 [article] Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire [texte imprimé] / N. Coste ; Candy Guiguet-Auclair ; Laurent Gerbaud ; B. Pereira ; P. Berland ; C. Gay ; Emmanuel Coudeyre . - 2020 . - p. 202-208. doi.org/10.1016/j.rehab.2019.07.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 202-208 Mots-clés : Knee osteoarthritis  Questionnaire  Physical activity  Barriers  Facilitators  Construct  Validation Résumé : Background The physical activity (PA) level of individuals with knee osteoarthritis is lower than in the general population. International recommendations recommend a non-pharmacological intervention including a self-management education program, weight loss and an adapted exercise program. However, we have no scale assessing the perceived barriers to and facilitators of PA in this population. Objective We constructed and validated a self-administered questionnaire assessing perceived barriers to and facilitators of regular practice of PA in people with knee osteoarthritis. Methods Semi-structured interviews identified 24 barriers and facilitators. We developed a 24-item questionnaire, Evaluation of the Perception of Physical Activity (EPPA) that was completed by 548 individuals with knee osteoarthritis, to assess acceptability, construct validity, internal consistency and convergent validity. Participants also completed the Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Physical Activity Questionnaire (IPAQ). Reliability and sensitivity to change were evaluated in a second group of 168 people with knee osteoarthritis at a 3-week spa therapy resort. Results Factorial analysis identified 17 items grouped into 4 subscales (Barriers, Facilitators, Motivation and Beliefs). The internal consistency was good for Barriers, Facilitators and Motivation subscales (Cronbach α > 0.70) and intermediate for the Beliefs subscale (Cronbach α = 0.64). The EPPA subscale scores were significantly correlated with KOFBeQ and WOMAC scores but not associated with IPAQ physical activity level. Reliability was good for all subscales, with intraclass correlation coefficients > 0.60. A sensitivity to change was found for only the Beliefs subscale, with a moderate effect size. Conclusions The EPPA questionnaire has good psychometric properties and can help guide the management of knee osteoarthritis. It can be used in research for evaluating the perception of physical activity. Permalink : ./index.php?lvl=notice_display&id=90796

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Physical activity level and association with behavioral factors in knee osteoarthritis / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 14-20 Titre : Physical activity level and association with behavioral factors in knee osteoarthritis Type de document : texte imprimé Auteurs : Chloé Gay ; Candy Guiguet-Auclair ; Charline Mourgues ; Laurent Gerbaud Année de publication : 2019 Article en page(s) : p. 14-20 Note générale : Doi : 10.1016/j.rehab.2018.09.005 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis  Physical activity  Exercise  Epidemiology  Behavior Résumé : Highlights This study provides new epidemiological data, while highlighting new elements regarding physical activity in osteoarthritis. Measurement of physical activity level was supplemented by modifiable osteoarthritis risk factors analysis. The osteoarthritis population appears more affected by these risk factors, and the most severely affected patients are those with less active lifestyles. Abstract Background The effects of physical activity (PA) in disease prevention and therapy have well-known effects on lower-limb osteoarthritis (OA), decreasing pain and improving function. Objective We aimed to describe the level and factors affecting PA practices of people with knee OA. Design Prospective epidemiological study. Setting In all, 548 people with knee OA were interviewed by use of self-administered anonymous questionnaires. Main outcome measurement The main outcome was physical activity level evaluated by the International physical activity questionnaire (IPAQ) (short version). Secondary outcomes included sociodemographic and clinical data, comorbidities, and barriers to and facilitators of practicing regular PA evaluated by 24 specific elements. Results The mean (SD) age of the study population was 67.6 (7.9) years; 73.9% were women and 30.9% had obesity (mean [SD] body mass index [BMI] 28.2 [5.7] kg/m2). Multi-joint OA affected 92% of the population, and 71.6% had comorbidities. The mean (SD) visual analog scale score for pain intensity was 4.5/10 (2.5), which was 51.4% better than the patient acceptable symptom state (PASS). The mean (SD) Western Ontario and McMaster Universities Osteoarthritis Index function score was 36.6/100 (20.7), which was 57.5% better than the PASS. In total, 67% of patients used analgesics, half of them at least once a week. According to the IPAQ, 42.6% of patients reported high, 38.6% moderate, and 18.8% low PA level; the median IPAQ total activity score was 2628 metabolic equivalent of task (MET)-min/week and time spent sitting was 257.1min/day. Only one third of participants received non-pharmacological treatment corresponding to the latest recommendations. Variables significantly related to inactive or minimally active PA levels were BMI (P=0.0294), sex (P=0.0008), and biomedical barriers, related to self-efficacy (P=0.0118). Conclusions The OA study population was less active, more sedentary, and had more comorbidities and more barriers to PA practice than the overall population. Permalink : ./index.php?lvl=notice_display&id=82399 [article] Physical activity level and association with behavioral factors in knee osteoarthritis [texte imprimé] / Chloé Gay ; Candy Guiguet-Auclair ; Charline Mourgues ; Laurent Gerbaud . - 2019 . - p. 14-20. Doi : 10.1016/j.rehab.2018.09.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 14-20 Mots-clés : Knee osteoarthritis  Physical activity  Exercise  Epidemiology  Behavior Résumé : Highlights This study provides new epidemiological data, while highlighting new elements regarding physical activity in osteoarthritis. Measurement of physical activity level was supplemented by modifiable osteoarthritis risk factors analysis. The osteoarthritis population appears more affected by these risk factors, and the most severely affected patients are those with less active lifestyles. Abstract Background The effects of physical activity (PA) in disease prevention and therapy have well-known effects on lower-limb osteoarthritis (OA), decreasing pain and improving function. Objective We aimed to describe the level and factors affecting PA practices of people with knee OA. Design Prospective epidemiological study. Setting In all, 548 people with knee OA were interviewed by use of self-administered anonymous questionnaires. Main outcome measurement The main outcome was physical activity level evaluated by the International physical activity questionnaire (IPAQ) (short version). Secondary outcomes included sociodemographic and clinical data, comorbidities, and barriers to and facilitators of practicing regular PA evaluated by 24 specific elements. Results The mean (SD) age of the study population was 67.6 (7.9) years; 73.9% were women and 30.9% had obesity (mean [SD] body mass index [BMI] 28.2 [5.7] kg/m2). Multi-joint OA affected 92% of the population, and 71.6% had comorbidities. The mean (SD) visual analog scale score for pain intensity was 4.5/10 (2.5), which was 51.4% better than the patient acceptable symptom state (PASS). The mean (SD) Western Ontario and McMaster Universities Osteoarthritis Index function score was 36.6/100 (20.7), which was 57.5% better than the PASS. In total, 67% of patients used analgesics, half of them at least once a week. According to the IPAQ, 42.6% of patients reported high, 38.6% moderate, and 18.8% low PA level; the median IPAQ total activity score was 2628 metabolic equivalent of task (MET)-min/week and time spent sitting was 257.1min/day. Only one third of participants received non-pharmacological treatment corresponding to the latest recommendations. Variables significantly related to inactive or minimally active PA levels were BMI (P=0.0294), sex (P=0.0008), and biomedical barriers, related to self-efficacy (P=0.0118). Conclusions The OA study population was less active, more sedentary, and had more comorbidities and more barriers to PA practice than the overall population. Permalink : ./index.php?lvl=notice_display&id=82399

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