References of "Missotten, Pierre"
     in
Bookmark and Share    
Full Text
Peer Reviewed
See detailThe Impact of Children’s Illness Perceptions on Paediatric Cancer Patients’ Quality of Life
Fonseca, Marta; Missotten, Pierre ULg; Etienne, Anne-Marie ULg et al

in Psycho-oncology (2010), 19(Suppl. 2), 126

Purpose The study of children’s illness perceptions has been widely developed over de last decade (Chateaux, 2005). More recently research has focussed on the impact of illness perceptions on Quality of ... [more ▼]

Purpose The study of children’s illness perceptions has been widely developed over de last decade (Chateaux, 2005). More recently research has focussed on the impact of illness perceptions on Quality of Life (QoL). The present communication aims to analyse the impact of illness perceptions of children with cancer on Generic and Modular QoL. Authors put forward the hypothesis that the several dimensions of children’s illness perceptions may influence QoL in different ways. Methods The Brief Illness Perception Questionnaire (Broadbent et al.,2006) and the Quality of Life Systemic Inventory for Children - Module for Cancer (Missotten et al., 2008) were administered to 40 children with cancer, aged from 8 to 12 years, at a paediatric hospital. Specifically developed for children from these ages, the QoL measure is a self-assessment questionnaire that provides a general and a modular score (general domains of QoL and domains of QoL related with cancer). Results Multiple regressions highlighted that five dimensions of children’s cancer perceptions are significant predictors of QoL, namely illness “consequences”, “identity”, “concerns”, “coherence” and “timeline”. The most predictable dimension of both general and modular QoL is “cancer consequences”: it explains 36% (Beta=.51; p=.01) of the general and 47% (Beta=.70; p=.01) of the modular QoL variance. Children reporting a less threatening view about the consequences of cancer in their lives reveal a better QoL. Conclusions The framework of the present study has its fundamentals on recent literature developments by presenting a modular approach to QoL assessment. Results revealed that illness perceptions of children with cancer play an important role both on general QoL and QoL more directly related with cancer and treatments. Through the analysis of the influence of cancer perceptions on QoL, findings provide information to design intervention to promote QoL among paediatric cancer patients. [less ▲]

Detailed reference viewed: 214 (14 ULg)
Full Text
See detailLes soins apportés aux personnes atteintes de la maladie d'Alzheimer ou d'une maladie apparentée: perspectives et enjeux
Ylieff, Michel ULg; Squelard, Gilles ULg; Missotten, Pierre ULg et al

Book published by Fondation Roi Bauduoin (2009)

Cette publication offre un tour d’horizon des soins aux personnes souffrant de démence : un inventaire de l’offre de soins, un aperçu des problèmes, une sélection de quelques initiatives novatrices et ... [more ▼]

Cette publication offre un tour d’horizon des soins aux personnes souffrant de démence : un inventaire de l’offre de soins, un aperçu des problèmes, une sélection de quelques initiatives novatrices et enjeux pour l’avenir. Le premier chapitre dépeint le contexte général au sein duquel se déroulent les soins aux personnes atteintes de démence. Il décrit d’abord les évolutions démographiques en cours. Parmi ces dernières, le vieillissement de la population joue évidemment un rôle important, auquel viennent s’ajouter des phénomènes tels que la diminution de la taille des ménages ou le nombre croissant de personnes isolées. Il traite ensuite de sept tendances sociétales et scientifiques qui déterminent dans une large mesure la forme que prendront, à l’avenir, les soins aux personnes atteintes de démence. Le deuxième chapitre dresse un état des lieux de l’offre de soins disponible en termes de services, d’intervenants et de structures pour personnes souffrant de démence. L’offre de services ou de structures tant extra-muraux, trans-muraux qu’intra-muraux est riche et variée. Certains d’entre eux sont nés des besoins des personnes souffrant de démence et de ceux de leurs aidants proches et leur sont spécifiquement destinés. D’autres services s’adressent à un groupe cible plus vaste, mais s’avèrent dans la pratique d’un grand secours dans le cas de la démence. La programmation de ces soins doit suffisante. Le troisième chapitre complète le chapitre précédent, davantage axé sur l’aspect qualitatif, par des informations quantitatives. Les données chiffrées sur la programmation de l’offre de soins mettent en lumière les services réalisés en Belgique, mais aussi en Région flamande, en Région wallonne et dans la Région de Bruxelles-Capitale. Les soins aux personnes atteintes de démence constituent aussi une préoccupation pour nos décideurs politiques. Le quatrième chapitre décrit les compétences et les mesures politiques prises aux différents niveaux de pouvoir (fédéral et régional). Il présente également les principales études qui ont été menées en vue de préparer et de soutenir les politiques en matière de démence. Dans le cinquième chapitre du rapport, les auteurs se tournent vers l’avenir. Quels projets créatifs, quelles initiatives innovantes peuvent constituer des sources d’inspiration pour les soins de demain ? Une petite sélection de bonnes pratiques dans les soins aux personnes souffrant de démence y est présentée. Il s’agit de formes d’habitat et de soins à petite échelle, de groupes de rencontre pour personnes présentant un début de démence et d’initiatives novatrices dans les soins de santé mentale. [less ▲]

Detailed reference viewed: 108 (7 ULg)
Full Text
Peer Reviewed
See detailBientraitance et Qualité des soins chez la personne âgée
Thomas, Philippe; Missotten, Pierre ULg; Squelard, Gilles ULg et al

in Revue Francophone de Gériatrie et de Gérontologie (2009), XVI(157), 234-244

The geriatric population is as a group often at risk of disease and often experiencing limited access to health care system because of place of residence, economic factors, social isolation, complex ... [more ▼]

The geriatric population is as a group often at risk of disease and often experiencing limited access to health care system because of place of residence, economic factors, social isolation, complex medical illness, and other individual and familial factors. Quality is essential to continue examining existing organizational structures in homecare or institution for elderly. Interdisciplinary and person-centred cares have been utilized to trigger quality in geriatrics care for years. Person-centred care was part of a wide movement during the last decades of the 20th century that recognised that people with dementia could benefit from psychological approaches, that they had human rights and that they proposed a challenge to dehumanizing care practice which had not been seen previously. These programs have used diverse group of educational models to relate various health professions and community service agencies with academic institutions for training in care of the elderly and to address ethical issues training for the purpose of stimulating educational collaboration. This article explores present and for the future recommendations for interdisciplinary collaborations, discusses educational models on quality management especially in France and Belgian. [less ▲]

Detailed reference viewed: 131 (14 ULg)
Full Text
Peer Reviewed
See detailImpact of place of residence on relationship between quality of life and cognitive decline in dementia
Missotten, Pierre ULg; Thomas, Philippe; Squelard, Gilles ULg et al

in Alzheimer Disease and Associated Disorders (2009), 23(4), 395-400

The aim of this descriptive study was to estimate and compare the association between cognitive decline and quality of life (QOL) for 2 groups of dementia patients differing by place of residence: home or ... [more ▼]

The aim of this descriptive study was to estimate and compare the association between cognitive decline and quality of life (QOL) for 2 groups of dementia patients differing by place of residence: home or institution. Each subject was placed within a specific subgroup according to their Mini-Mental State Examination (MMSE) score and was evaluated by a QOL proxy-assessment [Alzheimer Disease Related Quality of Life (ADRQL)] and a dependency assessment (Katz Activities of Daily Living classification). For the ‘‘at home’’ and ‘‘institution’’ groups, global and subscale ADRQL scores showed significant differences between the 5 MMSE subgroups. Place of residence and MMSE subgroups significantly affected global and subscale ADRQL scores. The MMSE 4 to 8, 9 to 13, and 14 to 18 subgroups had ADRQL global scores significantly better in the institution group than the at home group. In contrast, the MMSE 19 to 23 and 0 to 3 subgroups had similar ADRQL global scores in both places of residence. In conclusion, there is no direct relationship between cognitive decline and QOL, and QOL does not seem to be better at home compared with the institution. [less ▲]

Detailed reference viewed: 62 (3 ULg)
Full Text
Peer Reviewed
See detailEvaluation de la qualité de vie de personnes âgées : état actuel et utilisation de l’Inventaire Systémique de Qualité de Vie (ISQV©)
Missotten, Pierre ULg; Etienne, Anne-Marie ULg; Squelard, Gilles ULg et al

in Revue Francophone de Clinique Comportementale et Cognitive (2009), 14(3), 14-21

This study approaches the question of the evolution of the quality of life (QOL) measures in older patient populations. On base of the report of the weak number of instruments specifically adapted to this ... [more ▼]

This study approaches the question of the evolution of the quality of life (QOL) measures in older patient populations. On base of the report of the weak number of instruments specifically adapted to this population and of the absence of instruments taking into account both the expectations and the priorities of the individuals, we wished to make the adaptation of a tool for adult, the Quality of life Systematic Inventory (QLSI©). In this prospect, the main aim of this preliminary research was to test the evaluative approach of the QLSI© within a population of old people and to obtain useful information for the construction of a version of the QLSI© for old people. 135 voluntary subjects, from 65 to 85 years old, living at home and having a good health participated in the study. The questionnaire revealed a good QOL which could be explained by the combination of diverse factors such as a good current situation, a lesser importance given to the diverse life domains and the relatively weak goals. The results demonstrated the relevance of the QLSI© but also showed the necessity of certain modifications to make this questionnaire more specific to the old person. [less ▲]

Detailed reference viewed: 275 (15 ULg)
Full Text
Peer Reviewed
See detailPrévalences des troubles psychologiques et comportementaux de la démence en fonction du stade évolutif
Squelard, Gilles ULg; Missotten, Pierre ULg; Ylieff, Michel ULg et al

in Revue Francophone de Clinique Comportementale et Cognitive (2009), 14(3), 22-31

Behavioural and psychological signs and symptoms - BPSD are clinical features of dementia. They have considerable impact on the daily life of patients and their caregivers. The aim of this study is to ... [more ▼]

Behavioural and psychological signs and symptoms - BPSD are clinical features of dementia. They have considerable impact on the daily life of patients and their caregivers. The aim of this study is to show the importance of these disorders in dementia semiology and to assess differences in their prevalence across levels of severity of dementia. The sample is made up of 160 subjects with dementia older than 65 years old. Diagnosis of dementia was based on DSM-IV criteria. BPSD were assessed with the NeuroPsychiatric Inventory-NPI and dementia staging was measured with Clinical Dementia Rating/Modified-CDR-M. Results show that prevalence of delusions is more important in severe dementia and that prevalence of agitation/ aggression is more important in profound dementia. These data may help to clarify objectives and treatment of BPSD. This study raises also some methodological problems with the NPI and underlines the importance to define the different disorders included in certain NPI domains accurately. [less ▲]

Detailed reference viewed: 155 (5 ULg)
Full Text
Peer Reviewed
See detailA modular approach to quality of life assessment in paediatric oncology
Fonseca, Marta; Missotten, Pierre ULg; Etienne, Anne-Marie ULg et al

in Psychology & Health (2009), 24(Supp 1), 175

Detailed reference viewed: 40 (3 ULg)
Full Text
See detailIntervention cognitive auprès d'enfants cancéreux
Badot, Isabelle; Missotten, Pierre ULg; Etienne, Anne-Marie ULg

Conference given outside the academic context (2008)

Detailed reference viewed: 26 (3 ULg)
Full Text
Peer Reviewed
See detailEvaluation de la qualité de vie d’enfants avec antécédents de pathologie oncologique
Missotten, Pierre ULg; Spitz, Elisabeth; Hoyoux, Claire

Conference (2008, June)

Detailed reference viewed: 21 (0 ULg)
Full Text
See detailLe concept d’Ecart comme mesure de la qualité de vie infantile : validation de l’Inventaire Systémique de Qualité de Vie pour Enfants
Missotten, Pierre ULg

Master of advanced studies dissertation (2008)

Purpose: The objective of this paper was to determine the interest and psychometric properties of a new QOL self-assessment questionnaire suitable for children 8 to 12 years old measuring alpha, beta and ... [more ▼]

Purpose: The objective of this paper was to determine the interest and psychometric properties of a new QOL self-assessment questionnaire suitable for children 8 to 12 years old measuring alpha, beta and gamma changes: the “Inventaire Systémique de Qualité de vie pour Enfants” (ISQV-E©). Methods: This was a cross-sectional validation study. 288 children have completed the ISQV-E. Other tools were used: The “Autoquestionnaire de Qualité de Vie Enfants Imagé” (AUQUEI), the State-Trait Anxiety Inventory for Children (STAIC), the Children’s Depression Inventory (CDI) and socio-demographic data. Results: The internal consistency of the four scores of the ISQV-E (state, goal, rank and gap) is satisfactory. All scores have their own specificity. The data show the convergent validity, sensitivity and applicability of the ISQV-E. On the other hand, no satisfactory factorial structure was found although a multidimensional theoretical perspective was applied. Conclusions: The feasibility of the ISQV-E seems clearly demonstrated and the value of this new tool seems evident in contexts of physical, psychological or social problems. The validation study was promising but certain points such as test-retest reliability remain to be studied and the others, such as the absence of a satisfactory factorial structure, need to be examined again. [less ▲]

Detailed reference viewed: 143 (9 ULg)
Full Text
Peer Reviewed
See detailL’Inventaire Systémique de Qualité de Vie pour Enfants (ISQV-E©) : Etude de validation
Missotten, Pierre ULg; Lemétayer, Fabienne; Spitz, Elisabeth et al

Poster (2008, May)

Detailed reference viewed: 45 (1 ULg)
See detailLes soins à domicile en pédiatrie
Hoyoux, Claire; Janssen, Rita; Missotten, Pierre ULg et al

Conference (2008, March 07)

Detailed reference viewed: 10 (2 ULg)
Full Text
Peer Reviewed
See detailQuality of Life in Older Belgian People: Comparison between People with Dementia, Mild Cognitive Impairment, and Controls
Missotten, Pierre ULg; Squelard, Gilles ULg; Ylieff, Michel ULg et al

in International Journal of Geriatric Psychiatry (2008), 23(11), 1103-1109

OBJECTIVES: To assess the sensitivity of the 'Alzheimer's Disease Related Quality of Life' instrument (ADRQL) applied to Belgian people with dementia (n = 357), mild cognitive impairment (MCI) (n = 36 ... [more ▼]

OBJECTIVES: To assess the sensitivity of the 'Alzheimer's Disease Related Quality of Life' instrument (ADRQL) applied to Belgian people with dementia (n = 357), mild cognitive impairment (MCI) (n = 36), and controls (n = 72). We also determined the clinical parameters that influence the quality of life (QOL) of people with dementia. METHOD: Each subject was evaluated with the ADRQL, the Mini Mental State Examination (MMSE), the cognitive scale of the Cambridge Examination for Mental Disorders of the Elderly (CAMCOG), the Katz's ADL classification (ADL), the Instrumental Activities of Daily Living (IADL), the Behavior Rating Scale for Dementia (CERAD/BRSD), and the Clinical Dementia Rating/Modified (CDR-M). RESULTS: The ADRQL showed that QOL of the dementia group (65.77 +/- 17.04) was significantly inferior to that of the MCI (82.11 +/- 13.31) and control groups (79.75 +/- 15.82). There were no significant differences between the MCI and control groups. Within the dementia group, the five ADRQL subscale results were similar to those reported in other studies. Gender, age and place of residence had no significant influence on ADRQL scores. In contrast, ADRQL scores correlated significantly with MMSE, CAMCOG, IADL, ADL, CERAD/BRSD, and CDR-M. The MMSE and CERAD/BRSD were significant predictors of ADRQL variability. CONCLUSIONS: QOL of people with dementia is inferior to that of people with MCI and controls. This demonstrates the ADRQL instrument is sufficiently sensitive for evaluating the QOL of people with dementia. Longitudinal studies are needed to specifically examine the rate of QOL evolution throughout the entire dementia process. Copyright (c) 2008 John Wiley [less ▲]

Detailed reference viewed: 31 (3 ULg)
Full Text
Peer Reviewed
See detailRelationship between quality of life and cognitive decline in dementia
Missotten, Pierre ULg; Squelard, Gilles ULg; Ylieff, Michel ULg et al

in Dementia & Geriatric Cognitive Disorders (2008), 25(6), 564-572

Aims: We aimed to examine the association of cognitive decline with quality of life (QoL) in dementia compared to controls and to determine variables associated with QoL. Methods: Every subject was placed ... [more ▼]

Aims: We aimed to examine the association of cognitive decline with quality of life (QoL) in dementia compared to controls and to determine variables associated with QoL. Methods: Every subject was placed within a specific group depending on their designation by the Mini Mental State Examination and evaluated by the Alzheimer’s Disease Related Quality of Life (ADRQL) and clinical assessments. Results: QoL for the mild dementia group was lower (p = 0.08) than that of controls. The very severe dementia group had a significantly lower QoL than the other dementia groups, which all had similar ADRQL scores. The only predictor of ADRQL scores was found to be the behavioral and psychological symptoms of dementia. Conclusion: There is no direct relationship between cognitive decline and QoL. [less ▲]

Detailed reference viewed: 68 (7 ULg)
Full Text
Peer Reviewed
See detailQuality of life in dementia: a 2-year follow-up study
Missotten, Pierre ULg; Ylieff, Michel ULg; Di Notte, David et al

in International Journal of Geriatric Psychiatry (2007), 22(12), 1201-1207

Objectives To examine the evolution of quality of life (QOL) in demented subjects at base-line, one and 2 years later and to determine clinical variables associated with QOL. Method Longitudinal study of ... [more ▼]

Objectives To examine the evolution of quality of life (QOL) in demented subjects at base-line, one and 2 years later and to determine clinical variables associated with QOL. Method Longitudinal study of a cohort of 127 subjects living at home or in a long-term care institution. A QOL measure (Alzheimer Disease Related Quality of Life; ADRQL) was administered three times. In addition, several clinical instruments (MMSE, IADL, ADL and CDR/M) were also administered. Results ADRQL data analysis did not reveal significant modifications of QOL over the 2-year period, whereas results from clinical instruments showed a significant deterioration. On the group, the variations of ADRQL scores were limited, with some improvement after the first year followed by some deterioration after the second year. On the other hand, ADRQL scores fluctuated every year by at least 10 points for more than 50% of subjects. With dementia evolution, it was observed that the clinical variables were more strongly correlated with ADRQL scores and were more significant predictors. This varied from 5.9% (MMSE) in 2002 to 40.01 % in 2004 (MMSE and CDR/M). Conclusions QOL did not develop in a strictly linear manner following the deterioration of clinical state. This suggests that the evolution of QOL is also determined by other variables relating to the physical and social environment of the patients. Their role seems particularly important for the mild to moderate stages of dementia. Copyright (c) 2007 John Wiley [less ▲]

Detailed reference viewed: 38 (1 ULg)