References of "Guillaume, Michèle"
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See detailEvaluation of the implementation of integrated care for people with chronic conditions
Van Durme, Thérèse; Anthierens, Sibyl; Van Hecke, Ann et al

Conference (2017, May)

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See detailStability-based validation of dietary patterns obtained by cluster analysis
Sauvageot, Nicolas ULg; Schritz, Anna; Alkerwi, Ala'a et al

in Nutrition Journal (2017), 16(3),

Abstract Background Cluster analysis is a data-driven method used to create clusters of individuals sharing similar dietary habits. However, this method requires specific choices from the user which have ... [more ▼]

Abstract Background Cluster analysis is a data-driven method used to create clusters of individuals sharing similar dietary habits. However, this method requires specific choices from the user which have an influence on the results. Therefore, there is a need of an objective methodology helping researchers in their decisions during cluster analysis. The objective of this study was to use such a methodology based on stability of clustering solutions to select the most appropriate clustering method and number of clusters for describing dietary patterns in the NESCAV study (Nutrition, Environment and Cardiovascular Health), a large population-based cross-sectional study in the Greater Region (N = 2298). Methods Clustering solutions were obtained with K-means, K-medians and Ward’s method and a number of clusters varying from 2 to 6. Their stability was assessed with three indices: adjusted Rand index, Cramer’s V and misclassification rate. Results The most stable solution was obtained with K-means method and a number of clusters equal to 3. The “Convenient” cluster characterized by the consumption of convenient foods was the most prevalent with 46% of the population having this dietary behaviour. In addition, a “Prudent” and a “Non-Prudent” patterns associated respectively with healthy and non-healthy dietary habits were adopted by 25% and 29% of the population. The “Convenient” and “Non-Prudent” clusters were associated with higher cardiovascular risk whereas the “Prudent” pattern was associated with a decreased cardiovascular risk. Associations with others factors showed that the choice of a specific dietary pattern is part of a wider lifestyle profile. Conclusion This study is of interest for both researchers and public health professionals. From a methodological standpoint, we showed that using stability of clustering solutions could help researchers in their choices. From a public health perspective, this study showed the need of targeted health promotion campaigns describing the benefits of healthy dietary patterns. [less ▲]

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See detailLa «Health Literacy»,un moyen pour réduire les inégalités sociales de santé
Bragard, Isabelle ULg; COUCKE, Philippe ULg; Pétré, Benoît ULg et al

in Revue Médicale de Liège (2017), 72(1),

Health literacy (HL) is defined as ‘the knowledge, motivation, and competences to access, understand, appraise and apply health information in order to make judgments and take decisions in everyday life ... [more ▼]

Health literacy (HL) is defined as ‘the knowledge, motivation, and competences to access, understand, appraise and apply health information in order to make judgments and take decisions in everyday life concerning health care, disease prevention and health promotion to maintain or improve quality of life’. This concept begins to be recognized as a priority area for action at political level in Belgium. Indeed, a limited HL may affect health by leading, by example, with poorer management of chronic diseases, more hospital admissions and premature deaths. This paper addresses the question of HL evaluation, improvement interventions as well as the many challenges that remain in this area. HL seems fundamental to the development of better health management. It would allow patients to play a more active role in health care, to involve all health stakeholders, and to contribute to a more sustainable health system. Improving HL could allow better equal access to health care. [less ▲]

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See detailFrom therapeutic patient education principles to educative attitude: the perceptions of healthcare professionals. A pragmatic approach to defining competencies and resources
Pétré, Benoît ULg; Gagnayre, Remi; De Andrade, vincent et al

in Patient Preference and Adherence (2017), 11

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See detailHealth literacy en Belgique : diagnostic et pistes d’interventions
Bragard, Isabelle ULg; Pétré, Benoît ULg; Coucke, Philippe ULg et al

Conference (2016, December 14)

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See detailEtude transfrontalière des besoins de formation en Education Thérapeutique du Patient souffrant de diabète et/ou d’obésité pour le personnel médical et paramédical : enquête par méthode du groupe nominal
Pétré, Benoît ULg; Ketterer, Frédéric ULg; Vanmeerbeek, Marc ULg et al

in Presse Médicale (2016), 45(10), 351-361

INTRODUCTION: The design of continuous training programs in therapeutic patient education (ETP) should be inspired by needs shown by the professionals concerned in terms of mobilization or acquisition of ... [more ▼]

INTRODUCTION: The design of continuous training programs in therapeutic patient education (ETP) should be inspired by needs shown by the professionals concerned in terms of mobilization or acquisition of skills in this domain. The objective of this study is to analyze needs expressed by healthcare professionals (HP) involved in patients' management presenting a type 2 diabetes (T2D) and/or obesity and to compare them with the existing recommendations. METHODS: One hundred and five PS (general practitioners, dietitians and nurses) of 3 frontier regions of French-speaking European countries (France, Belgium and Grand duchy of Luxembourg) were questioned in 12 monodisciplinary groups according to the technique of the nominal group. Needs expressed by the participants were classified in the categories of the reference table of skills to dispense TPE (National Institute for Health Prevention and Education [INPES], 2013). RESULTS/DISCUSSION: Among needs expressed by HP, 52 % of the votes targeted relational skills, 10 % of the skills relative to the biomedical techniques, 20 % of the skills relative to the educational techniques and 11 %, those of organization and the coordination. Seven percent of the proposals were out of the categories of the INPES. Results do not allow to establish profiles of skills according to the studied region or profession. The recognition of the TPE by the French legislation does not seem to influence in a major way the data. CONCLUSION: The needs expressed by PS in the context of this study are focused on the relation HP/patient that is the heart of the TPE. It would however be necessary to raise awareness among HP in the acquisition of the other skills which concern in particular the animation of group, the interprofessional coordination, the consideration of the environment or more generally the procedures. [less ▲]

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See detailScreening for the metabolic syndrome in subjects with migraine
Streel, Sylvie ULg; Donneau, Anne-Françoise ULg; Dardenne, Nadia ULg et al

in Cephalalgia : An International Journal of Headache (2016)

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See detailUse of finite mixture models in dietary patterns analysis.
Sauvageot, Nicolas ULg; Schritz, Anna; Leite, Sonia et al

Scientific conference (2016, September 29)

Background In recent years, the dietary pattern approach has been used extensively to describe overall eating profiles in populations. In the literature, dietary patterns are often computed by cluster ... [more ▼]

Background In recent years, the dietary pattern approach has been used extensively to describe overall eating profiles in populations. In the literature, dietary patterns are often computed by cluster analysis and principal component analysis (PCA). However, PCA does not create distinct groups of individuals with different dietary habits; moreover the choice of the clustering method and of the number of clusters in cluster analysis remains difficult. On the other hand, finite mixture models (FMM) do not have those limitations and have many other advantages. However, they have been rarely used in dietary pattern analysis. Objective The objective of this study was to use FMM to compute dietary patterns based on data from the NESCaV survey (Nutrition, Environment and Cardiovascular Health), a large population-based study carried out between 2007 and 2011among the Greater Region population (N=2298 subjects). Methods A 134-food frequency questionnaire was used to assess dietary intakes. The most appropriate parameterization of the covariance matrix and number of clusters was chosen on the basis of the Bayesian information criterion (BIC). Results Four dietary patterns were determined. A ”non-prudent” and a “prudent” patterns were characterized respectively by non-healthy and healthy food choices. A “breakfast/low alcohol” pattern was characterized by high intakes of food items usually consumed at breakfast. Finally, a “vegetables/dairy products/low carbohydrate” pattern was characterized by low intakes of carbohydrates but high intakes of vegetables, pulses, fruits, animal protein and fat mostly from dairy products. The “non-prudent” pattern was the most prevalent with 34% of the population assigned to this cluster. The “prudent”, “breakfast/low alcohol” and “vegetables/dairy products/low carbohydrate” patterns accounted respectively for 25%, 29% and 19% of the population, respectively. Women, older people and non-smokers followed the “prudent” and “breakfast/low alcohol”, whereas the “non-prudent” and “vegetables/dairy products/low carbohydrate” were more adopted by men and smokers. In addition, the “non-prudent” pattern was associated with higher cardiovascular risk. Conclusion FMM should be considered more often as they do not have limitations encountered with other methods and are not restrictive on cluster geometry. Moreover, this study highlights the need for targeted health promotion campaigns focussing on the benefits of healthy dietary patterns. [less ▲]

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See detailComparaison de deux méthodes statistiques explorant la relation entre régimes alimentaires et risques cardiovasculaires.
Sauvageot, Nicolas ULg; Leite, Sonia; Donneau, Anne-Françoise ULg et al

Poster (2016, September)

Introduction L’analyse en composantes principales (ACP) et la régression à rangs réduits (RRR) sont deux méthodes de réduction de dimension permettant de construire des variables reflétant des régimes ... [more ▼]

Introduction L’analyse en composantes principales (ACP) et la régression à rangs réduits (RRR) sont deux méthodes de réduction de dimension permettant de construire des variables reflétant des régimes alimentaires. Les régimes alimentaires obtenus par ACP sont associés aux habitudes alimentaires de la population étudiée tandis que ceux obtenus par RRR sont associés à des indicateurs d’intérêt. L’objectif de cette étude est de comparer les deux approches quant aux régimes alimentaires obtenus et à leurs associations avec les facteurs de risques cardiovasculaires (FRCV). Méthodologie Les données proviennent de l’étude interrégionale et transversale nutrition, environnement et santé cardiovasculaire (NESCAV) ayant pour but de décrire la santé cardiovasculaire de la grande région (Luxembourg, Lorraine et Wallonie). Les apports alimentaires ont été mesurés à l’aide d’un questionnaire de fréquence alimentaire et 2298 individus ont été retenus pour cette analyse. Les indicateurs d’intérêt retenus pour l’approche RRR sont les FRCV usuels (obésité, hypertension, diabète, dyslipidémie). Résultats Nous avons trouvé que les régimes alimentaires consommés par la population et ceux associés au FRCV étaient similaires. Les régimes riches en fruits, fruits secs et oléagineux, légumes, huile d’olive, graisse riche en oméga 6, thé, et ceux pauvres en aliments frits, viandes, charcuteries, soda, plats préparés, bières étaient associés à une diminution des FRCV. Les autres régimes caractérisés par des apports élevés en aliments frits, viandes, abats, bières, vins, apéritifs et liqueurs et de faibles apports en céréales, sucres et soda étaient associés à une augmentation des FRCV. Conclusions L’utilisation des deux méthodes est utile pour obtenir des informations permettant d’élaborer de nouvelles recommandations alimentaires. Les régimes alimentaires identifiés dans cette étude sont à la fois associés aux habitudes alimentaires de la population et aux FRCV. [less ▲]

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See detailAssociation of Empirically Derived Dietary Patterns with Cardiovascular Risk Factors: A Comparison of PCA and RRR Methods
Sauvageot, Nicolas ULg; Leite, sonia; Alkerwi, Ala'a et al

in PLoS ONE (2016), 11(8),

Abstract Introduction Principal component analysis is used to determine dietary behaviors of a population whereas reduced rank regression is used to construct disease-related dietary patterns. This study ... [more ▼]

Abstract Introduction Principal component analysis is used to determine dietary behaviors of a population whereas reduced rank regression is used to construct disease-related dietary patterns. This study aimed to compare both types of DP and theirs associations with cardiovascular risk factors (CVRF). Materiel and Methods Data were derived from the cross sectional NESCAV (Nutrition, Environment and Cardiovascular Health) study, aiming to describe the cardiovascular health of the Greater region’s population (Grand duchy of Luxembourg, Wallonia (Belgium), Lorraine (France)). 2298 individuals were included for this study and dietary intake was assessed using a 134-item food frequency questionnaire. Results We found that CVRF-related patterns also reflect eating behaviours of the population. Comparing concordant food groups between both dietary pattern methods, a diet high in fruits, oleaginous and dried fruits, vegetables, olive oil, fats rich in omega 6 and tea and low in fried foods, lean and fatty meat, processed meat, ready meal, soft drink and beer was associated with lower prevalence of CVRF. In the opposite, a pattern characterized by high intakes of fried foods, meat, offal, beer, wine and aperitifs and spirits, and low intakes of cereals, sugar and sweets and soft drinks was associated with higher prevalence of CVRF. Conclusion In sum, we found that a “Prudent” and “Animal protein and alcohol” patterns were both associated with CVRF and behaviourally meaningful. Moreover, the relationships of those dietary patterns with lifestyle characteristics support the theory that food choices are part of a larger pattern of healthy lifestyle. [less ▲]

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See detailNursing student’s perception of the educational efficiency between two strategies of education: Problem Based Learning and the High-Fidelity Simulation.
Servotte, Jean-Christophe ULg; Guillaume, Michèle ULg

Conference (2016, March 16)

Introduction: The teaching’s evolution in nursing education has to answer the challenge to stimulate the student’s skills development. According to literature review, it’s necessary to compare High ... [more ▼]

Introduction: The teaching’s evolution in nursing education has to answer the challenge to stimulate the student’s skills development. According to literature review, it’s necessary to compare High-Fidelity Simulation (HFS) with other pedagogical methods. Furthermore, the comparison with Problem Based Learning (PBL) was not studied yet. Methods: Two indicators were evaluated : student satisfaction self-confidence. For this, two validated scales were used : Student Satisfaction Learning Scale and Self-Confidence in Learning Using Simulations Scale. 141 nursing’s students were involved in the study. They were exposed to the two pedagogical methods (PBL and HFS). The experience was organized according a complete cross plan. Results: The results demonstrated a higher level of the student’s confidence and the student’s satisfaction in learning for the HFS compare to PBL. Carry-over effects were study. It was concerning the teaching style (questions 3 and 5) as well as the varieties of educational tools (questions 2 and 4). The perception of the value of the PBL during the second period was systematically lower while the score obtained for the HFS for the two periods remains almost identical. Conclusion: A clear superiority of the HFS compared with the PBL is perceived by the students. This result seems to open new opportunities with the HFS method in the education nursing student. Nevertheless, research must be conducted in order to better understand the value of this new pedagogic approach. [less ▲]

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See detailProgramme EDUDORA²: quelles leçons tirer de l'étude des représentations au sein de la triade patient/soignant/famille pour le traitement et la prévention du diabète et de l'obésité?
Degrange, Sophie ULg; Legrand, Catherine ULg; Pétré, Benoît ULg et al

in Etienne, Anne-Marie; Bragard, Isabelle (Eds.) Evolutions sociales, innovations et politiques. Nouveaux enjeux en psychologie de la santé (2016)

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See detailL’attitude éducative comme prémice à l’Education Thérapeutique du Patient et la Health Literacy
Pétré, Benoît ULg; Gagnayre, Remi; Vincent, De Andrade et al

Conference (2016)

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See detailBody image discrepancy and subjective norm as mediators and moderators of the relationship between body mass index and quality of life
Pétré, Benoît ULg; Scheen, André ULg; ziegler, olivier et al

in Patient Preference and Adherence (2016), 10

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See detailPratiques hospitalières et de médecine générale d’éducation thérapeutique –l’exemple du diabète et de l’obésité en Belgique
Pétré, Benoît ULg; Degrange, Sophie ULg; Tittaferante, Séverine et al

in Santé Publique : Revue Multidisciplinaire pour la Recherche et l'Action (2016), 28

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See detailLé récit de vie comme outil d'aide au diagnostic éducatif du patient
Pétré, Benoît ULg; Degrange, Sophie ULg; Guillaume, Michèle ULg

in Etienne, Anne-Marie; Bragard, Isabelle (Eds.) Evolutions sociales, innovations et politiques. Nouveaux enjeux en psychologie de la santé (2016)

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