Veronique Regnier Denois

Jean Monnet University · Faculté de Médecine

Background A health-promoting school (HPS) approach was introduced over 25 years ago and has been promoted globally since; however, the aspiration of a fully embedded, sustainable HPS system has not yet been achieved, and very few countries have implemented and sustained the approach at scale. The Alliance for health aims to enact and assess the im...

Background: Health literacy is a critical health determinant. To implement initiatives aiming at improving health literacy among children, adapted measurement tools are needed. Objective: This study aimed to translate, adapt, and test the Health Literacy Survey Child Questionnaire-15 (HLS-Child-Q15) to assess health literacy among French-speakin...

Introduction: Gathered within the context of the French “Service Sanitaire des Etudiants en Santé” (SSES), the leaders of a local prevention project and the coordinators of the said device have joined forces to propose a course dedicated to media education. Sharing their target population: middle school students, the aim was to put health students...

Background The objective of this study was to assess the effectiveness of a Patient Navigation Intervention targeting deprived patients for Colo-Rectal Cancer (CRC) screening participation. Methods A cluster randomized controlled trial was conducted in 5 districts. Peer Lay Patient Navigators were recruited to operate in deprived areas. Eligible p...

Introduction : The idea of therapeutic fasting with healing virtues is circulating among cancer patients. Our study aims to improve knowledge of this practice, which is contraindicated in France during chemotherapy, and to establish recommendations to facilitate exchanges between doctors and patients.Methods : Chemotherapy patients completed a self...

AimA qualitative study was carried out with the objective of documenting the experiences, knowledge, and representations of young people regarding electronic cigarettes.Subjects and methodsThe growth of electronic nicotine delivery systems (ENDS), or electronic cigarettes, has prompted regulation concerns among policy makers, although little is kno...

Background Florence Nightingale lamented that nurses were seen as merely obedient and devoted. Our two previous oncology studies demonstrated the continuum of strictly curative care and paternalistic care practices among healthcare professionals. At a time when France has just formalised the nursing sciences, this article seeks to shed light on the...

Le tabac est un facteur de risque majeur du cancer des voies aérodigestives supérieures. Le sevrage tabagique permet d’améliorer l’état de santé du patient, son taux de survie, et de diminuer les comorbidités et le risque d’autres cancers. La recommandation du sevrage tabagique est donc importante. Cependant, le taux d’arrêt du tabac après l’annonc...

Objective Five French oncology institutions had participated in a funded study aiming at implementing an Evidence-Based Practice tool (PAM-13), which allowed nurses to measure the level of activation of the patient to support his or her own empowerment in the cancer care pathway. The purpose of this ancillary study is to (i) describe the caregivers...

Introduction A patient education program has been developed in the field of cancer for supporting cancer patients undergoing oral anticancer therapies. Its implementation was tested in 3 different settings. The objectives of this study were to 1) identify barriers and facilitators for implementing the patient education program, 2) identify practice...

Social networking sites (SNSs) are invested in heavily by marketers aiming to reach a growing number of consumers. Concerns regarding the influence of posts displayed on SNSs in relation to behaviour were raised, in particular the promotion of ill-health behaviour directed to adolescents who may be at risk from suggestible practices. Although adole...

A television (TV) character’s actions and the consequences of these actions in TV storylines can shape the audience’s own behavioral intentions, especially if the audience identifies with that character. The current research examines how storylines depicting positive versus negative consequences of drinking affect youths’ drinking intentions, and w...

While many countries have launched cancer prevention initiatives to improve the public’s understanding of risk and protective factors, few are systematically evaluated. Hygée Lab, a living lab in a socioeconomically deprived area of France, is designed to interactively communicate evidence-based information about cancer prevention and treatment wit...

Objective: France is experiencing a shift in health policy. The purpose of this article is to describe how cancer care health professionals define patient empowerment, describe modalities of care of the cancer patient treated by intravenous means and identify avenues for reflection on the specific challenges facing patient-centered care, from the p...

Background: European citizens are the largest alcohol users in the world with an average of 11 l of alcohol per individual per year being used. This consumption practice usually begins during adolescence. Youths' views of substances consumption are built upon socialization experiments from which television takes part. To prevent vulnerable people...

La consommation de musique est la première pratique en ligne pour les adolescents français devant les séries télévisées et les films. Plusieurs études anglo-saxonnes ont cependant révélé la présence de références à des substances «à potentiels addictifs» dans les clips-vidéo musicaux. En période de construction identitaire et d’apprentissage des co...

Introduction The announcement of cancer coupled with initiation of its treatment impacts patients’ psychological and physical states as well as their lifestyles. The objective of this study was to identify and confirm the needs of patients starting off on anticancer chemotherapy treatment. Methods This study was based on a qualitative–quantitative...

Most head and neck cancers are associated with smoking and alcohol exposure. Smoking and alcohol cessation (ASC) is associated with improved quality of life, cancer therapy efficacy, decreased treatment-related and cardiovascular risks, and is expected to decrease the risk of second primary tumor. It is therefore a high priority in the plan of care...

Conclusion: Social inequalities affect representations of cancer and health literacy from early childhood. Prevention programs taking into account these representations need to be introduced at school. What is Known: • Social inequalities for cancer mortality are observed in all European countries and are particularly pronounced in France. • Reduc...

Purpose: The aim of the OCTO clinical study was to measure patients' adherence to capecitabine-based treatment. Methods: A cohort of ambulatory patients treated with capecitabine monotherapy for either locally advanced or metastatic, breast or colorectal cancer was monitored for 6 cycles. Adherence was assessed in all patients by self-completed...

Introduction The growth of Electronic Nicotine Delivery System (EC) has led many policymakers to worry about regulating it even though we still know little about the short and long term public health consequences of its use. Today, an estimated 25% of the French population has tried EC and 6% of the 15-75 years. A qualitative study was realized wit...

Contexte : Le tabac, en cause dans 1 cas sur 2 des cancers et 1ère cause de morts et de maladies évitables en France, ainsi que l’alcool, cancérogène avéré et 2nde cause de décès prématurés font partie des priorités nationale et européenne en tant que facteurs à cibler dans une optique de réduction des risques. Très tôt, les représentations de plai...

Objective: Two studies were conducted to investigate the role of connectedness with music videos in affecting youths' beliefs about substances (alcohol and tobacco) embedded therein and the potential for a prevention message to limit the impact of these images. Method: The first study used cross-sectional data from a national sample of 1,023 ado...

Contexte En 1991, l’adoption de la loi Evin régulant la publicité médiatique de l’alcool et du tabac était jugée comme une avancée considérable en termes de santé publique. Depuis, sous justification d’une restriction intellectuelle, culturelle et/ou économique trop sévère, cette loi n’a cessé d’être débridée et allégée par les législateurs. En par...

The development of supportive care for cancer patients has been shown to have a positive impact on both mortality rates and many aspects of life after cancer, particularly in young women. Meanwhile, there are still numerous inequalities in terms of cancer mortalities and quality of life among cancer survivors in France. The processes leading to une...

Background: The mass colorectal cancer screening program was implemented in 2008 in France, targeting 16 million French people aged between 50 and 74. The current adhesion is insufficient and the participation rate is even lower among the underserved population, increasing health inequalities within our health care system. Patient Navigation progr...

Purpose/Objectives: To develop and test the feasibility of a tailored therapeutic educational program, with the aim of improving adherence to oral endocrine adjuvant chemotherapy in women with breast cancer. Design: A qualitative study to identify educational needs and a feasibility study assessing the efficacy of the program. Setting: A comprehens...

Introduction Le diagnostic de cancer entraîne le patient dans une situation nouvelle et lui impose de nombreuses modifications dans sa vie quotidienne, familiale et sociale. Une fragilité psychologique est observée à ce moment très particulier de début des traitements, pour la plupart lourds d’effets secondaires. Apparaissent chez ces patients de n...

Controversies regarding the benefits of breast cancer screening programs have led to the promotion of new strategies taking into account individual preferences, such as decision aid. The aim of this study was to assess the impact of a decision aid leaflet on the participation of women invited to participate in a national breast cancer screening pro...

Objectives: (1) To identify and analyse, using concepts of social representation and accounts of the illness, characteristics of the way this treatment is experienced; (2) to inform doctors and healthcare workers about patients' representations, with a view to adjusting the treatment, the care and the information given to patients. Methodology:...

Introduction: There is a plea for the development of tools allowing the screening of fragile patients under oral chemotherapy. Such tools would identify patients with difficulties for being adherent or for having low side effects management skills. The aim of this study is to validate psychometric characteristics of a questionnaire assessing patie...

Résumé L’article concerne l’apport des groupes thérapeutiques dans la prise en charge des patients souffrant de douleurs chroniques. Il s’appuie sur une étude qualitative fondée sur des entretiens semi-directifs auprès de patients et de soignants ainsi que sur des observations. L’étude démontre que la participation des patients douloureux à des gro...

Objective: The breast cancer screening programme, proposed to all women between 50 and 69 years, consisting of two-view mammography screening every two years, has been generalized in France since 2004. The programme coexists with opportunistic mammography screening, provided outside official frameworks. This qualitative study was designed to ident...

Numerous oral anticancer chemotherapies are available. Non-adherence or over-adherence to these chemotherapies can lead to lowered efficacy and increased risk of adverse events. The objective of this study was to identify patients' adherence profiles using a qualitative-quantitative method. A capecitabine treatment was initiated for 38 patients wit...

Objectif : Le programme de dépistage organisé du cancer du sein, proposé aux femmes âgées de 50 à 74 ans, tous les deux ans, est généralisé en France depuis 2004. En parallèle, un dépistage individuel se déroule en dehors de tout cadre institutionnel. Cette étude qualitative avait pour objectif d’identifier les freins et les moteurs à la participat...

In France, breast cancer screening programme, free of charge for women aged 50-74 years old, coexists with an opportunistic screening and leads to reduction in attendance in the programme. Here, we reported participation in organized and/or opportunistic screening in thirteen French departments. We analyzed screening data (organized and/or opportun...

Introduction We aimed to study the relationships between educational level, women's knowledge about cervical cancer (CC), and acceptance of HPV vaccination for their daughters. Methods We analysed data from a quantitative (self-administrated questionnaire) and qualitative (semi-structured interviews) cross-sectional study performed in 2008 among 1...

To use both quantitative and qualitative methods to investigate the evolution of practices and opinions regarding human papillomavirus (HPV) vaccination among French general practitioners. A cross-sectional study (self-questionnaires) was performed in 2007 and repeated in 2010 among 271 general practitioners. Semi-structured interviews were conduct...

Introduction: National breast cancer screening is established in France for women aged of 50 to 74 years. Every other year, these women are invited to perform a mammography. Organized Screening (OS) participation is sought to be of 70% or more although actual participation range around 45%. The aim of this study was to assess the impact of a new...

e13594 Background: Given the expanding use of oral chemotherapies, optimal compliance to treatment is critical to achieve the best clinical outcome in terms of efficacy and safety. The aim of the OCTO clinical study was to measure patient compliance, either electronically or by self-assessment, to capecitabine-based treatment. Methods: A cohort of...

Background: Having been vaccinated against the human papilloma virus (HPV) may affect other behaviours related to sexual health. This study assessed knowledge and behaviour relevant to the prevention of sexually transmitted infections (STIs) among girls/women aged 14-23 years in relation to their HPV vaccination status. Methods: From November 20...

Background In France, it is recommended that girls and women aged 14–23 are vaccinated against the human papillomavirus (HPV). However, French women’s knowledge of and attitude towards the vaccine has been little studied. Methods Thirty-nine general practitioners, representative of those working in the large Rhône-Alpes region, offered a self-admi...

Cette étude vise à comprendre l'intérêt et les limites des groupes thérapeutiques mis en place auprès des patients souffrant de douleurs chroniques. A partir d'une méthodologie fondée sur des entretiens auprès des soignants et des patients ainsi que sur une série d'observations, l'étude s'intéresse à la façon dont les patients ont vécu l'expérience...

What about policy regarding SDM? There is a social demand in France for more healthcare user information and greater patient participation in the decision making process, as reflected by the law of March 4 th 2002 pertaining to patients’ rights and the quality of the healthcare system known as the Law on Democracy in healthcare. What about tools –...

Acceptance of the human papilloma virus (HPV) vaccine by targeted population will mainly depend on its acceptability among gynaecologists. We examined the perceptions, attitudes and practices of gynaecologists in relation to HPV vaccination 1 year after licensing. From November 2007 to April 2008, a cross-sectional survey was carried among a repres...

Objectives To examine knowledge about HPV vaccination and behaviour towards STD among 14–23-year-old (yo) girls and determine the correlation with HPV vaccination status. Methods From 11/2008 to 04/2009, 316 girls were recruited by general practitioners in a cross-sectional study and filled a self-administered questionnaire. Twenty-eight were inte...

Acceptance of the Human Papillomavirus (HPV) vaccine by targeted populations will depend to a large extent on its acceptability among physicians. We examined the perceptions, attitudes and practices of general practitioners (GPs) in relation to HPV vaccination. From November 2007 to April 2008, a cross-sectional survey was carried out among a repre...

For a long time patients with cancer receiving chemotherapy were 'captive', and were considered as passive during the administration of their treatment. The development of oral treatments over the last decade has considerably changed this situation. However, very little is known about the behaviour of the patients and the physicians in this new set...

REGNIER DENOIS V., POIRSON J., NOURISSAT A., JACQUIN J.-P., GUASTALLA J. P. & CHAUVIN F. (2010) European Journal of Cancer Care Adherence with oral chemotherapy: results from a qualitative study of the behaviour and representations of patients and oncologists Oral chemotherapy is increasingly used in oncology. Poor adherence, that is, non-respect o...

Anti-cancer chemotherapy is one of the rare fields of therapeutics in which most treatment has historically been given intravenously. Today, oral anti-cancer agents are common. Treating patients with oral drugs challenges the traditional approach to anti-cancer treatments because the responsibility for administration is shifted to the patient, and...

Shared decision-making is based on the idea of an enlightened participation of the patient to the therapeutic decision process, especially when the ratio between risks and benefits of treatment options is uncertain. The physician owes to ponder the advantages and the inconveniences of chemotherapy, which can be enlightened by a discussion with the...

Objectives Cancer pain management still remains difficult in France. This qualitative study aimed to better understand how patients and caregivers communicate about pain and more specifically how they perceive the role of the visual analogue scale (VAS) in the assessment of pain. Methods In this study, nine focus groups (17 patients, 11 caregivers...

The notion of therapeutic education was only recently introduced in cancer. Although the term is commonly used, no standard definition exists for the concept and principles of therapeutic education and its efficacy remains to be assessed. Therapeutic education is complementary to the healthcare approach and aims to get the patients more involved in...

L’education therapeutique est une demarche encore emergente en cancerologie. Bien que le terme soit largement employe, son concept et ses principes necessitent d’etre precises et son efficacite rigoureusement evaluee. Complementaire de la demarche de soins, elle vise a renforcer l’implication du patient dans la gestion de sa maladie et de ses trait...