A. Bergeret

Claude Bernard University Lyon 1, Villeurbanne, Rhône-Alpes, France

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Publications (103)112.2 Total impact

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    ABSTRACT: Dans un monde du travail compétitif, l’accompagnement dans l’emploi des personnes souffrant d’épilepsie (PSE) doit être de plus en plus performant. Dans ce contexte, l’objectif de ce travail était d’identifier à partir des données de la littérature les facteurs d’insertion professionnelle et d’analyser leur retentissement afin de proposer des pistes de stratégie de prise en charge pluriprofessionnelle adaptée.
    No preview · Article · Nov 2015
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    ABSTRACT: Objective Many workers suffer from musculoskeletal disorders. In France, occupational physicians are able to set job aptitude restrictions obliging employers to adapt the worker's job. The present study explored the impact of job restriction from the point of view of the employees' supervisors. Methods A qualitative study was conducted in 3 public hospitals. 12 focus groups were organized, involving 61 charge nurses and head nurses supervising 1 or more workers restricted for heavy lifting or repetitive movements. Discussions were recorded for qualitative thematic analysis. Results Charge and head nurses complained that aptitude restrictions were insufficiently precise, could not be respected and failed to mention residual capability. A context of personnel cuts, absenteeism and productivity demands entailed a need for polyvalence and reorganization threatening the permanence of adapted jobs. Job restrictions had several negative consequences for the charge and head nurses, including overwork, increased conflict, and feelings of isolation and organizational injustice. Conclusion Protecting the individual interests of workers with health issues may infringe on the interests of their supervisors and colleagues, whose perception of organizational justice may go some way to explaining the support or rejection they show toward restricted workers. This paradox should be explicitly explored and discussed.
    No preview · Article · Sep 2015 · Journal of Occupational Rehabilitation
  • Thierry Lassiège · Emmanuel Fort · Alain Bergeret

    No preview · Conference Paper · Jun 2015
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    Lucie Anzivino · Martine Hours · Alain Bergeret

    Full-text · Article · Mar 2015
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    ABSTRACT: The aim of this work was to review the available literature on occupational risk factors associated with ovarian cancer. A PubMed search was performed using an algorithm with the following search terms: ovary, ovarian, exposure, work, occupation. Relevant articles were selected through assessment of titles and abstracts as well as through the reference lists of related articles. A total of 54 studies were selected for this review, including 17 studies on asbestos exposure and risk of ovarian cancer and, 16 studies on other occupational factors (5 cohort studies and 11 case control studies). An increased risk of ovarian cancer has been reported for several occupations (teachers, administration employees, nurses, religious workers) and various industrial sectors (biomedical research, telephony industry, hairdresser and beautician, printing factories) with inconsistent results. Moreover, in many of these studies, individual risk factors of ovarian cancers were not considered. Despite methodological limitations of published studies, a significantly increased risk for ovarian cancer associated with asbestos exposure have been consistently reported.
    No preview · Article · Dec 2014 · Bulletin du cancer
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    ABSTRACT: Aim of the study. The objective of this study was to assess the methods of implementation of the PRESLO program from the point of view of users (healthcare workers with a history of low back pain [LBP]) in order to identify potential improvements to the program. Methods. A qualitative study approach was adopted. Twenty-one participants were selected intentionally in different categories of workers. All volunteered to take part in a semi-structured individual interview exploring representations of LBP, expectations, experience of supervised sessions and adherence to the home-based exercises. All interviews were transcribed and analysed using the qualitative analysis software Atlas.ti. Results. Participation in the program was motivated by prior episodes of LBP, relief expectations and the desire to gain autonomy. The impact at 12 months of the education session showed a change in LBP representations among participants. Collective exercise sessions were highly appreciated due to the emulation generated by the group. The attendance to exercise sessions was facilitated by the proximity and accessibility (during working hours in the workplace) and by the information about the program provided in the institution. The autonomy of the participants at the end of the group sessions varied among individuals. The information materials were poorly used. Long-term compliance to the home-based exercises also varied among individuals. The impact of the program was positively evaluated by the participants in terms of empowerment, physical and psychological well-being and pain reduction. The main shortcomings were the lack of booster sessions to maintain autonomy in the practice of exercises and the motivation generated by the group. The suggestions included the need for booster sessions and follow-up in the long term. Conclusion. The results allowed a qualitative assessment of the program's impact and participants' satisfaction in several dimensions. Areas for improvement of the program have been identified. Booster sessions and long-term follow-up seem important to improve exercise compliance over time.
    No preview · Article · Sep 2014 · Archives des Maladies Professionnelles et de l Environnement
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    ABSTRACT: Aim of the study The objective of this study was to assess the methods of implementation of the PRESLO program from the point of view of users (healthcare workers with a history of low back pain [LBP]) in order to identify potential improvements to the program. Methods A qualitative study approach was adopted. Twenty-one participants were selected intentionally in different categories of workers. All volunteered to take part in a semi-structured individual interview exploring representations of LBP, expectations, experience of supervised sessions and adherence to the home-based exercises. All interviews were transcribed and analysed using the qualitative analysis software Atlas.ti. Results Participation in the program was motivated by prior episodes of LBP, relief expectations and the desire to gain autonomy. The impact at 12 months of the education session showed a change in LBP representations among participants. Collective exercise sessions were highly appreciated due to the emulation generated by the group. The attendance to exercise sessions was facilitated by the proximity and accessibility (during working hours in the workplace) and by the information about the program provided in the institution. The autonomy of the participants at the end of the group sessions varied among individuals. The information materials were poorly used. Long-term compliance to the home-based exercises also varied among individuals. The impact of the program was positively evaluated by the participants in terms of empowerment, physical and psychological well-being and pain reduction. The main shortcomings were the lack of booster sessions to maintain autonomy in the practice of exercises and the motivation generated by the group. The suggestions included the need for booster sessions and follow-up in the long term. Conclusion The results allowed a qualitative assessment of the program's impact and participants’ satisfaction in several dimensions. Areas for improvement of the program have been identified. Booster sessions and long-term follow-up seem important to improve exercise compliance over time.
    No preview · Article · Sep 2014

  • No preview · Article · Jun 2014 · Archives des Maladies Professionnelles et de l Environnement

  • No preview · Article · Jun 2014 · Archives des Maladies Professionnelles et de l Environnement
  • J.-B. Fassier · B. Charbotel · A. Bergeret

    No preview · Article · Jun 2014

  • No preview · Article · Jun 2014 · Archives des Maladies Professionnelles et de l Environnement

  • No preview · Article · Jun 2014 · Archives des Maladies Professionnelles et de l Environnement

  • No preview · Article · Jun 2014 · Archives des Maladies Professionnelles et de l Environnement

  • No preview · Article · May 2014 · Annals of Physical and Rehabilitation Medicine
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    Preview · Article · May 2014 · Annals of Physical and Rehabilitation Medicine
  • T. Lassiege · E. Fort · A. Bergeret

    No preview · Article · Nov 2013 · Archives des Maladies Professionnelles et de l Environnement
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    ABSTRACT: Une étude de Suivi d’une Population d’Accidentés de la Route dans le Rhône (la cohorte ESPARR) a été mise en place en 2004, en lien avec le registre des victimes d’accidents de la Route dans le Rhône. L’un des objectifs de ce suivi prospectif est de déterminer les conséquences des accidents de la route, en particulier sur la santé et la vie professionnelle. Objectif : évaluer si les victimes d’un accident de route survenu dans le cadre du travail, issues de la cohorte ESPARR, présentent des conséquences professionnelles différentes de celles d’un accident survenu dans le cadre de vie privée. Matériel et méthodes : 778 adultes (66,6% de la cohorte ESPARR) qui avaient un travail ou étaient en formation professionnelles au moment de l’accident ont été étudiés. Deux groupes ont été distingués : 354 (45,5%) victimes d’un accident de route survenu dans le cadre du travail (groupe 1) et 424 (54,5%) dans le cadre de la vie privée (groupe 2). Les deux groupes ont été comparés sur les données médicales et professionnelles recueillies lors du suivi prospectif, à 6 mois, 1 an, 2 ans et 3 ans. Des analyses multivariées pour rechercher les facteurs associés à un arrêt de travail après l’accident et à une absence de reprise du travail ont été menées à partir des statuts à 6 mois, 1 an et en tenant compte de l’ensemble des questionnaires. Résultats : aucune différence significative entre les deux groupes n’a été observée sur les données démographiques. Dans le groupe 2 il y a plus de victimes qui présentent des lésions sévères (MAIS ≥3) que dans le groupe 1 (32,6% vs 23,7%, p=0,007 ). Aucune différence significative n’a été observée entre les deux groupes sur les données recueillies sur les conséquences professionnelles au cours du suivi, en particulier sur la durée de l’arrêt de travail à la suite de l’accident, le nombre de victimes ayant repris le travail 3 ans après et le nombre de victimes ne travaillant pas à cause d’une décision d’inaptitude au poste de travail. Les conditions du retour au travail sont plutôt meilleures pour le groupe 1 (aménagement du poste de travail….). A 1 an, l’arrêt de travail est significativement associé au type d’accident ; l’odds ratio ajusté augmente pour les accidents en lien avec le travail (OR=2,0 IC95% = [1,1-3,7]). Le type d’accident n’est en revanche pas associé à une absence de reprise du travail. Conclusion : dans la cohorte ESPARR, le fait que l’accident de la route soit survenu dans le cadre du travail ne semble pas avoir d’influence sur les conséquences professionnelles.
    No preview · Article · Jun 2013
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    ABSTRACT: Objectives: A case-control study was carried out to identify driving behaviors associated with the risk of on-duty road accident and to compare driving behaviors according to the type of journey (on duty, commuting, and private) for on-duty road accident victims. Methods: Cases were recruited from the Rhône Road Trauma Registry between January 2004 and October 2005 and were on duty at the time of the accident. Control subjects were recruited from the electoral rolls of the case subjects' constituencies of residence. Cases' and controls' driving behavior data were collected by self-administered questionnaire. A logistic regression was performed to identify behavioral risk factors for on-duty road accidents, taking into account age, sex, place of residence, road accident risk exposure, socio-occupational category, and type of road user. A second analysis focused specifically on the case subjects, comparing their self-assessed usual behaviors according to the type of journey. Results: Significant factors for multivariate analysis of on-duty road accidents were female gender, history of on-duty road accidents during the previous 10 years, severe time pressure at work, and driving a vehicle not belonging to the driver. On-duty road accident victims reported behavioral risk factors more frequently in relation to driving for work than driving for private reasons or commuting: nonsystematic seat belt use, cell phone use at least once daily while driving, and history of accidents with injury during the previous 10 years. Conclusions: This study provides knowledge on behavioral risk factors for on-duty road accidents and differences in behavior according to the type of journey for subjects who have been on-duty road accident victims. These results will be useful for the design of on-duty road risk prevention.
    No preview · Article · Mar 2013 · Traffic Injury Prevention

  • No preview · Article · Jan 2013
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    ABSTRACT: Common low back pain represents a major public health problem in terms of its direct cost to health care and its socio-economic repercussions. Ten percent of individuals who suffer from low back pain evolve toward a chronic case and as such are responsible for 75 to 80% of the direct cost of low back pain. It is therefore imperative to highlight the predictive factors of low back pain chronification in order to lighten the economic burden of low back pain-related invalidity. Despite being particularly affected by low back pain, Hospices Civils de Lyon (HCL) personnel have never been offered a specific, tailor-made treatment plan. The PRESLO study (with PRESLO referring to Secondary Low Back Pain Prevention, or in French, PREvention Secondaire de la LOmbalgie), proposed by HCL occupational health services and the Centre Médico-Chirurgical et de Réadaptation des Massues – Croix Rouge Française, is a randomized trial that aims to evaluate the feasibility and efficiency of a global secondary low back pain prevention program for the low back pain sufferers among HCL hospital personnel, a population at risk for recurrence and chronification. This program, which is based on the concept of physical retraining, employs a multidisciplinary approach uniting physical activity, cognitive education about low back pain and lumbopelvic morphotype analysis. No study targeting populations at risk for low back pain chronification has as yet evaluated the efficiency of lighter secondary prevention programs. This study is a two-arm parallel randomized controlled trial proposed to all low back pain sufferers among HCL workers, included between October 2008 and July 2011 and followed over two years. The personnel following their usual treatment (control group) and those following the global prevention program in addition to their usual treatment (intervention group) are compared in terms of low back pain recurrence and the impairments measured at the beginning and the end of the study. The global prevention program is composed of a two-hour information session about low back pain and pain pathways, followed by five weekly 90-min exercise sessions with one physiotherapist per group of eight to ten personnel. A booklet for home use with patient-managed exercise instructions and information (The Back Book) is given to each participant at the end of the program. An X-ray assessment of the entire spinal column of each participant (in both the control and intervention groups) is performed at the onset of the study in order to analyze sagittal spinopelvic balance as well as lombopelvic morphotype. The results of this study, which is innovative and unique in France, will be available in 2014 and will make it possible to draw conclusions regarding the program’s impact on the risk of recurrence and chronification of low back pain. Trial registration http://www.clinicaltrials.gov # NCT00782925
    Full-text · Article · Nov 2012 · BMC Musculoskeletal Disorders