{"id":1761,"date":"2020-04-13T22:02:28","date_gmt":"2020-04-14T05:02:28","guid":{"rendered":"http:\/\/monvisitebetter.ca\/evidence\/better-health-projet-durham\/"},"modified":"2020-07-27T13:05:32","modified_gmt":"2020-07-27T20:05:32","slug":"better-health-projet-durham","status":"publish","type":"post","link":"https:\/\/www.better-program.ca\/fr\/evidence\/better-health-projet-durham\/","title":{"rendered":"BETTER HEALTH : \u00c9tude Durham"},"content":{"rendered":"<div id=\"page-header-block_5e6d58bc2bbd0\" class=\"page-header block alignfull\">\n  <div class=\"page-header-content\">\n    <div class=\"page-header-content-wrapper\">\n              <h5 class=\"red\">Termin\u00e9 Initiatives<\/h5>\n            <h1>BETTER HEALTH : \u00c9tude Durham <\/h1>\n      \n          <\/div>\n  <\/div>\n  <div class=\"page-header-image\">\n          <div class=\"mask\">\n        <img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"800\" src=\"https:\/\/www.better-program.ca\/wp-content\/uploads\/2019\/11\/dr.jpg\" class=\"attachment-full size-full\" alt=\"\" srcset=\"https:\/\/www.better-program.ca\/wp-content\/uploads\/2019\/11\/dr.jpg 1200w, https:\/\/www.better-program.ca\/wp-content\/uploads\/2019\/11\/dr-300x200.jpg 300w, https:\/\/www.better-program.ca\/wp-content\/uploads\/2019\/11\/dr-768x512.jpg 768w, https:\/\/www.better-program.ca\/wp-content\/uploads\/2019\/11\/dr-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/>      <\/div>\n          <div class=\"swoop image-top-right\">\n  <svg width=\"271\" height=\"232\" viewBox=\"0 0 271 232\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\">\n    <g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\">\n      <g transform=\"translate(-381.000000, -576.000000)\" class=\"shape blue\" fill=\"#FED292\">\n        <g transform=\"translate(156.000000, 136.000000)\">\n          <path d=\"M265.557208,487.189506 C315.60114,420.53788 381.576801,439.743631 423.090827,453.878491 C540.604638,493.890678 492.777294,576.144665 440.87301,616.455285 C385.166388,659.723102 289.489434,696.122032 244.274497,649.549258 C221.913179,626.537872 208.331629,563.393447 265.557208,487.189506\"><\/path>\n        <\/g>\n      <\/g>\n    <\/g>\n  <\/svg>\n<\/div>\n<div class=\"swoop image-bottom-left\">\n  <svg width=\"271\" height=\"232\" viewBox=\"0 0 271 232\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\">\n    <g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\">\n      <g transform=\"translate(-381.000000, -576.000000)\" class=\"shape yellow\" fill=\"#FED292\">\n        <g transform=\"translate(156.000000, 136.000000)\">\n          <path d=\"M265.557208,487.189506 C315.60114,420.53788 381.576801,439.743631 423.090827,453.878491 C540.604638,493.890678 492.777294,576.144665 440.87301,616.455285 C385.166388,659.723102 289.489434,696.122032 244.274497,649.549258 C221.913179,626.537872 208.331629,563.393447 265.557208,487.189506\"><\/path>\n        <\/g>\n      <\/g>\n    <\/g>\n  <\/svg>\n<\/div>\n  <\/div>\n\n    <div class=\"grey-bg\"><\/div>\n<\/div>\n\n\n\n<div class=\"text-block block\">\n<a href=\"http:\/\/better-program.ca\/fr\/evidence\/\" class=\"link__text back\">Retour a Donn\u00e9es et preuves scientifiques<\/a>\n<\/div>\n\n\n\n<p>BETTER HEALTH: \u00c9tude Durham, financ\u00e9e conjointement par l\u2019IRSC et la Soci\u00e9t\u00e9 canadienne du cancer,&nbsp; est une \u00e9tude qui \u00e9tend l\u2019approche du Programme BETTER. Cela consiste \u00e0 faire une r\u00e9union de soutien pour r\u00e9viser la pr\u00e9vention et le d\u00e9pistage des maladies chroniques (CDPS), entre une infirmi\u00e8re de la sant\u00e9 publique, qui joue le r\u00f4le du Professionnel de la Pr\u00e9vention, et un participant \u00e2g\u00e9 entre 40 \u2013 64 ans qui r\u00e9side dans la r\u00e9gion de&nbsp; Durham en Ontario<strong>.<\/strong><\/p>\n\n\n\n<p>BETTER HEALTH: Durham rassemble les investigateurs de Sunnybrook Health Science Centre, de St. Michael\u2019s Hospital, de Durham Region Health Department et de l\u2019University of Toronto Family &amp; Community Medicine. Ce projet s\u2019\u00e9tale de 2017 to 2020.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"621\" src=\"https:\/\/better-program.ca\/wp-content\/uploads\/2020\/07\/BETTER-Durhamwebsite-1-1024x621.png\" alt=\"\" class=\"wp-image-2041\" srcset=\"https:\/\/www.better-program.ca\/wp-content\/uploads\/2020\/07\/BETTER-Durhamwebsite-1-1024x621.png 1024w, https:\/\/www.better-program.ca\/wp-content\/uploads\/2020\/07\/BETTER-Durhamwebsite-1-300x182.png 300w, https:\/\/www.better-program.ca\/wp-content\/uploads\/2020\/07\/BETTER-Durhamwebsite-1-768x466.png 768w, https:\/\/www.better-program.ca\/wp-content\/uploads\/2020\/07\/BETTER-Durhamwebsite-1-1536x931.png 1536w, https:\/\/www.better-program.ca\/wp-content\/uploads\/2020\/07\/BETTER-Durhamwebsite-1.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Notre objectif avec&nbsp; BETTER HEALTH: Durham va adapter l\u2019intervention BETTER , guid\u00e9e par les principes d\u2019une recherche participative \u00e0 base communautaire (CBPR). Les participants qui sont \u00e9ligibles&nbsp; sont rassembl\u00e9s en \u2018grappes\u2019 o\u00f9 ils r\u00e9sident. Les grappes sont des plus petits voisinages identifi\u00e9s comme \u2018<a href=\"https:\/\/maps.durham.ca\/HealthNeighbourhoods\/index.html\">voisinages prioritaires\u2019<\/a> par le <a href=\"https:\/\/www.durham.ca\/en\/health-and-wellness\/cancer-prevention-and-screening.aspx\">Durham Health Department<\/a>, et ce sont les voisinages o\u00f9 il y a eu d\u00e9pistage de cancer et o\u00f9 ce niveau \u00e9tait bas.<\/p>\n\n\n\n<p>Il y a trois phases \u00e0 BETTER HEALTH: Durham: la phase de l\u2019adaptation, l\u2019essai clinique randomis\u00e9 et l\u2019\u00e9valuation qualitative.<\/p>\n\n\n\n<p>Notre premi\u00e8re phase \u00e9tait la phase d\u2019adaptation qui s\u2019\u00e9talait de f\u00e9vrier \u00e0 juillet 2017. Ceci comprenait les groupes de discussions et les entrevues en t\u00eate-\u00e0-t\u00eate avec les membres du public et les intervenants cl\u00e9s pour r\u00e9viser les changements pr\u00e9liminaires des outils, des ressources et du contexte. Le rapport ci-dessous a r\u00e9vis\u00e9 5 th\u00e8mes qui ont d\u00e9coul\u00e9s de cette phase.<\/p>\n\n\n\n<p>La seconde phase, la randomisation des grappes, va cibler 5 interventions (imm\u00e9diates) et 5 grappes contr\u00f4les (liste d\u2019attente) avec 12 participants dans chacune des grappes pour un total de 120 participants. La branche d\u2019intervention des participants compl\u00e8te l\u2019enqu\u00eate de base par le coordinateur de recherche,&nbsp; et compl\u00e8te la rencontre avec le professionnel de la pr\u00e9vention et apr\u00e8s avoir compl\u00e9ter leur suivi du sondage 6 mois plus tard.&nbsp; Pour les participants contr\u00f4les, ils sont pr\u00e9vus pour faire leur sondage de base, compl\u00e9ter leur suivi du sondage dans&nbsp; 6 mois et finalement rencontrer le professionnel de la pr\u00e9vention.&nbsp; Durant cette rencontre avec le professionnel de la pr\u00e9vention,&nbsp;&nbsp; les participants peuvent fixer leurs objectifs, savoir o\u00f9 leur sant\u00e9 se situe et \u00eatre connect\u00e9 avec d\u2019autres agences et ressources gr\u00e2ce \u00e0 la connaissance approfondie de la communaut\u00e9 de la part de l\u2019Infirmi\u00e8re de sant\u00e9 publique. Les participants ont \u00e9t\u00e9 recrut\u00e9s de diff\u00e9rentes fa\u00e7ons. Des exemples de strat\u00e9gies de recrutement sont : aller \u00e0 des \u00e9v\u00e9nements locaux, des annonces de journaux, des d\u00e9pliants de recrutement distribu\u00e9s \u00e0 plusieurs agences approuv\u00e9es et dans les communaut\u00e9s,&nbsp; des envois avec Postes Canada, des pr\u00e9sentations aux agences, aux m\u00e9dias sociaux, etc.&nbsp;<\/p>\n\n\n\n<p>La troisi\u00e8me phase, l&rsquo;\u00e9valuation qualitative, aura lieu avec les participants inscrits, les intervenants et les partenaires tout au long de l&rsquo;\u00e9tude, qui seront invit\u00e9s \u00e0 r\u00e9pondre \u00e0 une s\u00e9rie dLa troisi\u00e8me phase, une \u00e9valuation qualitative, aura lieu avec les participants qui sont enr\u00f4l\u00e9s, les intervenants et les partenaires, tout au long de l\u2019\u00e9tude, et tous seront demand\u00e9s de r\u00e9pondre \u00e0 un \u00e9ventail de questions sur leurs&nbsp; exp\u00e9riences et sur leurs opinions \u00e0 propos de l\u2019ex\u00e9cution de l\u2019\u00e9tude.&nbsp; La phase qualitative sera bas\u00e9e sur les principes de th\u00e9orie \u00e0 base empirique et \u00e9clair\u00e9e par le&nbsp;Consolidated Framework for Implementation Research (CFIR).<\/p>\n\n\n\n<p>\u00c0 travers ces phases, nous envisageons de continuer \u00e0 partager les travaux et les connaissances de BETTER avec un large \u00e9ventail d&rsquo;intervenants, y compris les preneurs de d\u00e9cision, les \u00c0 travers toutes ces phases, nous planifions de partager la connaissance adapt\u00e9e BETTER avec un \u00e9ventail d\u2019intervenants, comprenant des d\u00e9cideurs politiques, des conseillers, la sant\u00e9 publique, les soins primaires, des organismes communautaires et nationaux et avec un public plus \u00e9largi en recherche, en utilisant le plan Knowledge Transition (KT).<\/p>\n\n\n\n<p>Voici ci-dessous l\u2019\u00e9tude initiale BETTER en soins primaires et le BETTER HEALTH: Durham.<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td><\/td><td><strong>BETTER dans les pratiques de soins primaires<\/strong><\/td><td><strong>BETTER HEALTH: DURHAM<\/strong><\/td><\/tr><tr><td>Endroit physique du professionnel de la pr\u00e9vention (PP)<\/td><td>Dans les \u00e9quipes de soins primaires dans les cliniques<\/td><td>IIncrust\u00e9 dans le Health Department, R\u00e9gion Durham, pour le rayonnement communautaire<\/td><\/tr><tr><td>Identification des participants<\/td><td>Provenant du dossier m\u00e9dical \u00e9lectronique<\/td><td>Strat\u00e9gies de recrutement communautaires <\/td><\/tr><tr><td>Identification des comportements compl\u00e9t\u00e9s et actuels et des activit\u00e9s<\/td><td>Provenant du dossier m\u00e9dical \u00e9lectronique et d\u2019un sondage auto-administr\u00e9 et autod\u00e9clar\u00e9 <\/td><td>Provenant des r\u00e9ponses autod\u00e9clar\u00e9es donn\u00e9es \u00e0 l\u2019administrateur du sondage, par le coordinateur de recherche<\/td><\/tr><tr><td>Identification des facteurs de risque <\/td><td>Tests de labo, sondage, dossier m\u00e9dical \u00e9lectronique<\/td><td>Autod\u00e9claration<\/td><\/tr><tr><td>Entrevue motivationnelle par le PP et fixer les objectifs par les participants<\/td><td>Par le professionnel de la pr\u00e9vention dans l\u2019\u00e9quipe de soins primaires des cliniques<\/td><td>Par les professionnels de la pr\u00e9vention \u00e0 plusieurs endroits communautaires<\/td><\/tr><tr><td>Facilitation de l\u2019accomplissement des objectifs <\/td><td>Personnel de la clinique, le professionnel de la pr\u00e9vention, les liens, et soi-m\u00eame<\/td><td>Les professionnel de la pr\u00e9vention, les liens, et soi-m\u00eame<\/td><\/tr><tr><td>Strat\u00e9gie pour trouver un m\u00e9decin de soins primaires pour les participants.<\/td><td>Ne s\u2019applique pas <\/td><td>Les professionnel de la pr\u00e9vention avec le soutien de la strat\u00e9gie de soins primaires qui implique les m\u00e9decins et les cliniques pr\u00e8s des grappes.<\/td><\/tr><tr><td>Mesures de r\u00e9sultats primaires<\/td><td>Indice composite, exprime le ratio (multipli\u00e9 par 100) du nombre \u00e9ligible de CDPS (pr\u00e9vention et d\u00e9pistage des maladies chroniques) les actions \u00e0 la base (d\u00e9nominateur) qui ont \u00e9t\u00e9 des succ\u00e8s au suivi (num\u00e9rateur), mesur\u00e9 au niveau du patient. (G*)<\/td><td><\/td><\/tr><tr><td>Constatation des r\u00e9sultats <\/td><td>Abstraction de EMR et des r\u00e9ponses autod\u00e9clar\u00e9es \u00e0 plusieurs sondages auto-administr\u00e9s par le professionnel de la pr\u00e9vention<\/td><td>Autod\u00e9claration des r\u00e9ponses au sondage, administr\u00e9 par l\u2019assistant de recherche<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Pour plus d\u2019information \u00e0 propos de BETTER HEALTH:&nbsp; \u00c9tude Durham, veuillez contacter Dr. Lawrence Paszat au <a href=\"mailto:LawrencePaszat@sunnybrook.ca\">LawrencePaszat@sunnybrook.ca<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Retour a Donn\u00e9es et preuves scientifiques BETTER HEALTH: \u00c9tude Durham, financ\u00e9e conjointement par l\u2019IRSC et la Soci\u00e9t\u00e9 canadienne du cancer,&nbsp; est une \u00e9tude qui \u00e9tend l\u2019approche du Programme BETTER. Cela consiste \u00e0 faire une r\u00e9union de soutien pour r\u00e9viser la pr\u00e9vention et le d\u00e9pistage des maladies chroniques (CDPS), entre une infirmi\u00e8re de la sant\u00e9 publique, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3355,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[67],"tags":[],"class_list":["post-1761","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-realisees"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>BETTER HEALTH : \u00c9tude Durham - The Better Program<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.better-program.ca\/fr\/evidence\/better-health-projet-durham\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"BETTER HEALTH : \u00c9tude Durham - The Better Program\" \/>\n<meta property=\"og:description\" content=\"Retour a Donn\u00e9es et preuves scientifiques BETTER HEALTH: \u00c9tude Durham, financ\u00e9e conjointement par l\u2019IRSC et la Soci\u00e9t\u00e9 canadienne du cancer,&nbsp; est une \u00e9tude qui \u00e9tend l\u2019approche du Programme BETTER. Cela consiste \u00e0 faire une r\u00e9union de soutien pour r\u00e9viser la pr\u00e9vention et le d\u00e9pistage des maladies chroniques (CDPS), entre une infirmi\u00e8re de la sant\u00e9 publique, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.better-program.ca\/fr\/evidence\/better-health-projet-durham\/\" \/>\n<meta property=\"og:site_name\" content=\"The Better Program\" \/>\n<meta property=\"article:published_time\" content=\"2020-04-14T05:02:28+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-27T20:05:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.better-program.ca\/wp-content\/uploads\/2020\/01\/shutterstock_124922930-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2048\" \/>\n\t<meta property=\"og:image:height\" content=\"1365\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.better-program.ca\\\/fr\\\/evidence\\\/better-health-projet-durham\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.better-program.ca\\\/fr\\\/evidence\\\/better-health-projet-durham\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/www.better-program.ca\\\/#\\\/schema\\\/person\\\/ad144c4c65766c5af84788af12f07d41\"},\"headline\":\"BETTER HEALTH : \u00c9tude Durham\",\"datePublished\":\"2020-04-14T05:02:28+00:00\",\"dateModified\":\"2020-07-27T20:05:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.better-program.ca\\\/fr\\\/evidence\\\/better-health-projet-durham\\\/\"},\"wordCount\":1066,\"publisher\":{\"@id\":\"https:\\\/\\\/www.better-program.ca\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.better-program.ca\\\/fr\\\/evidence\\\/better-health-projet-durham\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.better-program.ca\\\/wp-content\\\/uploads\\\/2020\\\/01\\\/shutterstock_124922930-scaled.jpg\",\"articleSection\":[\"Termin\u00e9\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.better-program.ca\\\/fr\\\/evidence\\\/better-health-projet-durham\\\/\",\"url\":\"https:\\\/\\\/www.better-program.ca\\\/fr\\\/evidence\\\/better-health-projet-durham\\\/\",\"name\":\"BETTER HEALTH : \u00c9tude Durham - 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