{"id":1763,"date":"2020-04-13T22:04:35","date_gmt":"2020-04-14T04:04:35","guid":{"rendered":"http:\/\/monvisitebetter.ca\/evidence\/projet-better-wise\/"},"modified":"2023-01-09T16:39:29","modified_gmt":"2023-01-09T23:39:29","slug":"projet-better-wise","status":"publish","type":"post","link":"https:\/\/www.better-program.ca\/fr\/evidence\/projet-better-wise\/","title":{"rendered":"Projet BETTER WISE"},"content":{"rendered":"
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Termin\u00e9 Initiatives<\/h5>\n

Projet BETTER WISE<\/h1>\n \n <\/div>\n <\/div>\n
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\nRetour \u00e0 Donn\u00e9es et preuves scientifiques<\/a>\n<\/div>\n\n\n\n

Le projet BETTER WISE<\/strong><\/h4>\n\n\n\n

M\u00eame si la plupart des patients ont plusieurs risques, la plupart des directives et des ressources se concentrent sur une maladie pr\u00e9cise, un syst\u00e8me organique ou un risque de facteur de vie.\u00a0 De plus, les survivants du cancer et les patients qui vivent dans la pauvret\u00e9 r\u00e9ussissent moins d\u2019objectifs de pr\u00e9vention et de d\u00e9pistage et les patients peuvent manquer de sensibilisation \u00e0 comment leur style de vie contribue au cancer et aux maladies chroniques.\u00a0 En s\u2019appuyant sur les travaux de l\u2019essai clinique BETTER<\/a> et le programme BETTER 2,<\/a> le projet BETTER WISE (s\u2019appuyer sur les outils d\u00e9j\u00e0 existants pour am\u00e9liorer la pr\u00e9vention et le d\u00e9pistage pour le bien-\u00eatre des survivants de cancer et des maladies chroniques) va mener une intervention qui comprend les outils \u00e9lectroniques, les voies pour les survivants du cancer et un outil qui d\u00e9piste la pauvret\u00e9.<\/p>\n\n\n\n

BETTER WISE est un projet qui s\u2019\u00e9tend sur 5 ann\u00e9es (2016-2021) qui rassemble divers intervenants (d\u00e9veloppement des politiques, pratique, recherche, patients) en Alberta, en Ontario et \u00e0 Terre-Neuve et Labrador. Le but premier du projet BETTER WISE est de d\u00e9terminer si les patients \u00e2g\u00e9s entre 40-65 ans, comprenant les survivants du cancer (du sein, colorectal, ou prostate) et les patients de sant\u00e9 g\u00e9n\u00e9rale (i.e., patients sans ant\u00e9c\u00e9dents de cancer du sein, colorectal ou de prostate), ont \u00e9t\u00e9 randomis\u00e9s pour recevoir une visite en t\u00eate-\u00e0-t\u00eate avec un Professionnel de la Pr\u00e9vention, \u00a0pour voir si leur surveillance de cancer s\u2019est am\u00e9lior\u00e9e et les r\u00e9sultats de la pr\u00e9vention et du d\u00e9pistage, d\u00e9termin\u00e9s par un indice composite et ce, \u00e0 comparer avec des soins standards donn\u00e9s dans un groupe t\u00e9moin en liste d\u2019attente, douze mois apr\u00e8s la visite initiale de pr\u00e9vention. \u00a0.<\/p>\n\n\n\n

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Le projet BETTER WISE comprend 3 phases:<\/p>\n\n\n\n

  1. Harmonisation et int\u00e9gration du savoir<\/em> \u2013 En travaillant avec les pratiques de soins primaires et les Professionnels de la Pr\u00e9vention, une trousse d\u2019outils r\u00e9vis\u00e9e BETTER WISE va inclure des voies de soins combin\u00e9s pour les survivants de cancer (du sein, colorectal, prostate) et de pr\u00e9vention et de d\u00e9pistage du cancer et des maladies chroniques (CCDPS), comprenant les facteurs de risque de style de vie et le d\u00e9pistage de la pauvret\u00e9.<\/li>
  2. Une grappe pragmatique d\u2019essai randomis\u00e9 contr\u00f4l\u00e9 \u00a0<\/em>– Seize pratiques de soins primaires, 8 en Alberta, 4 en Ontario, et 4 \u00e0 Terre-Neuve et Labrador vont participer au projet. On s\u2019attend que de 2 \u00e0 10 fournisseurs de soins primaires (PCPs) provenant de chacune des pratiques de soins primaires seront impliqu\u00e9es, pour un total de 64 PCPs \u00e0 travers les 3 provinces participantes. Les patients seront randomis\u00e9s au niveau du m\u00e9decin pour recevoir une intervention BETTER WISE pr\u00e9coce ou pour \u00eatre sur la liste d\u2019attente du groupe t\u00e9moin. L\u2019intervention BETTER WISE est d\u00e9crite ci-dessous.\"\"<\/li>
  3. \u00c9valuation de l\u2019impact de l\u2019intervention<\/em> \u2013 Le r\u00e9sultat principal du projet sera le r\u00e9sum\u00e9 de l\u2019indice composite au niveau du patient, tel que d\u00e9fini comme proportion des manoeuvres de CCDPS pour lesquelles le patient \u00e9tait \u00e9ligible en point de r\u00e9f\u00e9rence, et qui a \u00e9t\u00e9 atteint (selon des cibles pr\u00e9-d\u00e9termin\u00e9es) \u00e0 un suivi de 12 mois. Des m\u00e9thodes qualitatives seront utilis\u00e9es pour explorer les facilitateurs et les obstacles \u00e0 la mise en oeuvre et l\u2019adoption de l\u2019intervention BETTER WISE de m\u00eame qu\u2019adresser toute modification n\u00e9cessaire pour mettre \u00e0 l\u2019\u00e9chelle et r\u00e9partir l\u2019approche et le r\u00f4le du PP.\u00a0 Une \u00e9valuation \u00e9conomique aussi sera tenue pour informer le payeur des soins de sant\u00e9 et les d\u00e9cideurs politiques de l\u2019impact projet\u00e9 des co\u00fbts et avantages d\u2019investir dans l\u2019approche BETTER WISE.<\/li><\/ol>\n\n\n\n

    Pour plus d\u2019information sur le projet BETTER WISE , veuillez nous contacter<\/a>.<\/p>\n\n\n\n

    Plus d\u2019information sur le r\u00f4le du Professionnel de la Pr\u00e9vention se retrouve ici.<\/a><\/p>\n\n\n\n

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    Le projet BETTER WISE a \u00e9t\u00e9 rendu possible gr\u00e2ce \u00e0 la contribution financi\u00e8re d\u2019Alberta Innovates – Health Solutions.<\/p>\n\n\n\n

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    Vous \u00eates un patient participant au projet BETTER WISE? Vous pouvez remplir votre sondage sur la sant\u00e9 en suivant le lien ci-dessous :<\/h3>\nwww.better-survey.ca<\/a>\n<\/div>\n\n\n\n
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    L\u2019\u00e9quipe de projet BETTER WISE (2016 – 2021)<\/h2>\n\n\n\n

    Chef de Projet:<\/strong> <\/strong>Dr. Donna Manca
    Co-Chefs de Projet<\/strong>: <\/strong>Dr. Kris Aubrey-Bassler, Dr. Denise Campbell-Scherer, Dr. Eva Grunfeld, Dr. Aisha Lofters, Dr. Melissa Shea-Budgell
    Collaborateurs: <\/strong><\/strong>A. Bencivenga, G. Bloch, J. Britten, J. Carroll, C. Davis, E. Denga, K. Dong, R. Elford, L. Green, N. Hans, F. Janke, D. Klein, P. Krueger, C. Leduc, R. Lewanczuk, K. McBrien, C. Meaney, R. Moineddin, C. Nykiforuk, M.A. O’Brien, S. Oddie, A. Pinto, M. Rose, S. Ross, G. Salvalaggio, C. Scrimshaw, N. Sopcak, W. Tink, M. Wilson
    Partenaires communautaires et partenaires de politiques: <\/strong>C. Campbell, C. Chan, P. Corcoran-Mooney, A. Gogan, R. Hiscock, J. MacWhirter, F. McCrate, B. Meade, K. Milley, R. Goodyear, A. Robinson Vollman, T. Wong
    Analyse statistique: <\/strong>R. Moineddin, C. Meaney.
    \u00c9valuation \u00e9conomique: <\/strong>K. McBrien
    Coordination du projet: <\/strong>C. Fernandes, M. Chow, S. Parsons, K. Sivayoganathan
    Assistant \u00e0 la recherche:<\/strong><\/strong> D. Ofosu
    \u00c9tudiants\/Stagiaires:<\/strong> M.K. Blackbyrne, I. Carneiro, M. Kebbe, C. Siu<\/p>\n","protected":false},"excerpt":{"rendered":"

    Bien que la plupart des patients pr\u00e9sentent des risques multiples, la plupart des directives et ressources sont g\u00e9n\u00e9ralement centr\u00e9es sur une maladie, un syst\u00e8me d’organe ou un facteur de risque sp\u00e9cifique.<\/p>\n","protected":false},"author":1,"featured_media":1703,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[67],"tags":[],"class_list":["post-1763","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-realisees"],"acf":[],"yoast_head":"\nProjet BETTER WISE - 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\/projet-better-wise\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Projet BETTER WISE - 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