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See detailPatient-caregiver differences and dyad concordance towards psychosocial impacts of stroke
Bucki, Barbara UL; Baumann, Michèle UL

in Psychology & Health (2012), 27(suppl 1), 14

Are patient-caregiver dyads concordant when applying to stroke psychosocial impacts ? Methods: Two questionnaires administered two years poststroke in Luxemburg to 62 patients and their 62 natural ... [more ▼]

Are patient-caregiver dyads concordant when applying to stroke psychosocial impacts ? Methods: Two questionnaires administered two years poststroke in Luxemburg to 62 patients and their 62 natural caregivers include 15 common items assessing psychosocial impacts of stroke on both patients and caregivers. We (1) compare these impacts of stroke on patients and caregivers, and (2) use paired analysis of the concordance in responses within dyads. Findings: Patients feel ashamed, more often than caregivers imagine (11.3% vs. 3.2%*). Patients perceive less often than caregivers an upheaval in their couple (19.4% vs. 38.7%*), and preponderance of psychological difficulties (41.9% vs. 69.4%**). Loss of friends (90.7% convergent vs. 9.3% divergent*), social life (75% vs. 25%*) and family upheavals (76.8% vs. 23.2%*) are concordant subjects within dyads, contrary to feeling undervalued (62.8% vs. 37.2%; ns) and bonds’ strengthening (81.5% vs. 18.5%; ns). Discussion: Improving communication about feelings within patient-caregiver dyads may enhance their social capital as a health capability. [less ▲]

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See detailReviews about university from freshmen in social sciences: what to remember for European policies!
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

in Higher Education in the 21st Century: Conceptualization and Performance (2012)

In Europe, traditional missions of university are to produce and transmit knowledge; higher education is free of any professional purpose. But in the early 21st century, the Lisbon and the Bologna process ... [more ▼]

In Europe, traditional missions of university are to produce and transmit knowledge; higher education is free of any professional purpose. But in the early 21st century, the Lisbon and the Bologna process set new goals to ensure on the one hand the competitiveness of European higher education on the global market and on the other hand the sustainable employability of graduates. The freshmen students must adapt to university environment, adopt new patterns, learn how to study at uni, etc. In the same time academic leaders focus on the need to quickly become employable, ie to be mobile, flexible, able to practice foreign languages, etc. This study which focuses on feelings of first year students in social sciences from 4 European universities was conducted in two steps: - The first objective was to explore their perceptions on university life and their approach of employability. Ten focus groups were held in France (5 groups, 39 participants) and in Luxembourg (5 groups, 51 participants). It appears that they consider their social student identity as a major determinant of their well-being at university. They are concerned about the reform of curricula in their respective countries and have difficulty making connections between training and the job market. - The second objective was to assess through an online questionnaire the scores of StUdent Social Identity (SUSI - 12 items) of Belgians (102), Luxembourgers (103) and Romanians (77), and their scores of Employability Skills acquired at University (ESU - 6 items). Our study revealed a highly significant correlation between SUSI and ESU (Spearmans rho = 0.377, p = 0.000). The mean scores (out of 100) are significantly different according to universities. If Luxembourgers get the best score SUSI (67.64 vs. Romanians 40.79, vs. Belgians 63.34), the score ESU is higher in Romania (74.94 vs. Luxembourg 71.26 vs. Belgians 63.03). These differences suggest that European universities can't develop upon a single model. The university policies must address the national context (historical and socioeconomic) and not overlook identity construction of students. As citizens and future leaders of our countries, they have to be heard and their points of view must be incorporated into thinking about missions of universities. [less ▲]

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See detailSchool difficulties and role of social, material, behavioural, physical and mental resources among multi-cultural students.
Chau, Kénora; Baumann, Michèle UL

in BMC Public Health (2012), 12

Background: School is a multi-cultural setting where students need social, material, physical, and mental resources to attain school achievement. But they are often lacking, especially for immigrant ... [more ▼]

Background: School is a multi-cultural setting where students need social, material, physical, and mental resources to attain school achievement. But they are often lacking, especially for immigrant students. In an early adolescence context, this study assessed risk for school difficulties among European and non-European immigrants and the roles of socioeconomic characteristics, physical health, psychological health, social relationships, living environment, and unhealthy behaviours. Methods: This cross-sectional study included 1,559 middle-school adolescents from north-eastern France, who completed a self-administered questionnaire including socioeconomic characteristics (gender, age, family structure, father’s occupation, and family income), WHO-Quality of life (measuring the four dimensions physical health, psychological health, social relationships, and living environment), unhealthy behaviours (last-30-day uses of tobacco, alcohol, cannabis, and other illicit drugs and no regular ports/physical activities), grade repetition, low school performance (<10/20), and school dropout ideation at 16 years. Data were analyzed using logistic models. Results: Grade repetition affected 14.8% of students, low school performance 8.2%, and school dropout ideation 3.9%. European immigrants had a higher risk for grade repetition only with a gender-age-adjusted odds ratio (OR) of 2.44, vs. French students. This odds ratio decreased to 1.76 (contribution 47%) with further adjustment for all confounders (family structure, father’s occupation, family income, physical health, psychological health, social relationships, living environment, and unhealthy behaviours). Non-European immigrants had a statistically higher risk for all grade repetition, low school performance, and school dropout ideation with ORs of 3.29, 3.02, and 3.42, respectively vs. French students. These odds ratios decreased to 1.76, 1.54, and 1.54, respectively (contributions 66%, 73%, and 78%) with further adjustment for all confounders. Conclusions: Compared with French students, European immigrant students were more affected only by grade repetition while non-European immigrant students by all grade repetition, low school performance, and school dropout ideation. The contribution of socioeconomic characteristics, physical health, psychological health, social relationships, living environment, and unhealthy behaviours was very high and much higher for non-European than for European immigrant students. Public policy should focus on these factors and services to reduce school difficulties. [less ▲]

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See detailL’Europe Universitaire. L’identité d’étudiante face à l’employabilité.
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

Book published by Academia L’Harmattan (2012)

Entrer à l'université impose aux jeunes étudiants de renoncer à leurs habitudes de lycéens pour s'adapter à l'environnement et au travail universitaires. Comment négocient-ils ce passage, dans un contexte ... [more ▼]

Entrer à l'université impose aux jeunes étudiants de renoncer à leurs habitudes de lycéens pour s'adapter à l'environnement et au travail universitaires. Comment négocient-ils ce passage, dans un contexte de crise de l'emploi et de réformes de l'enseignement supérieur? Sur quelles bases construisent-ils leur identité d'étudiant? Quelles sont leurs craintes et leurs interrogations? Avec le processus de Bologne, l'employabilité durable s'impose comme une des finalités des enseignements. Quelles compétences d'employabilité les étudiants se reconnaissent-ils? En quoi leur parcours universitaire contribue-t-il à l'acquisition de telles compétences? Enfin, qu'en est-il pour ceux qui quittent l'université sans achever leur première année d'études, désormais qualifiés de "décrocheurs"? Autant d'interrogations auxquelles cet ouvrage s'efforce de répondre, au travers de cinq études menées auprès d'étudiants belges, français, luxembourgeois et roumains. [less ▲]

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See detailPour aller au-delà des incertitudes épistémologiques : une validation de cohérence entre des données existantes et le construit théorique du concept de « health capability » adapté aux aidants familiaux
Bucki, Barbara UL; Baumann, Michèle UL

in XIXè Congrès International de Sociologie (2012)

Une étude dont le questionnaire, adressé à 62 aidants familiaux, porte sur les répercussions émotionnelles, sociales et familiales d’un accident vasculaire cérébral (AVC) survenu deux ans auparavant, a ... [more ▼]

Une étude dont le questionnaire, adressé à 62 aidants familiaux, porte sur les répercussions émotionnelles, sociales et familiales d’un accident vasculaire cérébral (AVC) survenu deux ans auparavant, a été reprise en tentant d’approcher le concept novateur de « health capability ». Le chercheur devant s’interroger sur la pertinence des construits théoriques, notre hypothèse a été qu’il existe un recouvrement probable entre les thèmes explorés dans l’étude AVC et les dimensions de health capabilty. Une validation de cohérence effectuée par deux chercheures a confirmé cette hypothèse : 129/164 items ont pu être répartis dans 14 des 15 dimensions du concept à l’étude. Cette répartition met en lumière les informations de l’enquête qui couvrent partiellement le construit théorique et les dimensions restant inexplorées. Des entretiens semi-structurés suivis d’une analyse qualitative des discours seront réalisés afin d’identifier le sens des contenus. Lors de notre communication, nous présenterons, à l’aide d’exemples, les étapes de cette réflexion que nous avons menée pour faire face, mais aussi pour aller au-delà des incertitudes apparentes. Puis nous discuterons de l’intérêt d’une telle démarche de va-et-vient entre un concept emprunté à la littérature et une base de données issue d’une étude mise à notre disposition. Nous mettrons en évidence l’importance de penser l’incertain épistémologique afin de mieux appréhender la compréhension contextualisée de concepts émergents. [less ▲]

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See detailHarmonie et divergences des couples sur les repercussions familiales et sociales apres la survenue d’un accident vasculaire cerebral.
Baumann, Michèle UL; Bucki, Barbara UL

in Analele Stiintifice ale Universitatii "Alexandru Ioan Cuza". Sectiunea Sociologie si Asistenta Sociala = Scientific Annals of the “Alexandru Ioan Cuza” University. Sociology and Social Work Section (2012), 5(1), 155-173

Deux ans après la survenue d’un accident vasculaire cérébral (AVC), l’harmonie et la divergence entre les déclarations des patients et des conjoints ont été analysées auprès de 51 couples vivant au ... [more ▼]

Deux ans après la survenue d’un accident vasculaire cérébral (AVC), l’harmonie et la divergence entre les déclarations des patients et des conjoints ont été analysées auprès de 51 couples vivant au Luxembourg à l’aide d’un entretien mené à leur domicile. « L’AVC a créé des bouleversements considérables dans ma famille » et « au début, personne ne savait quelle attitude avoir avec la personne AVC »; ces retentissements sont, pour les couples, indiscutables. D’autres effets les affectent: « le caractère de la personne AVC a changé complètement depuis son AVC », ils estiment que « c’est sur le plan psychologique que cela a été le plus difficile ». Malgré les changements intervenus, les voyages demeurent un sujet qui les mobilise. Les besoins « d’information concernant l’aide financière » et « d’aide pour faire des demandes administratives, d’allocations ou de services » sanitaires et socio-éducatifs sont des priorités communes. Ils sont attentifs au fait que « les services et l’équipement fournis soient de bonne qualité » et dispensés à « des moments de la journée qui conviennent ». Les personnes victimes d’un AVC sont plus nombreuses que leurs aidants à reconnaître que « lorsqu’on a un AVC, on se sent dévalorisé ». Cette différence entre les attitudes des patients et des conjoints est une forme de stigmatisation du handicap dont souffrent les victimes confrontées à une image qui n’est plus celle qu’ils avaient d’eux avant l’accident. Avec le vieillissement de la population, une conception de la prise en charge par couple devrait être pensée dans le cadre du maintien à domicile. De nouvelles perspectives de recherche en sociologie médicale pourraient être développées. [less ▲]

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See detailPrendre soin des personnes après AVC : réactions émotionnelles des aidants informels hommes et femmes.
Bucki, Barbara UL; Baumann, Michèle UL

in Santé Publique : Revue Multidisciplinaire pour la Recherche et l'Action (2012), 24(2), 143-156

The objective of this study was to assess the emotional response to caregiving among stroke caregivers living in Luxembourg, and to assess the social and psychological impact of strokes on households, two ... [more ▼]

The objective of this study was to assess the emotional response to caregiving among stroke caregivers living in Luxembourg, and to assess the social and psychological impact of strokes on households, two years after the event. Questionnaires were administered to 62 patient (64.4 years old)/caregiver (59.3 years old) dyads. The survey focused on: 1) residual impairments, based on the American Heart Association Stroke Outcome Classification; 2) the Caregiver Reaction Assessment (CRA – 24 items – 5 dimensions); and 3) changes in the division of household tasks (seven items). Although male and female caregivers care for patients with similar residual impairments, the study found that female caregivers were more likely to be affected by the impact of caregiving on their health and schedule and by lack of family support. Women were more likely to feel “tired all the time” (50% vs. 12.5%), to struggle to “find time to relax” (35.7% vs. 6.3%) and to feel that “others dumped caring onto them” (35.7% vs. 11.8%). Since the onset of stroke, women had also taken on more responsibilities in the household (37.5% vs. 5.9%), while men were more likely to “enjoy caring” for patients (93.8% vs. 67.9%) and to have become more involved in organizing holidays (29% vs. 5.6%) and seeing friends (20.6% vs. 10.5%). Because of the high level of exhaustion, particularly among women, caregivers are a high-risk population for the healthcare system. Interventions such as trialogue and counseling are required to meet the needs of male and female caregivers. [less ▲]

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See detailSuicide behaviors and role of family characteristics, school difficulties, unhealthy behaviors, and mental health among multi-cultural students.
Baumann, Michèle UL; Chau, Kénora

in Psychosociological Work in Transcultural Contexts (2012)

Background: School is a multi-cultural setting where students are trained for community participation, especially at adulthood. But some students experience suicidal behaviors and the risk may be ... [more ▼]

Background: School is a multi-cultural setting where students are trained for community participation, especially at adulthood. But some students experience suicidal behaviors and the risk may be exacerbated among immigrant students because of their living conditions. In an early adolescence context, this study assessed of risk for suicide behaviors among European and non-European immigrants and the roles of family characteristics, school difficulties, unhealthy behaviors, and mental health. Methods: Questionnaires were completed by 1559 middle-school adolescents from north-eastern France (mean age 13.5 (SD 1.3) years) including: sex, age, family structure, nationality, father’s occupation, unhealthy behaviors (last-30-day consumption of tobacco/alcohol/cannabis/hard drug, no regular sports/physical activities), repeating a school year, low-school-performance (<10/20), and quittingschool- thinking, depressive symptoms, victim of violence or sexual abuse, implication in violence, and suicide behaviors. Data were analyzed using logistic models. Results: Last-12-month suicidal ideation (SI) and lifetime suicide attempts (SA) affected 11.7% and 9.9% of students. The risk for SI was higher for European immigrants (gender-age-adjusted odds ratio ORa 2.06) and non-European immigrants (2.60) compared with French. Further adjustment for father’s occupation and family structure reduced the ORs to 1.76 (28%) and 2.43 (11%) respectively. Further adjustment for unhealthy behaviors, school difficulties, depressive symptoms, victim of violence or sexual abuse, and implication in violence reduced the ORs to 1.50 (53%) and 2.23 (23%) respectively. The risk for SA was higher for European immigrants only (ORa 2.21). Further adjustment for father’s occupation and family structure reduced the OR to 2.03 (15%), and further adjustment for other covariates reduced it to 1.59 (51%). Conclusion: Immigrant students have a higher risk for suicidal ideation or suicide attempts depending on their origin. The risk is strongly mediated by family characteristics, school difficulties, unhealthy behaviors, and mental heath. Public policy may focus on these issues. This should promote school achievement and community participation. [less ▲]

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See detailWhat is the value of keeping patients at home if informal caregivers become exhausted to the detriment of their own life satisfaction?
Baumann, Michèle UL; Couffignal, Sophie

in Social Justice and Democratization (2012)

Cerebrovascular diseases like Alzheimer’s disease increase among European populations, and the number of patients living at home, with domestic support is growing. Our study analysed, two years post ... [more ▼]

Cerebrovascular diseases like Alzheimer’s disease increase among European populations, and the number of patients living at home, with domestic support is growing. Our study analysed, two years post-stroke, the life satisfaction (LS) and its relationships with the quality of life (QoL) of the survivors and their informal caregivers, and socioeconomic characteristics, and impaired functions. All stroke survivors admitted in hospital from the 1st July 2006 to the 30th June 2007 were selected by the National Health Insurance of Luxembourg, using the administrative reimbursement database: patients living at home and their main caregivers were interviewed with questionnaires assessing LS (one question as the European survey), survivor’s Newsqol, and caregiver’s Whoqol-bref. Ninety-four survivors (65.5 years) and 62 informal caregivers (59.3 years) were included in our analyses. Sex and occupational status had a positively effect on patients: their LS was higher in women and retired people. In opposite, patients at home without a professional activity had a much lower LS score. Adjusted for sex, occupational status and impaired motor and memory functions, patients’ LS was higher for higher scores of Newsqol dimensions of feelings, sleep, emotion, cognition, and pain, but was not correlated with any of the caregiver’s Whoqol-bref domains. Informal caregiver’s LS was negatively associated with female sex and care taking of patients with impaired memory. Similarly, it was relied to feelings and emotion Newsqol dimensions and to all Whoqol-bref domains: social relationships, psychological, physical health, and environment. The needs, resources, skills and will of the informal caregivers for taking care of the other must be better taken into account. The informal caregivers represent a “population at risk” who European health systems need to consider. Coaching patients and informal caregivers with socio-educational activities that foster positive attitudes and provide motivation, reassurance and information can help sustain home-based rehabilitation and maintain patients’ LS. [less ▲]

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See detailDo relative socioeconomic deprivations impact on subjective health-related quality of life and behaviors among adolescents?
Chau, Nearkasen; Baumann, Michèle UL

in 40th World Congress of Sociology (2012)

Socioeconomic deprivations include relative parent-education, family structure, nationality, parentoccupation and income that could impact on subjective well-being among adolescents which then persists in ... [more ▼]

Socioeconomic deprivations include relative parent-education, family structure, nationality, parentoccupation and income that could impact on subjective well-being among adolescents which then persists in adulthood. In an early adolescence context, this study assessed the associations of the previous factors with subjective health-related quality of life (QoL) and behaviors. Methods: Questionnaires were completed by 1559 middle-school adolescents from north-eastern France (mean age 13.5 (SD 1.3) years) including: sex, age, family structure, parent-education/income/occupation, last-30-day tobacco/alcohol/cannabis/hard-drug consumption, sports activities, victim of violence, sexual abuse, violenceimplication, suicidal ideation, social supports, and WHOQoL (4 domains physical, psychological, socialrelationship, and environment; <10th percentile value). Data were analyzed using logistic models which yield adjusted odds ratios (OR, sex/age taken into account). Results: Low WHOQoL-physical, WHOQoL-psychological, WHOQoL-social-relationship and WHOQoLenvironment affected 14.1%, 9.6%, 16.1%, and 12.6%, respectively. Last-30-day tobacco/alcohol/cannabis/harddrug uses affected 11.2%, 35.2%, 5.6%, and 2.8%, respectively. WHOQoL-physical significantly related to parent low-education (OR=1.59), reconstructed-family (1.98, vs. intact-family), divorced/separated-parents (1.85), nonliving-with-parent (2.44), non-European-nationality (2.31), and insufficient-income (1.50). WHOQoLpsychological related to reconstructed-family (OR=1.91), divorced/separated parents (1.98), and insufficientincome (1.62). WHOQoL-social-relationship related to divorced/separated-parents (1.89), non-European nationality (4.58), and insufficient-income (1.36). WHOQoL-environment related to parent-low-education (OR=2.01), reconstructed-family (1.80), divorced/separated parents (3.25), single-parent-family (1.88), non-living with-parent (2.13), non-European-nationality (3.33), and insufficient-income (1.71). Last-30-day tobacco/alcohol/cannabis/hard-drug uses related to family-structure, European-non-French-nationality, and insufficient-income with great OR-variations across substances (up to 5.30). Parent-low-education was negatively linked with alcohol use (0.70). Regarding parent-occupation risks were lower for cannabis use among clerk/manual-worker-family (ORs about 0.30) and higher for intermediate-professional-family (1.88) and craftsman/tradesman/firm-head-family (2.02). These associations were mediated by school-performance, sports activity, obesity, sexual abuse, violence, suicidal ideation, and social support. Conclusion: Relative socioeconomic deprivations highly impact on adolescent’s subjective well-being. Risk patterns are complex and greatly vary between quality of life domains and substance uses. Since early ages adolescent’s well-being should be assessed/monitored with school-doctor-family cooperation. [less ▲]

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See detailTwo years post-stroke, predictors of survivors’ life satisfaction: common associations between Luxembourg and Portugal.
Baumann, Michèle UL; Lurbe-Puerto, Kàtia UL; Bucki, Barbara UL et al

in Psychology & Health (2011), 26(suppl 2), 90

Two years post-stroke, we analysed the survivors’ LS by looking at its associations with their QoL and their informal caregivers’ QoL and drawing from a national survey in Luxembourg (LU) and a Braganc¸a ... [more ▼]

Two years post-stroke, we analysed the survivors’ LS by looking at its associations with their QoL and their informal caregivers’ QoL and drawing from a national survey in Luxembourg (LU) and a Braganc¸a district survey in Portugal (PT). Method: Face-to-face structured interviews at home. Findings: For LU, the 94 stroke survivors’ LS was linked with all survivors’ Newsqol (Newscstle Stroke-Specific Quality of Life)* dimensions, with strong links for feelings and sleep. No association was observed with their 62 caregivers’ Whoqol-bref domains. For PT, the 50 survivors’ LS was correlated with all Newsqol’ dimensions (except vision) with strong relations for mobility, self-care, feelings and sleep, and with all 46 caregivers’ Whoqol-bref domains (physical, psychological, environmental and social relationships). Discussion: Common associations exist with stronger links for PT. Survivors’ QoL is a predictor of LS which is a useful patient-centred marker for the practice of the psychologists who develop family interventions and counselling programmes. [less ▲]

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See detailSQALES, Student’s QuAlity of Life and Employability Skills : l’évaluation-conseil au service de l’Université
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

in Evaluation et enseignement supérieur (2011)

Sous l’impulsion du processus de Bologne, les établissements de l’Espace Européen de l’Enseignement Supérieur mettent en place des systèmes Qualité. Des référentiels d’évaluation communs et des guides ... [more ▼]

Sous l’impulsion du processus de Bologne, les établissements de l’Espace Européen de l’Enseignement Supérieur mettent en place des systèmes Qualité. Des référentiels d’évaluation communs et des guides visent, au nom du processus d’harmonisation, à diffuser les « bonnes pratiques » dans tous les pays participants. Les universités sont sommées d’être productives et d’adopter une gestion rationnelle de l’ensemble de leurs ressources. Ainsi les programmes sont généralement évalués a posteriori à l’aide d’indicateurs de performance comme les taux de réussite aux examens ou d’insertion professionnelle des diplômés, et la pratique généralisée du benchmarking tend à favoriser l’utilisation de ces statistiques descriptives pour effectuer des comparaisons puis des classements nationaux et internationaux (Shanghai, Times Higher Education). Cependant certains enseignants et chercheurs souhaitent, dans une perspective holistique, considérer également le bien-être et le développement personnel des étudiants. Le dispositif SQALES, testé auprès d’un échantillon de 282 étudiants belges, luxembourgeois et roumains, propose une approche de l’évaluation novatrice reposant sur la perception qu’ont les étudiants de leurs compétences relatives à l’employabilité (échelle CRE), de leur santé psychologique (GHQ12) et de leur sentiment d’appartenance à la vie étudiante (échelle d’Identité Sociale d’Étudiant, ISE). Cette évaluation-conseil s’appuie sur une démarche compréhensive qui tient compte du contexte local et implique les bénéficiaires en tant que partenaires du processus décisionnel. Réalisée en cours de cursus, elle permet de prendre en compte en « temps réel » les difficultés rencontrées par les apprenants et d’adapter les curricula à leurs besoins, lesquels évoluent au fil de la formation, en fonction de leur construction identitaire. L’évaluateur n’agit pas en juge, mais encourage la réflexivité des acteurs et des institutions. La recherche d’un consensus concernant les ajustements à réaliser permet de réduire l’écart entre les besoins ressentis et les dispositions prises, décisions dont elle permet d’obtenir une meilleure tolérance et une mise en œuvre facilitée. [less ▲]

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See detailThe configurations of a therapeutic failure with children of marginalised Roma families: for transcultural approach.
Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Psychology & Health (2011), 26(suppl 2), 165

Background: Alin (born in 1993, Timisoara, Rumania) is the elder son of a Roma family settled for ten years in France, having heavy psychomotor and cognitive deficiencies. Method: Case study of Alin’s ... [more ▼]

Background: Alin (born in 1993, Timisoara, Rumania) is the elder son of a Roma family settled for ten years in France, having heavy psychomotor and cognitive deficiencies. Method: Case study of Alin’s psychotherapeutic trajectory. Findings. Socio-cultural representations of mental handicaps, intrafamilial relationships and personal history are interactive determinants of psychological accompaniment and healthcare provision. Mental healthcare team in charge of Alin misconceived in the relations of care: the central role played by the particular status family network attributes to the person with mental handicap and the articulation between diversity, difference and inequality in the family’s experience of mental handicap and its care. Discussion: In socio-culturally diverse contexts, the quality of relations of care depends on professionals’ capability to develop socio-culturally sensitive and responsive to beneficiaries’ needs psychotherapeutics. Transcultural approach is not effective unless it is integrated to conventional psychological practice, and a collaborative work is settled with the concerned professionals of social work and associative sectors. [less ▲]

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See detailEvaluation-conseil, demarche comprehensive, indicateurs de perception
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

in Evaluation et enseignement supérieur (2011)

Sous l’impulsion du processus de Bologne, les établissements de l'Espace Européen de l'Enseignement Supérieur mettent en place des systèmes Qualité. Des référentiels d'évaluation communs et des guides ... [more ▼]

Sous l’impulsion du processus de Bologne, les établissements de l'Espace Européen de l'Enseignement Supérieur mettent en place des systèmes Qualité. Des référentiels d'évaluation communs et des guides visent, au nom du processus d'harmonisation, à diffuser les "bonnes pratiques" dans tous les pays participants. Les universités sont sommées d'être productives et d'adopter une gestion rationnelle de l'ensemble de leurs ressources. Ainsi, les programmes sont généralement évalués a posteriori à l'aide d'indicateurs de performance comme les taux de réussite aux examens ou d'insertion professionnelle des diplômés, et la pratique généralisée du benchmarking tend à favoriser l'utilisation de ces statistiques descriptives pour effectuer des comparaisons puis des classements nationaux et internationaux (Shanghai, Times Higher Education). Cependant, certains enseignants et chercheurs souhaitent, dans une perspective holistique, considérer également le bien-être et le développement personnel des étudiants. Le dispositif SQALES, testé auprès d'un échantillon de 282 étudiants belges, luxembourgeois et roumains, propose une approche de l'évaluation novatrice reposant sur de la perception qu'ont les étudiants de leurs compétences relatives à l'employabilité (échelle CRE), de leur santé psychologique (GHQ12) et de leur sentiment d'appartenance à la vie étudiante (échelle d'Identité Sociale d'Etudiant, ISE). Cette évaluation-conseil s'appuie sur une démarche compréhensive qui tient compte du contexte local et implique les bénéficiaires en tant que partenaires du processus décisionnel. Réalisée en cours de cursus, elle permet de prendre en compte "en temps réel" les difficultés rencontrées par les apprenants et d'adapter les curricula à leurs besoins, lesquels évoluent au fil de la formation, en fonction de leur construction identitaire. L'évaluateur n'agit pas en juge, mais encourage la réflexivité des acteurs et des institutions. La recherche d'un consensus concernant les ajustements à réaliser permet de réduire l'écart entre les besoins ressentis et les dispositions prises, décisions dont elle permet d'obtenir une meilleure tolérance et une mise en œuvre facilitée. [less ▲]

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See detailOn the collaborative work between psychiatry and social work in developing transcultural capability in mental health care.
Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Effets psychosociaux de la mondialisation sur la santé mentale. (2011)

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See detailAccompagner, à leur domicile, des personnes victimes d’un accident vasculaire cérébral : des perceptions différentes entre femmes et hommes
Bucki, Barbara UL; Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Genre et parcours de vie Enfance, adolescence, vieillesse. (2011)

Au Grand-duché de Luxembourg, les aidants informels qui accompagnent au quotidien des personnes victimes d’un accident vasculaire cérébral (AVC) sont de plus en plus nombreux (OMS, 2004 ). L’évènement ... [more ▼]

Au Grand-duché de Luxembourg, les aidants informels qui accompagnent au quotidien des personnes victimes d’un accident vasculaire cérébral (AVC) sont de plus en plus nombreux (OMS, 2004 ). L’évènement majeur que représente l’AVC amène-t-il les femmes et les hommes à percevoir différemment la vie ? Notre étude tente de comparer et d’analyser, deux ans après la survenue d’un AVC, les répercussions psychosociales chez les aidants et les aidantes. A leur domicile, 41 femmes âgées de 59,1 ans (σ = 13,9) et 21 hommes âgés de 59,6 ans (σ = 13,9) ont accepté de répondre volontairement en face à face à un(e) enquêteur/trice. Le questionnaire comportait 1) la mesure de l’autonomie des victimes de l’AVC évaluée par les aidants à l’aide de l’index de Barthel (échelle 0 à 100) ; 2) la satisfaction à l’égard de la vie (échelle 0 à 10) ; 3) les assertions traduites et adaptées du Caregiver Reaction Assessment (CRA) (Given et al., 1992 ) ; 4) des questions sur l’évolution, depuis l’AVC, de la répartition des tâches, des rôles et des responsabilités au sein du foyer. <br />D’après les aidants/tes, le degré d’autonomie des personnes victimes d’AVC (âge moyen 64,8 ans ; σ = 14,1) dont ils/elles s’occupent, ne présente aucune différence significative (moyenne générale 82,2 ; σ = 28,7). Ce sont les hommes qui déclarent avoir la meilleure satisfaction à l’égard de la vie (t = - 2,52** ). D’après les scores obtenus aux dimensions du CRA, ce sont les femmes qui paraissent le plus affectées par le retentissement sur leur santé (t = 2,06**), les retombées sur l’organisation des activités quotidiennes (t = 2,54**) et le manque de soutien familial (t = 2,18**). Aucune différence entre femmes et hommes n’est mise en évidence dans le partage de la plupart des tâches quotidiennes. Il en est de même pour les scores du CRA de l’impact financier et de l’estime de soi, qui sont d’ailleurs perçues de manière positive. Cependant, les femmes reconnaissent se sentir « toujours fatiguées » (56% vs 16,7% **) et centrer leurs activités autour des soins (76,5% vs 38,9% **). Elles ne parviennent pas à trouver du temps pour pouvoir se détendre (45,5% vs 6,7% ***) et ont l’impression que les autres se sont déchargés sur elles (52,6% vs 16,7% **). Elles assurent plus qu’avant les rapports avec les professionnels (52% vs 6,3% ***) et des responsabilités au sein du foyer (37,5% vs 5,9% ***). L’AVC a modifié les parcours de vie en mobilisant des compétences culturelles et des ressources psychologiques liées au genre. Des interventions contribuant à renforcer les « health capabilities » des hommes et des femmes devraient permettre aux aidants de bénéficier d’un appui dans le maintien à domicile des personnes victimes d’un AVC. Des approches qualitatives permettront de mieux comprendre leurs besoins spécifiques. [less ▲]

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See detailThe place oof health and the micro-prowers of health professionals in rtenetion centers for unauthorised migrants multi-situated ethnographic research (France-Spain).
Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Social Relations in Turbulent Times (2011)

This research aimed to identify the place of health in Immigrants Retention Centres (IRC) and analyse the role of the health professionals regarding border control and immigration policies. The current ... [more ▼]

This research aimed to identify the place of health in Immigrants Retention Centres (IRC) and analyse the role of the health professionals regarding border control and immigration policies. The current structures to confine unauthorised migrants seem to address a two-fold issue: the repressive approach to controlling immigration and the increasing set-up of facilities participating in a mode of government centred on national security concern. Method. Ethnographical study was conducted in the Medical Units of a French (capacity: 35 pers.) and a Spanish (150 pers.) ICR for respectively, 9-months with a regularity of 30 half-days of presence every fortnight and 21 continuous days over a 3-weeks period. Qualitative data from observational notes and conversional interviews were triangulated and analysed under the Critical Categorical Content Discourse method, with Atlas.ti support. Findings. Illnesses that could halt deportation were infectious diseases involving treatment requiring a specialized infrastructure (tuberculosis); in France, those whose representation is bound to feelings of fear and disgust (mange) and mental illness that poses a threat to the individual and other persons; in Spain, pregnancy is a reason to allow a release from IRC. Squats are raid when expulsion quotas need to be filled; it accounted for the increased number of substance dependent persons in ICR at that time. Health professionals in IRC confront moral dilemmas. In France, they have a recognised micro-power able to overturn a deportation order: the medical certificate. Discussion. In ensuring healthcare access, they are drawn into the vigilance and control logics of the IRC security regime, despite themselves. Standardization of the medical practices is their main fall back and provides for risks management, which relies on the architecture and the neatness of the space, individual strategies of exception and social relationship that are shaped by a moral economy. The retreat into medical grounds allows keeping things “professional”and helps balance the tension resulting from providing medical care in a space that automatically appears to translate any act into one carried out in compliance with the repressive policy against undesired migration. Institutionalisation of European IRC medical units network is recommended to confront inequalities in care (access and quality). [less ▲]

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See detailConstruçao de rupturas sociais: pobreza e exclusao social na perspectiva das sociologias
Leandro, M. E.; Baumann, Michèle UL

in Da integracao social. Laços Familiares e Sociais. (2011)

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See detailL’estime ressentie en accomplissant le rôle d’aidant naturel et ses déterminants psychosociaux
Bucki, Barbara UL; Spitz, E.; Baumann, Michèle UL

in La pratique: un lieu de théorie (2011)

Avec l’augmentation des accidents vasculaires cérébraux (AVC), améliorer le bien-être des aidants naturels (AN) est devenu une priorité. Quels sont les déterminants psychosociaux de l’estime ressentie par ... [more ▼]

Avec l’augmentation des accidents vasculaires cérébraux (AVC), améliorer le bien-être des aidants naturels (AN) est devenu une priorité. Quels sont les déterminants psychosociaux de l’estime ressentie par les AN en accomplissant ce rôle ? Méthodologie. Sur une période de 12 mois, les personnes victimes d’un AVC deux ans auparavant, dont le diagnostic a été confirmé, vivant au Luxembourg et ayant donné leur consentement, ont désigné leur AN principal. Etude nationale transversale menée au domicile. Instruments : - Caregiver Reaction Assessment : estime de l’aide, manque de soutien familial, impacts financier, sur l’emploi du temps, sur la santé générale. - Carer Satisfaction of Community Services : services socio-sanitaires et éducatifs - Aides à domicile utilisées : soins corporels, repas, ménage, sorties, courses Résultats. Taux participation 26,5 % ; 48 AN (59,5 ±12,3 ans). Régression multiple (R²ajusté=.230) : une estime élevée est associée à un faible impact de l’aide sur la santé (β=.479***) et un recours important aux aides à domicile (β=.351**). Discussion. Il est possible de valoriser le rôle d’AN en motivant les aidants à utiliser les services disponibles pour les soulager dans leurs tâches quotidiennes. Les soutiens psychologiques peuvent également intégrer le concept de « health capability » pour renforcer l’acquisition de cette estime. [less ▲]

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See detailGender and age disparities in the associations of occupational factors with alcohol abuse and smoking in the French working population
Legleye, Stephane; Baumann, Michèle UL

in Revue d'Epidémiologie et de Santé Publique = Epidemiology and Public Health (2011), 59

Background. – This study assessed the associations of short-term employment, physical and psychological occupational demands, and job dissatisfaction with alcohol abuse (using the Audit-C test) and daily ... [more ▼]

Background. – This study assessed the associations of short-term employment, physical and psychological occupational demands, and job dissatisfaction with alcohol abuse (using the Audit-C test) and daily smoking among working French men and women in different age groups. Methods. – The sample included 13,241 working people, 18–29, 30–39, and 40–59-years-old, randomly selected in France and interviewed by phone. Occupation, type of employment, physical demands, psychological demands, job dissatisfaction, gender, age, educational level, and income were considered. Data were analyzed with logistic models. Results. – Alcohol abuse affected 20.4% of men and 7.5% of women; smoking 32.1% and 24.2%, respectively. Their patterns of association with the occupational factors varied with gender and age. Job dissatisfaction was the leading factor among young men (adjusted odds ratio for alcohol abuse and smoking: 1.71 and 2.02), whereas short-term employment was the leading factor among young women (1.69 and 1.58), this pattern being reversed in older generations. The pattern of associations of physical and psychological demands with outcomes is more complex, but overall psychological demands were more important for women (especially the younger ones) than men, especially for smoking (OR > 1.6). Smoking within 5 min after waking was much more common among male and female smokers with these occupational factors, suggesting a potential dependency. Conclusions. – Workers with short-term employment and occupational demands are subject to a higher risk for alcohol abuse and smoking with high gender and age disparities. Gender and age should be considered when designing measures to prevent substance abuse related to occupation. [less ▲]

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