Publications by authors named "Rat Corinne"

7 Publications

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[A caregiver-person with schizophrenia partnership to improve oral health education]

Sante Publique 2019 May June;Vol. 31(3):405-415

Introduction: Poor oral health in persons with schizophrenia is a major public health issue affecting 600,000 people in France. The aim of this article was to present the different stages in the development of a specific oral health educational program for persons with schizophrenia. It takes into account experimental knowledge of these persons and presents the results of the feasibility study.

Patients And Method: The focus group method was applied to a group of health professionals and users to highlight an exploratory corpus in order to develop an oral health educational program. An expert group including persons with schizophrenia among others validated the fields and tools of this program. A feasibility study was then conducted in a control group of 7 persons with schizophrenia.

Results: Altogether, 26 persons participated in this feasibility study. The main fields investigated by the expert group aimed to promote personal responsibility for one’s health, to improve access to the healthcare system and to promote the global management of health. The feasibility study showed the ability of this program to change persons with schizophrenia representations and knowledge of this health problem. Most educational tools were considered relevant.

Conclusion: An oral health educational program was built as part of a caregiver-persons with schizophrenia partnership and showed its feasibility. A multicentric randomized trial is currently ongoing to assess the efficacy of this program with a high level of proof.
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http://dx.doi.org/10.3917/spub.193.0405DOI Listing
October 2019

Coping Strategies for Oral Health Problems by People with Schizophrenia.

Transl Neurosci 2019 7;10:187-194. Epub 2019 Aug 7.

Clinical research unit, La Chartreuse psychiatric center, Dijon, France.

Background: Persons with schizophrenia are particularity susceptible to poor oral health. Symptoms of schizophrenia often affect oral health behaviors and lifestyle. The aim was to explore coping strategies used by people with schizophrenia in oral health in order to understand and to best involve them in the management of their own oral health in daily life.

Materials And Methods: This is systematic review reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statements. We included cross-sectional and longitudinal quantitative and qualitative studies that 1) examined coping strategies regarding oral health in persons with schizophrenia or 2) examined coping strategies were used in dental care. We included studies conducted with at least one PWS aged 18 years old more and without restriction on sex, socioeconomic status, or language.

Results: The 8 studies included suggest that coping strategies depends on complex translation processes that can be either personal (e.g., psychological symptomatology, neuropsychological functioning to adversely affect hope, self-esteem, self-stigma, self-determination, sense of coherence, and resilience) and/or environmental factors (e.g., peer support and efficacy of rehabilitations programs). We further identified that the main factor influencing coping strategies was dental stress situation.

Conclusions: This review suggests that coping strategies play a crucial role in the recovery process for oral health of PWS. Translation processes in oral health should be more explored in the future to clarify the capacity of PWS to cope with essential self-care in oral health on daily life.
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http://dx.doi.org/10.1515/tnsci-2019-0033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6689214PMC
August 2019

A Therapeutic Educational Program in Oral Health for Persons with Schizophrenia: A Qualitative Feasibility Study.

Int J Dent 2018 24;2018:6403063. Epub 2018 Sep 24.

Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033 Dijon, France.

Objective: The aim of this study was to test the feasibility of a therapeutic educational program in oral health (TEPOH) for persons with schizophrenia (PWS).

Design: In a qualitative study, we explored the representation of oral health before and after a TEPOH. : PWS are at greater risk of decayed and missing teeth and periodontal diseases. In a previous publication, we described the different steps in building a TEPOH by taking into account the experiences of PWS concerning oral health quality of life. This TEPOH aimed at promoting a global health approach. : Voluntary PWS and their caregivers were recruited during face-to-face interviews at "Les Boisseaux" (a psychiatric outpatient centre) in Auxerre (France) and were included in the study between November and December 2016. : We explored the experiences of participants and their perceptions of oral health before and after the TEPOH with focus group meetings.

Results: Four females and three males participated in the study, and the mean age was 29.4 ± 5. Before the TEPOH, the PWS produced 28 ideas about oral health perception and 37 after the TEPOH. After the TEPOH, elements relating to the determinants of oral health (smoking and poor diet) emerged.

Conclusions: These results show an evolution in oral health representation, and after some adjustments to the TEPOH, the second step will be to test this program in a large sample to generate a high level of evidence of the impact of TEPOH in the long term.
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http://dx.doi.org/10.1155/2018/6403063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174768PMC
September 2018

The Schizophrenia Oral Health Profile: Development and Feasibility.

Transl Neurosci 2018 22;9:123-131. Epub 2018 Sep 22.

EA 481 Integrative and Clinical Neurosciences, University Hospital of Besançon, F-25000 Besançon, France.

Background: The aim of this study was to present the different stages of development of the Schizophrenia Oral Health Profile (SOHP) questionnaire, aimed at assessing oral disorders and their impacts on functioning and psychosocial wellbeing for patients with schizophrenia (PWS) and to give the results of a feasibility study conducted in France.

Materials And Methods: The first step of this qualitative study was semi-structured interviews were conducted with 20 PWS and 6 health professionals (HP). A focus group integrating 4 PWS and 4 HP was also organised to identify the items of the SOHP. The data were analysed using a thematic analysis. Second, a feasibility study was conducted in a sample of 30 PWS who answered the SOHP questionnaire. The acceptability and understanding of the SOHP were evaluated, using a specific questionnaire.

Results: The semi-structured interviews and focus groups included 34 individuals in total. Items' selection was done with several stages and led to a SOHP scale with 53 final items related to oral disorders and their impacts on functioning and psychosocial well-being. These items were classified in 13 preselected dimensions including one additional module related to the side effects of medications (11 items). The feasibility study showed good acceptability and understanding of the items of the SOHP scale.

Conclusions: The psychometric validation of the SOHP scale, involving a large sample of PWS, is currently in progress. The SOHP is important to evaluate PWS oral health needs and to offer appropriate strategies to improve oral health of this persons.

Trial Registration: Clinical Trials Gov NCT02730832. Date registered: 21 March, 2016.
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http://dx.doi.org/10.1515/tnsci-2018-0019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153450PMC
September 2018

The Schizophrenia Coping Oral Health Profile. Development and Feasibility.

Transl Neurosci 2018 20;9:78-87. Epub 2018 Jun 20.

Clinical Research Unit, La Chartreuse Psychiatric Centre, 21033 Dijon, France.

Background: The aim of this work was to present the creation of appropriate tools to evaluate the coping strategies in Oral-Health-related Quality of Life (OHrQOL) implemented by persons with schizophrenia (PWS), the Schizophrenia Coping Oral Health Profile (SCOOHP), and the results of a feasibility study.

Methods: A qualitative investigation was conducted between June 2016 and May 2017.The first step included 26 semi-structured individual interviews, 20 with PWS and 6 with health professionals (HPs), and 2 focus groups (PWS and HPs) to explore the experiences of the participants and how they felt about coping strategies in OHrQOL. The second step was a feasibility study involving a statistical analysis to test the acceptability and internal consistency (Cronbach's α) of the SCOOHP.

Results: The analysis of these interviews allowed for us to obtain 277 items from 3545 verbatim transcriptions related to various dimensions of OHrQOL. We presented the items selected in coping concepts in this study. After selecting items in several stages, we drew up the SCOOHP scale with 23 items (15 items for positive coping and 8 items for negative coping). The feasibility study showed good acceptability, good understanding of the items and good consistency reliability (α = 0.59).

Conclusions: This is the first study that has enabled us to draw up a specific tool to assess coping strategies in OHrQOL of PWS. A multicentre study involving a larger sample of PWS is underway in order to perform the psychometric validation of the SCOOHP.

Trial Registration: Clinical Trials Gov NCT02730832. Date registered: 21 March 2016.
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http://dx.doi.org/10.1515/tnsci-2018-0014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024692PMC
June 2018

[A global approach to therapeutic education for patients with schizophrenia].

Soins Psychiatr 2017 Nov - Dec;38(313):41-44

Centre hospitalier La Chartreuse, 1, boulevard Chanoine-Kir, BP23314, 21033 Dijon cedex, France; Unité de recherche clinique du centre hospitalier La Chartreuse, 1, boulevard Chanoine-Kir BP 23314, 21033 Dijon cedex, France.

Thanks to the wealth of multiple competencies, it is now possible to undertake a global approach with the patient with schizophrenia based on therapeutic education. An 'à la carte' evolutive programme can respond to the issues inherent to this disorder, on condition that the caregivers have developed a common culture and values. An example of a programme implemented in La Chartreuse hospital in Dijon.
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http://dx.doi.org/10.1016/j.spsy.2017.09.009DOI Listing
May 2019

Psychometric characteristics of the "General Oral Health Assessment Index (GOHAI) » in a French representative sample of patients with schizophrenia.

BMC Oral Health 2017 Apr 11;17(1):75. Epub 2017 Apr 11.

EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000, Besançon, France.

Background: The "General Oral Health Assessment Index" (GOHAI) was widely used in clinical or epidemiological studies worldwide, as it was available for use in different languages. Therefore, the aim of this study was to evaluate the psychometric characteristics of the GOHAI in a representative sample of patients with schizophrenia.

Methods: A total of 90 schizophrenic patients (in-patients and out-patients) were recruited from the participants of the "buccodor study" (NCT02167724) between March and September 2015. They were selected using a random stratified sampling method according to their age, sex, or residential area (urban/rural area). GOHAI validity (construct, predictive, concurrent and known group validity) and internal consistency (reliability) were tested. Test-retest reliability was evaluated in 32 subjects.

Results: The mean age was 47.34 (SD = 12.17). Internal consistency indicated excellent agreement, with a Cronbach's α value of 0.82 and average inter-item correlation of 0.65. Intraclass correlation coefficients for test-retest reliability with 95% confidence intervals were not significantly different (p > 0.05). Construct validity was supported by three factor that accounted for 60.94% of the variance observed. Predictive validity was corroborated as statistically significant differences were observed between a high GOHAI score, which was associated with self-perceived satisfaction with oral health, lower age and high frequency of toothbrushing. Concurrent validity was corroborated as statistically significant relationships were observed between the GOHAI scores and most objective measures of dental status. For known group validity, they was no significant difference of the mean GOHAI score between out or in-patients (p > 0.05).

Conclusion: Acceptable psychometric characteristics of the GOHAI could help caregivers to develop ways to improve the Oral Health related Quality Of Life of schizophrenic patients.

Trial Registration: Clinical Trials Gov NCT02167724 . Date registered 17 June, 2014.
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http://dx.doi.org/10.1186/s12903-017-0368-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387256PMC
April 2017
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