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Personne :
Boucher, Danielle

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Boucher

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Danielle

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Université Laval. Faculté des sciences infirmières

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ncf10532674

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Voici les éléments 1 - 5 sur 5
  • PublicationAccès libre
    Efficacy of school-based interventions aimed at decreasing sugar-sweetened beverages consumption among adolescents : a systematic review
    (CAB International, 2017-02-08) Vézina-Im, Lydi-Anne; Bélanger-Gravel, Ariane; Boucher, Danielle; Dugas, Marylène; Beaulieu, Dominique; Provencher, Véronique; Sirois, Caroline
    Objective: To verify the efficacy of school-based interventions aimed at reducing sugar-sweetened beverage (SSB) consumption among adolescents in order to develop or improve public health interventions. Design: Systematic review of interventions targeting adolescents and/or the school environment. Setting: The following databases were investigated: MEDLINE/PubMed, PsycINFO, CINAHL and EMBASE. Proquest Dissertations and Theses was also investigated for unpublished trials. Subjects: Adolescents were defined as individuals between the ages of 12 and 17 years. Results: A total of thirty-six studies detailing thirty-six different interventions tested among independent samples (n 152 001) were included in the review. Twenty interventions were classified as educational/behavioural and ten were classified as legislative/environmental interventions. Only six interventions targeted both individuals and their environment. Over 70 % of all interventions, regardless of whether they targeted individuals, their environment or both, were effective in decreasing SSB consumption. Legislative/environmental studies had the highest success rate (90·0 %). Educational/behavioural interventions only and interventions that combined educational/behavioural and legislative/environmental approaches were almost equally effective in reducing SSB consumption with success rates of 65·0 and 66·7 %, respectively. Among the interventions that had an educational/behavioural component, 61·5 % were theory-based. The behaviour change techniques most frequently used in interventions were providing information about the health consequences of performing the behaviour (72·2 %), restructuring the physical environment (47·2 %), behavioural goal setting (36·1 %), self-monitoring of behaviour (33·3 %), threat to health (30·6 %) and providing general social support (30·6 %). Conclusions: School-based interventions show promising results to reduce SSB consumption among adolescents. A number of recommendations are made to improve future studies.
  • PublicationRestreint
    La consommation de médicaments psychotropes chez de jeunes Québécois ayant un diagnostic de TSA : une réalité à analyser
    (Fédération québécoise de l'autisme et des autres troubles envahissants du développement, 2014-04-01) Boucher, Danielle; Turgeon, Mélanie; Sirois, Caroline; Gascon, Hubert
    Le trouble du spectre de l’autisme (TSA) s’accompagne souvent de symptômes et de comorbidités (troubles anxieux, troubles déficitaires de l’attention, troubles obsessifs compulsifs...) qui compliquent l’éducation et l’accompagnement de l’enfant ou de l’adolescent ayant un TSA. Bien que l’approche comportementale soit à privilégier, les écrits scientifiques suggèrent que le recours aux médicaments est fréquent, et ce, même si aucun médicament ne traite spécifiquement les symptômes clés du TSA. De fait, peu d’évidences dans la recherche supportent l’apport de la médication dans la réduction des comportements perturbateurs associés au TSA (Institut national d’excellence en santé et en services sociaux, 2013). De ces constats émergent deux questions : 1. Dans quelle mesure les jeunes présentant un TSA au Québec sont-ils exposés aux médicaments? 2. Quelle est l’efficacité perçue par les parents de l’usage de psychotropes chez leur enfant? Nous présenterons succinctement les résultats de deux études qui ont permis de dresser le portrait de l’usage des médicaments psychotropes auprès de jeunes Québécois présentant un TSA. Ces résultats nous ont incités à approfondir un aspect très peu documenté soit celui du point de vue des parents quant à la contribution de l’usage de psychotropes à l’amélioration du comportement de leur enfant.
  • PublicationRestreint
    Avantages et inconvénients des psychotropes chez un enfant ayant un TSA : perception des parents
    (Fédération québécoise de l’autisme, 2015-04-01) Boucher, Danielle; Gascon, Hubert; Garant, Maude; Sirois, Caroline
    Près de la moitié des jeunes Québécois ayant un diagnostic du trouble du spectre de l’autisme (TSA) utilisent au moins un psychotrope (Sirois et al., 2013). Il existe toutefois peu de données sur l’efficacité de ces médicaments dans cette population. Aucune médication ne traite le TSA (INESSS, 2013). Le point de vue des parents relativement à l’usage et à l’efficacité des psychotropes chez leur enfant ayant un TSA n’a pas fait l’objet d’études. Il est pourtant essentiel de connaître ces éléments afin d’assurer un usage optimal de la médication chez cette population. L’objectif de la recherche est d’identifier les perceptions des parents d’un enfant ayant un diagnostic de TSA à l’égard de l’utilisation de psychotropes. Dans le cadre de cet article, nous présenterons les avantages et les inconvénients perçus à l’utilisation des médicaments psychotropes. Dans une théorie explicative de l’adoption d’un comportement telle que la théorie du comportement planifié (Ajzen, 1991), les avantages et les inconvénients constituent des croyances qui influencent l’attitude des personnes à adopter un comportement. Cette théorie a guidé la démarche de cette recherche.
  • PublicationAccès libre
    Beliefs of adolescents on sugar-sweetened beverages abstinence : a reasoned action approach elicitation study
    (Réseau de recherche en interventions en sciences infirmières du Québec, 2018-01-01) Beaulieu, Dominique; Vézina-Im, Lydi-Anne; Simard, Dominic; Boucher, Danielle
    Introduction. Sugar-sweetened beverage (SSB) consumption is associated with many health problems, such as obesity and cardiovascular diseases. Objectives. To identify adolescents’ beliefs concerning SSB abstinence. Methods. Based on the Reasoned Action Approach, thirty semi-structured interviews were conducted with adolescents (12-17 years). They were selected based on age, sex and setting in order to ensure a broad representation of adolescents from two French-speaking regions of the province of Quebec in Canada (Eastern Canada). Adolescents were invited to answer eight open-ended questions regarding SSB abstinence in the next month. A qualitative content analysis was performed independently by two experts to identify the most important beliefs. Results. According to adolescents, the main advantage of abstaining from SSB was that it would be good for their health and the main disadvantage was that they would have to give up products they liked drinking for the taste. Parents and friends seemed to be the most important social influences regarding abstaining from SSB. Adolescents mentioned many barriers to SSB abstinence, such as contextual barriers (e.g., special occasions, eating out, following sports activities), the presence of SSB drinkers, advertisements promoting SSB, and the urge to drink SSB. Facilitating factors included absence of SSB at home/school, having easy access to water and pure fruit juices, and receiving information about the negative health effects of SSB. Discussion/Conclusions. The results of this preliminary study can be used to guide the development of interventions to promote SSB abstinence among adolescents.
  • PublicationAccès libre
    Correlates of sugar-sweetened beverages consumption among adolescents
    (CABI Publishing, 2020-05-08) Vézina-Im, Lydi-Anne; Guillaumie, Laurence; Turcotte, Stéphane; Boucher, Danielle; Douville, Frédéric; Beaulieu, Dominique
    Objective: To identify correlates and underlying beliefs regarding the adolescents’ intention to abstain from consuming sugar-sweetened beverages (SSB) and the consumption of ≤1 daily portion of SSB. Design: Correlational study. Setting: Region of Chaudière-Appalaches in the province of Quebec, Canada. Participants: 311 adolescents aged 13–18 years completed a self-administrated online questionnaire based on the Reasoned Action Approach. Frequency and quantity of different types of SSB within the past month were measured. Results: Total mean SSB intake was 882·6 ml/d (654·0 kJ/d ). Only 11·3 % abstained from SSB within the last month. Intention to abstain from SSB was explained by identification as SSB abstainers ( β = 0·47), perceived norm ( β = 0·32), attitude ( β = 0·30), age 13–14 years ( β = –0·27) and perception of the school environment ( β = 0·14), which explained 66 % of the variance. Consumption of ≤1 daily portion of SSB was explained by the intention to abstain (OR = 1·55; 95 % CI 1·14, 2·11), perceived behavioural control to abstain (OR = 1·80; 95 % CI 1·29, 2·52), sex (girls v. boys: OR = 2·34; 95 % CI 1·37, 3·98) and socio-economic status (advantaged v. disadvantaged school: OR = 2·08; 95 % CI 1·21, 3·56). Underlying beliefs (i.e. more energy, decreased risk of addiction and friends’ approval) associated with intention as well as perceived barriers (e.g. access to SSB, after an activity that makes you thirsty), and facilitating factors (e.g. access to water) linked to SSB consumption were identified. Conclusions: The results can inform public health interventions to decrease SSB consumption and their associated health problems among adolescents.