Évaluation d’une formation québécoise fondée sur des données probantes pour améliorer le dépistage des troubles du comportement alimentaire
Publication: Canadian Journal of Community Mental Health
18 Octobre 2019
Résumé
Une formation pour le dépistage des troubles du comportement alimentaire (TCA) destinée à des intervenant(e)s des services de santé généraux du Québec a été évaluée dans le but de cerner ses effets sur l’utilisation de données probantes dans les pratiques. L’analyse des réponses aux questionnaires complétés par les intervenant(e)s révèle une acquisition de connaissances, des réactions positives envers la formation et une intention d’utiliser les connaissances acquises. Lors d’entretiens semi-structurés postformation (3 mois), les intervenant(e)s rapportent avoir utilisé les connaissances sous diverses formes et ont identifié des facteurs influençant l’adoption des pratiques enseignées. L’importance d’adapter les pratiques au contexte québécois est discutée.
Abstract
A training program on the topic of eating disorders (EDs) screening was assessed in order to promote the use of evidence-based knowledge by health care providers working in first-line services in Quebec. The questionnaires completed by health care providers suggest the acquisition of knowledge, positive reactions towards training and intention to use the acquired knowledge. In post-training (3 months) semi-structured interviews, health care providers reported using the acquired knowledge in various ways and also identified factors influencing the adoption of the presented evidence-based practices. The importance of tailoring practices to Quebec’s context is discussed.
Formats available
You can view the full content in the following formats:
References
Ajzen I. 1991 The theory of planned behaviour Organizational Behaviour and Human Decision Processes 50 179 -211 https://doi.org/10.1016/0749-5978(91)90020-T
Ali K., Farrer L., Fassnacht D. B., Gulliver A., Bauer S., and Griffiths K. M. 2016 Perceived barriers and facilitators towards help-seeking for eating disorders: A systematic review International Journal of Eating Disorders 50 1 9 -21
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders DSM-5 (5e éd.). Arlington, VA: American Psychiatric Publishing.
Arcelus J., Mitchell A. J., Wales J., and Nielsen S. 2011 Mortality rates in patients with anorexia nervosa and other eating disorders: a meta-analysis of 36 studies Archives of general psychiatry 68 7 724 -731
Boyko J. A., Lavis J. N., Dobbins M., and Souza N. M. 2011 Reliability of a tool for measuring theory of planned behaviour constructs for use in evaluating research use in policymaking Health research policy and systems 9 1 29
Bronfenbrenner, U. (2005). Making human beings human — Bioecological perspectives on human development. Thousand Oaks, CA: Sage Publications.
Bulik C. M., Slof-Op’t Landt M. C. T., van Furth E. F., and Sullivan P. F. 2007 The Genetics of Anorexia Nervosa Annual Review of Nutrition 27 1 263 -275
Couturier J., Kimber M., Jack S., Niccols A., Van Blyderveen S., and McVey G. 2013 Understanding the uptake of family‐based treatment for adolescents with anorexia nervosa: therapist perspectives International Journal of Eating Disorders 46 2 177 -188
Couturier J., Kimber M., Jack S., Niccols A., Blyderveen S., and McVey G. 2014 Using a knowledge transfer framework to identify factors facilitating implementation of family‐based treatment International Journal of Eating Disorders 47 4 410 -417
Cook-Darzens S. 2013 Apports de la recherche familiale dans les troubles du comportement alimentaire de l’enfant et de l’adolescent : acquis, défis et nouvelles perspectives Thérapie familiale 34 1 39 -67
Criquillon-Doublet, S., Divac, S., Dardennes, R. et Guelfi, J.D. (1995). Le « Eating Disorder Inventory » (EDI). Dans J. D, Guelfi, V. Gaillac & R. Dardennes. Psychopathologie quantitative (pp. 249-260). Paris, France : Masson.
Currin L., Waller G., Treasure J., Nodder J., Stone C., Yeomans M., and Schmidt U. 2007 The use of guidelines for dissemination of “best practice” in primary care of patients with eating disorders International Journal of Eating Disorders 40 5 476 -479
Dagenais C., Dargis-Damphousse L., and Dutil J. 2012 The Essentials Skills Series in Evaluation: Assessing the Validity of the ESS Participant Workshop Evaluation Questionnaire Canadian Journal of Program Evaluation 26 2 89 -100 Récupéré de https://search.proquest.com/docview/1038938024/fulltextPDF/4892A3336C3742C0PQ/1?accountid=12543
Dagenais C., Queuille L., and Ridde V. 2013 Evaluation of a knowledge transfer strategy from a user fee exemption program for vulnerable populations in Burkina Faso Global Health Promotion 20 Suppl 1 70 -79
Francis, J., Eccles, M. P., Johnston, M., Walker, A. E., Grimshaw, J. M., Foy, R., … Bonetti, D. (2004). Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers. Newcastle upon Tyne, R.-U.: Centre for Health Services Research, University of Newcastle upon Tyne.
Garner D.M. and Garfinkel P.E. 1979 The Eating Attitudes Test: an index of the symptoms of anorexia nervosa Psychological Medicine 9 273 -279 https://doi.org/10.1017/S0033291700030762
Garner D.M., Olmstead M.A., and Polivy J. 1983 Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia International Journal of Eating Disorders 2 15 -34
Green H., Johnston O., Cabrini S., Fornai G., and Kendrick T. 2008 General practitioner attitudes towards referral of eating-disordered patients: a vignette study based on the theory of planned behaviour Mental health in family medicine 5 4 213 Récupéré de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2777584/pdf/MHFM-05-213.pdf
Harrison M. B., Légaré F., Graham I. D., and Fervers B. 2010 Adapting clinical practice guidelines to local context and assessing barriers to their use Canadian Medical Association Journal 182 2 E78 -E84
Hart L. M., Granillo M. T., Jorm A. F., and Paxton S. J. 2011 Unmet need for treatment in the eating disorders: A systematic review of eating disorder specific treatment seeking among community cases Clinical Psychology Review 31 5 727 -735
Kazdin A. E., Fitzsimmons-Craft E. E., and Wilfley D. E. 2017 Addressing critical gaps in the treatment of eating disorders International Journal of Eating Disorders 50 3 170 -189
Kimber M., Couturier J., Jack S., Niccols A., Blyderveen S., and McVey G. 2014 Decision-making processes for the uptake and implementation of family-based therapy by eating disorder treatment teams: A qualitative study International Journal of Eating Disorders 47 1 32 -39
Kirkpatrick, D. (1998). Evaluating Training Programs: The Four Levels. San Francisco, CA : Berrett-Koehler Publishers.
Lafrance Robinson A., Boachie A., and Lafrance G. A. 2013 « i want help! » : Psychologists’ and physicians’ competence, barriers, and needs in the management of eating disorders in children and adolescents in Canada Canadian Psychology/Psychologie canadienne 54 3 160 -165 https://doi.org/10.1037/a0032046
Leichner P., Steiger H., Puentes-Neuman G., Perreault M., and Gottheil N. 1994 Validation d’une échelle d’attitudes alimentaires auprès d’une population québécoise francophone Revue Canadienne de Psychiatrie 39 1 49 -54 Récupéré de http://journals.sagepub.com/doi/pdf/10.1177/070674379403900110
Linville D., Benton A., O’Neil M., and Sturm K. 2010 Medical providers’ screening, training and intervention practices for eating disorders Eating disorders 18 2 110 -131 https://doi.org/10.1080/10640260903585532
Median M. S. 2015 How much does it cost to treat teens with anorexia nervosa in hospital? Canadian Medical Association Journal 187 9 658
Ministère de la Santé et des Services sociaux du Québec (2017). Plan d’action en santé mentale 2015-2020 (Publication no 15-914-04W). Recupéré du site du ministère : http://publications.msss.gouv.qc.ca/msss/fichiers/2015/15-914-04W.pdf
Monthuy-Blanc, J., Gagnon-Girouard, M-P., Langlois, F., St-Pierre, L., Plouffe, L., Dupont, A. et Ouellet, M. (2015, avril). Intervention en TCA dans la région Mauricie et Centre-du-Québec, modèle d’intervention soumis au Centre intégré universitaire de la Santé et des Services sociaux de la région Mauricie et Centre-du-Québec, Trois-Rivières, Canada.
Monthuy-Blanc, J. et Perron, C. (2014). Rapport du sondage sur les troubles du comportement alimentaire. Trois-Rivières, Québec : Université du Québec à Trois-Rivières.
National Collaborating Centre for Mental Health (Great Britain) & National Institute for Clinical Excellence (Great Britain). (2004). Eating disorders: core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. Leicester, R.-U.: British Psychological Society.
Nutley, S. et Awad, N. (2012). Commentaires de Sandra Nutley. Dans C. Dagenais et E. Robert (dir.), Le transfert des connaissances dans le domaine social (p.201-209). Montréal, Canada : Les Presses de l’Université de Montréal.
Paillé P 1996 De l’analyse qualitative en général et de l’analyse thématique en particulier Recherches qualitatives 15 179 -194
Pritts S. D. and Susman J. 2003 Diagnosis of eating disorders in primary care American Family Physician 67 2 297 -304 Récupéré de http://www.aafp.org/afp/2003/0115/p297.pdf
Ridde, V. et Dagenais, C. (2012). Approches et pratiques en évaluation de programme (2e édition revue et augmentée). Montréal, Canada : Presses de l’université de Montréal.
Strandberg E., Eldh A. C., Forsman H., Rudman A., Gustavsson P., and Wallin L. 2014 The concept of research utilization as understood by Swedish nurses: demarcations of instrumental, conceptual, and persuasive research utilization Worldviews on Evidence-Based Nursing 11 1 55 -64
Thompson-Brenner H., Satir D. A., Franko D. L., and Herzog D. B. 2012 Clinician reactions to patients with eating disorders: a review of the literature Psychiatric Services 63 1 73 -78 https://doi.org/10.1176/appi.ps.201100050
Turner H., Tatham M., Lant M., Mountford V. A., and Waller G. 2014 Clinicians’ concerns about delivering cognitive-behavioural therapy for eating disorders Behaviour research and therapy 57 38 -42 https://doi.org/10.1016/j.brat.2014.04.003
Von Ranson K. M., Wallace L. M., and Stevenson A. 2013 Psychotherapies provided for eating disorders by community clinicians: Infrequent use of evidence-based treatment Psychotherapy Research 23 3 333 -343
Waller G. 2016 Treatment Protocols for Eating Disorders: Clinicians’ Attitudes, Concerns, Adherence and Difficulties Delivering Evidence-Based Psychological Interventions Current psychiatry reports 18 4 1 -8
Wholey, J. S. (Ed.). (2004). Evaluability assessment (2nd ed.). San Francisco, CA: Jossey-Bass.
Williams S. and Reid M. 2010 Understanding the experience of ambivalence in anorexia nervosa: the maintainer’s perspective Psychology and Health 25 5 551 -567 https://doi.org/10.1080/08870440802617629
Information & Authors
Information
Published In
Canadian Journal of Community Mental Health
Volume 38 • Number 2 • October 2019
Pages: 49 - 69
History
Version of record online: 18 Octobre 2019
Mots-clés
Key Words
Authors
Metrics & Citations
Metrics
Other Metrics
Citations
Cite As
Laurence Plouffe, Christian Dagenais, and Johana Monthuy-Blanc. 2019. Évaluation d’une formation québécoise fondée sur des données probantes pour améliorer le dépistage des troubles du comportement alimentaire. Canadian Journal of Community Mental Health.
38(2): 49-69. https://doi.org/10.7870/cjcmh-2019-006
Export Citations
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
There are no citations for this item
View Options
View options
Login options
Check if you access through your login credentials or your institution to get full access on this article.
Subscribe
Click on the button below to subscribe to Canadian Journal of Community Mental Health
