Effectiveness of a community-based multicomponent lifestyle intervention (the ADA programme) to improve the quality of life of French breast cancer survivors: protocol for a pragmatic cluster randomised trial and embedded qualitative study.

Introduction: Breast cancer survivors (BCSs) are often faced with multiple mental and physical sequelae and are at increased risk of emotional distress, degraded health-related quality of life (HRQoL), chronic pain and fatigue.Physical activity is strongly associated with improved HRQoL and survival rates; however, adherence rates to recommendations for a healthy lifestyle are seldom satisfactory among BCSs. Also, few studies have examined the effectiveness of multicomponent and personalised interventions that integrate physical activity and motivational techniques to improve the HRQoL of BCS.

Adapted physical activity interventions and motivational levers: What benefits for type 2 diabetics? A systematic review.

Background And Aims: Scientific research continues to advance and improve the medical management of type 2 diabetes. However, the importance of lifestyle management remains invaluable in treatment and tertiary prevention of this disease. Day-to-day sedentariness is the fourth most important risk factor for mortality in France.

[Adapting to the SARS-CoV2 pandemic: Experience of the Curie Institute].

The Curie Institute exclusively cares for cancer patients, who were considered particularly "vulnerable" from the start of the SARS-CoV 2 pandemic. This pandemic, which took the medical world by surprise, suddenly required the Institute's hospital to undergo rapid and multimodal restructuring, while having an impact on everyone to varying degrees. We will examine here how this hospital has coped, with the concern for a new benefit-risk balance, in times of greater medical uncertainty and scarcity of certain resources, for these "vulnerable" patients but also for their relatives and staff.

Palliative care in day-hospital for advanced cancer patients: a study protocol for a multicentre randomized controlled trial.

Background: Team-based and timely integrated palliative care is a gold standard of care in oncology, but issues concerning its optimal organization remain. Palliative Care in Day-Hospital (PCDH) could be one of the most efficient service model of palliative care to deliver interdisciplinary and multidimensional care addressing the complex supportive care needs of patients with advanced cancer. We hypothesize that, compared to conventional outpatient palliative care, PCDH allows the clinical benefits of palliative care to be enhanced.

[Experience of care and daily life during national sanitary confinement in patients followed and treated in Cancer Control Centers: The BaroCov Inquiry].

Confinement within the framework of Covid 19 required organizations in cancer centers, in particular with postponing certain treatments. We interviewed 6080 patients who had a scheduled appointment during this period. 2478 patients gave their opinion regarding access and organization of care, teleconsultation, their concerns and their reasons for satisfaction.

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Objective And Methods: Prevention programs recommend regular physical activity and a balanced diet after cancer treatment. Based on a qualitative research using a medical philosophy approach, this article aims to better understand people’s experience after an educational therapy program. At the end of treatment for localized breast cancer, interviews were conducted to analyze the experience of 23 women aged 30 to 84 years, half of whom had followed such a program.

Nutrition and physical activity professional education in gastrointestinal oncology: a national multidisciplinary survey.

Objectives: Sarcopenia, present in more than 50% of digestive oncology patients, has a negative impact on clinical outcomes. Nutrition and adapted physical activity are two major interventions for the management of sarcopenia. However, young hepato-gastroenterologists, oncologists and surgeons in France have limited awareness on these topics.

Influence of nurse's involvement on practices during end-of-life decisions within stroke units.

Objectives: Decision-making processes concerning end-of-life decisions are not well understood for patients admitted into stroke units with severe stroke. To assess the influence of nurses on the medical perspectives and approaches that lead to withholding and/or withdrawing treatments related to end-of-life (EOL) decisions.

Patients And Methods: This secondary analysis nested within the TELOS French national survey was based on a physicians' self-report questionnaire and on a I-Score which was linked to nurses' involvement.

[Improved understanding of the experience of physical activity after a cancer from a philosophy of health perspective].

We found that this programme had a positive impact on physical activity and four different types of profiles regarding the role of physical activity in the woman’s life and personal values were identified. These results support the need for a better understanding by health promotion professionals of women’s life values in order to more effectively help them after breast cancer treatment. .

Breast Cancer Survivors' Supportive Care Needs, Posttraumatic Growth and Satisfaction with Doctors' Interpersonal Skills in Relation to Physical Activity 8 Months after the End of Treatment: A Prospective Exploratory Study.

Objective: We assessed whether breast cancer survivors' (BCSs) supportive care needs, posttraumatic growth (positive psychological changes) and satisfaction with doctors' interpersonal skills could be related to physical activity (PA).

Methods: A total of 426 BCSs were approached during the last week of treatment. Eight months later, 278 (65%) provided information on their PA levels.

[Extending the palliative approach across the French health system].

The care provision for people at the end of life requires a palliative care approach to be extended across the whole healthcare system. Access to palliative care for everyone requires training for professionals, support for specialised structures and teams as well as clear political will.

[Benchmarks for interdisciplinary health and social sciences research: contributions of a research seminar].

This article proposes a reflection on an interdisciplinary seminar, initiated by philosophy and sociology researchers and public health professionals. The objective of this seminar was to explore the mechanisms involved in setting up and conducting interdisciplinary research, by investigating the practical modalities of articulating health and human and social sciences research in order to more clearly understand the conditions, tensions and contributions of collaborative research. These questions were discussed on the basis of detailed analysis of four recent or current research projects.

[The main missions of the National Palliative Care Resource Centre].

The French National Palliative Care Resource Centre (CNDR) provides people impacted by the end of life, death and bereavement with a range of constantly evolving services. Spreading the palliative approach in order to enable everyone to benefit from it and appropriate it constitutes the main mission of the CNDR.

Chronic palliative care: specific practices for Alzheimer's disease sufferers.

Introduction: In France, the government's plan to combat Alzheimer's disease takes into consideration mostly the beginnings of the disease; it does not deal with the sufferers' end of life. For this pathology, the very idea of a palliative care phase and its definition are not straightforward.

Method: The object of this qualitative study was to clarify this idea through a series of interviews with 44 professionals.

[An exploratory qualitative study on decisions to reduce current active therapeutic staff working in emergency care and the decisions-making of health care teams in emergency room treatment.].

During the last decade, end of life care has become a public health problem in France. The objective of this study is to give an account of the limitations of decisions made by emergency room staff. An analysis was conducted to better understand practices and the logical decision-making processes by two emergency room teams.