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  • 1
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2020
    In:  European Journal of Public Health Vol. 30, No. Supplement_5 ( 2020-09-01)
    In: European Journal of Public Health, Oxford University Press (OUP), Vol. 30, No. Supplement_5 ( 2020-09-01)
    Abstract: Very little research has been conducted to appraise the merits of including municipalities and their local health providers in the promotion of digital health programmes. While more and more municipalities have locally implemented a health strategic plan and have focused on building local network of professionals, how do the latter react to the implementation of innovative e-mental health community-based programmes? Methods In 2018, 42 French municipalities volunteered to promote StopBlues, a digital health tool aimed at preventing mental distress and suicide. In each municipality, a local delegate was responsible for the promotion of the tool. Using observations, questionnaires and interviews with the delegates, we analysed how the promotion of StopBlues® was conducted in each setting. 2/3 of these municipalities started the promotion directly, and in 2019, a second wave of municipalities launched the promotion with a stronger support from the research team backed by the French World Health Organization Collaborating Centre for Research and Training in Mental Health (WHOCC). Results The use of digital technology in the implementation of a mental health programme received a mixed reception from the local health professionals because of its innovative aspect. 2/3 of the delegates declared that they were struggling to create a stronger network of local partners including private medical practioners. 63% of the respondents stated that their municipalities got involved in the programme for networking purposes. Conclusions Digital technologies have initiated a paradigm shift in the way community-based health programmes are set up but need to strengthen their territorial anchorage in order to be accepted and used at the local level. Key messages Digital technology can be a strong lever against health inequities but its effectiveness has to be studied carefully. Digital technolgy has to be implemented in local settings with the collaboration of local actors in order to be accepted and used.
    Type of Medium: Online Resource
    ISSN: 1101-1262 , 1464-360X
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2020
    detail.hit.zdb_id: 2033525-8
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  • 2
    Online Resource
    Online Resource
    Royal College of Psychiatrists ; 2021
    In:  European Psychiatry Vol. 64, No. S1 ( 2021-04), p. S110-S111
    In: European Psychiatry, Royal College of Psychiatrists, Vol. 64, No. S1 ( 2021-04), p. S110-S111
    Abstract: For more than a decade, digital health has held promise for enabling a much broader population to have access to health information, education and services. However, the increasing number of studies on the subject show mixed results and currently, there is a certain disillusionment regarding its benefits. And yet, the Covid-19 crisis has revealed the importance of developing digital-based complementary support to existing resources. Objectives Factors associated with higher utilization rates among the target audience need to be investigated. Methods In 2018, 41 French cities enrolled in an intervention program aimed at promoting StopBlues®, a digital health tool that helps prevent mental distress and suicide among the general population. After two years of experimentation, a Multiple Correspondence Analysis (MCA) was performed using quantitative and qualitative data collection methods from institutional sources, questionnaires and web analytics tools. Results Finding trends show that higher utilization rates were associated with the involvement of general practitioners (GPs) in the promotion of StopBlues and the use of digital marketing channels. Context-specific characteristics also played an important role in the adoption of the tool. Conclusions The local context has a strong influence on how digital tools are locally promoted and accepted. Further research is needed to understand how local actors and specifically GPs can be involved in suicide prevention. More broadly, the challenge today is to ensure acceptance of digital health technology among targeted populations by adapting the digital offer to their needs and promoting the available tools. Disclosure No significant relationships.
    Type of Medium: Online Resource
    ISSN: 0924-9338 , 1778-3585
    RVK:
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2021
    detail.hit.zdb_id: 2005377-0
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  • 3
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2019
    In:  European Journal of Public Health Vol. 29, No. Supplement_4 ( 2019-11-01)
    In: European Journal of Public Health, Oxford University Press (OUP), Vol. 29, No. Supplement_4 ( 2019-11-01)
    Abstract: France is one of the Western European countries most affected by suicide, an epidemiological burden and high societal cost of several million euros/year. Several European projects have either implemented web-based interventions for care of mental disorders or recommended online actions which have demonstrated their effectiveness for suicide prevention. The objective of the project was the construction of an application and website to prevent suicide in the general population, with its promotion being supported at the local authority level. Methods The detailed content of the devices and promotional tools available to local authorities was determined through literature reviews and expert groups (psychiatrists, local authorities’ workers and potential users). Results An application and website were constructed with two parts: a public interface with videos (psychological suffering, coping strategies and help available), an emergency button, a map with local resources and contact information (psychiatrists, psychologists, associations...), tips and videos to overcome a period of psychological suffering; and a private interface requiring registration giving access to self-assessment questionnaires and a safety plan to fill in case of crisis. 40 local authorities are involved in StopBlues promotion, with a referent each, responsible of contact with our team, and local organization of promotion. Conclusions Since 04-2018, StopBlues is available at www.stopblues.fr and can be downloaded on iOs and Android. Its promotion is part of a cluster randomized trial with 3 arms: a control group with no promotion, a group with promotion by local authorities, and a group with promotion by local authorities and general practitioner’s waiting room. As promotion could have different intensities depending on budgets and referent’s involvement, we decided to extend it for another year, with local authorities of group control receiving additional financial and organizational support. Key messages As the first e-health program for suicide primary prevention in the French general population, StopBlues’ main goal is to help people find solutions that suit them and direct them to the right help. Local authorities are a key level to promote primary health prevention programs.
    Type of Medium: Online Resource
    ISSN: 1101-1262 , 1464-360X
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2019
    detail.hit.zdb_id: 2033525-8
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  • 4
    Online Resource
    Online Resource
    Royal College of Psychiatrists ; 2021
    In:  European Psychiatry Vol. 64, No. S1 ( 2021-04), p. S347-S347
    In: European Psychiatry, Royal College of Psychiatrists, Vol. 64, No. S1 ( 2021-04), p. S347-S347
    Abstract: France’s suicide rate is among the highest in Europe, with the young among the more at risk than others. Several European projects have demonstrated the effectiveness of using e-tools in suicide prevention particularly for hard-to-reach populations. Lessons from StopBlues, an e-health tool (application/website) for suicide prevention in the general population developed in 2018 which was promoted by municipalities and general practitioners, shows the necessity to adapt its content for young people. Objectives The objective is to develop an e-health tool, BlueZberry, for suicide prevention targeting adolescents and young adults with psychological pain by adapting StopBlues and its promotional plan. Methods The detailed content of BlueZberry and its promotional plan were determined via a literature review and 26 individual and group interviews with experts and youth with StopBlues as a starting part. Results The literature review and interviews confirmed the need to adapt the tool according to age of the user since the context and source of psychological pain vary rapidly at this time of life. BlueZberry consists of three modules for age groups 12-14, 15-17 and 18-25 years with specific graphics and messages. Its locally organized promotion should include youth hangouts on top of usual places. Conclusions This adaptation of StopBlues will reach a larger audience by offering a more suitable solution for this vulnerable population. A web-portal will serve as an entry point for both StopBlues and BlueZberry where users will be redirected to one of the tools/modules according to their profile and respective needs.
    Type of Medium: Online Resource
    ISSN: 0924-9338 , 1778-3585
    RVK:
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2021
    detail.hit.zdb_id: 2005377-0
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  • 5
    Online Resource
    Online Resource
    Royal College of Psychiatrists ; 2021
    In:  European Psychiatry Vol. 64, No. S1 ( 2021-04), p. S110-S110
    In: European Psychiatry, Royal College of Psychiatrists, Vol. 64, No. S1 ( 2021-04), p. S110-S110
    Abstract: In France about 10,000 suicides/year are recorded. General practitioners (GPs) have an important role in prevention, with consultation rates between 20% and 76% the day preceding suicide. StopBlues is an application/website for primary prevention of suicide in the general population. Its promotion was supported by municipalities and involved GPs. Objectives To evaluate how the involvement of GPs in the promotion of StopBlues had an impact on its utilization. Methods StopBlues was promoted in 25 French municipalities randomly assigned to a ‘basic’ promotion group organized by municipalities only or an ‘intensified’ promotion group that also includes promotion in GPs’ waiting rooms. StopBlues users were asked how they found out about StopBlues. After two years, an ad hoc questionnaire was sent to all GPs (N=2,111). Results StopBlues users from those municipalities (N=885) were 16% to learn about StopBlues from GPs, 93% of them living in municipalities with ‘intensified’ promotion. In the ‘basic’ group, where no GPs have heard about StopBlues, 15% would like to know more about it/will have a look at it and 8% will use it and recommend it to colleagues. Half of GPs from the ‘intensified’ group had heard about the program, with 24% who recommended StopBlues to some patients. 21% of GPs agreed that they will use it and recommend it to colleagues. Conclusions Involving GPs in the use of e-health tools is of major interest to improve their utilization. Our results show that GPs are in need of those in dealing with patients with psychological pain/distress. Disclosure No significant relationships.
    Type of Medium: Online Resource
    ISSN: 0924-9338 , 1778-3585
    RVK:
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2021
    detail.hit.zdb_id: 2005377-0
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  • 6
    In: Revue d'Épidémiologie et de Santé Publique, Elsevier BV, Vol. 62 ( 2014-02), p. S54-
    Type of Medium: Online Resource
    ISSN: 0398-7620
    Language: French
    Publisher: Elsevier BV
    Publication Date: 2014
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  • 7
    Online Resource
    Online Resource
    Elsevier BV ; 2023
    In:  Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment Vol. 1049 ( 2023-04), p. 168040-
    In: Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment, Elsevier BV, Vol. 1049 ( 2023-04), p. 168040-
    Type of Medium: Online Resource
    ISSN: 0168-9002
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 1466532-3
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  • 8
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2023
    In:  The European Physical Journal A Vol. 59, No. 5 ( 2023-05-30)
    In: The European Physical Journal A, Springer Science and Business Media LLC, Vol. 59, No. 5 ( 2023-05-30)
    Type of Medium: Online Resource
    ISSN: 1434-601X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 1413603-X
    detail.hit.zdb_id: 1459066-9
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  • 9
    In: The European Physical Journal A, Springer Science and Business Media LLC, Vol. 59, No. 9 ( 2023-09-13)
    Type of Medium: Online Resource
    ISSN: 1434-601X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 1413603-X
    detail.hit.zdb_id: 1459066-9
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  • 10
    Online Resource
    Online Resource
    American Physical Society (APS) ; 2018
    In:  Physical Review Letters Vol. 120, No. 7 ( 2018-2-13)
    In: Physical Review Letters, American Physical Society (APS), Vol. 120, No. 7 ( 2018-2-13)
    Type of Medium: Online Resource
    ISSN: 0031-9007 , 1079-7114
    RVK:
    RVK:
    Language: English
    Publisher: American Physical Society (APS)
    Publication Date: 2018
    detail.hit.zdb_id: 1472655-5
    detail.hit.zdb_id: 208853-8
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