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Analyse des obstacles représentationnels chez les personnes autonomes concernant leur santé bucco-dentaire Contribution À la conception de modÈle de programme d’Éducation pour la santÉ bucco-dentaire : Contribution à la conception de modèle de programme d’éducation pour la santé bucco-dentaire

Abstract : Premise: Given the need to develop educational programmes integrated into more generalmodels to promote oral health (Petersen, 2010), we observe that there are few studies on the cognitiverepresentations of the independent elderly on oral health. This observation is made after an qualitative review ofthe literature drawing on the Precede-Proceed model (Green et Kreuter, 1991). The lack of studies on this topicis especially apparent regarding tooth decay, gingivitis, dental mobility, dry mouth and bruxism. Aims: Toidentify the cognitive representations, defined by Meunier (2002), present in oral health behaviour. Method:According to the qualitative method of Grounded theory, the verbatim’s analysis is realized from the codingstage up to the integrating stage (Paillé, 1994). The sample, non-representative, is based on 12 voluntaryrespondents (5 men and 7 women, aged from 66 years to 90 years). The semi-directive interviews are led with aninterview guide based on the reference design of the Health Belief Model. Data includes reported health status,reported description of the respondent and their resources and reported description of their own oral health.Results: The categories of causal attribution and mechanism of appearance include most of cognitiverepresentations, either positive or negative. The respondents express an important proportion of “ I don’t know”regarding diseases in oral health, with the exception of cavities. They do not perceive themselves as sick persons.They define a good oral health only as opposed to poor oral health. Finally, while these topics are not addressedin the interview guide, aesthetics and financial concerns occupy an important place in the discourses.Discussion: These results reveal the representational barriers to improved oral health behaviour and stress thevarious characteristics of it. The results contribute to structuring a relevant educational diagnosis that isnecessary to prior in an education programme. Every health educational programme must include a positive oralhealth definition. Conclusion: There is a need for further research to address the objectives of educationalprogrammes. The main stake is to bring people to adopting knowledge based on reasoning yielding improvedoral health decisions.
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Cécile Hvostoff. Analyse des obstacles représentationnels chez les personnes autonomes concernant leur santé bucco-dentaire Contribution À la conception de modÈle de programme d’Éducation pour la santÉ bucco-dentaire : Contribution à la conception de modèle de programme d’éducation pour la santé bucco-dentaire. Sociologie. Université Sorbonne Paris Cité, 2017. Français. ⟨NNT : 2017USPCD032⟩. ⟨tel-02918069⟩

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