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Psychosocial and Ecosystem Impact of Chronic Disease: Towards Individual and Environmentally Based Actions Accounting Complexity

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Guest Editor
Department of Psychology, University Montpellier 3 Paul Valery, 34199 Montpellier, France
Interests: psychological adaptation; health intervention research; complex program planning; qualitative and mixed methods; primary care; diagnostic delay; chronic disease; cancer; endometriosis

Special Issue Information

Dear Colleagues,

The management of chronic diseases requires going beyond the sole perspective of medicalized health, in particular because of repercussions in the daily life of patients and their environment. A complex understanding of the processes at the individual level of both patient and stakeholder (relatives, health professionals, employers, public authorities, etc.) as well as at a structural level is necessary to plan solutions for the future. To address this issue more fully, we are soliciting manuscript submissions for inclusion in a Special Issue of International Journal of Environmental Research and Public Health, titled: " Psychosocial and ecosystem impact of chronic disease: towards individual and environmentally based actions accounting complexity". We welcome manuscripts that either describe the impact of chronic disease on the daily life of patients and/or actors in their environment or that focus on the complexity in the diagnostic pathway and the comprehensive care of chronic diseases. High quality research is expected, especially rigorous qualitative research highlighting the individual and structural determinants of the problem as well as the standpoints of stakeholders. Authors can refer to the guidelines identified by the EQUATOR group (Enhancing the QUAlity and Transparency of Health Research https://www.equator-network.org/) and attach the appropriate checklist. We look forward to your contributions, which are in the interest of patients.

Dr. Guillaume Broc
Guest Editor

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Keywords

  • chronic disease
  • global health
  • complex diagnosis
  • comprehensive care
  • ecosystem perspective

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Published Papers (2 papers)

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13 pages, 1355 KiB  
Article
Planning Individual and Population-Based Interventions in Global Health: Applying the DEA-A Framework to Promote Behavioral, Emotional, and/or Cognitive Change among Stakeholders
by Guillaume Broc, Jean Baptiste Fassier, Stéphane Raffard and Olivier Lareyre
Int. J. Environ. Res. Public Health 2024, 21(3), 378; https://doi.org/10.3390/ijerph21030378 - 21 Mar 2024
Cited by 2 | Viewed by 2546
Abstract
Addressing health challenges that impact human well-being requires a comprehensive, interdisciplinary approach that would be at the crossroad of population-based prevention and individual-level clinical care, which is in line with a Global Health perspective. In the absence of a unifying theoretical framework to [...] Read more.
Addressing health challenges that impact human well-being requires a comprehensive, interdisciplinary approach that would be at the crossroad of population-based prevention and individual-level clinical care, which is in line with a Global Health perspective. In the absence of a unifying theoretical framework to guide such interventions, a Dynamic Ecosystem Adaptation through the Allostasis (DEA-A) framework has been proposed, emphasizing the functional adaptation of individuals and organizations in symbiosis with their living ecosystem. While a conceptual model has been presented, this methodological contribution aims at illustrating the practical application of the DEA-A framework for planning Global Health interventions. The methodology combines Intervention Mapping and Cognitive and Behavioral Theory, extended to the ecosystem. Practical guidelines and supporting tools are provided to help public health providers and clinicians in establishing a functional ecosystem diagnosis of the issue; defining not only behavioral, but also emotional and cognitive change objectives (allostasis targets) expected for each stakeholder; and designing intervention plans targeting determinants of these allostasis. The discussion addresses implementation and evaluation perspectives of interventions based on the DEA-A framework, emphasizing the importance of considering change in its processual and ecosystem complexity. Lastly, encouragements for a deeper understanding of individual and ecosystem homeostasis/allostasis processes are made in order to promote more functional interventions. Full article
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19 pages, 967 KiB  
Systematic Review
Ecosystem Barriers and Facilitators Linked to the Fear of Cancer Recurrence: An Umbrella Review
by Benjamin Caumeil, Nicolas Bazine, Axel Maugendre and Sarah Calvin
Int. J. Environ. Res. Public Health 2024, 21(8), 1041; https://doi.org/10.3390/ijerph21081041 - 7 Aug 2024
Viewed by 3230
Abstract
The fear of cancer recurrence is an important topic in the healthcare field. In general, approximately 40% of survivors experience high levels of fear of recurrence. This study aims to fill this gap by synthesizing the findings of systematic reviews studies investigating ecosystems, [...] Read more.
The fear of cancer recurrence is an important topic in the healthcare field. In general, approximately 40% of survivors experience high levels of fear of recurrence. This study aims to fill this gap by synthesizing the findings of systematic reviews studies investigating ecosystems, correlates or predictors, and barriers and facilitators of fear of cancer recurrence among cancer survivors. An umbrella meta-synthesis was conducted using the following databases: MEDLINE, PsycINFO, PsycARTICLES, CINAHL, Business source premier, and SOCindex, ending in April 2024 with PRISMA methods. A total of 24 systematic reviews, representing 729 articles, were included in the study. In total, six ecosystems were identified, including family, work, friends, the healthcare system, caregivers, and religion. As part of this umbrella review, 55 specific ecosystemic factors were identified that may contribute to fear of cancer recurrence. Furthermore, the umbrella review identified 12 facilitators and 12 barriers related to fear of cancer recurrence. This umbrella meta-synthesis contributed significantly to our review’s strength in synthesizing the main ecosystem and its influence on fears of cancer recurrence. Understanding the interdependence of ecosystems should enable future research on intervention effectiveness or the development of interventions that could reduce the fear of cancer recurrence. Full article
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