Enora Le Roux1,2, Marta Mari Muro3, Kore Mognon4, Mélèa Saïd3, Viviane Caillavet5, Sophie Matheron6,7, Séverine Ledoux8, Philippe Decq9, Florence Vorspan10, Yann Le Strat11,12, Constance Delaugerre13, Morgane Le Bras14, Corinne Alberti15,3, Philippe Ruszniewski16, Philippe Zerr4, Albert Faye15,17. 1. Université de Paris, ECEVE UMR 1123, Inserm, F-75010, Paris, France. Enora.leroux2@aphp.fr. 2. Service de Santé Publique, AP-HP, Nord-Université de Paris, Hôpital Universitaire Robert Debré, Unité d'épidémiologie clinique, Inserm, 48 boulevard Serurier, CIC 1426, F-75019, Paris, France. Enora.leroux2@aphp.fr. 3. Service de Santé Publique, AP-HP, Nord-Université de Paris, Hôpital Universitaire Robert Debré, Unité d'épidémiologie clinique, Inserm, 48 boulevard Serurier, CIC 1426, F-75019, Paris, France. 4. General Medecine department, Université de Paris, F-75018, Paris, France. 5. GHT NOVO, Nursing school administration, F-95300, Pontoise, France. 6. Unité UMR 1137 IAME, Université de Paris, Inserm, F-75010, Paris, France. 7. AP-HP, Nord-Université de Paris, Hôpital Universitaire Bichat-Claude Bernard, Service de maladies infectieuses et tropicale, F-75018, Paris, France. 8. AP-HP, Nord-Université de Paris, Hôpital Louis Mourier, Service des explorations fonctionnelles, F-92700, Colombes, France. 9. AP-HP, Nord-Université de Paris, Hôpital Beaujon, Service de neurochirurgie, F-92110, Clichy, France. 10. AP-HP, Nord-Université de Paris, Hôpital Lariboisière, Service de psychiatrie, F-75010, Paris, France. 11. AP-HP, Nord-Université de Paris, Hôpital Louis Mourier, Service de psychiatrie, F-92700, Colombes, France. 12. INSERM UMR1266, Institute of Psychiatry and Neurosciences of Paris (IPNP), F-75014, Paris, France. 13. AP-HP, Nord-Université de Paris, Hôpital Saint Louis, Service de virologie, INSERM U944, F-75010, Paris, France. 14. Université de Paris, UMR_S 976, Inserm, Institut de Recherche Saint Louis, F-75010, Paris, France. 15. Université de Paris, ECEVE UMR 1123, Inserm, F-75010, Paris, France. 16. Dean of Faculty of medicine, Paris Diderot University, F-75010, Paris, France. 17. Service de Pédiatrie Générale, AP-HP, Nord-Université de Paris, Hôpital Universitaire Robert Debré, F-75019, Paris, France.
Abstract
BACKGROUND: A public health student service was set up by the French government in 2018 with the aim of increasing awareness of primary health promotion among the 47,000 students of medicine and other health professions. It is an annual program involving community-based actions on nutrition, physical activity, addiction or sexuality. Our objective was to evaluate its implementation at local level and the different experiences of the stakeholders. METHODS: A quasi-experimental study using process evaluation was performed in a Faculty of Medicine in Paris. Quantitative and qualitative data were collected from medical students who carried out preventive health actions, in the institutions in which the actions took place and from a subsample of beneficiaries. RESULTS: One hundred and eight actions were carried out by 341 students in 23 educational or social institutions, mostly high schools (n = 12, 52%). Two thirds of the students did not feel sufficiently prepared to deliver preventive health interventions (65.7%, 224/341); however the beneficiaries found that the interventions were good (278/280, 99,2%). Nineteen (83%) of the host institutions agreed to welcome health service students again, of which 9 required some modifications. For students, the reporting of a satisfactory health service experience was associated with the reporting of skills or knowledge acquisition (p < 0.01). Delivering actions in high schools and to a medium-sized number of beneficiaries per week was associated with students' satisfaction. No effect of gender or theme of prevention was observed. For 248/341 (72.7%) students, the public health service program prompts them to address prevention issues in the future. CONCLUSION: The public health service undertaken by medical students through the program is a feasible and acceptable means of delivering preventive actions. Reinforcement of training and closer interaction with the host institutions would improve results.
BACKGROUND: A public health student service was set up by the French government in 2018 with the aim of increasing awareness of primary health promotion among the 47,000 students of medicine and other health professions. It is an annual program involving community-based actions on nutrition, physical activity, addiction or sexuality. Our objective was to evaluate its implementation at local level and the different experiences of the stakeholders. METHODS: A quasi-experimental study using process evaluation was performed in a Faculty of Medicine in Paris. Quantitative and qualitative data were collected from medical students who carried out preventive health actions, in the institutions in which the actions took place and from a subsample of beneficiaries. RESULTS: One hundred and eight actions were carried out by 341 students in 23 educational or social institutions, mostly high schools (n = 12, 52%). Two thirds of the students did not feel sufficiently prepared to deliver preventive health interventions (65.7%, 224/341); however the beneficiaries found that the interventions were good (278/280, 99,2%). Nineteen (83%) of the host institutions agreed to welcome health service students again, of which 9 required some modifications. For students, the reporting of a satisfactory health service experience was associated with the reporting of skills or knowledge acquisition (p < 0.01). Delivering actions in high schools and to a medium-sized number of beneficiaries per week was associated with students' satisfaction. No effect of gender or theme of prevention was observed. For 248/341 (72.7%) students, the public health service program prompts them to address prevention issues in the future. CONCLUSION: The public health service undertaken by medical students through the program is a feasible and acceptable means of delivering preventive actions. Reinforcement of training and closer interaction with the host institutions would improve results.
Entities:
Keywords:
Education; Implementation; Medical students; Prevention; Process evaluation
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