Adeline Grard

ORCID: 0000-0003-2549-5655
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About
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Research Areas
  • Smoking Behavior and Cessation
  • School Health and Nursing Education
  • Mental Health and Patient Involvement
  • Behavioral Health and Interventions
  • Obesity, Physical Activity, Diet
  • Health disparities and outcomes
  • Mental Health Treatment and Access
  • Chronic Disease Management Strategies
  • Healthcare innovation and challenges
  • Air Quality and Health Impacts
  • Primary Care and Health Outcomes
  • Homelessness and Social Issues
  • Early Childhood Education and Development
  • Youth Development and Social Support
  • Community Health and Development
  • Healthcare Policy and Management
  • Health Policy Implementation Science
  • Healthcare Systems and Practices
  • Media Influence and Health
  • Psychosocial Factors Impacting Youth
  • Energy and Environment Impacts
  • Psychiatric care and mental health services
  • Healthcare Systems and Technology
  • Interprofessional Education and Collaboration
  • Diverse Educational Innovations Studies

UCLouvain
2014-2023

Institut Scientifique de Santé Publique
2018

Assessment of the effectiveness school tobacco policies (STPs) in reducing adolescent smoking remains inconclusive. Previous studies took insufficient account different dimensions STPs, views students and staff, policy changes over time. This study assessed how a multidimensional STP, as perceived by was associated with time six European cities. The SILNE SILNE-R surveys were conducted among (n = 18,502) staff 438) 38 schools 2013 2016. Three (comprehensiveness, enforcement, communication)...

10.1016/j.ypmed.2020.106142 article EN cc-by-nc-nd Preventive Medicine 2020-05-22

Appropriate care delivery for patients with severe mental illness (SMI) requires a high level of collaboration quality between primary, health, and social services. Few studies have addressed the interpersonal inter-organizational components within one unique study setting it is unclear how these contribute to overall quality. Using comprehensive model that includes ten key indicators in relation both components, we evaluated were associated 19 networks included 994 services across Belgium....

10.1080/13561820.2019.1709425 article EN Journal of Interprofessional Care 2020-01-13

To determine adolescent-reported visibility of smoking in different public and private spaces Europe associations between beliefs about the benefits smoking.We used SILNE-R cross-sectional survey data (2016/2017) 10,798 14-16-year-old students from 55 secondary schools seven European cities. Respondents reported for whether they had seen others smoke there last 6 months. Beliefs were measured on a 7-item scale; higher scores indicated more positive beliefs. Multilevel linear regression...

10.1007/s00038-019-01288-z article EN cc-by International Journal of Public Health 2019-09-05

Most European countries have seen a decrease in the prevalence of adolescent smoking. This has, however, been patterned by gender. Girls' smoking rates now overtaken boys' many countries. The two genders may not, share same beliefs and this could explain differences between prevalence. We describe gender investigate variations countries, along with their context.In 2016, we conducted SILNE R study (Smoking Inequalities Learning from Natural Experiments - Renew) 55 schools located seven...

10.1186/s12889-019-7700-6 article EN cc-by BMC Public Health 2019-10-21

Belgium is currently implementing a nation-wide reform of mental health care delivery based on service networks. These networks are supposed to strengthen the community-based supply care, reduce resort hospitals, and improve continuity care. They also intended comprehensive all adult users. It unclear, however, if one single model network can target needs whole population with problems. In 2011, ten were commissioned assessed. Networks included total 635 services different types. Services...

10.1186/s12913-016-1434-2 article EN cc-by BMC Health Services Research 2016-05-17

Abstract Background Despite widespread age-of-sale restrictions on tobacco, adolescents continue to obtain cigarettes and experiment with smoking. This mixed-methods study aimed understand how European access the policy context may influence this process, using a realist evaluation approach. is first assess across various contexts. Methods A survey of 4104 students was combined qualitative data from focus groups among 319 aged 14–19 seven countries. Data were synthesized explore mechanisms...

10.1093/ntr/ntz180 article EN cc-by-nc-nd Nicotine & Tobacco Research 2019-09-12

Background: Other-sex friendship (girls with boy friends, boys girl friends) has been associated substance use, but how the gender composition of schools influences use not known. Objectives: We analyzed influence other-sex on and took into account proportion each group at schools, hypothesized that is higher levels a majority males have than female-majority schools. Methods: In 2013, social network survey was carried out in six European cities. city, were selected 11,015 adolescents (aged...

10.1080/10826084.2017.1392976 article EN Substance Use & Misuse 2017-11-30

The increasing denormalization of smoking by tobacco control policies and a normative smoke-free climate may shift power towards adolescent non-smokers. It is unclear, however, how common stigmatization smokers among adolescents or relates to the in their school social environment. This paper aims measure (1) whether European varies according status socioeconomic position (SES), (2) greater environments which denormalized (i.e. those with low rates strong policies). Data on 12,991 were...

10.1371/journal.pone.0235772 article EN cc-by PLoS ONE 2020-07-14

Mental health and social care services networks aim to provide patients with continuity of support their recovery. There is, however, no conclusive evidence effectiveness. Since 2011, Belgium has been implementing a nation-wide reform mental by commissioning service networks. Using case–control design, we assessed the reform's effectiveness for care, integration, quality life, re-hospitalization 1407 from 23 Greater exposure was associated slight improvement in but not other outcomes. We...

10.1007/s10488-018-0910-x article EN cc-by Administration and Policy in Mental Health and Mental Health Services Research 2018-12-04

Abstract School tobacco policies (STPs) are a crucial strategy to reduce adolescents smoking. Existing studies have investigated STPs predominantly from school-related ‘insider’ view. Yet, little is known about barriers that not identified the ‘schools’ perspective’, such as perceptions of local stakeholders. Forty-six expert interviews seven European cities with stakeholders at level (e.g. representatives regional health departments, youth protection and field addiction prevention) were...

10.1093/her/cyz037 article EN Health Education Research 2019-12-11

Background: Patients with severe mental illnesses (SMI) have low levels of social integration, which could be improved if they used services. To our knowledge, however, the extent to use generic services remains unknown. Aims: We assessed patients SMI and factors that may drive usage. Method: In 2014, we carried out a multi-setting clustered survey disorders ( n = 1,019, participation rate 71%) 517, 53%) in 19 networks services, covering most Belgium. On one hand, asked patients, amongst...

10.1177/00207640211017947 article EN International Journal of Social Psychiatry 2021-06-04

Background Since 2011, Belgium has been reforming its mental health care system, in order to develop integrated and community care. The reform policy aims at integrating all services across the country, although it did not specify any target group. However, research suggests that such a group definition is key factor integration effectiveness. Hence, we assessed characteristics of patients actually involved process factors influence …

10.1093/eurpub/cku166.128 article EN European Journal of Public Health 2014-10-01

is an open access, peer-reviewed online journal that encompasses all aspects of tobacco use, prevention and cessation can promote a free society.The aim the to foster, disseminate research involving prevention, policy implementation at regional, national or international level, disease development -progression related use impact from cellular level finally treatment attributable through smoking cessation.

10.18332/tpc/91088 article EN cc-by-nd Tobacco Prevention & Cessation 2018-06-04

is an open access, peer-reviewed online journal that encompasses all aspects of tobacco use, prevention and cessation can promote a free society.The aim the to foster, disseminate research involving prevention, policy implementation at regional, national or international level, disease development -progression related use impact from cellular level finally treatment attributable through smoking cessation.

10.18332/tpc/91091 article EN cc-by-nd Tobacco Prevention & Cessation 2018-06-04

<h3>Background</h3> Stigma exists when components of labeling, stereotyping, separation, and discrimination occur together in a power situation. This may apply to smoking, behavior being increasingly denormalized. However, it is unknown whether School Tobacco Policies (STP) lead the stigmatizationof adolescent smokers. Our aims are (1) measure magnitude eachstigmatization's (2) assess how STPs influence them. <h3>Methods</h3> Data on 11 493 adolescents 43 schools 7 European countries were...

10.1136/jech-2018-ssmabstracts.142 article EN Poster presentations 2018-09-01
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