Sophie Meunier

Glycaemic control and self-management behaviours in Type 2 diabetes: results from a 1-year longitudinal cohort study.

To better understand the associations between changes in self‐management behaviours and glycaemic control.

Mental health self-management questionnaire: Development and psychometric properties

BACKGROUND Through self-management, people living with depression, anxiety or bipolar disorders can play an active role in their recovery. However, absence of a validated questionnaire limits empirical research on self-management. The study aimed to develop a French instrument, the Mental Health Self-Management Questionnaire (MHSQ), and to investigate its psychometric properties METHODS A pool of 86 items was created based on a qualitative study with 50 people in recovery from depression, anxiety or bipolar disorders. The 64 most pertinent items were identified following ratings from 14 experts. A sample of 149 people in recovery completed these items and criterion-related measures (specific aspects of self-management, clinical and personal recovery, social desirability), and 93 participants also completed MHSQ two weeks later RESULTS Exploratory and confirmatory factor analyses show that MHSQ is composed of three subscales: Clinical (getting help and using resources), Empowerment (building upon strengths and positive self-concept to gain control) and Vitality (active and healthy lifestyle). These subscales had satisfying consistency and test-retest reliability, and were mostly unrelated to social desirability. Correlations with criterion variables support convergent and concurrent validity, especially for Empowerment and Vitality. Comparison of structural models provides evidence of the distinct nature of MHSQ in comparison to the constructs of clinical and personal recovery LIMITATIONS Longitudinal studies with larger samples are needed to explore the validity of MHSQ for predicting recovery over time CONCLUSION MHSQ is a psychometrically-sound instrument, useful for establishing the role of self-management in recovery and monitoring the efficacy of self-management support programs.

Self-Management Strategies in Recovery From Mood and Anxiety Disorders

Mood and anxiety disorders are the most prevalent mental disorders. People with such disorders implement self-management strategies to reduce or prevent their symptoms and to optimize their health and well-being. Even though self-management strategies are known to be essential to recovery, few researchers have examined them. The aim of this study is to explore strategies used by people recovering from depressive, anxiety, and bipolar disorders by asking 50 of them to describe their own strategies. Strategies were classified according to dimensions of recovery: social, existential, functional, physical, and clinical. Within these themes, 60 distinct strategies were found to be used synergistically to promote personal recovery as well as symptom reduction. Findings highlight the diversity of strategies used by people, whether they have depressive, anxiety, or bipolar disorders. This study underscores the importance of supporting self-management in a way that respects individual experience.

Spousal positive social control and men’s health behaviors and self-efficacy The influence of age and relationship satisfaction

The purpose of this study was to examine the relationship between spousal positive social control (SPSC) and men’s health behaviors. This study also tested the mediating effect of health self-efficacy in this relationship and the moderating effects of age and relationship satisfaction (RS) in the association between SPSC and health behaviors and self-efficacy. A total of 506 unionized male workers answered a questionnaire assessing their level of health self-efficacy, how often they performed various health behaviors, and their perceptions of the frequency with which their spouse used positive social control to influence their health. Results indicated that SPSC was positively associated with health behaviors and that this association was mediated by health self-efficacy. Moderation analysis indicated that, for middle-aged and older men, SPSC was only positively associated with health self-efficacy when RS was high. Also, for older men only, when RS was low, SPSC had a backfiring effect and was negatively associated with health self-efficacy. Finally, results indicated the presence of a moderated mediation with the indirect effect of SPSC on health behaviors through health self-efficacy being moderated by age and relationship satisfaction. By indicating more precisely how, with whom, and under what circumstances SPSC can be beneficial or not, the results from this study have important implications for interventions promoting men’s health.

Health-Promoting Home and Workplace Neighborhoods Associations With Multiple Facets of Men’s Health

Despite the importance of healthy settings for health promotion, little is known about how neighborhood characteristics affect men’s health. The present study aims to explore the associations between perceptions of home and workplace neighborhoods with diverse health outcomes, and to examine mediating mechanisms. A sample of 669 men members of labor unions in Quebec, Canada, completed a questionnaire assessing social and physical aspects of their work and home neighborhoods (the Health-Promoting Neighborhood Questionnaire) as well as subjective and objective health outcomes (perceived health, positive mental health, body mass index) and potential mediators (health behaviors, self-efficacy). Structural equation modeling (path analysis) revealed that the Health-Promoting Neighborhood Questionnaire was associated with all three health outcomes, either directly or indirectly through health behaviors and self-efficacy. Both home and workplace neighborhoods were associated with men’s health, home neighborhood being more strongly associated. The findings suggest that physical and social aspects of neighborhood might contribute to men’s health. The study highlights positive environmental levers for urban planners, policy makers, and health professionals to promote men’s health.

Professionals’ positive perceptions of fathers are associated with more favourable attitudes towards including them in family interventions

This Université du Québec en Outaouais study examined professionals’ attitudes towards fathers, their perceived self‐efficacy when working with them and their perceptions of the importance of including fathers in family interventions.

Association between weight status and men’s positive mental health: The influence of marital status

The purpose of this study was to (1) examine the association between weight status and mens positive mental health, defined as the presence of symptoms of emotional, psychological, and social well-being, and (2) evaluate the moderating effect of marital status. A total of 645 men aged between 19 and 71 years self-reported their height and weight and answered a questionnaire measuring their emotional, psychological, and social well-being. Analysis of variance revealed that mean levels of emotional, psychological, and social well-being did not significantly differ according to mens weight status. Moderation analyses indicated that, for men in a relationship (married or living common-law), there were no significant associations between overweight, obesity, and the three components of positive mental health. However, for single men, overweight was marginally associated with higher emotional well-being, while obesity was associated with lower psychological well-being and marginally associated with lower social well-being. Results of the present study suggest that health professionals and researchers should take the characteristics (such as marital status) of men with obesity and overweight into account when working with them. Mental health researchers may need to examine men in each weight category separately (e.g. obesity vs. overweight), since the association with positive mental health can differ from one category to another.

Peer Positive Social Control and Men’s Health-Promoting Behaviors:

Men are generally thought to be less inclined to take care of their health. To date, most studies about men’s health have focused on deficits in self-care and difficulties in dealing with this sphere of their life. The present study reframes this perspective, using a salutogenic strengths-based approach and seeking to identify variables that influence men to take care of their health, rather than neglect it. This study focuses on the association between peer positive social control and men’s health behaviors, while controlling for other important individual and social determinants (sociodemographic characteristics, health self-efficacy, home neighborhood, spousal positive social control, and the restrictive emotionality norm). In a mixed-method study, 669 men answered a self-reported questionnaire, and interviews were conducted with a maximum variation sample of 31 men. Quantitative results indicated that, even after controlling for sociodemographic variables and other important factors, peer positive social control was significantly associated with the six health behaviors measured in the study (health responsibility, nutrition, physical activity, interpersonal relations, stress management, and spirituality). Interview results revealed that peer positive social control influenced men’s health behaviors through three different mechanisms: shared activity, being inspired, and serving as a positive role model for others. In summary, friends and coworkers could play a significant role in promoting various health behaviors among adult men in their daily life. Encouraging men to socialize and discuss health, and capitalizing on healthy men as role models appear to be effective ways to influence health behavior adoption among this specific population.