Les concepts en mouvement : une méthode basée sur la poésie pour la visite de groupe dans l’exposition d’art contemporain

Résumé : L’objectif de cet article consiste à présenter ma méthode de recherche des concepts en mouvement basée sur la poésie pour la visite de groupe dans l’exposition d’art contemporain. Cette méthode s’élabore en dialogue avec l’approche pédagogique de l’équipe de l’éducation à la Fondation PHI qui s’ancre dans la notion de mouvement et dans la méthodologie des concepts migratoires (Bal, 2002). Ma pédagogie féministe basée sur les concepts en mouvement est une extension des concepts migratoires, mais elle s’en distingue en se situant spécifiquement dans l’écriture poétique née d’une fulgurance de conscience-lucidité qui connecte mon corps-sujet avec l’affect de l’œuvre. Mots-clés : Recherche poétique; Art contemporain; Éducation à l’art; Pédagogie du mouvement; Philosophie féministe; Corporéité; Poésie comme pédagogie. Abstract: The purpose of this article is to introduce my poetry-based research method that draws from concepts in movement to develop group visits within contemporary art exhibitions. This method was conceived in dialogue with the pedagogical approach of the PHI Foundation’s Education Team, which is anchored in the travelling concepts’ methodology (Bal, 2002). Although an extension of travelling concepts, my feminist pedagogical approach is distinct because it is rooted in poetic writing which emerges in response to a lucid awareness of the connection between my body-as-subject and the artwork’s affect. Keywords: Poetic inquiry; Contemporary art; Art education; Pedagogy of movement; Feminist philosophy; Embodiment; Poetry as pedagogy

Group Medical Care: A Systematic Review of Health Service Performance

Group care models, in which patients with similar health conditions receive medical services in a shared appointment, have increasingly been adopted in a variety of health care settings. Applying the Triple Aim framework, we examined the potential of group medical care to optimize health system performance through improved patient experience, better health outcomes, and the reduced cost of health care. A systematic review of English language articles was conducted using the Cochrane Controlled Trials Register (CENTRAL), MEDLINE/PubMed, Scopus, and Embase. Studies based on data from randomized control trials (RCTs) conducted in the US and analyzed using an intent-to-treat approach to test the effect of group visits versus standard individual care on at least one Triple Aim domain were included. Thirty-one studies met the inclusion criteria. These studies focused on pregnancy (n = 9), diabetes (n = 15), and other chronic health conditions (n = 7). Compared with individual care, group visits have the potential to improve patient experience, health outcomes, and costs for a diversity of health conditions. Although findings varied between studies, no adverse effects were associated with group health care delivery in these randomized controlled trials. Group care models may contribute to quality improvements, better health outcomes, and lower costs for select health conditions.

Depression predicts chronic pain interference in racially-diverse, low-income patients

ABSTRACT Background Chronic pain is one of the most common reasons adults seek medical care in the US, with estimates of prevalence ranging from 11% to 40%. Mindfulness meditation has been associated with significant improvements in pain, depression, physical and mental health, sleep, and overall quality of life. Group medical visits are increasingly common and are effective at treating myriad illnesses including chronic pain. Integrative Medical Group Visits (IMGV) combine mindfulness techniques, evidence based integrative medicine, and medical group visits and can be used as adjuncts to medications, particularly in diverse underserved populations with limited access to non-pharmacological therapies. Objective and Design The objective of the present study was to use a blended analytical approach of machine learning and regression analyses to evaluate the potential relationship between depression and chronic pain in data from a randomized clinical trial of IMGV in socially diverse, low income patients suffering from chronic pain and depression. Methods This approach used machine learning to assess the predictive relationship between depression and pain and identify and select key mediators, which were then assessed with regression analyses. It was hypothesized that depression would predict the pain outcomes of average pain, pain severity, and pain interference. Results Our analyses identified and characterized a predictive relationship between depression and chronic pain interference. This prediction was mediated by high perceived stress, low pain self-efficacy, and poor sleep quality, potential targets for attenuating the adverse effects of depression on functional outcomes. Conclusions In the context of the associated clinical trial and similar interventions, these insights may inform future treatment optimization, targeting, and application efforts in racially diverse, low income populations, demographics often neglected in studies of chronic pain.

Innovating in CMHT's: mental health wellbeing group visits

Aims‘Group consultations/visits’ are described as providing shared medical appointments delivering a range of care options and education by clinicians while providing elements of patient choice, empowerment and peer support.This innovative and cost effective model of care delivery was first conceived in the US and has been gaining a strong foothold in the UK since 2016, mainly limited to GP settings.The project goal was to attempt to transfer the model into a mental health setting by developing and delivering a novel intervention, to improve health and wellbeing options in a CMHT population.MethodA four session course was developed focussing on stress, sleep and nutrition. These chosen topics covered common significant challenges to patient health in psychiatry. Sessions were delivered to proactively address these important health related issues in a group visit setting.Baseline and post intervention feedback including telephone interviews were conducted to evaluate the effectiveness of the intervention.ResultThe qualitative data and the positive feedback obtained from participants indicate the intervention was highly valued and deemed effective in promoting positive health and lifestyle changes. Participants valued the educational and co-production aspects as well as the social and peer support elements of the groups. They appreciated the level of access they had with the clinicians involved, to explore their health and wellbeing in more detail without being limited by the usual 30 minute clinic follow-up sessions.The clinicians involved found the sessions rewarding and more engaging than most of routine 1:1 clinic sessions as they were able to spend quality time exploring important issues and not just educate the patients but also be educated by their questions and feedback about their lived experiences.ConclusionThe project aim was met and we believe this intervention can be successfully incorporated into the identified service provision gap within the CMH T model. There is potential to build on and embed this innovation with roll-out to a wide range of service users in different settings.In line with existing literature from GP settings, the consensus was that the amalgamated group visits/consultations model could be successfully modified to meet the needs of patients in the Mental Health arena who have a range of physical health and lifestyle concerns.We planned to obtain more information about improvement in patient self-management but this was affected by the pandemic. However, we believe it is a cost effective and helpful innovation which warrants further promotion and evaluation.

Virtual Group Visits: Hope for Improving Chronic Disease Management in Primary Care During and After the COVID-19 Pandemic

As health care systems respond to the COVID-19 pandemic, new virtual care approaches are emerging for health promotion and chronic disease management. Virtual group visits (VGVs) supporting a healthy lifestyle, adapted from the well-established shared medical appointment (SMA) model, hold promise as a primary care delivery tool for preventing and managing chronic disease. In order to establish VGVs as standard of care, evidence for clinical effectiveness, financial sustainability, and access for vulnerable populations is needed. In the future, VGVs could improve the quality and reach of chronic disease prevention and management strategies.

Operationalizing and Evaluating Synchronous Virtual Group Health Interventions: Wide-Scale Implementation at a Tertiary-Care Academic Hospital (Preprint)

UNSTRUCTURED Group-based health interventions are an important component of health promotion and management. In order to provide continuity of care through the COVID-19 pandemic, our institution undertook a rapid pivot to deliver group-based health interventions via a videoconferencing service which was securely embedded into both the electronic medical record and the patient portal in order to sustainably address immediate health service delivery needs during the pandemic and beyond. In this paper, we: 1) describe the institutionally-driven operationalization of a system to provide integrated synchronous video group visits across our hospital, and 2) present a proposed strategy to comprehensively evaluate outcomes regarding their implementation, quality, and impact. Lessons for other institutions and the potential future role of synchronous video group visits to enhance the ways in which care can be scaled for delivery are discussed.