Praticare un’attività fisica prescritta da un medico: un’indagine su pazienti affetti da una malattia cronica a Strasburgo (Francia)

Journal title SALUTE E SOCIETÀ
Author/s William Gasparini
Publishing Year 2023 Issue 2023/3
Language Italian Pages 15 P. 196-210 File size 342 KB
DOI 10.3280/SES2023-003014
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

Practising a physical activity on medical prescription: a survey of patients with a chronic dis-ease in Strasbourg (France). Since the 2000s, physical activity and sport in France have been an integral part of the treatment of many chronic diseases. Strasbourg was the first French city to experiment in 2012 with a medical prescription programme for physical activity paid for by the local council named “Sport-santé sur ordonnance” (SSSO), i.e. sport-health on prescrip-tion. However, a prescription by a general practitioner does not guarantee either the effective participation in or the lasting commitment of patients to regular physical activity. Based on a sociological approach and a qualitative survey of patients who have joined the SSSO pro-gramme, the article examines how patients enter into the scheme, their actual participation, the extent of patients’ commitment and disengagement and/or their pursuit of regular physical activity. It also cross-references their physical health activities and their duration with the patients’ social and diseases trajectories.

Keywords: medical prescription; sport-health; physical activities; chronic illness; bifurcation; social trajectory.

  1. Abbott A. (2001). Time matters: On theory and method. Chicago: University of Chicago Press.
  2. Becker H.S. (2006). Sur le concept dʼengagement. SociologieS. -- Testo disponibile al sito: http://journals.openedition.org/sociologies/642 (12/12/2021).
  3. Bergeron H., Castel P., Nouguez É. (2013). Toward a Sociology of the Boundary-Entrepreneur. Creation and Diffusion of a Program for the Prevention of Obesity. Revue française de sociologie, 54(2): 263-302.
  4. Berger P.L., Luckmann T. (1990). The social construction of reality: A treatise in the sociology of knowledge. New York: Anchor Books.
  5. Bertaux D. (1980). Lʼapproche biographique: Sa validité méthodologique, ses potentialités. Cahiers Internationaux de Sociologie, 69: 197‑225.
  6. Bidart C. (2006). Crises, décisions et temporalités : autour des bifurcations biographiques. Cahiers internationaux de sociologie, 120: 29-57.
  7. Bloy G., Moussard Philippon L., Rigal L. (2016). Les médecins généralistes et le conseil en activité physique: Des évidences aux contingences de la consultation. Santé Publique, S1(HS): 153-161.
  8. Brotons C., Drenthen A.J.M., Durrer D., Moral I. (2012). Beliefs and attitudes to lifestyle, nutrition and physical activity: The views of patients in Europe. Family Practice, 29(suppl. 1): 49‑55.
  9. Charra E. (2012). Représentations et vécu des patients à propos de la non-prescription médicale. Etude qualitative à partir de 4 focus groups. Tesi di laurea in mecicina, Université Claude Bernard-Lyon 1.
  10. Clausen J.A. (1986). The life course: A sociological perspective. Englewood Cliffs: Prentice-Hall.
  11. Commissione europea (2005). Libro Verde: Promuovere le diete sane e l’attività fisica: una dimensione europea nella prevenzione di sovrappeso, obesità e malattie croniche, Bruxelles. -- Testo disponibile al sito: https://www.salute.gov.it/imgs/C_17_pubblicazioni_648_allegato.pdf (27/01/2022).
  12. Dauchy J., Florent V., Mariau F., Pronnie, Y., Gaudrat B., Peyrodie C., Andrieux S. (2018). Sport sur ordonnance: Lʼavis de patients obèses nous intéresse ! Nutrition Clinique et Métabolisme, 32(4): 302‑303.
  13. Demazière D. (2007). À qui peut-on se fier? Les sociologues et la parole des interviewés. Langage et société, 121122(3): 85- 100. DOI : 10.3917/ls.121.0085
  14. Eakin E.G., Glasgow R.E., Riley K.M. (2000). Review of primary care-based physical activity intervention studies: Effectiveness and implications for practice and future research. The Journal of family practice, 49(2): 158168.
  15. Elder G.H., a cura di (1985). Life course dynamics: Trajectories and Transitions, 1968–1980. Ithaca: Cornell University Press.
  16. Gasparini W. (2013). La prescription médicale d’activité physique. Analyse qualitative du rapport à la pratique des patients. Université de Strasbourg: Strasbourg.
  17. Gasparini W., Knobé S. (2015). Sport sur ordonnance. Lʼexpérience strasbourgeoise sous lʼœil des sociologues. Informations sociales, 187: 47-53.
  18. Gasparini W., Knobé S. (2021). Le sport-santé. De lʼaction publique aux acteurs sociaux, Strasbourg: Presses Universitaires de Strasbourg.
  19. Gasparini W., Knobé S., Didierjean R. (2015). Physical activity on medical prescription: A qualitative study of factors influencing take-up and adherence in chronically ill patients. Health Education Journal, 74(6): 720-731. DOI: 10.1177/001789691455864
  20. Gasparini W., Vieille Marchiset G. (2008). Le sport dans les quartiers. Pratiques sociales et politiques publiques. Paris: PUF.
  21. Guigner S. (2011). Lʼinfluence de lʼUnion européenne sur les pratiques et politiques de santé publique: européanisation verticale et horizontale, Sciences sociales et santé, 1: 81-106.
  22. Gusfield J.R. (1981). The culture of public problems: drinking-driving and the symbolic order. Chicago: University of Chicago Press.
  23. Hélardot V. (2006). Parcours professionnels et histoires de santé : Une analyse sous lʼangle des bifurcations. Cahiers internationaux de sociologie, 120(1): 5983.
  24. Hélardot V., (2009). Vouloir ce qui arrive ? Les bifurcations biographiques entre logiques structurelles et choix individuels. In: Grossetti M., Bessin M., Bidart C., a cura di, Bifurcations. Paris: La Découverte.
  25. Herzog F. (2014). Étude de 65 patients inclus dans lʼexpérimentation strasbourgeoise «Sport-Santé sur ordonnance». Tesi di laurea in medicina, Università di Strasburgo.
  26. Institut Français dʼOpinion Publique (Ifop) (2015). Les médecins généralistes et la prescription dʼactivités physiques. Étude commandée par Swiss Life. Colloque Swiss Life «Sport et activité physique : comment favoriser la prescription médicale?». Paris.
  27. Martelli S., Russo G. (2021). Promouvoir la santé par le sport en Emilie-Romagne. In: Gasparini W., Knobé S., a cura di, Le sport-santé. De lʼaction publique aux acteurs sociaux. Strasbourg: Presses Universitaires de Strasbourg.
  28. Michelini E. (2017). Communicative validity of health-related promotion of physical activity. A critical analysis of national health strategies. Social Theory & Health, 4(15): 448-464.
  29. Michelini E. (2021). Le sport-santé en Allemagne. Vers un processus de médicalisation? In: Gasparini W., Knobé S., a cura di, Le sport-santé. De lʼaction publique aux acteurs sociaux. Strasbourg: Presses Universitaires de Strasbourg.
  30. Moretti V. (2020). Sociologia del paziente: diseguaglianze sociali, salute digitale e nuove forme di partecipazione in sanità. Milano: FrancoAngeli
  31. Pellegrin N. (2014). Aide à la prescription dʼactivité physique : Enquête auprès des médecins généralistes de la zone Lens-Hénin. Tesi di laurea in medicina, Université de Lille 2.
  32. Persson G., Brorsson A., Ekvall Hansson E. et al. (2013). Physical activity on prescription (PAP) from the general practitionerʼs perspective – a qualitative study. BMC Fam Pract, 14(128), 1-8. DOI: 10.1186/1471-2296-14-128
  33. Porro N. (2008). La sportivizzazione della salute. Salute e società, 1: 23-46. DOI: 10.1400/11255
  34. Tulloch H., Fortier M., Hogg W. (2006). Physical activity counseling in primary care: Who has and who should be counseling? Patient Education and Counseling, 64(13): 620.
  35. Ville de Strasbourg (2017). Rapport dʼactivité du dispositif «Sport sur ordonnance».
  36. Vuori I., Lankenau B., Pratt M. (2004). Physical activity policy and program development: the experience in Finland. Public health reports, 119(3): 331-345.

William Gasparini, Praticare un’attività fisica prescritta da un medico: un’indagine su pazienti affetti da una malattia cronica a Strasburgo (Francia) in "SALUTE E SOCIETÀ" 3/2023, pp 196-210, DOI: 10.3280/SES2023-003014