By examining the question of interdisciplinarity within sports science from the perspective of various research studies carried out on the subject in recent years, this article shows how the work of researchers is structured by three major tensions between various epistemic regimes: disciplinary/interdisciplinary, experimental/non-experimental, fundamental/ applied). These tensions in turn reflect the more general tension between validity and usefulness of scientific knowledge. Drawing on data from a variety of research studies, we propose a reflection on the way in which the sciences of law are led to position themselves and deploy themselves in such a context. It seems to us that one of the most fruitful avenues for developing research in law within sports science is for their promoters to allow themselves to experience a diversity of epistemic regimes, rather than pitting them against each other. Like others, researchers in law can thus reinforce disciplinarity, interdisciplinarity, and the link between research and the questions and concerns of our society.
Introduction The effects of bariatric surgery have largely been studied from a medical viewpoint, seeking to measure changes in anthropometric, physiological or quality-of-life factors after the operation. Few studies, however, have focused on the dynamics of lifestyle changes. Yet we know that changing lifestyle habits—which are often part of the established social configurations at the origin of morbid obesity—is essential for a sustainable recovery from obesity. We also know that the major bodily transformations that occur in the six to twelve months following surgery produce a high degree of biographical uncertainty and affect social interactions. From a sociological perspective, the authors propose to study the processes of disruption and re-establishment of lifestyle habits in the first 24 months following bariatric surgery.Methods and analysis The ChiBarAPS study relies on a mixed-method longitudinal survey, comprising three components: qualitative, quantitative, literature and data review. It aims to document three main dimensions, which must be articulated to understand the dynamics of change: (1) the work undertaken by patients on themselves in order to identify and measure the evolutionary effects of surgery, as well as to adapt to them; (2) the experience of using pre- and post-surgery information and support systems, and evaluating their effects on the agency of the people who have undergone surgery; (3) the evolution of social participation and lifestyle habits. The qualitative component concerns a cohort of 30 patients, interviewed in depth (2 hours) on these three dimensions, 6 months, 12 months and 24 months after the operation. The quantitative part uses questionnaires applied to a second group of 200 patients, following the same timeline.Ethics and dissemination This study complies with reference methodology MR004 of the French National Data Protection Authority and was registered by the Data Protection Officer of the University of Montpellier on the activity registry of the institution (24 April 2024). Ethics approval has been obtained from the University of Montpellier ethics research board (n°UM2024-037). Informed consent will be obtained from all participants before data collection. The project has received funding from the French National Research Agency (n°ANR-23-CE41-0020-01) from February 2024 to the end of January 2028. The first results of the research will be disseminated from 2026 onwards to researchers, health professionals and patient support organisations. The results of the study will then be published in peer-reviewed scientific journals, both national and international.
Journal Article Accepted manuscript Would a weekly shot be enough to solve the obesity problem? A new denial of a complex reality Get access Alexandre Duparc, MD, Alexandre Duparc, MD Department of Cardiology, Toulouse 3, Paul Sabatier University, Toulouse University Hospital, France Corresponding author: Alexandre Duparc, Department of Cardiology, Toulouse 3, Paul Sabatier University, Toulouse University Hospital, 118 Route de Narbonne, 31062 Toulouse, France. Tel: +33 5 61 32 34 70, Fax: +33 5 61 32 38 30, Email: [email protected] https://orcid.org/0000-0003-3343-3884 Search for other works by this author on: Oxford Academic Google Scholar Philippe Terral, PhD, Philippe Terral, PhD Research Centre for Social Sciences, Sports and Bodies, Toulouse 3, Paul Sabatier University, France Search for other works by this author on: Oxford Academic Google Scholar Olivier Lairez, MD, PhD Olivier Lairez, MD, PhD Department of Cardiology, Toulouse 3, Paul Sabatier University, Toulouse University Hospital, France Search for other works by this author on: Oxford Academic Google Scholar European Journal of Preventive Cardiology, zwaf002, https://doi.org/10.1093/eurjpc/zwaf002 Published: 07 January 2025 Article history Received: 03 December 2024 Revision received: 08 December 2024 Accepted: 05 January 2025 Published: 07 January 2025
This article focuses on the introduction of an e-health platform in a cardiovascular clinical trial. We study it through the lens of coordination among actors collaborating on this project designed for self-follow-up of patients’ quality of life. Our goal is to account for the challenges of a technological innovation in health, that stems from the tension between two types of issues in the partnership: issues regarding data validation according to the standards of biomedical research, and issues regarding personalization of patients’ follow-up in order to capture various profiles. We highlight that the minimal inter-comprehension at work since the partnership’s inception conceals some problems that ultimately led to the project’s demise.
In this article, we analyse how health professionals educate cancer patients to care for their condition and keep strict control over therapy safety. We study how much room for negotiation is left to patients during medical consultations so resources can still be exchanged. We pay particular attention to the trade of knowledge and powers between patients and doctors (power to act and to express oneself in an imbalanced relationship where knowledge is unequally shared). We opted for a qualitative approach with 41 interviews and several ethnological observations, first of consultations in haematology, then of pre-planned phone calls made to patients during the course of a cancer therapy follow-up scheme. The declared ambition of turning cancer patients into self-responsible patients actually re-enacts well-known procedures of control and knowledge acquisition aimed at narrowing their margin of manoeuvre for the sake of therapy safety. Even if some freedom is conceded, patients remain under the control of their medical hierarchy. Health professionals privilege two methods to keep control over patients and teach them therapy safety procedures. Which method is chosen, and how it is used, is dictated by the relationship between socially-diverse patients and health professionals. In the end, what the patient learns and the amount of control the doctor keeps over this process will depend on the distribution of power and knowledge among them, but asymmetry will always remain.
INTRODUCTION:This article examines the deployment of a mobile application developed by RéPPOP (Réseau de Prévention et de Prise en Charge de l'Obésité Pédiatrique) to encourage physical activity among obese children. AIM OF THE STUDY:The aim of this qualitative sociological survey is to shed light on the difficulties involved in implementing this application. This will enable us to understand how the caregivers who designed the application and the physical activity professionals who tested it perceive it and its effects. RESULTS:The difficulties encountered in implementing the application highlight the complexity of using a digital tool designed as a solution to the complexities of physical activity monitoring. Professionals' conceptions of childhood obesity and its management condition their commitment to their role as testers and their questions about the conditions under which children will use this application. CONCLUSIONS:Professional testers take little interest in the application, particularly as they question its suitability for the living conditions of children and their families. This article thus enables us to grasp the risk of reproducing social inequalities in health, with regard to digital inequalities, while considering the vigilance of professionals on these aspects.
Introduction: This article examines the deployment ofa mobile application developed by R & eacute;PPOP (R & eacute;seau de Pr & eacute;vention et de Prise en Charge de l'Ob & eacute;sit & eacute; P & eacute;diatrique) to encourage physical activity among obese children. Aim of the study: The aim of this qualitative sociological survey is to shed lighton the difficulties involved in implementing this application. This will enable us to understand how the caregivers who designed the application and the physical activity professionals who tested it perceive it and its effects. Results: The difficulties encountered in implementing the application highlight the complexity of using a digital tool designed as a solution to the complexities of physical activity monitoring. Professionals' conceptions of childhood obesity and its management condition their commitment to their role as testers and their questions about the conditions under which children will use this application. Conclusions: Professional testers take little interest in the application, particularly as they question its suitability for the living conditions of children and their families. This article thus enables us to grasp the risk of reproducing social inequalities in health, with regard to digital inequalities, while considering the vigilance of professionals on these aspects.
Alors que l’islamisme s’inscrit à l’agenda politico-médiatique, dans un traitement parfois approximatif, le sport se voit contraint de prévenir cette menace au sein des clubs sans pour autant en maîtriser réellement le sens. Cet article interroge la perception des services de renseignement face à l’immixtion islamiste dans le champ du sport français. Nous avons débuté notre enquête par des entretiens semi-directifs avec les responsables d’unités de renseignement et de lutte antiterroriste avant d’analyser des documents confidentiels recueillis auprès des agents de terrain. En mobilisant la notion de policing et de déviance, nous mettons en évidence les outils utilisés par les forces de sécurité pour identifier et graduer cette menace dans ce secteur éducatif.
La recherche appréhende la dynamique des collaborations interentreprises du marché du tourisme sportif en lien avec les profils des acteurs impliqués. Elle articule la sociologie des réseaux sociaux et la sociologie des carrières. Basée sur plus de 70 entretiens réalisés avec des dirigeants de très petites structures situées dans un territoire rural du centre de la France, l’analyse des données recueillies révèle que les collaborations interentreprises se découplent progressivement des relations personnelles des dirigeants, au rythme de la professionnalisation de leurs compétences.
Objectif : La dynamique conjointe des savoirs (des bénéficiaires, intervenants, décideurs, chercheurs) et des pouvoirs (pouvoirs de paroles et d’actions, asymétries voire hiérarchies établies entre les individus et leurs savoirs) des personnes qui les portent au cœur des RISP, est analysée au prisme de la gestion des inégalités épistémiques. Nous étudions la nature des partages ou non partages de savoirs entre ces différentes catégories d’acteurs impliqués dans les interventions en santé. Méthode : La méthodologie qualitative s’appuie sur 36 entretiens et 6 années d’observations ethnographiques d’ateliers de conception ou de mise en œuvre d’un programme d’ETP, de comité de pilotage et de journées d’études des RISP, où des chercheurs, décideurs, techniciens et bénéficiaires partagent leurs expériences et connaissances. Résultats : La recherche met en évidence trois grands enjeux théoriques et méthodologiques des RISP en lien avec les inégalités épistémiques. Nous invitons à élargir le spectre des expertises en santé (chercheurs, décideurs, intervenants, bénéficiaires) et, de fait, à les pluraliser. Il s’agit alors d’étudier de près la dynamique des modes de coordination entre ces expertises, pour rendre compte de la nature et l’évolution des collaborations. Enfin, il convient d’identifier les ressources (savoirs, valeurs, éléments matériels, etc.) et ressorts qui permettent de faire tenir (ou non) ces collectifs hybrides et de générer potentiellement des co-apprentissages. Conclusion : La prise en compte de ces trois grands enjeux permet aux RISP de mener des réflexions et actions en matière de réduction des inégalités en liant des problématiques épistémiques et sociales.
1 Ce texte reprend des éléments issus du rapport de recherche Pandémie de Covid-19 : ce qu'en disent les SHS (Gaille & Terral dir., 2020), ainsi que de l'ouvrage récemment paru (Gaille & Terral dir., 2021). 2 Dans ce texte, le masculin inclut le féminin et est utilisé, sans discrimination.3 Pour plus d'informations, voir en ligne : http://msh-paris-saclay.fr/analyses-et-debats/ [consulté le 07.04.2022].Pour une analyse de cette production, voir les contributions d'Anne-Coralie Bonnaire (« La médiatisation de la parole des chercheurs et chercheuses en SHS face à la Covid-19.Étude quantitative ») et d'Elsa Bansard (« La construction de la Covid-19 par les SHS.Étude qualitative ») dans le présent ouvrage.
Aims: The joint dynamics of knowledge (of patients, health professionals, decision-makers, researchers) and of the powers (of speech and action, asymmetries, and hierarchies established between individuals and their knowledge) of the people who carry them at the heart of the PHIR, are analyzed from the perspective of the management of epistemic inequalities. We study the nature of knowledge sharing or non-sharing between these different categories of agents involved in health interventions. Procedure: The qualitative methodology is based on 36 interviews and six years of ethnographic observations of the TPE program (design or implementation), as well as steering committees and workshops of the PHIR where researchers, decisionmakers, health professionals, and patients share their experiences and knowledge. Results: The research highlights three major theoretical and methodological issues of PHIR concerning epistemic inequalities. We argue for broadening the spectrum of health expertise (researchers, decision-makers, health professionals, patients) and for their pluralization. To account for the nature and evolution of collaborations, it is necessary to closely study the dynamics of the avenues of coordination between these fields of expertise. Finally, we call to identify the resources (knowledge, values, material elements, etc.) and strengths that enable these hybrid groups to bind (or not) and to potentially generate co-learning. Conclusion: Considering these three major issues allows PHIR to reflect and take action to reduce inequalities by linking epistemic and social issues. RÉSUMÉ Objectif : La dynamique conjointe des savoirs (des bénéficiaires, intervenants, décideurs, chercheurs) et des pouvoirs (pouvoirs de paroles et d'actions, asymétries voire hiérarchies établies entre les individus et leurs savoirs) des personnes qui les portent au cœur des RISP, est analysée au prisme de la gestion des inégalités épistémiques. Nous étudions la nature des partages ou non partages de savoirs entre ces différentes catégories d'acteurs impliqués dans les interventions en santé. Méthode : La méthodologie qualitative s'appuie sur 36 entretiens et 6 années d'observations ethnographiques d'ateliers de conception ou de mise en œuvre d'un programme d'ETP, de comité de pilotage et de journées d'études des RISP, où des chercheurs, décideurs, techniciens et bénéficiaires partagent leurs expériences et connaissances. Résultats : La recherche met en évidence trois grands enjeux théoriques et méthodologiques des RISP en lien avec les inégalités épistémiques. Nous invitons à élargir le spectre des expertises en santé (chercheurs, décideurs, intervenants, bénéficiaires) et, de fait, à les pluraliser. Il s'agit alors d'étudier de près la dynamique des modes de coordination entre ces expertises, pour rendre compte de la nature et l'évolution des collaborations. Enfin, il convient d'identifier les ressources (savoirs, valeurs, éléments matériels, etc.) et ressorts qui permettent de faire tenir (ou non) ces collectifs hybrides et de générer potentiellement des co-apprentissages. Conclusion : La prise en compte de ces trois grands enjeux permet aux RISP de mener des réflexions et actions en matière de réduction des inégalités en liant des problématiques épistémiques et sociales.
Aims: The joint dynamics of knowledge (of patients, health professionals, decision-makers, researchers) and of the powers (of speech and action, asymmetries, and hierarchies established between individuals and their knowledge) of the people who carry them at the heart of the PHIR, are analyzed from the perspective of the management of epistemic inequalities. We study the nature of knowledge sharing or non-sharing between these different categories of agents involved in health interventions. Procedure: The qualitative methodology is based on 36 interviews and six years of ethnographic observations of the TPE program (design or implementation), as well as steering committees and workshops of the PHIR where researchers, decision-makers, health professionals, and patients share their experiences and knowledge. Results: The research highlights three major theoretical and methodological issues of PHIR concerning epistemic inequalities. We argue for broadening the spectrum of health expertise (researchers, decision-makers, health professionals, patients) and for their pluralization. To account for the nature and evolution of collaborations, it is necessary to closely study the dynamics of the avenues of coordination between these fields of expertise. Finally, we call to identify the resources (knowledge, values, material elements, etc.) and strengths that enable these hybrid groups to bind (or not) and to potentially generate co-learning. Conclusion: Considering these three major issues allows PHIR to reflect and take action to reduce inequalities by linking epistemic and social issues.