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Resume Introduction Le devoilement de soi par les professionnels de la sante est une pratique courante, bien que controversee quant au moment opportun, a l’etendue et au contenu des informations partagees et aux consequences cliniques. Objectif Cette etude qualitative vise a enqueter sur de devoilement de soi chez les professionnels de la sante et du monde socioeducatif. Methode Treize entretiens approfondis avec les animateurs d’une intervention pour ameliorer le plaisir et la motivation dans la schizophrenie. Les entretiens ont fait l’objet d’une analyse thematique. Resultats Les professionnels decrivent leurs devoilements comme un partage authentique d’experiences vecues. Du point de vue du contenu, les professionnels selectionnent des evenements simples de leur vie personnelle ou professionnelle, qu’ils trouvent faciles a partager avec les patients, en groupe. Les criteres de selection de ces experiences concernent principalement la valeur therapeutique et sont formules en termes de pertinence du contenu et de l’utilite envisagee pour le patient ainsi que d’authenticite. La revelation de soi genere une redefinition des places dans l’interaction conduisant a une relation plus egalitaire. Conclusions Le devoilement de soi s’avere etre un outil pour developper et maintenir la relation therapeutique. De plus amples etudes sur le phenomene seraient utiles pour concevoir la formation des professionnels.

BackgroundThe dissemination of new interventions in clinical practice remains challenging. E-learning may provide wide access in various settings and allow tailored learning trajectories and an adapted training pace. This study evaluates an online platform to train professionals to lead the Positive Emotion Program for Schizophrenia (PEPS) for patients with anhedonia. This study aims to test the reception provided by clinicians to the platform and its perceived usefulness and investigate whether e-PEPS training improves knowledge about the facilitation of PEPS.Materials and MethodsParticipants were recruited through advertisements. All participants provided their informed consent on a registration form and completed two pre-test questionnaires, a knowledge test on negative symptoms in schizophrenia, learning strategies and the partnership relationship, and a test on the ability to savor pleasant moments. After the training, they completed the same questionnaire and an evaluation form of the training and its application in personal and professional life.ResultsTwo-hundred and ten participants were registered to participate into the study, 185 received the access to the platform, and 101 participants completed the training and the post-test assessments. Satisfaction with training was high. The results showed that the participants significantly improved their knowledge about PEPS and increased the skills taught in their personal repertoire after the training. The training allows most clinicians to plan to lead a PEPS group in the year following training.DiscussionAs a result of this study, training has been improved and is now freely available to all interested clinicians.

Background: Negative symptoms are frequent in patients with schizophrenia and are associated with marked impairments in social functioning. The efficacy of drug-based treatments and psychological interventions on primary negative symptoms remains limited. The Positive Emotions Programme for Schizophrenia (PEPS) is designed to improve pleasure and motivation in schizophrenia patients by targeting emotion regulation and cognitive skills relevant to apathy and anhedonia. The main hypothesis of this study is that patients who attend 8 one-hour sessions of PEPS and treatment as usual (TAU) will have lower total apathy-avolition and anhedonia-asociality composite scores on the Scale for the Assessment of Negative Symptoms (SANS) than patients who attend only TAU. Methods: Eighty participants diagnosed with schizophrenia or schizoaffective disorder were randomized to receive either TAU or PEPS + TAU. The participants were assessed by independent evaluators before randomization (T0), in a post-test after 8 weeks of treatment (T1) and at a 6-month follow-up (T2). Results: The post-test results and 6-month follow-up assessments according to an intention-to-treat analysis showed that the apathy and anhedonia composite scores on the SANS indicated statistically greater clinical improvements in PEPS participants than in non-PEPS participants. In the post-test, anhedonia but not apathy was significantly improved, thus favouring the PEPS condition. These results were sustained at the 6-month follow-up. Conclusions: PEPS is an effective intervention to reduce anhedonia in schizophrenia. PEPS is a short, easy-to-use, group-based, freely available intervention that is easy to implement in a variety of environments (ClinicalTrials.gov ID: NCT02593058).

This study presents the latest developments of an approach called ‘flash sourcing’, which provides information on the effects of an earthquake within minutes of its occurrence. Information is derived from an analysis of the website traffic surges of the European–Mediterranean Seismological Centre website after felt earthquakes. These surges are caused by eyewitnesses to a felt earthquake, who are the first who are informed of, and hence the first concerned by, an earthquake occurrence. Flash sourcing maps the felt area, and at least in some circumstances, the regions affected by severe damage or network disruption. We illustrate how the flash-sourced information improves and speeds up the delivery of public earthquake information, and beyond seismology, we consider what it can teach us about public responses when experiencing an earthquake. Future developments should improve the description of the earthquake effects and potentially contribute to the improvement of the efficiency of earthquake responses by filling the information gap after the occurrence of an earthquake.

International audience; We developed a common access facility to homogeneously formatted accelerometric event data and to the corresponding sheet of ground motion parameters. This paper is focused on the description of the technical development of the accelerometric data server and the link with the accelerometric data explorer. The server is the third node of the 3-tier architecture of the distributed archive system for accelerometric data. The server is the link between the data users and the accelero- metric data portal. The server follows three main steps: (1) Reading and analysis of the end-user request; (2) Processing and converting data; and (3) Archiving and updating the accelerometric data explorer. This paper presents the description of the data server and the data explorer for accessing data.

The European Mediterranean Seismological Centre (EMSC), one of the top global earthquake information centers, has been empirically developing a multichannel rapid information system comprising websites, a Twitter quakebot, and a smartphone app for global earthquake eyewitnesses. At the intersection between seismology, citizen science, and digital communication, its aim is twofold: to offer timely, appropriate information in regions where an earthquake is felt and to collect high numbers of eyewitnesses’ direct and indirect observations about the degree of shaking being felt and possible damage incurred. This, in turn, will improve rapid situation awareness and augment data at a relatively low cost. Engagement with eyewitnesses is based on the rapid provision of tremor detection (between few tens of seconds to a couple of minutes from when the earthquake strikes) which is derived from the analysis of indirect information, i.e., digital footprints of Internet and social media searches by eyewitnesses eager to find out the cause of the tremor. This detection generally precedes detection by seismic networks. Eyewitness’ behavior is comparable to real-time seismic sensors when using EMSC websites or LastQuake smartphone app. The hit times on our websites and launch times of our app closely follow seismic wave propagation. Crowdsourced data (felt reports, geo-located pictures, and open comments) is then fed back into the ongoing information product improvement and situation awareness which, in turn, attracts more eyewitnesses through a viral spread, thus creating a positive feedback loop. The use of visual communication for felt report collection, where traditional online questionnaires have been replaced by cartoons depicting different degrees of shaking and damage levels, has proven to be fast and efficient on a global scale with, on average, half of the felt reports being collected within 10 min. Following requests by Nepalese users after the devastating 2015 Gorkha, Nepal earthquake, the LastQuake app now includes timely geo-targeted safety checks to inform loved ones that one is safe and safety tips communicated using cartoons to describe behaviors to be encouraged or avoided after violent tremors. We argue that this simple and affordable system, based on standard Internet technologies and social media, can reduce anxiety by offering timely information and services to eyewitnesses and possibly contribute to immediate global seismic risk reduction by complementing well-established long-term strategies built around improving the seismic performance of the existing buildings by raising situation awareness and limiting potentially dangerous behaviors after violent ground shaking. Short abstract The EMSC, one of the top global earthquake information centers, has been empirically developing a multichannel rapid information system comprising websites, a Twitter quakebot and a smartphone app for global earthquake eyewitnesses. At the intersection between seismology, citizen science, and digital communication, its aim is twofold: to offer timely, appropriate information in regions where an earthquake is felt and to collect high numbers of eyewitnesses’ direct and indirect observations to improve rapid situation awareness. Engagement with eyewitnesses is based on the rapid provision of tremor detection (between few tens of seconds to a couple of minutes) which is derived from the analysis of indirect information, i.e., Internet and social media searches by eyewitnesses eager to find out the cause of the tremor. Eyewitness’ behavior is comparable to real-time seismic sensors when using EMSC websites or LastQuake smartphone app. Crowdsourced data is then fed back into the ongoing information product improvement and situation awareness which, in turn, attracts more eyewitnesses through a viral spread. The use of visual communication for felt report collection has proven to be fast and efficient on a global scale with, on average, 50% of felt reports being collected within 10 min. The LastQuake app now includes timely geo-targeted safety checks and safety tips to describe behaviors to be encouraged or avoided after violent tremors. We argue that this simple,affordable system, based on Internet technologies and social media, can reduce anxiety by offering timely information to eyewitnesses and possibly contribute to immediate global seismic risk reduction.

L’analyse interactionnelle ouvre des perspectives pour la formation des infirmiers. Seize étudiants et trois enseignants ont mené une analyse interactionnelle d’activités soignantes filmées visant à comprendre la pratique du dévoilement de soi en psychiatrie. En quoi l’usage en formation des outils de l’analyse interactionnelle constitue-t-il une ressource pour l’acquisition de compétences professionnelles en psychiatrie ? Nous montrons comment ce dispositif de formation constitue une ressource dans la professionnalisation des infirmiers pour : a) l’acquisition de savoirs théoriques cliniques, b) l’articulation de ces savoirs avec des activités professionnelles projetées, c) une posture descriptive non-jugeante utile à l’observation clinique., Interaction analysis opens promising perspectives for nursing education. Sixteen students and three teachers conducted an interaction analysis, based on video-recorded therapeutic activities. The study aims to understand the practice of self-disclosure in psychiatric nursing. How does the use of interaction analysis tools in a training setting constitute a resource for the acquisition of professional skills ? We show how this training design constitutes a resource for : a) the acquisition of clinical theoretical knowledge, b) the articulation of theoretical and practical knowledge, c) the development of a non-judging descriptive posture useful for the clinical observation.