2024-10-14 13:54:00
The international learned society Non-Pharmacological Intervention Society (NPIS) presents, during its world summit organized in Paris and remotely from October 16 to 18its repository of non-pharmacological interventions (INM) and the first protocols. Professor Grégory Ninot, president of the NPIS, discusses a participatory scientific approach which should facilitate access to INM and change the situation in prevention and care.
Comments collected by Renaud Degas with Géraldine Bouton.
What is a non-drug intervention (NMI)?
Gregory Ninot: This is a intangible protocol of care or prevention which aims to treat a health condition identified by conventional medicine. The INM is not a recipe to be applied but rather a protocol to be personalized according to the health context, supervised by a qualified professional. It is neither a medical device, nor a medicine, nor a surgical procedure. On the other hand, the INM can be complementary to them.
Today there are a large number of INMs which have not been listed or integrated into the training of health professionals. The challenge is to continuously improve practices and above all to make them known to as many people as possible, including decision-makers.
A benchmark of INMs will be presented this week during your world summit organized from October 16 to 18, in Paris. How did you develop it?
G.N. : We have been working since 2011 and the famous report from the High Authority of Health on the subject. It was necessary to develop a consensual evaluation framework then submit it to health authorities, learned societies, etc. This framework will make it possible to share labeled INM protocols with users and health professionals. This clarification work on the basis of a rigorous and honest scientific approach will allow funders such as Health Insurance, Farmers’ Social Security, complementary health insurance or any other social actor, to decide on the conditions of their support.
At the same time, the INM repository, accessible online, was created to collect feedback from users and health professionals. It will make it possible to improve and secure practices, but also to share knowledge and improve training. THE multilingual repository whose scope is intended to be international, will be officially inaugurated on October 16.
What will we find on this platform?
G.N. : At launch, ten INMs will be available for care during breast cancer treatments and for the prevention of the risk of falls and cognitive disorders in the elderlyrespectively at the request of Health Insurance and the National Solidarity Fund for Autonomy. The ambition is for this library to cover all health problems according to a rigorous expertise process in accordance with general public health recommendations and international recommendations from learned health societies. A search engine allows you to formulate queries by health problem.
The repository presents the list of INMs validated in three areas: the first concerns the body with, among other things, protocols for physiotherapy, occupational therapy, adapted physical activities, etc. The second area concerns psychosocial interventions with therapeutic education protocols, health prevention programs, psychotherapies, for example. Finally, the third area deals with nutritional programs with dietary solutions specific to identified health disorders.
This database lists intangible and universal protocols for prevention, care and assistance with autonomy which can be proposed by the professional and traced via a code unique. This code will tomorrow facilitate the integration of INMs into business software, their identification by AI systems and their administration in monitoring platforms. patient journey.
Platform, repository… How can all this work contribute to the recognition of INMs?
G.N. : At a time of disinformation and confusion, there was a need to provide clarification on INMs so that they are no longer confused with alternative medicine, socio-cultural activities or general public health recommendations such as “move more” or “eat less fat, salt and sugar”.
Furthermore, Health Insurance, regional health agencies, complementary health insurance, local authorities, foundations, patient associations sometimes finance programs blindly without knowing the real benefit of these practices, nor their risk. Our work will allow them to rely on concrete feedback and improve the effectiveness of certain treatments.
Collecting uses to fuel research and improve practice seems to us, with the vice-president of the NPIS Michel Noguès, to be a virtuous circle. The professional will be better recognized. For the patient, it is the guarantee of a scientifically proven benefit and tomorrow, better reimbursement.
After your International Summit, what will be the next big steps for the NPIS?
G.N. : There is an issue of mobilisationthat of researchers and practitioners who know INMs so that they submit them to enrich the repository. Whether it is a question of care or prevention, we believe 10,000 the number of INMs that can be integrated.
Second issue, the partnerships. The NPIS must build strong and lasting relationships with all stakeholders, particularly with health authorities, learned societies, professional organizations and patient associations. The expertise that we will offer must be co-constructed and monitored on an ongoing basis. We need human and financial resources in particular to accelerate the completion and updating of the repository.
Third issue, the development of this French innovation in Europe and internationally. A forum is organized with the support of INSERM in Brussels on December 5 to discuss scientific, regulatory, economic and technical harmonization issues. The NPIS Summit will report on progress each year. See you in Paris in October 2025 and 2026. Together we are consolidating a universal heritage of prevention, care and autonomy support solutions based on science.
Practical information
NPIS Summit from October 16 to 18, 2024 at the Cité universitaire internationale de Paris.
INM repository inaugurated on October 16, 2024 in the presence of numerous partners and supporters
INM White Paper to appear to appear in October 2024 by Éditions Ovadi.
1730269848
#time #misinformation #confusion #provide #clarification #nondrug #interventions
