Determinants of Patients' Uptake of Therapeutic Education Programme

University Hospital, Lille459 enrolled

Overview

Therapeutic Patient Education (TPE) refers to programs that help patients to manage life with a chronic disease in the best possible way. In spite of the effectiveness of Therapeutic Patient Education, few patients uptake TPE when it is proposed to them. Therefore, our main aim was to identify patients' beliefs that will predict patients' uptake of TPE. According to the Health Belief Model, patient will participate in TPE if they perceive their disease as a serious threat (with possible serious complications), but which can be controlled however, and that TPE is efficient and represents little burden. Secondary aims are as follows: 1. To test whether the way TPE is presented to patients impact patients' decision to uptake TPE. The way TPE is presented comprises the time between diagnosis and the proposal of TPE, whether patient is a remission or crisis period in the disease, the time between the proposal and the next TPE session, and what is said by healthcare professionals to present TPE. 2. To test whether healthcare professionals' empathy impact patients' decision to participate in TPE 3. To test whether patients' intention to participate in TPE will predict their actual participation. The ultimate goal of the study is to identify patients whose beliefs will not favor participation in TPE in order to accompany those patients more carefully. Best practices will be proposed according the results.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

459

Conditions

Chronic Disease

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients to whom TPE was proposed in diabetes, hemophilia, obesity, cardiac failure, chronic inflammatory bowel disease, parkinson, rare diseases, epilepsy, peripheral arterial diseases * Belong to a social security scheme * Pregnant women to whom TPE for gestational diabetes is proposed Exclusion Criteria: * Cognitive impairment declared by healthcare professionals * Inpatients * Patients for whom TPE is coupled with rehabilitation * Psychiatric disorders * Patients who cannot give informed consent * Patients in jail

Outcomes

Primary Outcomes

Patient's intention to participated in TPE by a questionnaire based on the Health Belief Model

Patient's participation in TPE : yes or no Participation is defined as the patient's intention to come expressly to the hospital for a first appointment dedicated to therapeutic education. The main variables of the HBM will be analyzed: perceived threat of the pathology, perceived benefits and barriers to TPE, perceived patient control of its pathology.

Time frame: Baseline (after TPE proposal)

Secondary Outcomes

Time limit of first proposition in TPE

Time between date of diagnostic illness and date of first first proposition in TPE

Time frame: Baseline

Timeout of first participation in TPE

Time between date of proposition and date of the program begin of TPE

Time frame: Baseline

Medical context in which TPE is proposed

Medical context in acute phase versus phase of stabilization of the pathology

Time frame: Baseline

Consultation And Relational Empathy (CARE) questionnaire

The patient's perceived empathy of the professional (s) who offered the TPE will be assessed by the CARE questionnaire

Time frame: Baseline

Visual analog scale for intention to participated

Visual analog scale ranging from 0 "not at all intending to participate" to 100 "very strong intention to participate Measurement of the patient's intention to participate in the proposed TPE program

Time frame: Baseline

Determinants of Patients' Uptake of Therapeutic Education Programme

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes