Determinants of Patients' Uptake of Therapeutic Education Programme

Chronic Disease Clinical Trial

— UTEP  

Official title:

Determinants of Patients' Uptake of Therapeutic Education Programme

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03255863
• Other study ID #: 2015_70
• Secondary ID: 2016-A02057-44
• Status: Completed
• Phase: N/A
• Start date: December 20, 2017
• Est. completion date: September 9, 2020

Study information

• Verified date: August 2020
• Source: University Hospital, Lille
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 459
• Est. completion date: September 9, 2020
• Est. primary completion date: September 9, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Chronic Disease
• Empathy
• Patient Adherence
• Patient Education as Topic
• Quality of Healthcare

Intervention

Other:
• Questionnaire
Patient Self reported questionnaire filled in.

Locations

Country	Name	City	State
France	Hôpital Claude Huriez, CHU	Lille

Sponsors (2)

Lead Sponsor	Collaborator
University Hospital, Lille	Ministry of Health, France

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	Baseline (after TPE proposal)
Secondary	Time limit of first proposition in TPE	Time between date of diagnostic illness and date of first first proposition in TPE	Baseline
Secondary	Timeout of first participation in TPE	Time between date of proposition and date of the program begin of TPE	Baseline
Secondary	Medical context in which TPE is proposed	Medical context in acute phase versus phase of stabilization of the pathology	Baseline
Secondary	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	Baseline
Secondary	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	Baseline