Determinants of Patients' Uptake of Therapeutic Education Programme (UTEP)

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 Overview

• Status: Completed
• Conditions: Chronic Disease; Patient Adherence; Empathy; Quality of Healthcare; Patient Education as Topic
• Intervention / Treatment: Other: Questionnaire

• Study Type: Interventional
• Enrollment (Actual): 459
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • Lille, France
    • Hôpital Claude Huriez, CHU

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Questionnaire; Auto and hetero questionnaire	Other: Questionnaire; Patient Self reported questionnaire filled in.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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 Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time limit of first proposition in TPE	Time between date of diagnostic illness and date of first first proposition in TPE	Baseline
Timeout of first participation in TPE	Time between date of proposition and date of the program begin of TPE	Baseline
Medical context in which TPE is proposed	Medical context in acute phase versus phase of stabilization of the pathology	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	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	Baseline

Collaborators and Investigators

• Sponsor: University Hospital, Lille
• Collaborators: Ministry of Health, France
• Investigators: Principal Investigator: Maryline Bourgoin, University Hospital, Lille

Study record dates

Study Major Dates

• Study Start (Actual): December 20, 2017
• Primary Completion (Actual): September 9, 2020
• Study Completion (Actual): September 9, 2020

Study Registration Dates

• First Submitted: August 16, 2017
• First Submitted That Met QC Criteria: August 16, 2017
• First Posted (Actual): August 21, 2017

Study Record Updates

• Last Update Posted (Actual): October 17, 2022
• Last Update Submitted That Met QC Criteria: October 14, 2022
• Last Verified: August 1, 2020

More Information

Terms related to this study

• Keywords: Psychological Theory
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Chronic Disease
• Other Study ID Numbers: 2015_70; 2016-A02057-44 (Other Identifier: ID-RCB number, ANSM)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No