A 5-dimension patient education program targeting type 2 diabetes remission

Lagger, Grégoire; Correia, Jorge César; Fernandes, P.; Sittarame, Frédéric; Golay, Alain

doi:10.1051/tpe/2018018

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…In order for the chronic patient to truly be a partner in the care relationship, it is necessary for the caregiver to be centered on the person, on the patient, and for the patient to be "active" in the relationship, in his learning and in the decision making process that concern him [23,24]. Most TPE skills used by physicians fall into this category regardless of the situation (Fig.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Patient Education in the practice of physicians at the Geneva University Hospitals: a qualitative analysis of representative situations and skills

Correia

Moutet

Fristalon

et al. 2020

Educ Ther Patient/Ther Patient Educ

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Introduction: Therapeutic patient education (TPE) is a patient-centered approach that requires proper training of healthcare professionals. This study aims to explore representative situations encountered by physicians in their practice where TPE training was useful, which can provide insights for the conception of TPE training programs. Methods: A qualitative approach with both focus groups (FG) and individual interviews with physicians trained in TPE in activity at the Geneva University Hospitals (GUH) was carried out. The data was analyzed using inductive thematic analysis. Results: Two FG of 9 doctors were conducted. Six representative situations emerged from our analysis: non-compliance, maintaining a comprehensive vision for overall care of the patient, the partner patient, matching the patient request to the underlying need, co-constructing the therapeutic action plan, and confronting powerlessness. Discussion: Training in TPE allowed physicians to develop skills to better identify and address these situations. It also favored a change in the posture of the physician, from a posture of teaching and expertise to one of co-construction and learning. Conclusion: These situations show how much the care of complex patients is present in the medical practice and TPE training a valuable skill to deal with this complexity. TPE training targeted at these activities could have a positive impact on the practice of physicians and patient care.

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Section: Discussionmentioning

confidence: 99%

Therapeutic Patient Education in the practice of physicians at the Geneva University Hospitals: a qualitative analysis of representative situations and skills

Correia

Moutet

Fristalon

et al. 2020

Educ Ther Patient/Ther Patient Educ

Self Cite

View full text Add to dashboard Cite

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“…With participation in the interventions(in which some achieved remission and the majority demonstrably improved their condition), being associated with increased quality of life [8,11,12,[57][58][59], increased selfefficacy [60], significantly increased self-esteem [52], increased work and social adjustment [52], reduced binge eating [8,52], reduced problem areas in diabetes management [54] and finally increased diabetes knowledge and empowerment [53]. There were inconsistencies in relation to anxiety and depression [52,57,60,61].…”

Section: Influence Of Psycho-social Factors On Remission Outcomesmentioning

confidence: 99%

Psycho-social factors associated with type two diabetes remission through lifestyle intervention: A scoping review

Hart,

Kubilius,

Clark

2023

PLoS ONE

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Objectives There is growing evidence that type 2 diabetes (T2D) can be put into remission through lifestyle intervention. Current focus on remission in terms of physiological considerations and biomedical scales, means there is limited understanding of the role psycho-social factors play in moderating the efficacy of lifestyle interventions for T2D remission. In the current review we aimed to synthesise the emerging literature on psycho-social factors associated with T2D remission, specifically from lifestyle interventions. Methods Five databases (EMBASE, MEDLINE, CINAHL ultimate, PsychINFO and PsycArticles) were searched to identify studies from 2009 onwards that reported remission outcomes from lifestyle interventions in participants ≥ 18years old, with a clinical diagnosis of T2D. Studies included were of an interventional or observational design and restricted to English language. Screening and data extraction was performed independently by two reviewers using prespecified criteria. Results In total 6106 studies were screened, 36 studies meeting the inclusion criteria were included. Studies were globally diverse, with 30 (83%) being published ≥ 2017. Psycho-social scales were under-utilised with 22 (67%) of studies failing to include any psycho-social measures. Single arm, prospective studies were most frequently utilised, however study quality was perceived to be heterogeneous. Further disparity in the quality, content and delineation of the psycho-social interventions was also identified. Education and self-monitoring interventions were the most frequently incorporated. Self-monitoring was also identified as an important facilitator to remission, in addition to social support. Conclusions Our findings indicate that psycho-social factors in T2D remission are under-explored. We have identified a number of methodological issues (comparability, conflicting remission criteria and poorly defined psycho-social interventions) suggesting knowledge gaps which could inform the methodology of future research design. There is significant opportunity for future research to incorporate the social model of disease, conceptualise remission more holistically, and build a more comprehensive evidence base to guide clinical practice.

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