L’éducation thérapeutique du patient : une tension entre alliance thérapeutique et techniques pédagogiques

Lagger, Grégoire; Chevalley, Claude; Moutet, Aline Lasserre; Sittarame, Frédéric; Delétraz, M.; Chambouleyron, Monique; Golay, Alain

doi:10.1016/s1957-2557(17)30016-0

Cited by 9 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, according to Lang [ 26 ], the thirteen principles for a psychosocial rehabilitation practice set out by Cnaan [ 32 ] correlated with those of TPE in France: full human capacities, equipment of people with skills, self-determination, normalization, differential needs and care, commitment of staff, deprofessionalization of service, early intervention, environmental approach, changes in the environment, a lack of limits on participation, work-centered process, and social rather than medical supremacy. For Lagger, TPE promotes a change in posture and offers the opportunity to strengthen the bond, especially for the patient to be able to feel less alone with his or her chronic illness [ 33 ]. We can formulate the hypothesis that this change in posture favored by the TPE as a caregiver-facilitator could be a tool favoring a new caregiver posture as a whole and could thereby contribute through its development to psychiatric care said to be "oriented toward the recovery of people".…”

Section: Discussionmentioning

confidence: 99%

The experience of caregivers providing therapeutic patient education for people living with bipolar disorder: a qualitative study

Chirio-Espitalier

Harscoët

Duval³

et al. 2023

BMC Psychiatry

View full text Add to dashboard Cite

Background Therapeutic patient education (TPE) programs are psycho-educational treatments suggested for all chronic diseases. For several years, these programs have been developing for people living with bipolar disorder. However, to date, only few qualitative studies have explored the experience of caregivers. We wanted to explore the experience of caregivers working in psychiatry as facilitators of a therapeutic education program for people living with bipolar disorder. Method A single-center qualitative study was carried out. We conducted an inductive exploration, examining the content of the discourse produced in a focus group of eight caregivers in therapeutic education. The corpus was transcribed manually and a thematic analysis was conducted by two authors in a blinded fashion before combining. Results Four dimensions and twenty themes were identified: i) facilitators' pleasant experiences of the TPE sessions with a secure climate and a sense of belonging to a group, ii) being a TPE facilitator with a new horizontal and collaborative posture valuing the experiential knowledge, iii) the role of the TPE sessions with knowledge provision, empowerment and destigmatization, and iv) perceived changes in patients with an appeasement, the awareness of a shared experience, openness to others, a phenomenon of identification to peers and a new commitment. Conclusions and implications for practice The observations noted overlap with the elements of the personal recovery well known CHIME framework (Connectedness, Hope, positive Identity, Meaning in life and Empowerment). Therapeutic education is a developing form of psychosocial rehabilitation care: through the mobilization of a new attitude of caring, the facilitation of TPE programs could be a lever for changing the posture of caregivers in favor of supporting the personal recovery of people with bipolar disorder. These results would need to be confirmed by further studies.

show abstract

Section: Discussionmentioning

confidence: 99%

The experience of caregivers providing therapeutic patient education for people living with bipolar disorder: a qualitative study

Chirio-Espitalier

Harscoët

Duval³

et al. 2023

BMC Psychiatry

View full text Add to dashboard Cite

show abstract

“…In 2005, noncommunicable diseases were estimated to cause nearly 35 million deaths worldwide, 80% of them in low-and middle-income countries (3). The progression of childhood obesity over the last decade is catastrophic.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a program of physical activities adapted to the morphological, physiological and body composition parameters of overweight and obese adolescents of the Lukunga sports club of Kinshasa, Democratic Republic of Congo

Linkoko

Kampy

Mabenza

et al. 2018

Sanamed

View full text Add to dashboard Cite

Objective. To study the effects of regular physical activity on the morphological, physiological and body composition parameters of overweight and obese adolescents.Methods. We conducted an experimental study with30 adolescents divided in two according to their body mass index. The group 1 was composed of overweight subjects with a body mass index between 25-29.9 kg/m 2 , and group 2 obese subjects with a body mass index ³ 30 kg/m 2 subjected to a program of adapted physical activity associated with a low-calorie nutrition education low in cholesterol and in saturated fatty acids (bad fats), low-fat rich in vegetables, fruits and vitamins for a period of six months.Results. This study reveals that after six months of intervention, overweight subjects significantly decreased waist circumference (82.9 ± 4.2 cm before versus 77.6 ± 4.6 cm after), heart rate (86.8 ± 3.6 beat/min before versus 81.4 ± 3.8 beat/min after), total fat (32.2 ± 1.8% before versus 27.2 ± 1.5% after), visceral fat (16.6 ± 2.3% before versus 11.1 ± 2.5% after), and decreased muscle (15.6 ± 2.7% before versus 19.4 ± 4.1% after), while obese subjects significantly decreased waist circumference (88.9 ± 6.2 cm before versus 85.8 ± 5.9 cm after), visceral fat (17.4 ± 3.2% before versus 14.1 ± 3.1% after), respiratory capacity (61.1 ± 2.7% before versus 65 ± 2.1%). In addition this study reveals that overweight subjects compared to obese subjects more changed their waist circumference (77.6 ± 4.6 cm for overweight versus 85.8 ± 5.9 cm for obese), body mass index (24.9 ± 4.1 kg/m 2 for overweight versus 28.8 ± 1.2 kg/m 2 for obese), heart rate (81.4 ± 3.8 beat/min for overweight versus 28.8 ± 1.2 beat/min for obese), visceral fat (11.1 ± 2.5% for overweight versus 14.1 ± 3.1% for obese), and muscle (19.4 ± 4.1% for overweight versus 17.1 ± 2.1%). Conclusion.Obese adolescents have by means of regular activity significantly changed their morphological, physiological and body composition parameters of overweight and obese.

show abstract

Éducation thérapeutique des patients diabétiques

Golay¹,

Lagger²,

Moutet³

et al. 2019

Diabetologie

View full text Add to dashboard Cite

L’éducation thérapeutique du patient : une tension entre alliance thérapeutique et techniques pédagogiques

Cited by 9 publications

References 5 publications

The experience of caregivers providing therapeutic patient education for people living with bipolar disorder: a qualitative study

The experience of caregivers providing therapeutic patient education for people living with bipolar disorder: a qualitative study

Evaluation of a program of physical activities adapted to the morphological, physiological and body composition parameters of overweight and obese adolescents of the Lukunga sports club of Kinshasa, Democratic Republic of Congo

Éducation thérapeutique des patients diabétiques

Contact Info

Product

Resources

About