Les déterminants psychosociaux de participation à l'ETP en amont d'une chirurgie bariatrique

Croiset, Alfred; Ritz, Patrick; Afzali, Mohammad H.; Rogé, Bernadette; Sordes, Florence

doi:10.1051/tpe/2017014

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…The acknowledgement of these needs is an opportunity to standardize professional practices regarding preparation programs to bariatric surgery. Basing the therapeutic preparation programs upon the patients' needs also allows to take into account the patients psycho-social disparities and therefore improve their adherence to the program [19].…”

Section: Discussionmentioning

confidence: 99%

Transforming with partner patients a program of preparation for bariatric surgery

Somers

Correia

Blyweert

et al. 2019

Educ Ther Patient/Ther Patient Educ

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Introduction: The current collective preparation program for obesity surgery is performed by an interdisciplinary team over four non-consecutive days. In order to optimize the delays of the program and to improve the educational offer a temporal condensation of this service in the proximity of the intervention was decided. The objective of this study is to describe the creation process of the new obesity surgery preparation program based on the needs of partner patients. Materials and methods: We conducted semi-structured focus groups with 50 patients over 3 successive stages of the surgical journey: at the beginning and end of the collective preparation and then 2 to 14 months after the surgery. The analysis crosses by theme the needs identified. Results and discussion: Our study allowed to authenticate a central need of sharing with witnesses, a need for information (medical, dietary, behavioral), and a need for longer-term projection (transformations, investment axes to support weight loss). Conclusion: The preparatory needs identified by the partner patients served as a guide for the transformation of the existing program. This experiment paves the way for a partnership with patients established and recognized by the institution of care in the evaluation process of this program.

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Section: Discussionmentioning

confidence: 99%

Transforming with partner patients a program of preparation for bariatric surgery

Somers

Correia

Blyweert

et al. 2019

Educ Ther Patient/Ther Patient Educ

View full text Add to dashboard Cite

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Impact of an educative program on dialysis patients’ knowledge and mental health: controlled before and after program

Idier

Untas

Rascle

et al. 2018

Educ Ther Patient/Ther Patient Educ

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Introduction: Psychological impact of Therapeutic Patient Education (TPE) for dialysis patients is rarely evaluated since the focus of many studies is on medical variables (i.e., adherence). Objectives: The aims of this study were: 1) to estimate the impact of a TPE program on knowledge, depression and anxiety, 2) to examine change in knowledge as a mediator of the effects of a TPE program on mental health. Method: This study was conducted in three hemodialysis units and comprised two groups: an experimental group with education and a control group with routine care. The program was based of 5 educative sessions. Knowledge, depressive and anxious symptoms were assessed with self-reported outcomes measured before and 3 months after the program. Results: The sample comprised 125 patients. Knowledge about vascular access and nutrition (p < 0.01) and depressive symptoms increased in the experimental group (p < 0.01). Analysis of mediation showed that changes in knowledge about vascular access were a significant mediator of the effects of the program on depressive symptoms (F = 4.90; p = 0.01). Discussion: Knowledge acquired during an educational program could lead to an emotional change. Improving knowledge often leads to an awareness of the risks that can modify the psychological state of patients by reminding them of their vulnerability. This study shows that it is required to be attentive to the way of transmitting knowledge. It’s necessary adapting this transmission to the needs of patients and promoting the acquisition of psychosocial competence too. Conclusion: This study shows that knowledge acquired during an educational program can lead to an emotional change in the short term. A long-term follow-up of the population should be interesting to observe these emotional effects.

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Les déterminants psychosociaux de participation à l'ETP en amont d'une chirurgie bariatrique

Cited by 2 publications

References 34 publications

Transforming with partner patients a program of preparation for bariatric surgery

Transforming with partner patients a program of preparation for bariatric surgery

Impact of an educative program on dialysis patients’ knowledge and mental health: controlled before and after program

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