Healthcare providers perception of therapeutic patient education efficacy according to patient and healthcare provider characteristics

2021 ◽  
pp. 174239532110584
Author(s):  
Deborah Loyal ◽  
Laetitia Ricci ◽  
Julie Villegente ◽  
Carole Ayav ◽  
Joelle Kivits ◽  
...  
Keyword(s):  
Patient Education ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Medical Knowledge ◽  
Patient Characteristics ◽  
Therapeutic Patient Education ◽  
Individual Level ◽  
Individual Interviews ◽  
Provider Characteristics ◽  
The Individual

Objectives Therapeutic patient education improves numerous health and psychological outcomes in patients with chronic diseases. However, little is known about what makes a therapeutic patient education intervention more effective than another one. This study aims to identify in healthcare professionals the perceived determinants of therapeutic patient education efficacy at the individual level. Methods Semi-structured individual interviews have been conducted with healthcare professionals (HCP, n=28, including 20 nurses) involved in therapeutic patient education programs ( n=14) covering various chronic conditions (kidney and cardiovascular diseases, chronic pain, diabetes, etc.). A thematic content analysis following an inductive approach was used (Nvivo.11 software). Results Five themes were retrieved for patient characteristics: understanding and education, personality, readiness and motivation, social environment, and misinformation and beliefs. Four themes were retrieved for healthcare professionals’ characteristics: medical knowledge, appropriate attitude and relational skills, pedagogical skills, and training. Discussion Patient personality is rarely discussed in the literature. Patients who are introverted, lack curiosity, or are not compliant might benefit from specific therapeutic patient education practices or formats. All these potential determinants regarding patients and healthcare professionals should be routinely assessed in future studies about therapeutic patient education efficacy to understand precisely what makes an intervention successful.

Oscillation between identities and Subjective psychological health objectives among an informed audience in therapeutic patient education

2018 ◽  
Vol 10 (1) ◽  
pp. 10202
Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay
Keyword(s):  
Patient Education ◽  
Psychological Health ◽  
Healthcare Professionals ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Therapeutic Patient Education ◽  
French Speaking ◽  
Health Objectives ◽  
Self Administered Questionnaire

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.

scholarly journals Predictors of Neuropsychological Improvement Following Cognitive Rehabilitation in Patients with Gliomas

2010 ◽  
Vol 17 (2) ◽  
pp. 256-266 ◽  
Author(s):  
Karin Gehring ◽  
Neil K. Aaronson ◽  
Chad M. Gundy ◽  
Martin J.B. Taphoorn ◽  
Margriet M. Sitskoorn
Keyword(s):  
Test Performance ◽  
Cognitive Rehabilitation ◽  
Practical Implication ◽  
Neuropsychological Test ◽  
Patient Characteristics ◽  
Rehabilitation Program ◽  
Control Group ◽  
Specific Patient ◽  
Individual Level ◽  
The Individual

AbstractThis study investigated the specific patient factors that predict responsiveness to a cognitive rehabilitation program. The program has previously been demonstrated to be successful at the group level in patients with gliomas, but it is unclear which patient characteristics optimized the effect of the intervention at the individual level. Four categories of possible predictors of improvement were selected for evaluation: sociodemographic and clinical variables, self-reported cognitive symptoms, and objective neuropsychological test performance. Hierarchical logistic regression analyses were conducted, beginning with the most accessible (sociodemographic) variables and ending with the most difficult (baseline neuropsychological) to identify in clinical practice. Nearly 60% of the participants of the intervention were classified as reliably improved. Reliable improvement was predicted by age (p = .003) and education (p = .011). Additional results suggested that younger patients were more likely to benefit specifically from the cognitive rehabilitation program (p = .001), and that higher education was also associated with improvement in the control group (p = .024). The findings are discussed in light of brain reserve theory. A practical implication is that cognitive rehabilitation programs should take the patients’ age into account and, if possible, adapt programs to increase the likelihood of improvement among older participants. (JINS, 2011, 17, 256–266)

scholarly journals Narrative Medicine in the treatment of diabetes

2020 ◽  
Vol 23 (4) ◽  
pp. 254
Author(s):  
Piana, N.
Keyword(s):  
Patient Education ◽  
Personalized Medicine ◽  
Health Professional ◽  
Medical Practice ◽  
Healthcare Professionals ◽  
Treatment Options ◽  
Narrative Medicine ◽  
Self Awareness ◽  
Therapeutic Patient Education ◽  
Treatment Of Diabetes

Medicine practiced with narrative competence, called Narrative Medicine, is the ability to acknowledge, absorb, interpret and act on the stories and plights of others and represents a model for humane and effective medical practice. In this perspective, the person’s experience and story become important tools that allow health professional to better understand their patients’ disease and to formulate more appropriate diagnostic and treatment options. Furthermore, the narrating of the patient’s story is a therapeutically central act, because to find the words to contain the disorder and its attendant worries and to develop self-awareness and motivation to self-care. KEY WORDS narrative medicine; therapeutic patient education; storytelling; training for healthcare professionals; personalized medicine

scholarly journals Post-operative patient education: a systematic review

2021 ◽  
Author(s):  
Suzanne Fredericks
Keyword(s):  
Systematic Review ◽  
Patient Education ◽  
Health Outcomes ◽  
Mode Of Delivery ◽  
Patient Characteristics ◽  
Educational Interventions ◽  
Specific Approach ◽  
The Individual ◽  
Moderate Magnitude

Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective post-operative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and methodology: The purpose of this systematic review was to examine who would most benefit from post-operative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5271 participants. Major results: Findings indicate delivery of post-operative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple sessions is associated with improvement in educational/health outcomes. Samples that contained individuals younger than 50 years of age and higher percentages of males showed benefits in outcomes of moderate magnitude. Application: The results highlight the importance of attending to the characteristics of both the elements of post-operative educational interventions and the individual patients in the design and delivery of patient education.

scholarly journals Postoperative patient education: a systematic review

2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Sepali Guruge ◽  
Souraya Sidani ◽  
Teresa Wan
Keyword(s):  
Systematic Review ◽  
Patient Education ◽  
Health Outcomes ◽  
Mode Of Delivery ◽  
Patient Characteristics ◽  
Educational Interventions ◽  
Postoperative Patient ◽  
Specific Approach ◽  
The Individual ◽  
Moderate Magnitude

Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective post-operative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and methodology: The purpose of this systematic review was to examine who would most benefit from post-operative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5271 participants. Major results: Findings indicate delivery of post-operative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple sessions is associated with improvement in educational/health outcomes. Samples that contained individuals younger than 50 years of age and higher percentages of males showed benefits in outcomes of moderate magnitude. Application: The results highlight the importance of attending to the characteristics of both the elements of post-operative educational interventions and the individual patients in the design and delivery of patient education.

scholarly journals Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study

BMC Nutrition ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Lisa Garnweidner-Holme ◽  
Karla Sende ◽  
Monica Hellmann ◽  
Christine Henriksen ◽  
Knut E. A. Lundin ◽  
...  
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Political Action ◽  
Gluten Free ◽  
Free Products ◽  
Individual Level ◽  
Individual Interviews ◽  
Immune Mediated ◽  
Multiple Levels ◽  
The Individual ◽  
Selection Of

Abstract Background Coeliac disease (CD) is an immune-mediated enteropathy against dietary gluten. The treatment for CD is a strict life-long gluten-free (GF) diet, which has a profound effect on a person’s life. In recent years, there has been an increase in the availability of gluten-free products. This study investigates how people with CD experience and manage a GF diet. Methods Semi-structured, individual interviews were conducted in different areas of Norway. The analysis was guided by Interpretative Phenomenological Analysis. Participants with CD (n = 12) varied in terms of gender, age, family composition and time since diagnosed. Results The analysis revealed challenges for a GF diet at the individual, interpersonal, community and policy levels. At the individual level, the participants explained that it took time to gain knowledge about a GF diet, and they expressed uncertainty about the healthiness of a GF diet. At the interpersonal level, the feeling of being different and the fear of gluten contamination were barriers to the enjoyment of social meals. At the community level, the participants asked for a wider selection of tastier GF products to purchase and increased knowledge about CD among those who prepare and sell GF foods. At the policy level, the participants asked for political action to make GF products more affordable. Conclusions This study indicates that people with CD should be given information about how to manage a GF diet right after being diagnosed with CD. The food industry should be encouraged to produce healthy and tasty GF products.

scholarly journals Factors influencing the use of video interpretation compared to in-person interpretation in hospitals: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eli Feiring ◽  
Stine Westdahl
Keyword(s):  
Language Proficiency ◽  
Soft Budget Constraints ◽  
Individual Level ◽  
Individual Interviews ◽  
Interpreter Use ◽  
Factors Influencing ◽  
Professional Interpreter ◽  
Barriers To Use ◽  
The Individual ◽  
Organisational Factors

Abstract Background Facilitating access to professional interpretation services is key to equitable hospital care for migrants with limited language proficiency; however, interpreter underuse has been documented. The factors that potentially enable or hinder professional interpreter use are not well understood. We aimed to compare perceptions held by hospital managers and healthcare practitioners of the factors influencing the use of remote video interpretation and in-person interpretation. Methods This study employed a retrospective qualitative design. Two hospitals, located in Austria and Norway, with adequately similar baseline characteristics were purposively selected. Both hospitals used in-person interpreters, and the Austrian hospital had recently introduced remote video interpretation as an alternative and supplement. Fifteen managers and healthcare practitioners participated in focus groups and individual interviews. Data were thematically analysed with the aid of behavioural system theory. Results Across sites, the facilitators of interpreter use included individual factors (knowledge about interpreter services, skills to assess when/how to use an interpreter, beliefs about favourable consequences), as well as organisational factors (soft budget constraints). Barriers were identified at the individual level (lack of interpersonal skills to handle difficult provider-interpreter situations, lack of skills to persuade patients to accept interpreter use, lack of trust in service professionalism), and at the organisational level (limited interpreter availability, time constraints). The introduction of remote video interpretation services seemed to counteract the organisational barriers. Video interpretation was further perceived to enable patient confidentiality, which was regarded as a facilitator. However, video interpretation introduced specific barriers, including perceived communication deficiencies. Conclusion This study has identified a range of factors that are perceived to influence the use of interpreters in hospitals. The research suggests that-implementing remote video interpretation services lessens the barriers to use and that such services should be introduced in hospital settings as an alternative or supplement to in-person interpreters. Further intervention functions should be considered to bring about change in the use of interpretation services, including developing guidelines for interpreter use, educating staff in the appropriate use of video technology, and training staff in communicating with interpreter and patients with limited language proficiency.

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

2020 ◽  
Vol 12 (2) ◽  
pp. 20202
Author(s):  
Jorge César Correia ◽  
Aline Lasserre Moutet ◽  
Isabelle Fristalon ◽  
Grégoire Lagger ◽  
Alain Golay ◽  
...  
Keyword(s):  
Patient Education ◽  
Positive Impact ◽  
Action Plan ◽  
University Hospitals ◽  
Patient Centered ◽  
Therapeutic Patient Education ◽  
Individual Interviews ◽  
Patient Request ◽  
Complex Patients ◽  
Proper Training

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.

scholarly journals Hospital Clostridium difficile Infection Rates and Prediction of Length of Stay in Patients Without C. difficile Infection

2016 ◽  
Vol 37 (4) ◽  
pp. 404-410 ◽  
Author(s):  
Aaron C. Miller ◽  
Linnea A. Polgreen ◽  
Joseph E. Cavanaugh ◽  
Philip M. Polgreen
Keyword(s):  
Clostridium Difficile ◽  
Length Of Stay ◽  
Incidence Rate ◽  
Nationwide Inpatient Sample ◽  
Cohort Analysis ◽  
Patient Characteristics ◽  
Individual Level ◽  
Percentage Point Increase ◽  
Point Increase ◽  
The Individual

BACKGROUNDInpatient length of stay (LOS) has been used as a measure of hospital quality and efficiency. Patients with Clostridium difficile infections (CDI) have longer LOS.OBJECTIVETo describe the relationship between hospital CDI incidence and the LOS of patients without CDI.DESIGNRetrospective cohort analysis.METHODSWe predicted average LOS for patients without CDI at both the hospital and patient level using hospital CDI incidence. We also controlled for hospital characteristics (eg, bed size) and patient characteristics (eg, comorbidities, age).SETTINGHealthcare Cost and Utilization Project Nationwide Inpatient Sample, 2009–2011.PATIENTSThe Nationwide Inpatient Sample includes patients from a 20% sample of all nonfederal US hospitals.RESULTSInpatient LOS was significantly longer (P<.001) at hospitals with greater CDI incidence at both the hospital and individual level. At a hospital level, a percentage point increase in the CDI incidence rate was associated with more than an additional day’s stay (between 1.19 and 1.61 days). At the individual level, controlling for all observable variables, a percentage point increase in the CDI incidence rate at their hospital was also associated with longer LOS (between 0.6 and 1.05 additional days). Hospital CDI incidence had a larger impact on LOS than many other commonly used predictors of LOS.CONCLUSIONCDI rates are a predictor of LOS in patients without CDI at an individual and institutional level. CDI rates are easy to measure and report and thus may provide an important marker for hospital efficiency and/or quality.Infect. Control Hosp. Epidemiol. 2016;37(4):404–410

scholarly journals Disclosure of payments by pharmaceutical companies to healthcare professionals in the UK: analysis of the Association of the British Pharmaceutical Industry’s Disclosure UK database, 2015 and 2016 cohorts

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e023094 ◽  
Author(s):  
Shai Mulinari ◽  
Piotr Ozieranski
Keyword(s):  
Healthcare Professionals ◽  
Median Number ◽  
Pharmaceutical Companies ◽  
Insufficient Information ◽  
Consent Rate ◽  
Individual Level ◽  
Drug Companies ◽  
The Individual ◽  
The Uk ◽  
Insight Into

ObjectivesTo analyse the section of Disclosure UK that pertains to healthcare professionals (HCPs) in order to provide insight into the database’s structure and content and suggest ways to improve its transparency.Design and participantsCohort study of drug companies and HCPs in the 2015 and 2016 versions of Disclosure UK.ResultsCompanies report transfers of value (ToVs) to named HCPs or, where an HCP declines to consent, in aggregate. Only a limited number of variables describe the recipient HCP and the ToV, precluding refined analyses. In 2015, 107 companies reported 54 910 ToVs worth ₤50 967 728. In 2016, 109 companies reported ToVs but spending decreased by 7.3%. The spending was concentrated: the top 10 spenders reported about 50% of the total value, with consultancy-related payments comprising over 70%, and the rest being costs for events. In 2015, 55.5% (30 478) of ToVs worth ₤24 428 619 (47.9%) were disclosed at the individual HCP level, increasing to 64.5% (32 407) and ₤28 145 091 (59.2%) in 2016. Despite increased individual-level disclosure in 2016, the median number of ToVs reported by each company at the individual level was only 57.7%, with 25% of companies reporting less than 38.6%. We found little agreement (62%–48% in 2015 and 46%–30% in 2016) between HCP consent rates that we calculated based on information in the database and those provided by companies.ConclusionsKey deficiencies in Disclosure UK include: insufficient information on payments and recipients, a relatively low HCP consent rate for individual-level disclosure, differences in consent rates across companies and payment types, and reporting ambiguities or inconsistencies. We employ these findings to develop recommendations for improving transparency, including an easily interpretable consent rate statistic that allows for comparison across years, firms and countries. If deficiencies remain unresolved, the UK should consider introducing legislation requiring mandatory disclosure to allow for adequate tracking of industry payments.

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