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

Roussel, Sandrine;Deccache, Alain;Frenay, Mariane
(2018) Education Therapeutique du Patient — Vol. 10, n° 1, p. 10202 (2018)

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Abstract
(en) 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
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Roussel, S., Deccache, A., & Frenay, M. (2018). Oscillation between identities and Subjective psychological health objectives among an informed audience in therapeutic patient education. Education Therapeutique du Patient, 10(1), 10202. https://doi.org/10.1051/tpe/2018006 (Original work published 2018)