AutomedicationFrancoV1, Main, Exploration, bibRecord, 000222

Encounters between medical and lay knowledge in therapeutic patient education. A qualitative study based on an oral chemotherapy program.

Identifieur interne : 000222 ( Main/Exploration ); précédent : 000221; suivant : 000223

Encounters between medical and lay knowledge in therapeutic patient education. A qualitative study based on an oral chemotherapy program.

Auteurs : Thibaud Marmorat [France] ; Catherine Rioufol [France] ; Florence Ranchon [France] ; Marie Préau [France]

Source :

Patient education and counseling [ 1873-5134 ] ; 2020.

RBID : pubmed:31685357

Descripteurs français

English descriptors

KwdEn :
- Administration, Oral (MeSH), Adult (MeSH), Antineoplastic Agents (therapeutic use), Communication (MeSH), Drug Therapy (MeSH), Female (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Male (MeSH), Medication Adherence (MeSH), Middle Aged (MeSH), Neoplasms (drug therapy), Patient Education as Topic (methods), Patient Medication Knowledge (MeSH), Patient Participation (MeSH), Professional-Patient Relations (MeSH), Qualitative Research (MeSH).
MESH :
- chemical , therapeutic use : Antineoplastic Agents.
- drug therapy : Neoplasms.
- methods : Patient Education as Topic.
- Administration, Oral, Adult, Communication, Drug Therapy, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Medication Adherence, Middle Aged, Patient Medication Knowledge, Patient Participation, Professional-Patient Relations, Qualitative Research.

Abstract

OBJECTIVES

The growing number of cancer patients treated with Oral Chemotherapy (OC) at home, is prompting many healthcare centers to develop Therapeutic Patient Education (TPE) programs. This study aimed to 1) describe the different forms of knowledge shared and learned in these programs, and 2) better understand how self-care and psychosocial skills are promoted in the TPE context.

METHOD

This study used qualitative data from the French "ONCORAL" program. Data collection was conducted with non-participant observations. The corpus comprised 42 TPE sessions.

RESULTS

Analysis highlighted that TPE specifically helps patients' functional health, revealed the medical expectations and social norms that shape the patient's role, and exposed the difficulties faced by the patient when acquiring self-care skills. Self-care skills and psychosocial skills also appeared to be mutually dependent in the context of TPE.

CONCLUSION

TPE programs which focus more on developing medical knowledge inevitably give less importance to psychosocial skills. Yet the recognition and promotion of the latter in TPE may lead to positive coping strategies related to medical outcomes, such as adherence.

PRACTICE IMPLICATION

Dedicated TPE program objectives for patients undergoing oral chemotherapy should recognize not only the value of medical knowledge but also of lay knowledge.

DOI: 10.1016/j.pec.2019.10.012
PubMed: 31685357

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000311
to stream Main, to step Curation: 000311

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Administration, Oral (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Antineoplastic Agents (therapeutic use)</term>
<term>Communication (MeSH)</term>
<term>Drug Therapy (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Knowledge, Attitudes, Practice (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Medication Adherence (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Neoplasms (drug therapy)</term>
<term>Patient Education as Topic (methods)</term>
<term>Patient Medication Knowledge (MeSH)</term>
<term>Patient Participation (MeSH)</term>
<term>Professional-Patient Relations (MeSH)</term>
<term>Qualitative Research (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion au traitement médicamenteux (MeSH)</term>
<term>Administration par voie orale (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Antinéoplasiques (usage thérapeutique)</term>
<term>Communication (MeSH)</term>
<term>Connaissance des patients sur la médication (MeSH)</term>
<term>Connaissances, attitudes et pratiques en santé (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Participation des patients (MeSH)</term>
<term>Recherche qualitative (MeSH)</term>
<term>Relations entre professionnels de santé et patients (MeSH)</term>
<term>Traitement médicamenteux (MeSH)</term>
<term>Tumeurs (traitement médicamenteux)</term>
<term>Éducation du patient comme sujet (méthodes)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antineoplastic Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Education as Topic</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Éducation du patient comme sujet</term>
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<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Tumeurs</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antinéoplasiques</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Administration, Oral</term>
<term>Adult</term>
<term>Communication</term>
<term>Drug Therapy</term>
<term>Female</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Male</term>
<term>Medication Adherence</term>
<term>Middle Aged</term>
<term>Patient Medication Knowledge</term>
<term>Patient Participation</term>
<term>Professional-Patient Relations</term>
<term>Qualitative Research</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adhésion au traitement médicamenteux</term>
<term>Administration par voie orale</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Communication</term>
<term>Connaissance des patients sur la médication</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Participation des patients</term>
<term>Recherche qualitative</term>
<term>Relations entre professionnels de santé et patients</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>The growing number of cancer patients treated with Oral Chemotherapy (OC) at home, is prompting many healthcare centers to develop Therapeutic Patient Education (TPE) programs. This study aimed to 1) describe the different forms of knowledge shared and learned in these programs, and 2) better understand how self-care and psychosocial skills are promoted in the TPE context.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHOD</b>
</p>
<p>This study used qualitative data from the French "ONCORAL" program. Data collection was conducted with non-participant observations. The corpus comprised 42 TPE sessions.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Analysis highlighted that TPE specifically helps patients' functional health, revealed the medical expectations and social norms that shape the patient's role, and exposed the difficulties faced by the patient when acquiring self-care skills. Self-care skills and psychosocial skills also appeared to be mutually dependent in the context of TPE.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>TPE programs which focus more on developing medical knowledge inevitably give less importance to psychosocial skills. Yet the recognition and promotion of the latter in TPE may lead to positive coping strategies related to medical outcomes, such as adherence.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PRACTICE IMPLICATION</b>
</p>
<p>Dedicated TPE program objectives for patients undergoing oral chemotherapy should recognize not only the value of medical knowledge but also of lay knowledge.</p>
</div>
</front>
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<Abstract><AbstractText Label="OBJECTIVES">The growing number of cancer patients treated with Oral Chemotherapy (OC) at home, is prompting many healthcare centers to develop Therapeutic Patient Education (TPE) programs. This study aimed to 1) describe the different forms of knowledge shared and learned in these programs, and 2) better understand how self-care and psychosocial skills are promoted in the TPE context.</AbstractText>
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<AbstractText Label="RESULTS">Analysis highlighted that TPE specifically helps patients' functional health, revealed the medical expectations and social norms that shape the patient's role, and exposed the difficulties faced by the patient when acquiring self-care skills. Self-care skills and psychosocial skills also appeared to be mutually dependent in the context of TPE.</AbstractText>
<AbstractText Label="CONCLUSION">TPE programs which focus more on developing medical knowledge inevitably give less importance to psychosocial skills. Yet the recognition and promotion of the latter in TPE may lead to positive coping strategies related to medical outcomes, such as adherence.</AbstractText>
<AbstractText Label="PRACTICE IMPLICATION">Dedicated TPE program objectives for patients undergoing oral chemotherapy should recognize not only the value of medical knowledge but also of lay knowledge.</AbstractText>
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   |texte=   Encounters between medical and lay knowledge in therapeutic patient education. A qualitative study based on an oral chemotherapy program.
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Encounters between medical and lay knowledge in therapeutic patient education. A qualitative study based on an oral chemotherapy program.

Encounters between medical and lay knowledge in therapeutic patient education. A qualitative study based on an oral chemotherapy program.

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