Implementation and evaluation of a therapeutic patient education programme during a clinical trial in Yaoundé, Cameroon – Trial ANRS-12286/MOBIDIP
| Autor: | Frida Essomba, Geraldine Manirakiza Mberyo, Geneviève Lamarre, Sinata Koulla-Shiro, Hermine Abessolo, Olga Bell, Eric Delaporte, Roselyne Toby, Pretty Mbouyap, Angeline Bikié, Adrien Galy, Laura Ciaffi |
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| Přispěvatelé: | Recherches Translationnelles sur le VIH et les maladies infectieuses endémiques er émergentes (TransVIHMI), Université Cheikh Anta Diop [Dakar, Sénégal] (UCAD)-Institut de Recherche pour le Développement (IRD)-Université de Yaoundé I-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Université Montpellier 1 (UM1), Institut de formation et de recherche démographiques (IFORD), Division of Health Operations Research, Ministry of Public Health |
| Rok vydání: | 2018 |
| Předmět: |
Male
Adult 0301 basic medicine Program evaluation Health Knowledge Attitudes Practice medicine.medical_specialty [SDV]Life Sciences [q-bio] HIV Infections Disease computer.software_genre Therapeutic patient education Medication Adherence 03 medical and health sciences 0302 clinical medicine Patient satisfaction Patient Education as Topic Educational assessment Intervention (counseling) Humans Medicine Active listening Cameroon 030212 general & internal medicine Disease management (health) Evaluation Practice business.industry Health Knowledge 4. Education HIV General Medicine Middle Aged 030112 virology 3. Good health Clinical trial Patient Satisfaction Adherence Attitudes Family medicine Female business computer Program Evaluation |
| Zdroj: | Patient Education and Counseling Patient Education and Counseling, Elsevier, 2018, 101 (7), pp.1262--1269. ⟨10.1016/j.pec.2018.01.021⟩ |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2018.01.021 |
| Popis: | International audience; OBJECTIVES: High adherence is needed to maintain antiretroviral therapy efficacy. Few attempts at therapeutic patient education (TPE) have been made in sub-Saharan Africa. We describe patients' achievements before intervention and identified needs, TPE programme implementation and evaluation, and patients' satisfaction. METHODS: The TPE programme was proposed to patients in the ANRS-12286/MOBIDIP trial. Beforehand, a directory of competences to manage HIV infection was designed. Patients' HIV-related knowledge and skills assessment was realised, leading to an educational contract. Evaluation was performed using a standardised collection form and a satisfaction survey. RESULTS: Of 154 patients, 146 underwent TPE. During a median of 1.8 years, 47% of patients had >=3 consultations. Educational assessment revealed limited knowledge about HIV disease. Conversely, patients had frequently managed issues of adherence or disclosure. A median of 12 objectives were considered per patient, and 75% were attained. Objectives from the cognitive domain were less frequently attained. Patients appeared satisfied with the intervention: more emphasis was placed on psycho-affective aspects or experience-sharing than on the acquisition of knowledge. CONCLUSION: Active listening, know-how and a space for discussion appear more important for patients than knowledge on disease or treatments. PRACTICE IMPLICATIONS: In HIV care, the directory of learning objectives should be revised to include more objectives concerning practical skills for disease management. |
| Databáze: | OpenAIRE |
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