Caregiver Representations of Therapeutic Patient Education Programmes for People with Schizophrenia: A Qualitative Study
<b>Background:</b> In France, there are two main types of psychosocial educational therapies for people with mental disorders: (1) therapeutic patient education (TPE) or “training”, and (2) psychoeducation. Both types of educational therapy aim to improve disease morbidity, treatment com...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/9/1644 |
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| author | Corinne Rat Nicolas Meunier-Beillard Samuel Moulard Frédéric Denis |
| author_facet | Corinne Rat Nicolas Meunier-Beillard Samuel Moulard Frédéric Denis |
| author_sort | Corinne Rat |
| collection | DOAJ |
| description | <b>Background:</b> In France, there are two main types of psychosocial educational therapies for people with mental disorders: (1) therapeutic patient education (TPE) or “training”, and (2) psychoeducation. Both types of educational therapy aim to improve disease morbidity, treatment compliance and patient quality of life, but they have very different modes of application. The aim of this study was to interview mental health professionals in order to explore and identify the determinants (barriers and enablers) underlying their acceptance of therapeutic patient education (TPE) in order to facilitate the implementation of these programmes among people with severe mental illness such as schizophrenia. <b>Methods:</b> In this multicentre cross-sectional study, we opted for a qualitative approach based on individual semi-structured interviews with 21 mental health professionals trained in TPE, regardless of whether they had practiced it before or not. In accordance with the “Jardé” law (Decree no 2016-1537 dated 16 November 2016 published on 17 November 2016 in the Official Journal of the French Republic). No regulatory approval was required for this study. <b>Results:</b> The major themes that emerged from the analysis were grouped into the following conceptual framework: (1) mental health professionals (MHPs) highlight important organizational and institutional challenges that they feel are beyond their scope; (2) MHPs mention in parallel their own perceptions and representations of TPE in the context of mental health care; and (3) MHPs’ representations could hide a lack of knowledge or awareness that would prevent them from appropriating TPE programmes. For each major theme, the sub-themes identified are presented. <b>Conclusions:</b> Although TPE is of interest in the process of patient empowerment, we found that caregivers were reluctant to appropriate this approach to care. Efforts must be made in the initial and ongoing training of MHPs to move from a paternalistic model to a patient partnership model, which is made possible by TPE. These efforts must also be firmly supported by health care facilities, and proactive governance is required for the successful implementation of TPE. |
| first_indexed | 2024-03-09T23:54:59Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T23:54:59Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-dfbc0231678443449a7836c3fe24eca72023-11-23T16:28:22ZengMDPI AGHealthcare2227-90322022-08-01109164410.3390/healthcare10091644Caregiver Representations of Therapeutic Patient Education Programmes for People with Schizophrenia: A Qualitative StudyCorinne Rat0Nicolas Meunier-Beillard1Samuel Moulard2Frédéric Denis3Clinical Research Unit of la Chartreuse Hospital, 21000 Dijon, FranceClinical Investigation Center—EC Inserm 1432, 21000 Dijon, FranceClinical Research Unit of la Chartreuse Hospital, 21000 Dijon, FranceDepartment of Odontology, Tours University Hospital Center, 37000 Tours, France<b>Background:</b> In France, there are two main types of psychosocial educational therapies for people with mental disorders: (1) therapeutic patient education (TPE) or “training”, and (2) psychoeducation. Both types of educational therapy aim to improve disease morbidity, treatment compliance and patient quality of life, but they have very different modes of application. The aim of this study was to interview mental health professionals in order to explore and identify the determinants (barriers and enablers) underlying their acceptance of therapeutic patient education (TPE) in order to facilitate the implementation of these programmes among people with severe mental illness such as schizophrenia. <b>Methods:</b> In this multicentre cross-sectional study, we opted for a qualitative approach based on individual semi-structured interviews with 21 mental health professionals trained in TPE, regardless of whether they had practiced it before or not. In accordance with the “Jardé” law (Decree no 2016-1537 dated 16 November 2016 published on 17 November 2016 in the Official Journal of the French Republic). No regulatory approval was required for this study. <b>Results:</b> The major themes that emerged from the analysis were grouped into the following conceptual framework: (1) mental health professionals (MHPs) highlight important organizational and institutional challenges that they feel are beyond their scope; (2) MHPs mention in parallel their own perceptions and representations of TPE in the context of mental health care; and (3) MHPs’ representations could hide a lack of knowledge or awareness that would prevent them from appropriating TPE programmes. For each major theme, the sub-themes identified are presented. <b>Conclusions:</b> Although TPE is of interest in the process of patient empowerment, we found that caregivers were reluctant to appropriate this approach to care. Efforts must be made in the initial and ongoing training of MHPs to move from a paternalistic model to a patient partnership model, which is made possible by TPE. These efforts must also be firmly supported by health care facilities, and proactive governance is required for the successful implementation of TPE.https://www.mdpi.com/2227-9032/10/9/1644schizophreniatherapeutic patient education programmemental healthcarepatient partnership |
| spellingShingle | Corinne Rat Nicolas Meunier-Beillard Samuel Moulard Frédéric Denis Caregiver Representations of Therapeutic Patient Education Programmes for People with Schizophrenia: A Qualitative Study Healthcare schizophrenia therapeutic patient education programme mental healthcare patient partnership |
| title | Caregiver Representations of Therapeutic Patient Education Programmes for People with Schizophrenia: A Qualitative Study |
| title_full | Caregiver Representations of Therapeutic Patient Education Programmes for People with Schizophrenia: A Qualitative Study |
| title_fullStr | Caregiver Representations of Therapeutic Patient Education Programmes for People with Schizophrenia: A Qualitative Study |
| title_full_unstemmed | Caregiver Representations of Therapeutic Patient Education Programmes for People with Schizophrenia: A Qualitative Study |
| title_short | Caregiver Representations of Therapeutic Patient Education Programmes for People with Schizophrenia: A Qualitative Study |
| title_sort | caregiver representations of therapeutic patient education programmes for people with schizophrenia a qualitative study |
| topic | schizophrenia therapeutic patient education programme mental healthcare patient partnership |
| url | https://www.mdpi.com/2227-9032/10/9/1644 |
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