Tailored patient therapeutic educational interventions: A patient-centred communication model

Ricci, L (通讯作者),Univ Lorraine, INSERM, CHRU Nancy, CIC 1433 Clinical Epidemiol, F-54000 Nancy, France.
2022-2
Background Tailoring therapeutic education consists of adapting the intervention to patients' needs with the expectation that this individualization will improve the results of the intervention. Communication is the basis for any individualization process. To our knowledge, there is no guide or structured advice to help healthcare providers (HCPs) tailor patient education interventions. Objectives We used a data-driven qualitative analysis to (1) investigate the reasons why HCPs tailor their educational interventions and (2) identify how this tailoring is effectively conducted. The perspective aimed to better understand how to individualize therapeutic patient education and to disentangle the different elements to set up studies to investigate the mechanisms and effects of individualization. Design Individual semistructured interviews with 28 HCPs involved in patient education were conducted. The present study complied with the COREQ criteria. Results Why individualization is necessary: participants outlined that the person must be thought of as unique and that therapeutic education should be adapted to the patient's personality and cognitive abilities. The first step in the individualization process was formalized by an initial patient assessment. Several informal practices were identified: if needed, giving an individual time or involving a specific professional; eliciting individual objectives; reinforcing the relationship by avoiding asymmetrical posture; focusing on patients' concerns; leading sessions in pairs; and making the patient the actor of decisions. Conclusion From our thematic data analysis, a model for tailoring patient education interventions based on the Haes and Bensing medical communication framework is proposed. The present work paves the way for evaluation, then generation of recommendations and finally implementation of training for individualization in educational interventions. Short Informative Tailoring in therapeutic education consists of an adaptation to patients' needs. Communication is the basis for any individualization process. There is no model of patient-centred communication in educational interventions. From semistructured interviews with HCPs, we propose a patient-centred communication model for tailoring patient education intervention.
HEALTH EXPECTATIONS
卷号:25|期号:1|页码:276-289
ISSN:1369-6513|收录类别:SCIE
语种
英语
来源机构
CHU de Nancy; Institut National de la Sante et de la Recherche Medicale (Inserm); Universite de Lorraine; Universite de Reims Champagne-Ardenne; UDICE-French Research Universities; Universite Paris Cite; Universite de Lorraine; Universite de Caen Normandie; CHU de Caen NORMANDIE; Universite de Caen Normandie
资助机构
Ministere de la Sante (Programme de Recherche sur la Performance du systeme de Soins (PREPS))
资助信息
Ministere de la Sante (Programme de Recherche sur la Performance du systeme de Soins (PREPS), Grant/Award Number: PREPS 14-0089
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
2
2013以来使用计数
4
EISSN
1369-7625
出版年
2022-2
DOI
10.1111/hex.13377
学科领域
循证公共卫生
关键词
health communication healthcare providers interviews six-function model tailored intervention thematic analysis therapeutic patient education
WOS学科分类
Health Care Sciences & Services Health Policy & Services Public, Environmental & Occupational Health