[en] Therapeutic patient education (TPE) has proven an effective approach to managing chronic diseases. Despite its proven effectiveness, TPE is mainly found in health care structures and has little presence in primary care. This study aimed to identify the obstacles and facilitators to applying TPE in primary care settings for chronic disease management. A systematic narrative review was conducted using three databases: Medline (Ovid), Scopus, and Embase, following the tool’s recommendations Scale for the Quality Assessment of Narrative Review Articles (SANRA). Data were analyzed using the Patient Education Research Characteristics (PERC) grid and the Theoretical Domains Framework (TDF). The review included 12 articles, revealing that TPE practices in primary care are often underdeveloped, primarily individual, and focused on oral, informative methods. Obstacles identified by healthcare professionals primarily fall into two TDF domains: environmental context (eg, lack of time, resources, and fragmented healthcare systems) and individual skills deficits. Stress and tension were also noted as significant challenges. Conversely, facilitators included social factors, such as shared team values, strong managerial support, and the presence of a TPE referent, as well as community of practice support. The results of this narrative review show that the development of TPE requires both functional resources, such as funding, but also a normative integration based on the sharing of common values and norms in primary care. It is essential to take into account all the factors identified, while mobilizing the environment as a resource and involving primary care professionals in a co-construction process.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Kirkove, Delphine ; Université de Liège - ULiège > Département des sciences de la santé publique > Education thérapeutique du patient au service des soins intégrés ; Université de Liège - ULiège > Santé publique : de la Biostatistique à la Promotion de la Santé ; Université Sorbonne Paris Nord > Laboratory Educations and Promotion of Health, UR 3412
Durieux, Nancy ; Université de Liège - ULiège > Unités de recherche interfacultaires > Research Unit for a life-Course perspective on Health and Education (RUCHE)
Allory, Emmanuel; Université Sorbonne Paris Nord > Laboratory Educations and Promotion of Health, UR 3412 ; Université de Rennes > Department of General Practice ; CIC (Clinical Investigation Centre) Inserm 1414
Louis, Gilles ; Université de Liège - ULiège > Département des sciences cliniques > Pneumologie - Allergologie
Gagnayre, Rémi ✱; Université Sorbonne Paris Nord > Laboratory Educations and Promotion of Health, UR 3412
Pétré, Benoît ✱; Université de Liège - ULiège > Santé publique : de la Biostatistique à la Promotion de la Santé
✱ These authors have contributed equally to this work.
Language :
English
Title :
Implementation of Therapeutic Patient Education (TPE) in Primary Care, as Perceived by Professionals: A Narrative Review
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