Implementation and evaluation of a therapeutic patient education programme during a clinical trial in Yaoundé, Cameroon - Trial ANRS-12286/MOBIDIP.

Abstract:

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.

journal_name

Patient Educ Couns

authors

Galy A,Ciaffi L,Mberyo GM,Mbouyap P,Abessolo H,Toby R,Essomba F,Lamarre G,Bikié A,Bell O,Koulla-Shiro S,Delaporte E

doi

10.1016/j.pec.2018.01.021

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

1262-1269

issue

7

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(18)30043-0

journal_volume

101

pub_type

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