Abstract P3-17-04: Perceived value of patient education among breast cancer patients: A moderator of the antecedents and consequences of patients’ satisfaction
Authors: Berger Virginie , Beaumont Nathalie , Labbe Blandine , Lombart Cindy 
Published: March 2022

Abstract
Background: Therapeutic patient Education (TPE) is a Patient-Centered-Care implemented to increase their empowerment. Intended for patients with chronic disease, TPE lacks of assessment tools. Through the concept of perceived value, this study increases knowledge of TPE’s effect on patients, in particular their satisfaction with participating in an oncology educative program, and how this satisfaction is built as well as its consequences. Methods: A survey was sent to 470 breast cancer patients, who benefited from TPE, to assess the perceived value of this support. 207 valid questionnaires over the 233 returned, were analyzed. Using a 7 point Likert scale (Strongly disagree - Strongly agree), relational proximity, post TPE empowerment, satisfaction, attitude, word-of-mouth intention, and perceived value were assessed. Structural Equation Modeling (SEM) Analysis using Partial Least Squares method with a 5000 replication bootstrap process was used. Results: SEM indicates the causal relationship between the measured constructs.
Results show two important antecedents of patient’s satisfaction towards TPE: patient empowerment following educative support, and local relationship with an educator team. The two major consequences of patient’s satisfaction regarding TPE are attitude and word-of-mouth intentions towards TPE. These relationships are moderated by the patient’s profile in terms of TPE perceived value. Indeed, the REBUS PLS method highlights potential sub-groups within the studied sample (supporter convinced of its utility, passionate supporter, holistic supporter for whom the perceived costs are similar but intensity and hierarchy of perceived benefits are different). If empowerment and relational proximity with TPE teams are two major antecedents, direct and/or indirect, of lived experience’s satisfaction, nuances appear according to patient profiles in terms of perceived value of the TPE.supporter convinced (53.6%) patients satisfied with education’s care but less able to take personal responsibilities compared to other groups. Empowerment post TPE is quite high, but lower than other groupspassionate supporter (18.4%) patients looking for dual cognitive and psychological support in order to improve clinical and health outcomes. High satisfaction is due to the relational dimension of the patient’s educationnal experience and is essential for their empowerment.holistic supporter (28%) patients looking for increased knowledge, support and guidance, and the development of their capacities or aptitudes (to acquire skills and resources, gain self-confidence and adapt on a relational level). Post TPE empowerment is the major source of their high satisfaction with the lived experience. However, post TPE empowerment is also influenced by their relational proximity to the ETP team. Individual empowerment is the major antecedent of lived experience satisfaction.Conclusion: This research will allow actors in the field of TPE to better demonstrate and enhance the benefits of educative support and promote access to this personalized care practice, which is essential in the management of chronic diseases. Educative care has to be developped for cancer patients.
Structural Equation Modeling resultsPCtR²Relational proximity with the TPE team to Post TPE empowerment0,5318,981***0,531Relational proximity with the TPE team to Satisfaction0,4717,739***0,457Post TPE empowerment to Satisfaction0,2954,838***Satisfaction to Attitude0,83421,599***0,695Satisfaction to Word-of-mouth intention0,074NS0,754Attitude to Word-of-mouth intention0,75410,322***Notes : PC=Path Coefficients. ***Significant coefficient. t values (Student’s T-test) &gt; 2.575 shows a significant difference at 1% level of significance. NS=non significant difference.
Citation Format: Virginie Berger, Nathalie Beaumont, Blandine Labbe, Cindy Lombart. Perceived value of patient education among breast cancer patients: A moderator of the antecedents and consequences of patients’ satisfaction [abstract]. In: Proceedings of the 2021 San Antonio Breast Cancer Symposium; 2021 Dec 7-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2022;82(4 Suppl):Abstract nr P3-17-04.