Impact of Cognitive & Metacognitive Performance on Knowledge Learning When Conducting Therapeutic Education Programs

Study Overview
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Brief Summary
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People with schizophrenia and bipolar disorder display alterations in cognition and metacognition. These alterations may have an impact on learning during therapeutic education programs.

Detailed Description
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Patient Therapeutic Education (FTE) is defined as a practice to help patients to acquire or maintain the skills needed to best manage their lives with a chronic disease. FTE includes organized awareness, information, learning and psychological and social assistance about the disease, prescribed treatments, various treatments offered, as well as information on organization of the global health system, and health behaviours. Performed by health professionals trained in this practice, FTE is intended to help patients and their close relatives and to understand their pathology, their treatments, collaborate with health care teams, and maintain or improve their quality of life. It aims to produce a complementary therapeutic effect of other health care interventions

Official Title
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Impact Des Performances Cognitives et métacognitives Sur l'Apprentissage de Connaissances Lors de la réalisation de Programmes d'éducation thérapeutique

Conditions
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Schizophrenia, Bipolar Disorder

Intervention / Treatment
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* Other: QUESTIONNAIRES


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Consent to participate in the study, Suffering from a chronic condition for which an therapeutic patient education (TEP) program is proposed. Mastering the French language. Be a beneficiary of health insurance Exclusion Criteria: Poor understanding of instructions that make it impossible to consent or assess Neurodegenerative disease

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Schizophrenia<br>1 questionnaire at the beginning of the study, before FTE program 1 questionnaire at the end of FTE | Other: QUESTIONNAIRES<br>* 1 questionnaire at the beginning of the study, before FTE program 1 questionnaire at the end of FTE<br>|
| Other: Bipolar disorder<br>1 questionnaire at the beginning of the study, before FTE program 1 questionnaire at the end of FTE | Other: QUESTIONNAIRES<br>* 1 questionnaire at the beginning of the study, before FTE program 1 questionnaire at the end of FTE<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of cognitive impairments on knowledge acquired through a therapeutic education program with Montreal Cognitive Assessment (MoCA) | assess the impact of possible cognitive impairments on knowledge acquired through a therapeutic education program Minimum value = 0 & Maximum value = 30 Score < 26 is considered as abnormal | 1 year | 
| Evaluation of metacognitive impairments on knowledge acquired through a therapeutic education program with Subjective Scale To Investigate Cognition in Schizophrenia (SSTICS) | assess the impact of possible metacognitive impairments on knowledge acquired through a therapeutic education program Minimum value 21 | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| assess the impact of self esteem acquired through a therapeutic education program with Rosenberg scale | assess the evolution in self-esteem following this program. | 1 year | 
| assess the impact of level of anxiety, acquired through a therapeutic education program with State-Trait-Anxiety Inventory (Forme Y) (STAI-Y) questionnaire | assess the evolution in level of anxiety following this program. | 1 year | 
| assess the impact of depressive symptomatology acquired through a therapeutic education program with Center for Epidemiologic Studies-Depression (CES-D) scale | assess the evolution in depressive symptoms following this program. | 1 year | 
| assess the impact of literacy on knowledge acquired through a therapeutic education program with Rapid Estimate for Adult Literacy in Medicine (REALM-R) questionnaire | assess the evolution in quality of life following this program. | 1 year |