Therapeutic Education of the Patients Diabetics Imprisoned at the Paris Jail

Study Overview
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Brief Summary
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A lot of data show that therapeutic education is beneficial for diabetic patients. In the French jails, there are very few programs of therapeutic education while this population is usually precarious with no access at care sector before the jail. The purpose of this study is to determinate if the therapeutic education of the diabetic patients is possible in the Paris jail La Santé.

Detailed Description
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The Paris jail La Santé welcomes 600 men who stay 5 month on average. Each year, there are between 30 to 40 diabetic patients. In the jail there's a sanitary unit who is a unit of internal medicine of Cochin hospital. This unit includes nurses, pharmacists and medical doctors. We propose to include in this study all diabetic patients (type 1 and 2) with the realization of a consultation of educational diagnosis, followed by the participation for every patient to 4 educational collective workshops therapeutic (knowledge of the disease, food, physical Activity and care of feet, the therapeutics)

Official Title
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Feasibility of the Therapeutic Education of the Patients Diabetics Imprisoned at the Paris Jail La Santé (Maison d'arrêt Paris La Santé)

Conditions
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Type 1 or 2 Diabetes

Intervention / Treatment
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* Other: Therapeutic Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male patient detained in the MAPLS of more than 18 years Patient prisoner in the MAPLS for more than 15 days Patient follow-up for a diabetes of type 1 or type 2 Patient informed about the study and not having opposed to this one Patient taken out of the disciplinary district which had previously been included for this motive Exclusion Criteria: Patient considered incapable by the investigator to follow an ETP program Patient having a bad understanding of the spoken French language Patient whose duration of confinement known about the MAPLS is strictly lower than 1 month in the inclusion during the year 2013/2014 Patient prisoner in the district of isolation Patient prisoner in the disciplinary district in the inclusion Patient prohibition to communicate with another prisoner already registered on the session to come

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Therapeutic Education<br>Intensive training individual or collective teaching | Other: Therapeutic Education<br>* Realization of a consultation of educational diagnosis, followed by the participation for every patient to 4 educational collective workshops therapeutic: Knowledge of the disease Food Physical Activity and care of feet The therapeutics<br>* Other names: Intensive training individual and collective teaching;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The feasibility of the application of the action ETP in the MAPLS | Rate of participation to at least two therapeutic workshops | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Estimation of the satisfaction of the prisoners and the nursing after participation of educational therapeutic workshops | To fill in an auto-questionnaire by means of the scale of Likert in 5 points | 3 months | 
| biomedical parameters: HbA1c and IMC | Clinical evolution of the patients | 3 months | 
| The number of hours all in all, for all the activities ETP and by categories of tasks | To evaluate of the mobilized resources | 3 months | 
| The satisfaction of the staffs as for the implementation and the realization of the experiment | to evaluate of the mobilized resources | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Evolution of the sport, HbA1C, IMC