Clinical trial NCT05950451: Self-management Education in Multi-professional Health Centres
Official title: Self-management Education in Multi-professional Health Centres
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Self-management
Keywords: Patient education as topic
Primary health care
multimorbidity
Lead sponsor: Rennes University Hospital
Sponsor class: OTHER
First posted: 2023-07-18
Enrollment: 105
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Observational model: OTHER
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: For the first phase, the population study will be composed of all the regional health authorities agencies.

For the second phase, the population study will be composed of 10 to 15 multiprofessional health centres, with in each 5 to 7 individual interviews with health care professionals. The population will be composed of 105 health care professionals

Brief summary: The goal of this observational study is to learn about the best educative and organizational dimensions favouring the development of self-management education in multiprofessional health centres. The main question is to identify the favorable characteristics in creation, implementation and maintenance in developing self-management education programme in multiprofessional health centres.

Detailed description: The study wil be composed of 2 phases. Phase 1 will consist of a national questionnaire survey of French Regional Health Authorities (ARS) to identify and characterize all multiprofessional health centres running a self-management programme in France. It will be supported by the informal inter-ARS network of self-management project managers.

Phase 2 will consist of a qualitative survey of multiprofessional health centres. On the basis of the various significant variables identified in phase 1, different multiprofessional health centres will be selected to provide a varied sample (location, number of healthcare professionals, themes, etc.). This will enable an in-depth analysis of the findings of the quantitative survey, and a comparison with the realities of the multiprofessional health centre's health care professionals.

Eligibility criteria: First phase (quantitative survey): All regional health authority agencies will be surveyed on all self-management programmes developed by multiprofessional health centres since 2014 (estimated number of 270 in France in 2021).

Second phase (qualitative survey): In the first time, for the selection of the multiprofessional health centres , we will realized a varied sampling in search of maximum variation of the multiprofessional health centres according to the results of the first phase (continuation or not of the program, location of the programme, number of health care professionals in the educational team and presence of expert patients, theme of the programme...). In a second phase, for the individual interviews, we will carry out a varied sampling in search of maximum variation reflecting the plurality of the educational team observed in the documentary survey of each multiprofessional health centres.

The educational team includes healthcare professionals from the multiprofessional health centres and expert patients.

There is no exclusion criteria.

Primary outcomes:
measure: Favourable educational and organizational dimensions to self-management in multiprofessional health centre
timeFrame: 9 months
Secondary outcomes:
measure: Number of Health care programmes developed in multiprofessional health centres realised in France
timeFrame: 7 months
measure: Number of Health care programmes developed in multiprofessional health centres realised each year since 2014 in France
timeFrame: 7 months
measure: Number of Health care programmes developed in multiprofessional health centres realised in each health authority agency
timeFrame: 7 months
measure: Descriptive data of self-management programmes' characteristics developed in multiprofessional health centres, since 2014
timeFrame: 7 months
measure: Self-management programmes characteristics associated with the continuation of self-management programmes in France
timeFrame: 7 months
Other outcomes:
Locations:
Study officials:
References:
citation: Odgers-Jewell K, Ball LE, Kelly JT, Isenring EA, Reidlinger DP, Thomas R. Effectiveness of group-based self-management education for individuals with Type 2 diabetes: a systematic review with meta-analyses and meta-regression. Diabet Med. 2017 Aug;34(8):1027-1039. doi: 10.1111/dme.13340. Epub 2017 Mar 20.
citation: GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204-1222. doi: 10.1016/S0140-6736(20)30925-9.
citation: Horigan G, Davies M, Findlay-White F, Chaney D, Coates V. Reasons why patients referred to diabetes education programmes choose not to attend: a systematic review. Diabet Med. 2017 Jan;34(1):14-26. doi: 10.1111/dme.13120. Epub 2016 Apr 15.
citation: Mc Sharry J, Dinneen SF, Humphreys M, O'Donnell M, O'Hara MC, Smith SM, Winkley K, Byrne M. Barriers and facilitators to attendance at Type 2 diabetes structured education programmes: a qualitative study of educators and attendees. Diabet Med. 2019 Jan;36(1):70-79. doi: 10.1111/dme.13805. Epub 2018 Sep 21.