Evidence map›Paper›PMID 35014112›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2022

The chronic disease Self-Management Programme: A phenomenological study for empowering vulnerable patients with chronic diseases included in the EFFICHRONIC project.

Dallal Fracso, Gérard Bourrel, Christian Jorgensen, Hélène Fanton, Hein Raat, Alberto Pilotto, Graham Baker, Marta M Pisano, Rosanna Ferreira, Verushka Valsecchi and 2 more

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Chronic illness experience in the context of resource-limited settings: a concept analysis.International journal of qualitative studies on health and well-being · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. The chronic disease Self-Management Programme: A phenomenological study for empowering vulnerable patients with chronic diseases included in the EFFICHRONIC project.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Dallal FracsoIRMB, INSERM, CHU Montpellier, University of Montpellier, Montpellier, France.
Gérard BourrelDepartment of Primary Care, School of Medicine, University of Montpellier, Montpellier, France.
Christian JorgensenIRMB, INSERM, CHU Montpellier, University of Montpellier, Montpellier, France.
Hélène FantonDepartment of Primary Care, School of Medicine, University of Montpellier, Montpellier, France.
Hein RaatDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Alberto PilottoDepartment of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Genoa, Italy.
Graham BakerQuality Institute for Self Management Education and Training, Portsmouth, UK.
Marta M PisanoGeneral Direction of Care, Humanization and Social and Health Care, Ministry of Health, Biosanitary Research Institute of the Principality of Asturias, Asturias, Spain.
Rosanna FerreiraIRMB, INSERM, CHU Montpellier, University of Montpellier, Montpellier, France.
Verushka ValsecchiIRMB, INSERM, CHU Montpellier, University of Montpellier, Montpellier, France.ORCID 0000-0001-8271-2826
Yves-Marie PersIRMB, INSERM, CHU Montpellier, University of Montpellier, Montpellier, France.
Agnes Oude EngberinkDepartment of Primary Care, School of Medicine, University of Montpellier, Montpellier, France.ORCID 0000-0002-7122-2626

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Chronic Disease Self-Management Programme (CDSMP) has resulted in improved health outcomes for patients. However, research has focused mainly on those with chronic conditions and has not extensively explored prevention programmes targeting individuals with specific vulnerability profiles.

aimThis study aimed to understand the effects of the CDSMP on the lived experience of vulnerable patients included in the EFFICHRONIC project in France, based on their needs and expectations before and after participation.

methodsWe conducted a qualitative phenomenological semio-pragmatic study based on 37 in-depth interviews with 20 patients (20 before/17 after CDSMP).

resultsBy transforming existential dimensions (identity, relationship with others and bodily experience), chronic illness generates new needs in the vulnerable person. By resonating with the expectations and needs of participants, the CDSMP induces motivation and a sense of belonging to a community of peers. It has enabled the participants to become actors of their own health until empowerment. Although some limitations are reported, the programme has awakened a desire in the participants to take better care of their health and to develop personal skills with, for some, a desire to become involved in health education.

conclusionOur phenomenological approach highlighted the resonance between the programme (its design and implementation) and the lived experience of patients, as an effective element of empowerment. This necessitates training the facilitators to elicit the lived experience of patients. Furthermore, as a patient-centred approach is required, the facilitators need to learn how to adapt the design of the programme to the singularity of the patient. PATIENT OR PUBLIC CONTRIBUTION: Patients provided the data that were collected through in-depth interviews, and their experiences before and after the programme were analysed.

Indexed as

Self-ManagementChronic DiseaseFranceHumansPower, PsychologicalQualitative Researchchronic diseasesChronic Disease Self-Management Programmeempowermenthealth educationphenomenologyvulnerable populations

Identifiers

PMID35014112
PMCPMC9122418

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.