Therapeutic education is an integral part of health promotion. It is an ancient and innovative approach to care, the result of a slow but steady evolution of public health practice around the world. Despite the fluctuating semantics in different paradigms, the goal of this approach is the quality of life of the person living with type 2 diabetes. To achieve this goal, a synergy of actions of all actors involved in the educational care approach and a promotion of community participation are necessary. Unfortunately, empirical evidence has shown a mismatch between the practices of expert and lay actors in the management of type 2 diabetes. The objective of this study is to analyse the therapeutic education practices of these two categories of actors. A qualitative descriptive study was conducted using documentary research, direct observation and in-depth semi-structured interviews. The target population consisted of lay actors (people living with diabetes, peer educators and family caregivers) and expert actors (health care providers, managers of diabetes care centres) according to our selection criteria. The field data was subjected to content analysis. The results showed that there were opposing pairs of actions, notably hospital-centred practices versus advanced therapeutic education practices. The medical approach versus the anthroposocialmedical approach to therapeutic education. Finally, the logic of expert actors is opposed to that of lay actors in educational care. An integration of the living environment and an effective focus on the person living with type 2 diabetes could improve community participation in the implementation of public health policies.
| Published in | Science Journal of Clinical Medicine (Volume 11, Issue 1) |
| DOI | 10.11648/j.sjcm.20221101.12 |
| Page(s) | 6-13 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Therapeutic Education, Health Policy Ethos, Type 2 Diabetes Management, People Living with Type 2 Diabetes
| [1] | Balcou-Debussche, M., & Debussche, X. (2016). CA-092 : Approche qualitative de la gestion du diabète de type 2 : Une modélisation simple et accessible pour les soignants et les patients. Diabetes & Metabolism, 42, A60. https://doi.org/10.1016/S1262-3636(16)30224-5 |
| [2] | Balcou-Debussche, Maryvette. (2012). L’éducation thérapeutique : Entre savoirs complexes, formateurs, apprenants hétérogènes et contextes pluriels. Recherche en soins infirmiers, 110 (3), 45-59. Cairn.info. https://doi.org/10.3917/rsi.110.0045 |
| [3] | Calafiore, M., Stalnikiewicz, B., Favre, J., Leblanc, M., Pruvost, M., Bayen, M., & Berkhout, C. (2015). Quels sont les retentissements du diabète de type 2 sur la vie des conjoints de patients diabétiques ? Médecine des Maladies Métaboliques, 9 (6), 566-574. https://doi.org/10.1016/S1957-2557(15)30219-4 |
| [4] | Consoli, S.-M., Dugardin, N., Kherbachi, Y., Fraysse, M., Le Pape, G., & Grimaldi, A. (2017). Trois regards croisés sur le vécu du diabète. Médecine des Maladies Métaboliques, 11 (8), 715-725. https://doi.org/10.1016/S1957-2557(17)30170-0 |
| [5] | d’Ivernois, J.-F., & Gagnayre, R. (2013). Éducation thérapeutique chez les patients pluripathologiques Propositions pour la conception de nouveaux programmes d’ETP. Educ Ther Patient/Ther Patient Educ, 5 (1), 201-204. https://doi.org/10.1051/tpe/2012016 |
| [6] | Grimaldi, A. (2017). Si l’histoire de l’éducation thérapeutique du patient m’était contée…. Médecine des Maladies Métaboliques, 11 (3), 307-318. https://doi.org/10.1016/S1957-2557(17)30072-X |
| [7] | Perrin, C. (2009). Enseigneur et maître : Heidegger pédagogue. Revue philosophique de la France et de l’étranger, 134 (3), 333-354. Cairn.info. https://doi.org/10.3917/rphi.093.0333 |
| [8] | Phillips, J., Lagger, G., Bourgeois, O., Lasserre-Moutet, A., Chambouleyron, M., Ané, S., Oustric, S., & Golay, A. (2015). Propositions pour une éducation thérapeutique en situation de pluripathologie. Educ Ther Patient/Ther Patient Educ, 7 (2). https://doi.org/10.1051/tpe/2015009 |
| [9] | Revillot, J.-M. (2011). La relation éducative en santé : Processus d’altérité entre le soignant et le patient hospitalisé. Recherche en soins infirmiers, 106 (3), 78-78. Cairn.info. https://doi.org/10.3917/rsi.106.0078 |
| [10] | Boudon, R., & Bourricaud, F. (2000). Dictionnaire critique de la sociologie. Paris: Presses universitaires de France. 714 p. |
| [11] | Barrier, P. (2008). L’auto-normativité du patient chronique: un concept novateur pour la relation de soin et l’éducation thérapeutique. ALTER, 2 (4), 271-291. |
| [12] | Laplantine, F. (2003). Penser anthropologiquement la religion. Anthropologie et sociétés, 27 (1), 11-33. |
| [13] | Ela, J-M. (1999). Vers une économie politique du conflit au ras du sol. Africa et Développement, 24 (3 - 4). |
| [14] | Lagger, G. et al. (2008). Éducation thérapeutique, 2e partie: mise en pratique des modèles en 5 dimensions. Médecine, vol. 4, no. 6, p. 269-273. |
| [15] | Gottlieb, L. N., Feeley, N., & Dalton, C. (2007). La collaboration infirmière-patient: Un partenariat complexe. Montréal, Canada: Beauchemin-Chenelière éducation. |
| [16] | Balcou-Debussche, M. (2014). Littératie en santé et interactions langagières en éducation thérapeutique. Analyse de situations d’apprentissage au Mali, à La Réunion et à Mayotte. Education, Santé, Sociétés, 1 (1), 3-18. |
| [17] | World Health Organization (WHO) (2014). Rapport mondial sur le diabète. Repéré à: http://apps.who.int/iris/bitstream/handle/10665/254648/9789242565256-fre.pdf?sequence=1&isAllowed=y |
| [18] | d’Ivernois, J-F et Gagnayre, R. (2013) Éducation thérapeutique chez les patients pluripathologiques Propositions pour la conception de nouveaux programmes d’ETP. Educ Ther Patient/Ther Patient Educ, 5 1 (2013) 201-204. |
| [19] | Haute autorité de santé (HAS). (2007). Éducation thérapeutique du patient: Définition, finalités et organisation. Récupéré de http://www.has-sante.fr/portail/jcms/c_602687/fr/education-therapeutique-du-patient |
| [20] | Baszanger, I. (1989). Les maladies chroniques et leur ordre négocié. |
| [21] | Revue française de sociologie Vol. 27, No. 1 (Jan. - Mar., 1986), pp. 3-27. |
| [22] | Ambomo, S. M. (2018). Logiques d’acteurs dans le champ de « l’éducation thérapeutique » des personnes vivant avec le diabète de type 2: analyse de l’évolution des paradigmes de soins au Cameroun. Thèse de Doctorat soutenue en juillet 2018, Faculté des sciences sociales et gestion de Université Catholique d’Afrique Centrale, juillet 201. |
| [23] | International Diabetes Federation (2018), Fédération internationale du diabète (IDF). (2005). Guide de prise en charge du diabète de type 2 pour l’Afrique sub-saharienne. Bruxelles: FID. |
| [24] | Lefèvre, T. (2016). Complexité et éducation thérapeutique: Exemples de la polypathologie chronique et de l’intervention brève multiple en garde à vue. Médecine des Maladies Métaboliques, 10 (3), 258-261. doi: 10.1016/S1957-2557(16)30059-1. |
| [25] | Kivits, J., Gendarme, S., & Germaine, L. (2015). Pratiques de professionnels et logiques d’acteurs en ETP: De l’échange d’expérience à la construction des connaissances. Communication lors du colloque 2015. Paris. France. |
| [26] | Nkoum, B. A. (2010). De l’évaluation scolaire à l’évaluation des pratiques professionnelles en santé. Paris: Harmattan. 286 p. |
| [27] | Simon, D., Traynard, P-Y., Bourdillon, F. B., Gagnayre, R., & Grimaldi, A. (2013). Éducation thérapeutique: Prévention et maladies (3e éd.). Paris: Elsevier Masson. 400 p. |
| [28] | Boutinet J.-P. (1990, 2012, 2014). Anthropologie du projet. Paris: Presses universitaires de France. |
| [29] | World Health Organization (WHO (1998). Éducation thérapeutique du patient. Programmes de formation continue pour professionnels de soins dans le domaine de la prévention des maladies chroniques. Recommandations d’un groupe de travail de l’OMS. Copenhague: Bureau régional pour l’Euro. |
| [30] | Bourdieu, P. (1994). Raisons pratiques. Sur la théorie de l’action. Paris: Seuil. 256 p. |
| [31] | Deccache, A. (2002). Quelles pratiques et compétences en éducation du patient? Recommandations de l’OMS. In Colloque et Séminaires 22 et 23 mars 2001 Namur (21) 1, 23. |
APA Style
Myriam Sylvie Ambomo. (2022). The Ethos of Health Policies in the Grip of Lay Anticipation: The Case of Therapeutic Education for People Living with Type 2 Diabetes in Cameroon. Science Journal of Clinical Medicine, 11(1), 6-13. https://doi.org/10.11648/j.sjcm.20221101.12
ACS Style
Myriam Sylvie Ambomo. The Ethos of Health Policies in the Grip of Lay Anticipation: The Case of Therapeutic Education for People Living with Type 2 Diabetes in Cameroon. Sci. J. Clin. Med. 2022, 11(1), 6-13. doi: 10.11648/j.sjcm.20221101.12
AMA Style
Myriam Sylvie Ambomo. The Ethos of Health Policies in the Grip of Lay Anticipation: The Case of Therapeutic Education for People Living with Type 2 Diabetes in Cameroon. Sci J Clin Med. 2022;11(1):6-13. doi: 10.11648/j.sjcm.20221101.12
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Download@article{10.11648/j.sjcm.20221101.12,
author = {Myriam Sylvie Ambomo},
title = {The Ethos of Health Policies in the Grip of Lay Anticipation: The Case of Therapeutic Education for People Living with Type 2 Diabetes in Cameroon},
journal = {Science Journal of Clinical Medicine},
volume = {11},
number = {1},
pages = {6-13},
doi = {10.11648/j.sjcm.20221101.12},
url = {https://doi.org/10.11648/j.sjcm.20221101.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20221101.12},
abstract = {Therapeutic education is an integral part of health promotion. It is an ancient and innovative approach to care, the result of a slow but steady evolution of public health practice around the world. Despite the fluctuating semantics in different paradigms, the goal of this approach is the quality of life of the person living with type 2 diabetes. To achieve this goal, a synergy of actions of all actors involved in the educational care approach and a promotion of community participation are necessary. Unfortunately, empirical evidence has shown a mismatch between the practices of expert and lay actors in the management of type 2 diabetes. The objective of this study is to analyse the therapeutic education practices of these two categories of actors. A qualitative descriptive study was conducted using documentary research, direct observation and in-depth semi-structured interviews. The target population consisted of lay actors (people living with diabetes, peer educators and family caregivers) and expert actors (health care providers, managers of diabetes care centres) according to our selection criteria. The field data was subjected to content analysis. The results showed that there were opposing pairs of actions, notably hospital-centred practices versus advanced therapeutic education practices. The medical approach versus the anthroposocialmedical approach to therapeutic education. Finally, the logic of expert actors is opposed to that of lay actors in educational care. An integration of the living environment and an effective focus on the person living with type 2 diabetes could improve community participation in the implementation of public health policies.},
year = {2022}
}
TY - JOUR T1 - The Ethos of Health Policies in the Grip of Lay Anticipation: The Case of Therapeutic Education for People Living with Type 2 Diabetes in Cameroon AU - Myriam Sylvie Ambomo Y1 - 2022/02/09 PY - 2022 N1 - https://doi.org/10.11648/j.sjcm.20221101.12 DO - 10.11648/j.sjcm.20221101.12 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 6 EP - 13 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.20221101.12 AB - Therapeutic education is an integral part of health promotion. It is an ancient and innovative approach to care, the result of a slow but steady evolution of public health practice around the world. Despite the fluctuating semantics in different paradigms, the goal of this approach is the quality of life of the person living with type 2 diabetes. To achieve this goal, a synergy of actions of all actors involved in the educational care approach and a promotion of community participation are necessary. Unfortunately, empirical evidence has shown a mismatch between the practices of expert and lay actors in the management of type 2 diabetes. The objective of this study is to analyse the therapeutic education practices of these two categories of actors. A qualitative descriptive study was conducted using documentary research, direct observation and in-depth semi-structured interviews. The target population consisted of lay actors (people living with diabetes, peer educators and family caregivers) and expert actors (health care providers, managers of diabetes care centres) according to our selection criteria. The field data was subjected to content analysis. The results showed that there were opposing pairs of actions, notably hospital-centred practices versus advanced therapeutic education practices. The medical approach versus the anthroposocialmedical approach to therapeutic education. Finally, the logic of expert actors is opposed to that of lay actors in educational care. An integration of the living environment and an effective focus on the person living with type 2 diabetes could improve community participation in the implementation of public health policies. VL - 11 IS - 1 ER -
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