Qualitative Phenomenological Study on Videoconferencing Therapeutic Education

NCT05378958 | Withdrawn

• 2 other identifiers: APHP2202602022-A00093-40
• Study Type: observational
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

Therapeutic patient education (TPE) is one of the mechanisms that make patients with chronic disease as competent as possible to manage illness and treatment by helping them to be autonomous and responsible for their decision-making. The COVID-19 pandemic has changed the organization of care, prioritizing the emergency fight against the epidemic. The French High Authority of Health (HAS) has recommended maintaining individual TPE sessions by videoconference or telephone, based on the usual stages of the educational process. Several working groups have looked into remote TPE and recommendations have been issued in the form of practical advice but without questioning the participants, who did not participate in the reflection. No consensus, including health authorities, has been reached on this subject. At Necker Hospital, ETPs were carried out remotely, by videoconference. Understanding remote therapeutic education by videoconference through lived experience, by means of a one-hour interview, of the caregivers who deliver it and the parents of patients or the patients who receive it, will make it possible to better understand the effects of remote mode on therapeutic education sessions but also on professional practices and on participants. The benefit will be twofold: for caregivers: to facilitate the deployment of this new educational offer. For patients and their carers: give priority access to TPE to families who are far from the healthcare system or to patients who are too fragile to travel and thus reduce inequalities and geographical barriers.

Conditions

Chronic Disease

Keywords

Chronic disease; Therapeutic patient education; Pediatric therapeutic education; Videotherapeutic conferencing education; Understanding videoconferencing therapeutic education through lived experience; Recommendations on videoconferencing therapeutic education; Promotion of videoconferencing therapeutic education

Outcome Measures

Primary Outcomes (1)

• Understanding of remote therapeutic education by videoconference

  Exploratory qualitative research of the lived experience of remote therapeutic education sessions by videoconference (phenomena) by interviewing participants and caregivers. Verbatim analysis of interviews by phenomenological qualitative method : collection, organization, and interpretation of textual material derived from talk or conversation to understand the phenomena and its meaning. The purpose of this approach is to bring out the categories of the phenomenon studied, each category representing a dimension of the phenomenon studied.

  18 months

Secondary Outcomes (2)

• Identify the particularities of distance therapeutic education and its success factors

  18 months

• Develop recommendations levers for videoconferencing therapeutic education

  24 months

Study Arms (2)

Caregivers

Any health professional (medical or paramedical profession) practicing therapeutic education in distance mode by videoconferencing, regardless of the programs concerned

Other: Individual interview

Participants

* Patient's caregivers or parents who have taken part in a therapeutic education session by videoconference (individual or collective) as part of a program, regardless of their age, sex or the pathology concerned by education program * Patients: from 10 years old and only if the therapeutic education session was intended for them, regardless of gender or pathology

Other: Individual interview

Interventions

Individual interview OTHER

Individual semi-directed explication interview with phenomenological questioning centered on lived experience. The individual interview aims to collect data by questioning the participants using interview communication techniques, essentially on the "reformulation" technique. The interview is structured using an interview guide containing the list of open questions with prompts to be answered during the discussion.

Caregivers; Participants

Eligibility Criteria

• Age: 10 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Caregivers and participants practicing/have beneficiating of videoconferencing therapeutic education at Necker-Enfants Malades hospital.

You may qualify if:

• Understanding of the French language (oral and written) for all participants.
• Information and non-opposition of the subjects and of holders of parental authority of minor subjects.
• Caregivers: any health professional practicing videoconferencing therapeutic education can be included without age limit, regardless of gender, profession exercised (medical or paramedical) or the program concerned as long as the program is authorized (or declared) to authorized by the Ile-de-France Regional Health Agency (ARS).
• Participants: depending on the age of the patients, parents can be the exclusive target of therapeutic education (especially for young patients) or be present with their child during the sessions. The participants are the beneficiaries of therapeutic education either:
• Parents/caregivers who have taken part in a videoconferencing TPE session (individual or collective) as part of a program authorized by the Ile-de-France ARS, regardless of their age, sex or the pathology concerned in the education program.
• Patients: from 10 years old and only if the videoconferencing therapeutic education session was intended for them, regardless of gender or pathology.

You may not qualify if:

• Lack of training (40 hours) in TPE for caregivers.
• ETP program not authorized or not declared to the Ile-de-France ARS.

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead
• URC-CIC Paris Descartes Necker Cochin: collaborator

Study Sites (1)

Hôpital Necker-Enfants Malades

Paris, 75015, France

Location

MeSH Terms

Conditions

Chronic Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Cécile Godot, MD

  Assistance Publique - Hôpitaux de Paris

  PRINCIPAL INVESTIGATOR

• Radhia Dahmane

  Assistance Publique - Hôpitaux de Paris

  STUDY DIRECTOR

• Théo TENG

  Assistance Publique - Hôpitaux de Paris

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 2, 2022
• First Posted: May 18, 2022
• Study Start: December 20, 2022
• Primary Completion: December 20, 2022
• Study Completion: December 20, 2022
• Last Updated: September 25, 2025

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)