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Penser autrement le comportement d'adhésion du patient au traitement médicamenteux : modélisation d'une intervention éducative ciblant le patient et ses médicaments dans le but de développer des compétences mobilisables au quotidien - Application aux patients diabétiques de type 2 -

Magalie Baudrant-Boga 1
1 TIMC-ThEMAS - Techniques pour l'Evaluation et la Modélisation des Actions de la Santé
TIMC - Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525
Abstract : All studies evaluating medication compliance show an average rate of 50%. Indeed, the definitions of this phenomenon are fluctuating and the issue of assessment methods is major. "Medication compliance" as a performance indicator, should be replaced by a process indicator "medication adherence", which determinants can be explored to understand the origins of this behaviour. Many factors influencing this adherence were identified and categorized according to 5 dimensions: illness, medication, demographic and socio-economic, patient and/or environment and health care. Their impact on adherence is described. Starting from these factors, intervention strategies are proposed (simple practical actions, educational and/or motivational interventions). Therapeutic education approach is described. We propose a synthesis of the interventions described in the literature categorized in the 5 dimensions listed. These data provide conflicting results (positive trend on the medication adherence without systematic clinical effect). We finally define five potential levels of action: A model of educational intervention to encourage and reinforce medication adherence is proposed (and applied to patients with type 2 diabetes). This adherence will be promoted in terms of: 1.self-management skills on a daily basis with drugs ; 2.self-efficacy ; 3.motivation in the daily management of drugs; 4.mobilisation of health care facilities; 5.shared decision-making abilities. The intersection of the 3 worlds, patients, health professionals educators around the drugs will participate in promoting adherence to drugs.
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https://tel.archives-ouvertes.fr/tel-00488730
Contributor : Magalie Baudrant-Boga <>
Submitted on : Sunday, June 13, 2010 - 10:00:50 AM
Last modification on : Tuesday, December 8, 2020 - 10:10:06 AM
Long-term archiving on: : Friday, September 17, 2010 - 12:01:12 PM

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  • HAL Id : tel-00488730, version 1

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Magalie Baudrant-Boga. Penser autrement le comportement d'adhésion du patient au traitement médicamenteux : modélisation d'une intervention éducative ciblant le patient et ses médicaments dans le but de développer des compétences mobilisables au quotidien - Application aux patients diabétiques de type 2 -. Médicaments. Université Joseph-Fourier - Grenoble I, 2009. Français. ⟨tel-00488730⟩

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