Expectation of patients and caregivers about patient education for immune thrombocytopenia

• Published in: La revue de medecine interne Vol. 42; no. 1; pp. 3 - 10
• Main Authors: Mettler, C, Daguzan, A, Lagouanelle, M-C, Briantais, A, Ducros, P, Laborde, S, Gouiran, S, Schleinitz, N, Faucher, B, Ebbo, M
• Format: Journal Article
• Language: French
• Published: France 01.01.2021
• Subjects: Caregivers; Double-Blind Method; Humans; Middle Aged; Motivation; Patient Education as Topic; Purpura, Thrombocytopenic, Idiopathic - epidemiology; Purpura, Thrombocytopenic, Idiopathic - therapy; Quality of Life; Patient education; Purpura thrombopénique immunologique; Co-construction; Éducation thérapeutique; Expert patient; Immune thrombocytopenia; Qualité de vie; Patient expert; Quality of life
• DOI: 10.1016/j.revmed.2020.08.011

Immune thrombocytopenia (ITP) durably affects quality of life in patients. Patient education aims at improving their self-care and psychosocial skills, allowing them be more autonomous, to prevent avoidable complications, and to maintain or improve quality of life. The aim of this study was to assess patients' and caregivers' expectations regarding patient education in ITP. ITP Patients and caregivers were asked about topics that should be addressed in a patient education program through a digital anonymous survey. Their responses were analyzed both qualitatively and quantitatively. A double-blind keyword attribution of the answers was carried out by two physicians and then faced until consensus was found. Thirty-eight ITP patients were included: 68% were less than 50 years old and 84% had chronic ITP. On the other hand, twenty-five caregivers were included. Caregivers raised more topics related to the cognitive domain than patients. The psychoaffective and motivational topics tended to be more represented in patients' responses. Only 53% of topics were mentioned by both patients and caregivers. These discrepancies emphasize the differences between patients and caregivers' expectations regarding a patient education program in ITP, and thus the relevance of patient-caregiver co-construction of such programs.