Original Title: Programmes de formation s'adressant aux professionnels de la santé: comment soutenir les usagers atteints de maladies chroniques à l'autoprise en charge de leur santé?

Authors' objectives: To identify the efficient strategies to teach self-management to healthcare professionals who must support patients with chronic diseases in taking charge of their health.

Authors' results and conclusions: Most of the identified training programs (23/26) use multimodal teaching strategies, i.e., using more than one strategy at a time. Twenty of these programs highlight strategies of passive information sharing whereas 18 programs favor the use of active strategies based on behavioral modification. The strategies used in these programs highlight the acquisition of technical skills, but 19 programs also use training strategies fostering the development of a sense of efficiency (coaching, mentoring, tutoring, case studies). Almost half of these programs have training content on motivational interviewing or behavioral change. All identified training programs had positive effects on professionals. Some of these programs help to increase the skills, care practices and knowledge of professionals. These professionals also develop stronger confidence in their skills to support patients and improve their attitudes and beliefs regarding self-management.

Authors' recommendations: All the training programs identified led to an improvement in the professionals for at least one category of measured variables related to supporting self-management of chronic disease in patients. Most of the identified training programs for professionals (23/26) used multimodal teaching strategies integrating passive and active strategies focusing on acquiring technical skills as well as improving their personal sense of efficiency. More than half the identified programs (17/26) are comprised of training or a training module based on a motivational approach or on a behavioral change approach. These approaches suggest that training based on patient needs, working on the elements that they qualify as priorities and for which they are truly motivated to act upon, could foster self-management of their health.

Authors' methods: Literature review using a systematic approach

Project Status: Completed

URL for project: https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/MissionUniversitaire/ETMISSS/ETMISS_patients_chronic_disease.pdf

Year Published: 2021

URL for published report: https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/ProfSante/MissionUniversitaire/ETMISSS/ETMI-ABR%C3%89G%C3%89E-AUTOGESTION-MALADIES-CHRONIQUES_VF_Mars%202021.pdf

Requestor: Health professional involved in chronic disease management

English language abstract: An English language summary is available

Publication Type: Full HTA

Country: Canada

Province: Quebec

Organisation Name: Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale

Contact Address: 525, boulevard Wilfrid-Hamel, bureau A-122

Contact Name: Sylvie St-Jacques

Contact Email: uetmisss.deau.ciussscn@ssss.gouv.qc.ca