Strengthening Health Literacy Through Structured Sessions for Non-Communicable Diseases in Low-Resource Settings: The Learning Nest Model.

Health literate self-management education is at stake for the prevention and management of non-communicable diseases in low resources settings and countries. Here we describe the Learning Nest in Ordinary Context (NA-CO in French, aiming at the structuring of health education programs at the micro- (education sessions) and the meso-levels (adapted to context). The Learning Nest model was designed based on a combination on health literacy principles and on studies conducted with vulnerable people with non-communicable diseases.

Attrition and social vulnerability during 2-year-long structured care in type 2 diabetes, the ERMIES randomized controlled trial.

Background: Diabetes self-management education is exposed to attrition from services and structured ambulatory care. However, knowledge about factors related to attrition in educational programs remains limited. The context of social vulnerability due to low income may interfere.

Health literacy in context: struggling to self-manage diabetes - a longitudinal qualitative study.

Objectives: Considering health literacy needs is a key component of health services responsiveness to diabetes self-management among vulnerable individuals. The purpose of this qualitative study was to provide a detailed analysis of the health literacy of people with type 2 diabetes in relation to their daily self-care practices.

Design: Nested qualitative study in the ERMIES randomised controlled trial testing a 2-year structured care in type 2 diabetes.

Have patients become impatient to act in our healthcare system?

For some 40 years now, in France, the progressive recognition of the knowledge and experience of patients has been accompanied by an institutionalization of their participation and a diversification of the spaces in which they act. In this contribution, we offer an analytic look at the different forms of patient participation in the health world, in France and abroad. This non exhaustive overview underlines the need to pay particular attention to the conditions required if the shared experiences of care providers and patients are to serve as an occasion to optimize and revitalize the approach to medical care.

[Health literacy profiles in type 2 diabetes: The ERMIES-Ethnosocio study].

Introduction: Health literacy refers to the competences and resources required by individuals to meet the complex demands of health in modern society. This paper describes and analyses the health literacy profiles of type 2 diabetic patients included in a 2-year long self-management education programme.

Methods: Nested in the ERMIES randomized controlled trial conducted in Reunion island, the ERMIES Ethnosocio study explored health literacy by means of two complementary approaches: description of health literacy profiles via the French version of the multidimensional "Health Literacy Questionnaire", and a socio-anthropological perspective based on 40 semi-structured interviews carried out in 2012 and then in 2015.

Characterisation of health literacy strengths and weaknesses among people at metabolic and cardiovascular risk: Validity testing of the Health Literacy Questionnaire.

Objectives: Health literacy refers to the ability of individuals to gain access to, use, and understand health information and services in order to maintain a good health. The assessment of health literacy profiles in a population is potentially crucial to respond to health needs. The Health Literacy Questionnaire explores nine dimensions of health literacy and has been shown to display robust psychometric properties.

Structured peer-led diabetes self-management and support in a low-income country: The ST2EP randomised controlled trial in Mali.

Objectives: Our objective was to evaluate the effectiveness of peer-led self-management education in improving glycaemic control in patients with type 2 diabetes in a low-income country (Mali).

Methods: We conducted an open-label randomised controlled trial. A total of 151 adults (76% women, mean age 52.

[Patient education: between complex knowledge, educators, heterogeneous learners and multiple contexts].

Therapeutic patient education questions the links between medical and social sciences through epistemological, praxeological, and ethical issues. Its development in France and abroad necessary invites to consider the complexity of the particularities and variations of numerous contexts. The present contribution examines the theoretical foundations and the conditions required for the development of integrative learning situations, which involve both persons with chronic diseases and educators who have beneficiated from diverse socialisations.

Structured self-management education maintained over two years in insufficiently controlled type 2 diabetes patients: the ERMIES randomised trial in Reunion Island.

Background: Self-management education programs can reduce the complications and mortality in type 2 diabetes. The need to structure these programs for outpatient and community care with a vision for long-term maintenance has been recognised. In Reunion Island, an area affected by epidemiological and nutritional transition, diabetes affects 18% of the adult population over 30 years, with major social disparities, poor glycaemic control and frequent cardiovascular complications.

Hospitalization for type 2 diabetes: the effects of the suspension of reality on patients' subsequent management of their condition.

Hospitalization still plays a major part in the management of uncontrolled type 2 diabetes and its complications. In this article, we assess the effects of self-management education on the individual practices of 42 patients after discharge from specialized diabetes units on the French island of Reunion. Hospitalization offers respite and temporarily suspends the realities of daily life.

Type 2 diabetes patient education in Reunion Island: perceptions and needs of professionals in advance of the initiation of a primary care management network.

Aim: This study focused on issues in the education of type 2 diabetes patients in primary care on Reunion Island which, in a medical context, is broadly similar to metropolitan France, but with a much greater prevalence of diabetes. The aim was to assess the perceptions, training, reported practices and needs of health care providers in the field of patient education in advance of the initiation of a health care management network for diabetic patients.

Methods: A total of 74 physicians and 63 nurses completed a detailed questionnaire comprising 52 items divided into six parts: professional activity, initial and postgraduate training, educational practices, objectives of patient education, perceived barriers and prospects for optimization.