{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T23:28:35Z","timestamp":1733873315032,"version":"3.30.1"},"reference-count":35,"publisher":"CAIRN","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,5]]},"abstract":"<jats:p>Objectif\u00a0: L\u2019objectif de cette \u00e9tude \u00e9tait d\u2019identifier les besoins \u00e9ducatifs en sant\u00e9 des personnes porteuses de plusieurs maladies (polypathologie) dont le VIH et\/ou une ou plusieurs h\u00e9patites, et vivant en situation de pr\u00e9carit\u00e9 en appartement de coordination th\u00e9rapeutique (ACT). M\u00e9thode\u00a0: \u00c9tude de type qualitatif et collaboratif impliquant, dans l\u2019\u00e9quipe de recherche, des personnes vivant en ACT avec plusieurs maladies chroniques, des professionnels des ACT et des universitaires. Des guides d\u2019entretien se basant sur la litt\u00e9rature ont \u00e9t\u00e9 \u00e9labor\u00e9s. Neuf ACT ont particip\u00e9\u00a0: 36\u00a0entretiens individuels avec des personnes atteintes de maladies chroniques, neuf focus group avec les professionnels compl\u00e9t\u00e9s par neuf entretiens avec les responsables des ACT. R\u00e9sultats\u00a0: Des besoins \u00e9ducatifs en sant\u00e9 ont \u00e9t\u00e9 identifi\u00e9s. Ils concernaient la gestion de la polypathologie, la gestion sp\u00e9cifique de certaines maladies, la vie quotidienne avec la polypathologie, les liens et origines des maladies. Des facteurs influen\u00e7ant leur fa\u00e7on de s\u2019occuper d\u2019une maladie plut\u00f4t que d\u2019une autre ont \u00e9t\u00e9 exprim\u00e9s. Les besoins \u00e9ducatifs chez les personnes porteuses du VIH et\/ou des h\u00e9patites ont \u00e9t\u00e9 mis en \u00e9vidence. Conclusion\u00a0: Des besoins \u00e9ducatifs en sant\u00e9 existent malgr\u00e9 l\u2019accompagnement des personnes accueillies dans les ACT. L\u2019\u00e9tude permet d\u2019\u00e9mettre des propositions pour l\u2019am\u00e9lioration de l\u2019accompagnement et, plus particuli\u00e8rement, des interventions d\u2019\u00e9ducation en sant\u00e9 mises en place en ACT\u00a0: compl\u00e9ment de questionnement pour mieux identifier les besoins \u00e9ducatifs en sant\u00e9, formation des \u00e9quipes \u00e0 l\u2019\u00e9ducation th\u00e9rapeutique du patient vivant avec plusieurs maladies chroniques, implication des personnes concern\u00e9es, prise en compte de leur niveau de litt\u00e9ratie en sant\u00e9, entre autres.<\/jats:p>","DOI":"10.3917\/spub.221.0009","type":"journal-article","created":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T08:47:58Z","timestamp":1658134078000},"page":"9-19","source":"Crossref","is-referenced-by-count":0,"title":["Besoins \u00e9ducatifs en sant\u00e9 en Appartement de Coordination Th\u00e9rapeutique"],"prefix":"10.3917","volume":"Vol. 34","author":[{"given":"Claire","family":"Marchand","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arlette","family":"Communier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aur\u00e9lie","family":"Maurice","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philom\u00e8ne","family":"Njantou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9line","family":"Vilder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serge","family":"Figiel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie France","family":"Malcher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"de Andrade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Th\u00e9venin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","first-page":"e028344","DOI":"10.1136\/bmjopen-2018-028344","article-title":"Characteristics of self-management among patients with complex health needs: a thematic analysis review","volume":"9","author":"Gobeil-Lavoie Annie-Pier","year":"2019","journal-title":"BMJ Open","ISSN":"https:\/\/id.crossref.org\/issn\/2044-6055","issn-type":"print"},{"key":"rb2","doi-asserted-by":"publisher","first-page":"1041-1051","DOI":"10.1016\/j.jclinepi.2012.05.005","article-title":"Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice","volume":"65","author":"Shippee Nathan D.","year":"2012","journal-title":"Journal of Clinical Epidemiology","ISSN":"https:\/\/id.crossref.org\/issn\/0895-4356","issn-type":"print"},{"key":"rb3","doi-asserted-by":"publisher","first-page":"null","DOI":"10.1002\/14651858.CD006560.pub3","article-title":"Interventions for improving outcomes in patients with multimorbidity in primary care and community settings","author":"Smith Susan M","year":"2016","journal-title":"Cochrane Database of Systematic Reviews","ISSN":"https:\/\/id.crossref.org\/issn\/1465-1858","issn-type":"print"},{"key":"rb4","doi-asserted-by":"publisher","first-page":"398-404","DOI":"10.1016\/j.pec.2019.08.038","article-title":"Self-management across chronic diseases: Targeting education and support needs","volume":"103","author":"Bartlett Susan J.","year":"2020","journal-title":"Patient Education and Counseling","ISSN":"https:\/\/id.crossref.org\/issn\/0738-3991","issn-type":"print"},{"key":"rb5","doi-asserted-by":"publisher","first-page":"1230-1238","DOI":"10.1093\/cid\/cix998","article-title":"Multimorbidity Among Persons Living with Human Immunodeficiency Virus in the United States","volume":"66","author":"Wong Cherise","year":"2018","journal-title":"Clinical Infectious Diseases","ISSN":"https:\/\/id.crossref.org\/issn\/1058-4838","issn-type":"print"},{"key":"rb6","unstructured":"6 http:\/\/social-sante.gouv.fr\/IMG\/pdf\/Hebergement_VIH_rapport_d_etude.pdf Gandon V, Gimel J, Micheau J. \u00c9tude sur les dispositifs d\u2019h\u00e9bergement cr\u00e9\u00e9s dans le champ du VIH et accueillant des personnes atteintes du VIH-Sida ou d\u2019une autre pathologie chronique lourde et en \u00e9tat de fragilit\u00e9 psychologique et\/ou sociale. 2010. 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