title: [Patient education: between complex knowledge, educators, heterogeneous learners and multiple contexts].
abstract: 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. These learning situations have been worked out across three distinct stages: prerequisite analysis of specific knowledge at stake and of learners' representations preceding the thorough design of procedures that can yield results with heterogeneous individuals of various cultural and social origins. More than ten thousands persons have beneficiated from these learning situations courses. Results underline the development of emerging social dynamics and organisations beyond the learning process. These analysis invite to the reflection on social and contextual dimensions of learning, on the access to knowledge for persons with chronic diseases and the opportunities to develop the approach by diverse educators and trainers from various areas.
authors.affiliation: Laboratoire LCF-Icare, Université-IUFM de La Réunion. maryvette.balcou-debussche@univ-reunion.fr
authors.forename: Maryvette
authors.initials: M
authors.lastname: Balcou-Debussche
mesh_terms: D006801:Humans; D010353:Patient Education as Topic / Q000458:organization & administration* / Q000706:statistics & numerical data