title: [Reluctance of patients with chronic kidney disease stage 3 to join education programs offered by a health network].
abstract: BACKGROUND
  Therapeutic education helps patients to acquire the knowledge and ability to live with their disease. However, some patients are not willing to take part in a health education program. Identifying the barriers of their non-adherence would help us to determine accurately their effective educational needs and to adapt the program to deliver a better education for less-motivated patients.
  
  
  METHODS
  An education program for chronic kidney disease stage 3 patients was implemented across a health network. The study is based on patient's participation during each step of the program. The reasons for non-participation were collected, via direct survey and cross-referencing with available medical records.
  
  
  RESULTS
  From 80 eligible patients, and after medical approval, 66 patients received information about the program. Thirty-six patients elected to participate in program and 21 of them joined a therapeutic education group. We did not find any significant differences in the medical or social profile to determine the characteristics of non-participating patients. We found less program involvement however, with patients complying with biomedical follow-up but who do not benefit from complementary paramedical care.
  
  
  CONCLUSIONS
  Nearly half of patients did not take part in the therapeutic education program, primarily those who did not benefit from a multidisciplinary team to manage their chronic disease. Therapeutic education remains a less known concept by patients, and requires an informative and encouraging exhortation from practitioners during casual medical care.
authors.affiliation: Réseau Tircel, hôpital Édouard-Herriot, pavillon P, 5, place d'Arsonval, 69437 Lyon cedex 03, France; EA santé individu société 4128, université Claude-Bernard Lyon-1, 69372 Lyon cedex 08, France. Electronic address: sophie.fave@chu-lyon.fr.
authors.forename: Sophie
authors.initials: S
authors.lastname: Favé
authors.affiliation: Réseau Tircel, hôpital Édouard-Herriot, pavillon P, 5, place d'Arsonval, 69437 Lyon cedex 03, France; Département de néphrologie, hôpital Édouard-Herriot, hospices civils de Lyon, pavillon P, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Jolivot
authors.affiliation: Réseau Tircel, hôpital Édouard-Herriot, pavillon P, 5, place d'Arsonval, 69437 Lyon cedex 03, France; Cabinet infirmier, 4, rue Bizet, 69150 Décines, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Desmaris
authors.affiliation: Réseau Tircel, hôpital Édouard-Herriot, pavillon P, 5, place d'Arsonval, 69437 Lyon cedex 03, France; EA santé individu société 4128, université Claude-Bernard Lyon-1, 69372 Lyon cedex 08, France; Pôle Imer, hospices civils de Lyon, 69424 Lyon cedex 03, France.
authors.forename: Christelle
authors.initials: C
authors.lastname: Maurice
authors.affiliation: EA santé individu société 4128, université Claude-Bernard Lyon-1, 69372 Lyon cedex 08, France; Pôle Imer, hospices civils de Lyon, 69424 Lyon cedex 03, France.
authors.forename: Évelyne
authors.initials: É
authors.lastname: Decullier
authors.affiliation: Réseau Tircel, hôpital Édouard-Herriot, pavillon P, 5, place d'Arsonval, 69437 Lyon cedex 03, France; Cabinet médical, 25, quai Tilsitt, 69002 Lyon, France.
authors.forename: Bruno
authors.initials: B
authors.lastname: Duquesne
authors.affiliation: Réseau Tircel, hôpital Édouard-Herriot, pavillon P, 5, place d'Arsonval, 69437 Lyon cedex 03, France; Service de néphrologie, centre hospitalier Lyon-Sud, 69495 Pierre-Bénite cedex, France; Inserm U1060 CarMeN, université de Lyon, 69373 Lyon, France.
authors.forename: Maurice
authors.initials: M
authors.lastname: Laville
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation / Q000706:statistics & numerical data*; D051436:Renal Insufficiency, Chronic / Q000175:diagnosis / Q000628:therapy*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
keywords: Adherence; Chronic kidney disease; Early management; Health network; Maladie rénale chronique; Motivation; Observance; Patient education; Prise en charge précoce; Réseau de santé; Éducation thérapeutique