Laboratoire Éducations et Promotion de la Santé (LEPS UR 3412)

Modélisation de l’ETP en soins primaires

Development of a model for Therapeutic Patient Education in a multi-professional health centre for people living with a chronic disease.

Project overview The increase in the prevalence of chronic diseases requires effective access to Therapeutic Patient Education (TPE) (1). Currently, TPE is not very accessible for patients and generates social and territorial inequalities in access to care (2). The development of TVE in primary care in the form of a group program appears to be an effective and relevant response because of its accessibility for the population and its proximity to the territories (3). Models for integrating TVE into primary care have been developed internationally (4), but only 20% of TVE programs in Europe were conducted in primary care in 2008 (5). Created in 2008, the Maisons de Santé Pluriprofessionnelles (MSPs), ambulatory practice structures, will be 1889 by 2021. Within them, preventive practice and interprofessional collaboration are particularly developed. Since 2014, some MSPs have been offering FTE programs authorized on the basis of standardized files on a four-year basis and funded by the Regional Health Agencies (ARS). The MSPs' educational team is composed of health professionals (PDS) and sometimes expert patients all trained in ETP. Territorial partners participate in the programs, such as medico-social partners. In France, we have no knowledge of the extent to which MSPs practice TVE programs, nor do we have any descriptive information on their educational content and organization. Our hypothesis is that the practice of TVE programs varies according to the MSP. Favourable and unfavourable characteristics (both educational and organizational) for the design, implementation and maintenance of TVE programs in MSPs, specific to the French health system, probably exist and influence their development. It is important to identify and analyze them in order to improve the support of educational teams in the development of TVE in MSPs. The ultimate goal is to improve the quality and safety of patient care.

Collaboration University of Rennes 1

Valuation already in place In progress

Research team

Rémi GAGNAYRE

Professeur émérite en Sciences de l’éducation et de la formation - Ancien Directeur du LEPS

Her work focuses on the actors, devices and systems at the interface between education and health that contribute to learning from a perspective of health promotion, cognitive justice and empowerment.

Activités récentes : Ongoing supervision of 7 PhD students and project manager for LEPS and the Ecole Universitaires de Recherches en Sciences infirmières (University School of Nursing Research)

Publications récentes : Nokovitch L, El Hajj H, Deneuve S, De Andrade V, Gagnayre R, Margat A. Visual–spatial abilities enhancement and spatial anatomy learning: A systematic review. Med Educ. 2025;1‐11. doi:10.1111/medu.70022
Soleymani D, Pougheon-Bertrand D, Gagnayre R. A Digital Behavior Change Intervention for Health Promotion for Adults in Midlife: Protocol for a Multidimensional Assessment Study, JMIR Res Protoc 2025;14:e60559 URL: https://www.researchprotocols.org/2025/1/e60559 doi: 10.2196/60559
Mehrnoosh Yazdanbakhsh, Vincent De Andrade, Laurence Spiesser-Robelet, Rémi Gagnayre ,The need for educational intervention for breastfeeding women and the professional practice of midwives in France to promote breastfeeding: A joint explanatory study, Eur J Midwifery 2024;8(December):73 https://doi.org/10.18332/ejm/191176
Foucaut A.-M., Aumaître A., Gagnayre R., Implementabilité de l’intervention multimodale sur les déterminants et facteurs de l’activité physique après le traitements en oncologie ( DeFActo 2), Cahier de nutrition et de diététique, 2024
Allory E., Scheer J., De Andrade V., Garlantézec R., Gagnayre R., Characteristics of self-management education and support programmes for people with chronic diseases delivered by primary car team : a rapid review. BMC Primary Care (2024) 25:46 https://doi.org/10.1186/s12875-024-02262-2
Quesnay P, Gagnayre R. L’approche par compétences dans les formations en santé : de la prescription aux pratiqques pédagogiques. Carrefours de l’Education. N°59, Juin 2025, 45-61

Email : remi.gagnayre@univ-paris13.fr

ORCID Resume Publication

Vincent DE ANDRADE

Assistant ingénieur - documentaliste

I am a librarian, I manage the documentation room of the LEPS. I realize the scientific watches, I help the researchers, the doctoral students and the students in their bibliographical research. I participate in the Open Science movement by contributing to HAL in connection with the BU Jean DAUSSET.

Publications récentes : 1. de Andrade V, Margat A, Verheye J-C, Gagnayre R. Information, éducation du patient et littératie en santé : un rôle à jouer pour les bibliothécaires/documentalistes en France ? Education Thérapeutique du Patient - Therapeutic Patient Education. 2018;10(1):10502.

2. de Andrade V. Comment utiliser PubMed pour les recherches bibliographiques en éducation thérapeutique du patient. Education Thérapeutique du Patient - Therapeutic Patient Education. 2014;6(2):20201.

Email : vincent.deandrade@univ-paris13.fr

ORCID Publication 1 Publication 2