A Community-Based Therapeutic Education Programme for People with Alcohol Use Disorder in France: A Qualitative Study (ETHER)

Marie Costa, Tangui Barré, Saskia Antwerpes, Marion Coste, Morgane Bureau, Clémence Ramier, Gwenaelle Maradan, Olivier Riccobono-Soulier, Stéphanie Vassas-Goyard, Danielle Casanova and Patrizia Carrieri
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Marie Costa: Aix Marseille University, INSERM (Institut National de la Santé et de la Recherche Médicale), IRD (Institut de Recherche pour le Développement), SESSTIM (Sciences Économiques & Sociales de la Santé & Traitement de l’Information Médicale), ISSPAM (Institut des Sciences de la Santé Publique), 27 Bd Jean Moulin, 13385 Marseille, France
Tangui Barré: Aix Marseille University, INSERM (Institut National de la Santé et de la Recherche Médicale), IRD (Institut de Recherche pour le Développement), SESSTIM (Sciences Économiques & Sociales de la Santé & Traitement de l’Information Médicale), ISSPAM (Institut des Sciences de la Santé Publique), 27 Bd Jean Moulin, 13385 Marseille, France
Saskia Antwerpes: Aix Marseille University, INSERM (Institut National de la Santé et de la Recherche Médicale), IRD (Institut de Recherche pour le Développement), SESSTIM (Sciences Économiques & Sociales de la Santé & Traitement de l’Information Médicale), ISSPAM (Institut des Sciences de la Santé Publique), 27 Bd Jean Moulin, 13385 Marseille, France
Marion Coste: Aix Marseille University, INSERM (Institut National de la Santé et de la Recherche Médicale), IRD (Institut de Recherche pour le Développement), SESSTIM (Sciences Économiques & Sociales de la Santé & Traitement de l’Information Médicale), ISSPAM (Institut des Sciences de la Santé Publique), 27 Bd Jean Moulin, 13385 Marseille, France
Morgane Bureau: Aix Marseille University, INSERM (Institut National de la Santé et de la Recherche Médicale), IRD (Institut de Recherche pour le Développement), SESSTIM (Sciences Économiques & Sociales de la Santé & Traitement de l’Information Médicale), ISSPAM (Institut des Sciences de la Santé Publique), 27 Bd Jean Moulin, 13385 Marseille, France
Clémence Ramier: Aix Marseille University, INSERM (Institut National de la Santé et de la Recherche Médicale), IRD (Institut de Recherche pour le Développement), SESSTIM (Sciences Économiques & Sociales de la Santé & Traitement de l’Information Médicale), ISSPAM (Institut des Sciences de la Santé Publique), 27 Bd Jean Moulin, 13385 Marseille, France
Gwenaelle Maradan: Aix Marseille University, INSERM (Institut National de la Santé et de la Recherche Médicale), IRD (Institut de Recherche pour le Développement), SESSTIM (Sciences Économiques & Sociales de la Santé & Traitement de l’Information Médicale), ISSPAM (Institut des Sciences de la Santé Publique), 27 Bd Jean Moulin, 13385 Marseille, France
Olivier Riccobono-Soulier: Association Addictions France, 84000 Avignon, France
Stéphanie Vassas-Goyard: Association Addictions France, 04000 Digne-les-Bains, France
Danielle Casanova: Association Addictions France, 84000 Avignon, France
Patrizia Carrieri: Aix Marseille University, INSERM (Institut National de la Santé et de la Recherche Médicale), IRD (Institut de Recherche pour le Développement), SESSTIM (Sciences Économiques & Sociales de la Santé & Traitement de l’Information Médicale), ISSPAM (Institut des Sciences de la Santé Publique), 27 Bd Jean Moulin, 13385 Marseille, France

IJERPH, 2022, vol. 19, issue 15, 1-16

Abstract: Therapeutic patient education (TPE) aims to help people with chronic disease strengthen their empowerment and psychosocial skills to better manage their condition. Although TPE has great potential for addiction medicine, studies on its benefits for reducing alcohol-related harms and increasing empowerment are sparse. We conducted a qualitative study of people with alcohol use disorder (AUD) who participated in the community-based TPE programme Choizitaconso to assess their perceptions and experiences of it. Semi-structured interviews were conducted with 16 participants who had completed the TPE programme at least six months previously. The interviews were transcribed and analysed using a sequential thematic analysis. We identified four general themes: (1) the context of participation: the TPE programme could be a strategy to facilitate engagement in AUD care; (2) representations and experiences: the programme helped to “normalize” participants’ relationship with alcohol use by increasing empowerment; (3) TPE strengths: improved knowledge about alcohol use, self-image, weight loss, self-stigma reduction; (4) TPE limitations: difficulty putting learning into practice after the programme ended. The Choizitaconso programme met participants’ health and psychosocial expectations, strengthening their empowerment and reducing self-stigma, thereby facilitating engagement in AUD care.

Keywords: alcohol use disorder; harm reduction; therapeutic patient education; controlled drinking; qualitative method; thematic analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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