Patient Education in Spa Resorts: Experience from a French National Program for Patients with Chronic Venous Insufficiency

Patrick H. Carpentier, Bernadette Satger and Brigitte Sandrin
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Patrick H. Carpentier: Centre de Recherche Universitaire de La Léchère, Université Grenoble-Alpes, 73260 La Léchère, France
Bernadette Satger: Centre de Recherche Universitaire de La Léchère, Université Grenoble-Alpes, 73260 La Léchère, France
Brigitte Sandrin: Association Française pour le Développement de l’Education Thérapeutique 18, Passage de la Bonne Graine, 75011 Paris, France

IJERPH, 2022, vol. 19, issue 3, 1-7

Abstract: The prognosis of chronic venous insufficiency (CVI) is greatly depending upon the ability of the patients to optimize their health-related behaviors (mainly compliance to compression stockings, physical activity and diet). As this is usually challenging for the patients, we developed a therapeutic education program (TEP) aiming at helping them to achieve these optimizations. We report here the preliminary results obtained with this program. This structured TEP was developed by a working group of 15 health professionals to be used during the regular French spa 3-week treatment course for CVI patients. The program included three interactive workshops aiming at improving the patients’ knowledge, skills and motivation, two educational consultations allowing to set and follow-up their personal action plans and a built-in evaluation. It was implemented in spa resorts specialized in CVI. Among the first 150 patients (116 women and 34 men, mean age 69 years old (SD 8 years), 49% had post-thrombotic disease. Compliance to the education workshops was 98%. After a 3-month follow-up, 83% of the patients fully achieved at least one behavioral objective. Quality of life, as assessed by the CIVIQ 2 auto-questionnaire, improved at 3 months ( p = 0.0024) and 9 months ( p = 0.018). These results demonstrate the feasibility of a TEP for CVI patients and its ability to improve their health-related behaviors, opening the way for the development of similar programs for other chronic diseases in the setting of spa resorts.

Keywords: venous insufficiency; therapeutic education; patient education; balneotherapy; spa resort; health resort (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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