A Schils

B Allenet

The Grenoble University Hospital Centre has set up a therapeutic education programme in the after-care and cardiac rehabilitation department. Indeed, different educational workshops are offered to the patients on various subjects such as disease, treatment and prevention. The workshop ‘medication’ run by the pharmacist addresses the concept of benefit-risk balance, self-medication, drug mechanisms of action and daily medication. Each group integrates 10 to 15 patients, once a week.

The aim of this study was to test the ‘self-efficacy’ concept in order to assess the impact of the session on self-management, once the patient finishes the workshop. The evaluation took place from 1 March 2018 to 31 May 2018.

Before and after each workshop, a questionnaire evaluating self-efficacy was filled out by each patient, on 10 modalities likert scales: I felt capable of…: 1. Explaining why I am hospitalised. 2 Explaining to my friends and family what my different medications work on. 3 Taking my medication as prescribed. 4 Manipulating each of my medications (reading instructions, opening bottles, breaking blisters…). 5 Explaining to my friends and family the hazards of self-medication. 6 Discussing freely with my physician all of my problems.

Fifty-two patients answered the questionnaire. Statistically significant difference before and after the workshop were observed for questions 2, 5 and 6 using a Student’s t-test. Individual results helped us target patients with specific difficulties, who were seen afterwards, during an individual consultation.

Self-efficacy assessment can be used as a ‘normative’ way of testing an educational sequence (what works and what doesn’t work?) and also as a ‘clinical pharmacy follow-up tool’, selecting patients experiencing specific difficulties with their treatment.