A new program of therapeutic education for obese patients

Service d'enseignement thérapeutique pour maladies chroniques, Centre collaborateur de I'Organisation mondiale de la santé, Département de médecine communautaire et de premier recours HUG, 1211 Geneve 14.
Revue médicale suisse 03/2011; 7(288):695-6, 698-9.
Source: PubMed

ABSTRACT Obesity is a chronic disease which is increasing over the past thirty years. This disease is complex and its treatment is difficult and generally frustrating for the patients and the medical team because of a high risk of relapse. Indeed, a dietetic approach alone is most of the time not good enough to obtain a long-lasting weight loss; the few drugs on the market should also be prescribed as a part of a more global approach. A multidisciplinary approach with a long-standing follow-up including a cognitive-behavioral therapy coupled to a diet and physical activity is mandatory to avoid any weight regain. We propose a new multidisciplinary program of two years with in hospital-stay and ambulatory follow-up which is showing some promising results (90% of success at one year).

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Available from: Zoltan Pataky, Sep 08, 2015
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    • "The use of Therapeutic Patient Education in the treatment of certain illnesses, like childhood obesity, is still at its beginning and requires further adjustment, although recent studies confirm its efficacy [37] [38]. "
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    ABSTRACT: Background: Obesity is a high-cost social disease, the management of which, usually assigned to general practice, is little supported by evidence-based medicine. Most general practitioners feel unprepared to face the problem and, therefore, do not approach it adequately. And yet, experts suggest treating obesity early on, from childhood. Objectives: In 2000, at the Pediatric Department of Ferrara, we started a Family Group Therapeutic Education Program for the treatment of childhood obesity. The program is carried out entirely by a single pediatrician. So far, more than 300 families have attended the program. Following our positive results, we recently created a professional training course on therapeutic education, addressed to healthcare personnel involved in the treatment of childhood obesity. The purpose of the present study is to discover if it is possible to promote the development of a shared therapeutic education strategy for obesity, involving primary care physicians/pediatricians, specialists and dietitians, and overcome the attitude of denial and the“wait and see” approach still present among professionals. Methods: The integrated professional training course consists of a four-day seminar at the pediatric department of Ferrara along with an on-line course for distance learning. The assessment of the project takes into account the following criteria: a multidimensional questionnaire (a pre- and post-test which explores: knowledge, motivation, self-efficacy, methodology, communication, modeling, etc.), an appreciation questionnaire with responses collected over the course of 2 years. Moreover, the nine participants of our 2008 training course began to use the new therapeutic tools in their practice and six of them sent us the anthropometric measurements of patients whom they have treated over the past two years using this approach, allowing us to present outcomes in terms of implementation of this therapeutic education program in everyday professional practice. Results and Conclusions: The course was attended by a small group of healthcare professionals: ten in 2008 and five in 2009, from different Italian centers. Results, based on questionnaires, seem to indicate a great interest and appreciation by the participants. Results based on BMI z-score reduction of the children cared for by our trainees seem to support the efficacy of our educational method in clinical practice. If these preliminary results are confirmed and reinforced by measurable and significant changes, both in terms of learned skills and observed clinical outcomes, new training projects for the management of childhood obesity can be planned and addressed to a wider healthcare professional public.
    Open Journal of Pediatrics 06/2013; 2013(3):165-176.
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    • "The use of Therapeutic Patient Education in the treatment of certain illnesses, like childhood obesity, is still at its beginning and requires further adjustment, although recent studies confirm its efficacy [37] [38]. "