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

Int J Environ Res Public Health. 2022 Jul 28;19(15):9228. doi: 10.3390/ijerph19159228.

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; controlled drinking; harm reduction; qualitative method; thematic analysis; therapeutic patient education.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alcoholism* / therapy
  • Ether
  • France
  • Health Promotion / methods
  • Humans
  • Qualitative Research

Substances

  • Ether

Grants and funding

This work was supported by the ARS PACA (Agence Régionale de Santé de Provence-Alpes Côte d’Azur). There is no award/grant number. S.A. received a PhD scholarship from the doctoral school ED62, located in Marseille (Sciences de la vie et de la santé).