Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers
Objective: This article reports the findings of focus-group discussions with healthcare providers concerning the facilitators and barriers they experience when engaging in therapeutic patient education (TPE). Methods: Five focus-group discussions were held with a total of 21 primary and secondary he...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | PEC Innovation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628225000342 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850107868113534976 |
|---|---|
| author | Bob C. Mulder Hylkje Algra Esther Cruijsen J. Marianne Geleijnse Renate M. Winkels Willemieke Kroeze |
| author_facet | Bob C. Mulder Hylkje Algra Esther Cruijsen J. Marianne Geleijnse Renate M. Winkels Willemieke Kroeze |
| author_sort | Bob C. Mulder |
| collection | DOAJ |
| description | Objective: This article reports the findings of focus-group discussions with healthcare providers concerning the facilitators and barriers they experience when engaging in therapeutic patient education (TPE). Methods: Five focus-group discussions were held with a total of 21 primary and secondary healthcare providers. Discussions were moderated using a topic list that was co-created with healthcare providers. All discussions were recorded, transcribed verbatim and analysed thematically. Results: Healthcare providers consider TPE important, but it requires long-term, continuous effort in order to be effective. They sometimes doubt its effectiveness and their own efficacy. Moreover, healthcare providers experience a lack of a supportive environment. Overall, their experiences could be captured in four categories of determinants of engaging in TPE: Capabilities, Motivation, Physical Context and Social Context. Conclusion: Therapeutic patient education requires healthcare providers to be capable and motivated. To maintain the continuous effort needed, healthcare providers need to be supported both socially (e.g. by colleagues and management) and physically (e.g. through communication infrastructure). Innovation: In contrast to previous studies focusing on the motivation and capability of healthcare providers to perform TPE, this study contributes to innovation in health communication by identifying social and physical factors that determine whether TPE is delivered continuously under actual or perceived constraints in terms of time and effectiveness. |
| format | Article |
| id | doaj-art-d6b56a356b61445aa67fdefdff7953cb |
| institution | OA Journals |
| issn | 2772-6282 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj-art-d6b56a356b61445aa67fdefdff7953cb2025-08-20T02:38:29ZengElsevierPEC Innovation2772-62822025-06-01610040510.1016/j.pecinn.2025.100405Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providersBob C. Mulder0Hylkje Algra1Esther Cruijsen2J. Marianne Geleijnse3Renate M. Winkels4Willemieke Kroeze5Strategic Communication group, Wageningen University and Research, Wageningen, the Netherlands; Corresponding author at: Strategic Communication Group, Wageningen University & Research, Hollandseweg 1, 6706 KN, Wageningen, the Netherlands.Department of Nursing, Christian University of Applied Sciences (CHE), Ede, the NetherlandsDivision of Human Nutrition and Health, Wageningen University and Research, Wageningen, the NetherlandsDivision of Human Nutrition and Health, Wageningen University and Research, Wageningen, the NetherlandsDivision of Human Nutrition and Health, Wageningen University and Research, Wageningen, the Netherlands; Nutrition & Healthcare Alliance, Ede, the NetherlandsDepartment of Nursing, Christian University of Applied Sciences (CHE), Ede, the NetherlandsObjective: This article reports the findings of focus-group discussions with healthcare providers concerning the facilitators and barriers they experience when engaging in therapeutic patient education (TPE). Methods: Five focus-group discussions were held with a total of 21 primary and secondary healthcare providers. Discussions were moderated using a topic list that was co-created with healthcare providers. All discussions were recorded, transcribed verbatim and analysed thematically. Results: Healthcare providers consider TPE important, but it requires long-term, continuous effort in order to be effective. They sometimes doubt its effectiveness and their own efficacy. Moreover, healthcare providers experience a lack of a supportive environment. Overall, their experiences could be captured in four categories of determinants of engaging in TPE: Capabilities, Motivation, Physical Context and Social Context. Conclusion: Therapeutic patient education requires healthcare providers to be capable and motivated. To maintain the continuous effort needed, healthcare providers need to be supported both socially (e.g. by colleagues and management) and physically (e.g. through communication infrastructure). Innovation: In contrast to previous studies focusing on the motivation and capability of healthcare providers to perform TPE, this study contributes to innovation in health communication by identifying social and physical factors that determine whether TPE is delivered continuously under actual or perceived constraints in terms of time and effectiveness.http://www.sciencedirect.com/science/article/pii/S2772628225000342Therapeutic patient educationLifestyle counsellingHealth services researchFocus groups |
| spellingShingle | Bob C. Mulder Hylkje Algra Esther Cruijsen J. Marianne Geleijnse Renate M. Winkels Willemieke Kroeze Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers PEC Innovation Therapeutic patient education Lifestyle counselling Health services research Focus groups |
| title | Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers |
| title_full | Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers |
| title_fullStr | Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers |
| title_full_unstemmed | Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers |
| title_short | Beyond motivation: Creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers |
| title_sort | beyond motivation creating supportive healthcare environments for engaging in therapeutic patient education according to healthcare providers |
| topic | Therapeutic patient education Lifestyle counselling Health services research Focus groups |
| url | http://www.sciencedirect.com/science/article/pii/S2772628225000342 |
| work_keys_str_mv | AT bobcmulder beyondmotivationcreatingsupportivehealthcareenvironmentsforengagingintherapeuticpatienteducationaccordingtohealthcareproviders AT hylkjealgra beyondmotivationcreatingsupportivehealthcareenvironmentsforengagingintherapeuticpatienteducationaccordingtohealthcareproviders AT esthercruijsen beyondmotivationcreatingsupportivehealthcareenvironmentsforengagingintherapeuticpatienteducationaccordingtohealthcareproviders AT jmariannegeleijnse beyondmotivationcreatingsupportivehealthcareenvironmentsforengagingintherapeuticpatienteducationaccordingtohealthcareproviders AT renatemwinkels beyondmotivationcreatingsupportivehealthcareenvironmentsforengagingintherapeuticpatienteducationaccordingtohealthcareproviders AT willemiekekroeze beyondmotivationcreatingsupportivehealthcareenvironmentsforengagingintherapeuticpatienteducationaccordingtohealthcareproviders |