Department of Psychology, University of Sussex, Brighton, United Kingdom.
Psychol Health. 2009 Dec;24(10):1153-65. doi: 10.1080/08870440802521110.
The Expert Patient Programme (EPP) is a lay-led, group-based, self-management training course available through the UK National Health Service for persons with long-term health conditions. Thirty-two patients who attended EPP courses in East London were interviewed about their experiences. Grounded theory coding of transcripts was employed to identify recurring accounts. Thematic analysis was used to theorise and organise participants' accounts, identifying commonly reported changes, helpful techniques and disappointments and frustrations. Results highlighted the role of information provision, especially face-to-face information exchange as well as the impact of in-class instruction and modelling of physical skills. Personal goal setting, using graded tasks, self-monitoring and goal review were regarded as the most useful techniques. Adoption and use of these self-management techniques depended on the establishment of an empathic and self-validating interpersonal context. Findings also imply that EPP may not be ideal for all participants and suggested modifications and improvements are discussed.
专家患者计划（EPP）是一种由非专业人员领导的、基于小组的、自我管理培训课程，可通过英国国家卫生服务（NHS）提供给患有长期健康状况的人。在东伦敦参加 EPP 课程的 32 名患者接受了关于他们的经验的访谈。采用扎根理论对转录本进行编码，以识别反复出现的描述。主题分析用于对参与者的描述进行理论化和组织，确定常见的变化、有用的技术以及失望和挫折。研究结果强调了信息提供的作用，特别是面对面的信息交流，以及课堂教学和身体技能示范的影响。个人目标设定、使用分级任务、自我监测和目标审查被认为是最有用的技术。这些自我管理技术的采用和使用取决于建立一个富有同理心和自我验证的人际环境。研究结果还表明，EPP 可能并不适合所有参与者，并讨论了修改和改进的建议。
