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Obstacles to patient education in chronic diseases: A trans-theoretical analysis by Gérard Reach is a Health Professions article available to read on EtoBox.

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Human behaviour is responsible for approximately 40% of premature deaths [1]. Changing human behaviours seems to be a difficult task. For instance, the prevalence of overweight individuals and of obesity has increased in almost all countries for which data are available, especially in children and adolescents [2]. In the same vein, adherence to long-term therapies to prevent complications of chronic diseases such as diabetes, hypertension, hyperlipidemia or osteoporosis, is far from being optimal [3]. The aim of this article, based on a trans-theoretical analysis referring to three psychological and philosophical theories, is to show that the very concept of prevention entails features that jeopardize the efficiency of educational programmes used for its implementation. Application of the Construal Level Theory to the problem of educational programmes in chronic diseases ### 1.1. The abstract and long-term objectives of preventive medicine Preventive medicine tackles chronic diseases, often silent, having the abstract shape of an abnormal figure: high rate of HbA1c, LDL-cholesterol, blood pressure levels, T-score of a bone density test; even obesity, which is visible, is described

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Author

Gérard Reach

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0738-3991)

Published

2009

Language

EN

Field

Health Professions (Health Sciences)