Skip to Main content Skip to Navigation
Journal articles

Impact of patient education on chronic heart failure in primary care (ETIC): a cluster randomised trial

Abstract : BACKGROUND: The Education Thérapeutique des patients Insuffisants Cardiaques (ETIC; Therapeutic Education for Patients with Cardiac Failure) trial aimed to determine whether a pragmatic education intervention in general practice could improve the quality of life of patients with chronic heart failure (CHF) compared with routine care. RESULTS: This cluster randomised controlled clinical trial included 241 patients with CHF attending 54 general practitioners (GPs) in France and involved 19 months of follow-up. The GPs in the Intervention Group were trained during a 2-day interactive workshop to provide a patient education programme. The mean age of the patients was 74 years (±10.5), 62 % were men and their mean left-ventricular ejection fraction was 49.3 % (± 14.3). At the end of the follow-up period, the mean Minnesota Living with Heart Failure Questionnaire scores in the Intervention and Control Groups were 33.4 (± 22.1) versus 27.2 (± 23.3; P = 0.74, intra-cluster coefficient [ICC] = 0.11). At the end of the follow-up period, the 36-Item Short Form Health Survey (mental health and physical health) scores in the Intervention and Control Groups were 58 (± 22.1) versus 58.7 (± 23.9; P = 0.58, ICC = 0.01) and 52.8 (± 23.8) versus 51.6 (± 25.5; P = 0.57, ICC = 0.01), respectively. CONCLUSIONS: Patient education delivered by GPs to elderly patients with stable heart failure in the ETIC programme did not achieve an improvement in their quality of life compared with routine care. Further research on improving the quality of life and clinical outcomes of elderly patients with CHF in primary care is necessary. TRIAL REGISTRATION: The Education Thérapeutique des patients Insuffisants Cardiaques (ETIC; Therapeutic Education for Patients with Cardiac Failure) trial is a cluster randomised controlled trial registered with ClinicalTrials.gov ( REGISTRATION NUMBER: NCT01065142 ) and the French Drug Agency (Agence Nationale de Sécurité du Médicament et des Produits de Santé; REGISTRATION NUMBER: 2009-A01142-55).
Complete list of metadata

Cited literature [38 references]  Display  Hide  Download

https://hal.uca.fr/hal-01887015
Contributor : Alexine Vignal <>
Submitted on : Thursday, October 11, 2018 - 10:07:02 AM
Last modification on : Tuesday, February 23, 2021 - 2:30:06 PM
Long-term archiving on: : Saturday, January 12, 2019 - 1:09:52 PM

File

s12875-016-0473-4.pdf
Publisher files allowed on an open archive

Identifiers

Citation

Hélène Vaillant-Roussel, Catherine Laporte, Bruno Pereira, Marion de Rosa, Benedicte Eschalier, et al.. Impact of patient education on chronic heart failure in primary care (ETIC): a cluster randomised trial. BMC Family Practice, BioMed Central, 2016, 17 (1), pp.80. ⟨10.1186/s12875-016-0473-4⟩. ⟨hal-01887015⟩

Share

Metrics

Record views

348

Files downloads

557