Therapeutic education unit for heart failure: setting-up and difficulties. Initial evaluation of the I-CARE programme.

Full Abstract

BACKGROUND: Education programmes are required in chronic diseases. The insuffisance cardiaque : éducation thérapeutique (I-CARE) programme was developed in France to promote the setting-up of therapeutic education units for chronic heart failure. AIM: To evaluate the setting-up of such units, assessing the influence of training on the creation and organization of the unit, the problems encountered and the contribution of the dedicated educational tools. METHODS: We submitted a questionnaire to the first 136 trained centres. The questionnaire was divided into two sections: one section dealing with educational practices and the other with the advantages and disadvantages of the tools provided. RESULTS: The participation rate reached 69.1%. Seventy-four centres (78.7%) declared themselves to be active in therapeutic education. Unit educational activities determined an educational diagnosis (89.2% of the centres) and provided education by means of collective workshops (73.0%) or one-to-one teaching sessions (75.7%). A complete education programme for a patient consisted of a median of four sessions (25th-75th percentile, 2-5 sessions) and lasted for a median of 6 h (25th-75th percentile, 4-10 h). The education team was multidisciplinary and usually included a nurse (93.2%), a dietician (78.4%), a cardiologist (71.6%) and a physiotherapist (40.5%). Heart failure educational tools were used only in part in most centres (89.2%). All advantages and disadvantages were recorded. CONCLUSION: This first evaluation of the setting-up of therapeutic education units in the I-CARE programme has yielded promising results, despite expected difficulties. The effects of therapeutic education on the behaviour of heart failure patients remain to be determined.

Author information

Author/s: Juillière, Yves (Y); Jourdain, Patrick (P); Roncalli, Jérome (J); Boireau, Amélie (A); Guibert, Hélène (H); Lambert, Hélène (H); Spinazze, Laure (L); Jondeau, Guillaume (G); Sonnier, Pierre (P); Rouanne, Céline (C); Bidet, Angélique (A); Sandrin-Berthon, Brigitte (B); Trochu, Jean-Nöel (JN); I-CARE participants of the Working Group on Heart Failure of the French Society of Cardiology;

Affiliation: Department of Cardiology, CHU de Nancy-Brabois, allée du Morvan, 54500 Vandoeuvre-les-Nancy, France. y.juilliere(-atsign-)chu-nancy.fr

Journal and publication information

Publication Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't

Journal: Archives of cardiovascular diseases (Arch Cardiovasc Dis), published in Netherlands. (Language: eng)

Reference: 2009-Jan; vol 102 (issue 1) : pp 19-27

Dates: Created 2009/02/23; Completed 2009/04/30; Revised 2009/06/08;

PMID: 19233106, status: MEDLINE (last retrieval date: 6/8/2009, IMS Date: 08 Jun 2009 00:00:00)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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