Creation of standardized tools for therapeutic education specifically dedicated to chronic heart failure patients: The French I-CARE project

Juillière, Yves; Trochu, Jean Noël; Jourdain, Patrick; Roncalli, Jérôme; Gravoueille, E.; Guibert, H L; Lambert, Hélène; Spinazze, Laure; Tallec, Nadine; Beauvais, Florence; Ertzinger, Cornélie; Jondeau, Guillaume

doi:10.1016/j.ijcard.2005.11.067

Cited by 28 publications

(13 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We took advantage of the ‘I-care tool’ during ambulatory visits. 17 This consultation was repeated five or six times per year during face-to-face visits. If needed, patients were able to telephone the clinic and take advice from a care giver, usually a nurse.…”

Section: Methodsmentioning

confidence: 99%

Automated home telephone self-monitoring reduces hospitalization in patients with advanced heart failure

Kurtz

Pouchin

et al. 2011

J Telemed Telecare

View full text Add to dashboard Cite

We studied 138 patients admitted for heart failure (HF). Patients were allocated one of three treatment strategies. Group 1 (G1, n = 50) were given usual care for HF, Group 2 (G2, n = 56) received a multi-disciplinary team approach, while Group 3 (G3, n = 32) had home telephone self-monitoring. Telemonitoring was based on the answers to three simple queries about bodyweight change, dyspnoea and general health. The system stratified the HF severity of each patient once a week, and recommended a prompt medical appointment or simple follow-up. Over a 12-month follow-up period, there were 43 adverse events (cardiovascular deaths and rehospitalizations for HF: G1 = 22, G2 = 14, G3 = 7). There was no difference between G2 and G3 (P = 0.78) but there was significant disadvantage with usual care (P = 0.02 vs. G2 and P = 0.04 vs. G3). Time to re-admission for HF increased in G2 and G3 compared to G1 (188 and 198 days vs. 95 days, P = 0.03 and P = 0.02 respectively). Automated home telephone self-monitoring reduced rehospitalization in patients with advanced HF.

show abstract

Section: Methodsmentioning

confidence: 99%

Automated home telephone self-monitoring reduces hospitalization in patients with advanced heart failure

Kurtz

Pouchin

et al. 2011

J Telemed Telecare

View full text Add to dashboard Cite

show abstract

“…The centres taking part in this survey may also have been more aware of heart failure and may have had better systems in place to manage it. Implementation of advice using modern technology [21] may be more effective.…”

Section: Limitationsmentioning

confidence: 99%

Recall of lifestyle advice in patients recently hospitalised with heart failure: A EuroHeart Failure Survey analysis

Lainščak

Cleland

Lenzen³

et al. 2007

European J of Heart Fail

View full text Add to dashboard Cite

Background: There are limited data on recall and implementation of lifestyle advice in patients with heart failure (HF). Aim: To investigate what advice patients with HF recall being given, and whether they report following the advice they remember. Methods and results: 3261 patients with suspected HF participating in the EuroHeart Failure Survey were interviewed by a health professional 12 weeks after hospital discharge. Patients recalled receiving 46% of pre-specified items of advice and 67% reported that they followed these completely. Both recall (53%) and implementation (71%) was best in patients with left ventricular systolic dysfunction (LVSD). In multivariate analysis, younger age, male sex, patient awareness of the condition and patients reporting that they received a clear explanation of the diagnosis by a health professional, all factors associated with having LVSD, were the strongest predictors of recall. Conclusions: Recall of and adherence to advice by patients with HF in this large European cross-sectional survey was disappointing. Responsibility for patient education lies with health professionals who should ensure that patients receive and understand advice, and are able to recall and follow it. A greater awareness of the issues surrounding lifestyle advice and more evidence supporting its value could improve patient care.

show abstract

“…4,5 The complexity of the treatment regimens and the importance of following it carefully have galvanized nurses to prepare standardized educational materials. 6 Nurses typically devote hours talking to patients with HF and their loved ones about the meaning of HF, the reason for each medication prescribed, the importance of following a low-salt diet, and more. An assumption underlying these educational endeavors is that knowledge will be sufficient to improve behavior and thereby clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Are we teaching what patients need to know? Building skills in heart failure self-care

2009

View full text Add to dashboard Cite

Creation of standardized tools for therapeutic education specifically dedicated to chronic heart failure patients: The French I-CARE project

Cited by 28 publications

References 38 publications

Automated home telephone self-monitoring reduces hospitalization in patients with advanced heart failure

Automated home telephone self-monitoring reduces hospitalization in patients with advanced heart failure

Recall of lifestyle advice in patients recently hospitalised with heart failure: A EuroHeart Failure Survey analysis

Are we teaching what patients need to know? Building skills in heart failure self-care

Contact Info

Product

Resources

About