چکیده (انگلیسی):

Background:TheEducation 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:TheEducation 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).