Platform Therapeutic Education in Heart Failure and Coronary Disease

Study Overview
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Brief Summary
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A first therapeutic education is given before patient's discharge at the hospital, then a dedicated nurse follows patients through the phone,regularly according to patients' needs, continues to give advise on risk factors, information on medication and alert symptoms and therapeutic education.

Detailed Description
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Patients are assigned to an arm accordingly to their needs: class 1 with light therapeutic education, class 2 with moderate education, class 3 with heavy education. Assignement is based on the first education diagnosis during hospitalization time. Quality of life and patient's knowledge are regularly evaluated through questionnaires

Official Title
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Telephonic Platform of Follow up, Therapeutical Education and Coordination in Secondary Prevention in Patients With Heart Failure and Coronary Disease

Conditions
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Heart Failure, Acute Coronary Syndrome, Coronary Bypass Graft Stenosis of Native Artery Graft

Intervention / Treatment
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* Behavioral: therapeutic education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: hospitalization for acute coronary syndrome (ST-segment elevation myocardial infarction ,no ST-segment elevation myocardial infarction ST , unstable angina) hospitalization for heart failure acute coronary syndrome < 3 months heart failure < 3 months coronary by-pass surgery < 3 months Exclusion Criteria: complicated acute coronary syndrome (ventricular arrhythmia, heart failure, mechanical complications, cardiogenic shock) valvular cardiac pathology obstructive cardiomyopathy planned cardiac transplantation severe neurological or psychiatric troubles loss of autonomy other (refusal, language, nursing house, way of life not compatible with follow up, refusal of telephonic contacts)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: therapeutic education class 1<br>patients in class 1 will have a follow up call with therapeutic education every 3 months. this is the light follow up. | Behavioral: therapeutic education<br>* knowledge of disease, risk factors, diet, medication, alert symptoms<br>|
| Other: therapeutic education class 2<br>patients in class 2 will have a follow up call with therapeutic education every month. this is the moderate follow up | Behavioral: therapeutic education<br>* knowledge of disease, risk factors, diet, medication, alert symptoms<br>|
| Other: therapeutic education class 3<br>patients in class 3 will have a follow up call with therapeutic education twice a month. this is the heavy follow up. | Behavioral: therapeutic education<br>* knowledge of disease, risk factors, diet, medication, alert symptoms<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of patient with a better of quality of life | quality of life is evaluated with appropriate questionnaires | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of patients who improve their knowledge of disease | Knowledge of disease includes risk factors, symptoms, medication, diet. It is evaluated with appropriate questionnaires. | 1 year | 
| number of hospitalizations during the follow up | hospitalizations are recorded during the year of follow up, with cause and duration. | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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education, risk factors, quality of life, coronary disease, telephone follow up, dedicated nurse