title: Role of patient education in the perception and acceptance of home monitoring after recent implantation of cardioverter defibrillators: the EDUCAT study.
abstract: BACKGROUND
  Much attention is being paid to the education of and provision of medical information to patients, to optimize their understanding and acceptance of their disease.
  
  
  OBJECTIVE
  To ascertain the impact of educating recent recipients of an implantable cardioverter defibrillator (ICD) on their perception and acceptance of a home monitoring (HM) system.
  
  
  METHODS
  Questionnaire 1, completed one month after ICD implantation, was designed to assess: the quality of patient preparation for HM; patient comprehension of HM; and patient anxiety experienced during its installation. The comprehension questions were assigned a score of -2 for an incorrect answer, +1 for a correct answer and 0 for neither (total score ranging from -40 to +20). Questionnaire 2, completed six months after ICD implantation, assessed patient acceptance of and anxiety about HM.
  
  
  RESULTS
  The registry included 571 patients (mean age 63.9±12.8 years; 83% men; 76% of ICDs implanted for primary prevention) followed by HM for 6.2±1.2 months. Questionnaire 1 was completed by 430 (75.3%) patients and questionnaire 2 by 398 (69.7%) patients. Younger patients had a better comprehension of HM than older patients. High-quality training conditions improved the comprehension score, and a positive association was observed between anxiety and acceptance levels and the comprehension score. The 80±20% mean data transmission rate (days of transmission/days of follow-up ratio) was unrelated to the comprehension scores.
  
  
  CONCLUSIONS
  A clear understanding was associated with a higher acceptance of HM, although it was unrelated to the data transmission rate.
authors.affiliation: Service de rythmologie et d'insuffisance cardiaque, centre hospitalier universitaire Le Bocage, 2, boulevard de Lattre-Tassigny, BP 77908, 21079 Dijon cedex, France. Electronic address: gabriel.laurent@chu-dijon.fr.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Laurent
authors.affiliation: Centre hospitalier intercommunal de Montfermeil, Montfermeil, France.
authors.forename: Walid
authors.initials: W
authors.lastname: Amara
authors.affiliation: Hôpital de la Cavale-Blanche, Brest, France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Mansourati
authors.affiliation: Centre hospitalier régional Orléans-La-Source, Orléans, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Bizeau
authors.affiliation: Clinique cardiologique d'Aressy, Aressy, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Couderc
authors.affiliation: Centre hospitalier de Pau, Pau, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Delarche
authors.affiliation: Clinique Saint-Augustin, Bordeaux, France.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Garrigue
authors.affiliation: Centre hospitalier Saint-Philibert, Lomme, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Guyomar
authors.affiliation: Centre hospitalier universitaire d'Amiens, Amiens, France.
authors.forename: Jean-Sylvain
authors.initials: JS
authors.lastname: Hermida
authors.affiliation: Hôpital privé d'Antony, Antony, France.
authors.forename: Cyrus
authors.initials: C
authors.lastname: Moïni
authors.affiliation: Centre hospitalier Jacques-Monod, Le Havre, France.
authors.forename: Elena
authors.initials: E
authors.lastname: Popescu
mesh_terms: D001145:Arrhythmias, Cardiac / Q000523:psychology / Q000628:therapy*; D017147:Defibrillators, Implantable / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods*; D010353:Patient Education as Topic; D010465:Perception; D012189:Retrospective Studies; D011795:Surveys and Questionnaires
keywords: Acceptation du traitement; Défibrillateur automatique implantable; Implantable cardioverter defibrillator; Patient education; Remote monitoring; Suivi à distance; Telecardiology; Treatment acceptance; Télécardiologie; Éducation du patient