title: Perception of therapeutic patient education in heart failure by healthcare providers.
abstract: BACKGROUND
  Care provider support for therapeutic patient education (TPE), its results and relationships with patients are factors in the setting up and sustainability of this practice.
  
  
  OBJECTIVE
  With a view to understanding the factors determining TPE care provider participation and favouring its development, the aim of this study was to describe the perception healthcare providers have of TPE in heart failure.
  
  
  METHODS
  A national survey by self-administered questionnaire was performed in 2013 in 61 Observatoire de l'INsuffisance cardiaque (ODIN; Heart Failure Observatory) centres participating in the I-CARE programme. The cardiologist in charge of each centre received five questionnaires: one for him/herself and four for other healthcare providers working with him/her.
  
  
  RESULTS
  We received 116 responses out of the 305 questionnaires sent (38.0%). Almost all of the responders stated that the patients were more observant after TPE sessions (91.4%). According to the responders, patients were better informed thanks to TPE (53.9%); they stated that TPE had changed their relationships with patients (81.9%); they also felt that they were educating the patient's close family/friends at the same time as the patients (86.2%).
  
  
  CONCLUSIONS
  The survey showed that TPE improves care relationships. Healthcare providers recognize that they have been working differently since the programme was set up, and want the patient's close family/friends to be involved in treatment.
authors.affiliation: University of Lorraine, EA 7299 ETHOS, Faculté de Médecine de Nancy, 9, avenue de la Forêt-de-Haye, 54505 Vandœuvre-lès-Nancy, France; University Paris Descartes, Sorbonne-Paris-City, Laboratory of Medical Ethics, 75006 Paris, France. Electronic address: laure.garbacz@hotmail.fr.
authors.forename: Laure
authors.initials: L
authors.lastname: Garbacz
authors.affiliation: CHU de Nancy, Department of Cardiology, 54000 Nancy, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Juillière
authors.affiliation: Inserm, CHU de Nancy, CIC-EC, 54000 Nancy, France; University of Lorraine, EA 4360 APEMAC, 54505 Vandœuvre-lès-Nancy, France.
authors.forename: François
authors.initials: F
authors.lastname: Alla
authors.affiliation: University Paris Descartes, René-Dubos Hospital, 95300 Pontoise, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Jourdain
authors.affiliation: University of Lorraine, EA 7299 ETHOS, Faculté de Médecine de Nancy, 9, avenue de la Forêt-de-Haye, 54505 Vandœuvre-lès-Nancy, France.
authors.forename: Gaëlle
authors.initials: G
authors.lastname: Guyon
authors.affiliation: University of Lorraine, EA 7299 ETHOS, Faculté de Médecine de Nancy, 9, avenue de la Forêt-de-Haye, 54505 Vandœuvre-lès-Nancy, France.
authors.forename: Henry
authors.initials: H
authors.lastname: Coudane
authors.affiliation: University Paris Descartes, Sorbonne-Paris-City, Laboratory of Medical Ethics, 75006 Paris, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Hervé
authors.affiliation: University of Lorraine, EA 7299 ETHOS, Faculté de Médecine de Nancy, 9, avenue de la Forêt-de-Haye, 54505 Vandœuvre-lès-Nancy, France; Research and Innovation Centre, CHU de Nancy, 54000 Nancy, France.
authors.forename: Frédérique
authors.initials: F
authors.lastname: Claudot
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D005602:France; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008019:Life Style; D010353:Patient Education as Topic; D010358:Patient Participation; D010465:Perception; D010817:Physician-Patient Relations; D011368:Professional-Family Relations; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires
keywords: Care relationship; Heart failure; Insuffisance cardiaque; Pratiques professionnelles; Professional practices; Relation de soin; Therapeutic patient education; Éducation thérapeutique du patient