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Table 1 Training seminar for general practitioners: 2-day workshop

From: Impact of patient education on chronic heart failure in primary care (ETIC): a cluster randomised trial

Module 1: Introduction

Introduction to the concepts of the Education Thérapeutique des patients Insuffisants Cardiaques (ETIC; Therapeutic Education for Patients with Cardiac Failure) trial and patient education

Module 2: Heart failure

Chronic heart failure: definitions; epidemiology; clinical diagnosis; treatment guidelines; echocardiographic criteria; cardiac biomarkers—B-type natriuretic peptide (BNP) and NT-proBNP (how and when to prescribe them)

Clinical symptoms: how to recognise heart failure in daily practice

New York Heart Association (NYHA) stages: definitions; assessment of NYHA stages from case vignettes

Suspicious clinical signs

Adaptation of physical activity as a function of NYHA stage

Module 3: Concepts of patient education

Assessment and building on patients’ existing knowledge

Identification of lifestyle and dietary habits, physical activity, hobbies, leisure activities, projects and resources available to the patient

Assessment of patients’ stage of change, motivation and attitude

Collaboration with the patient to define achievable and measurable objectives

Module 4: Communication

Communication skills

Communication tools

Motivational interviewing

Lifestyle counselling based on the Five As model (ask, assess, advise, assist, and arrange)

Module 5: Role play to simulate a patient consultation with the general practitioner

Identification and use of patients’ knowledge (clinical alarm signs, physical activity, diet and cardiovascular risk factors), values, motivation, projects and resources to involve the patient in their personal objectives

Classification of these personal objectives by therapeutic priority and patient preference

Use of effective communication strategies

Module 6: Case report forms

Inclusion and exclusion criteria

How to promote and present the ETIC trial to patients

How to fill in the case report forms

How to organise the follow-up and topics: educational booklet and educational tools (i.e. dietary leaflets, clinical alarm signs)

  1. General practitioners were trained to deliver a patient education programme during a 2-day interactive workshop (six modules)
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BMC Primary Care

ISSN: 2731-4553

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