Evaluation of a French Hospital Discharge Therapeutic Education Program by Nurses for Heart Failure Patient (EduSor)

NCT07706543 | Not Yet Recruiting

• 2 other identifiers: PHRIP 2024 CHERILLAT2025-A02457-42
• Study Type: interventional
• Target: 412
• Locations: 1 country
• Sites: 3

Brief Summary

Heart failure affects 2.3% of the adult French population. Readmission within 30 days doubles the risk of early death within the following 30 to 60 days, as well as the risk of rehospitalization over the subsequent two years. Incorporating nurse-led discharge education can significantly reduce readmissions for heart failure as well as all-cause readmissions. Drawing on practices from English-speaking countries and Switzerland regarding patient discharge education at hospital, we propose to evaluate a discharge education program in the French hospital setting for patients with heart failure. The objective of this multicenter before-and-after study is to evaluate the impact of a nurse-led discharge education delivered at hospital on the quality of the care pathway for patients with heart failure, assessed 30 days after hospital discharge. The primary outcome is the reduction in 30-day unplanned all-cause hospital readmissions, including emergency department visits. An informal (non-professional) caregiver may also be enrolled in the study if identified by the patient and present during the hospitalization. Patients enrolled before implementation of the discharge education will constitute the control group (standard therapeutic patient education group). They will receive usual hospital care, including educational sessions throughout hospitalization covering the disease, treatments, and self-care, as well as a follow-up consultation with a nurse 30 days after hospital discharge. This usual care is referred to as standard therapeutic patient education and does not include a structured therapeutic patient education intervention at hospital discharge. Patients receiving the discharge education will constitute the intervention group (standard therapeutic patient education with discharge education group). They will receive the same usual care (i.e., standard therapeutic patient education and the 30-day post-discharge nurse follow-up consultation), supplemented by the nurse-led discharge education intervention during their hospitalization. To minimize the risk of contamination (diffusion bias), the control group will be enrolled and complete follow-up before nurses receive training in the discharge education intervention.

Conditions

Heart Failure

Keywords

Heart failure; Discharge education; Nurses; Therapeutic education as topic; Readmission

Outcome Measures

Primary Outcomes (1)

• Unplanned all-cause rehospitalizations, including emergency department visits.

  Rehospitalization is defined as "an unplanned hospital stay of at least one overnight stay"

  At 30 days after hospital discharge

Secondary Outcomes (22)

• Unplanned rehospitalizations, including emergency department visits, for heart failure.

  At 30 days after hospital discharge

• Patient death

  At 30 days after hospital discharge

• Patient satisfaction of the hospital discharge organization

  At 30 days after hospital discharge

• Scheduled rehospitalizations that were not completed.

  At 30 days after hospital discharge

• Number of consultations with the patient's primary care physician.

  At 30 days after hospital discharge

Study Arms (2)

Standard therapeutic patient education group

NO INTERVENTION

Participants in the control group will receive usual care in the cardiology department. The multidisciplinary usual care involves both medical professionals (including cardiologists and pharmacists) and allied health professionals (including advanced practice nurses, registered nurses, dietitians, and physical activity specialists). Usual care is integrated into the heart failure care pathway, ensuring continuity between community-based and hospital care, hospitalization, and ongoing management at home. During hospitalization, participants will receive standard therapeutic patient education as well as a routine nurse-led follow-up consultation 30 days after hospital discharge. Patients will also receive the standard discharge documents, together with the usual information and advice provided at discharge.

Discharge education group

EXPERIMENTAL

Participants will receive usual care (as described for the control group), supplemented by a structured discharge education intervention delivered by research nurses trained in therapeutic patient education.

Behavioral: Nurse-led discharge education

Interventions

Nurse-led discharge education BEHAVIORAL

The intervention includes : 1. An initial educational assessment (≈1 h) on the day after enrollment to identify individualized learning needs for discharge and assess key self-management and safety competencies ; 2. An interactive discharge education session (≈1 h) within 24 hours before discharge, using the teach-back method to reinforce warning signs, medication, self-care, follow-up, and healthcare contacts ; 3. A nurse-led follow-up telephone call 7 (±3) days after discharge (15-30 min) to assess competencies and reinforce learning if needed ; 4. A final educational assessment (≈1 h) during the routine 30-day (±7 days) follow-up consultation. Informal caregivers will be invited to participate whenever possible.

Discharge education group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient aged 18 years old or more,
• Fluent in spoken and written French,
• Willing to participate in the study,
• Hospitalized for heart failure in one of the participating centers for at least 2 days,
• Affiliated with a French social security scheme
• Discharged either to home or transferred to a Medical and Rehabilitation Care unit.

You may not qualify if:

• Hospitalized for a reason other than heart failure,
• Previously included in the study during a prior hospitalization,
• Presenting with identified cognitive impairment,
• In a situation deemed inappropriate by the care team (end of life),
• Living in an institutional setting,
• Pregnant women,
• Breastfeeding women,
• Under legal protective measures,
• Enrolled in another interventional research study that may interfere with the results of the present study, according to the investigator's judgment.

Sponsors & Collaborators

• University Hospital, Clermont-Ferrand: lead

Study Sites (3)

CHU Clermont-Ferrand

Clermont-Ferrand, France

Location

CHU Poitiers

Poitiers, France

Location

CH Vichy

Vichy, France

Location

Related Publications (19)

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Related Links

• Related Info

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Study Officials

• Marie Sophie CHERILLAT

  University Hospital, Clermont-Ferrand

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Lise Laclautre

CONTACT

0473754963; promo_interne_drci@chu-clermontferrand.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Patients enrolled before implementation of the discharge education will constitute the control group (standard therapeutic patient education group). They will receive usual hospital care, including educational sessions throughout hospitalization covering the disease, treatments, and self-care, as well as a follow-up consultation with a nurse 30 days after hospital discharge. This usual care is referred to as standard therapeutic patient education and does not include a structured therapeutic patient education intervention at hospital discharge. Participants in the control and intervention groups will be enrolled during two separate study periods, with training of the research nurses in discharge discharge taking place between the two enrollment periods.

Study Record Dates

• First Submitted: July 10, 2026
• First Posted: July 15, 2026
• Study Start (Estimated): September 1, 2026
• Primary Completion (Estimated): April 1, 2028
• Study Completion (Estimated): April 1, 2028
• Last Updated: July 15, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

FR (3)