Effect of Therapeutic Education on Adherence and Quality of Life in Heart Failure

Background: Heart failure is associated with poor treatment adherence and impaired quality of life. Therapeutic patient education (TPE) has demonstrated benefits in Western countries but remains poorly evaluated in sub-Saharan Africa. Objective: To assess the effect of a structured therapeutic education program on treatment adherence and quality of life in patients with chronic heart failure at the University Hospital of Brazzaville. Methods: This was a prospective cohort study conducted from February to August 2020. Patients hospitalized for chronic heart failure were assigned to an educated group (n = 51) receiving a structured five-session therapeutic patient education program or to a non-educated control group (n = 87) receiving usual care. Outcomes were assessed at three months using the Girerd adherence test, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the DERIC knowledge questionnaire. Results: At three-month follow-up, good adherence was observed in 65.3% of educated patients versus 16.9% of controls (p Conclusion: Therapeutic patient education was associated with significant improvements in treatment adherence, quality of life, disease knowledge, and short-term clinical outcomes in patients with heart failure in a sub-Saharan African setting.