Case-Control Study on Individual and Collective Therapeutic Education for At-Risk Cardiovascular Patients in General Medicine FRESH-PEF8543-en Bernard GAY Case-Control Study on Individual and Collective Therapeutic Education for At-Risk Cardiovascular Patients in General Medicine ETHICCAR FRESH-PEF8543-en 8543 FRESH-PEF8543 Jean-Louis DEMEAUX Bernard GAY INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE (INSERM) UNIVERSITE DE BORDEAUX Epidemiology France Portal (PEF) HAUTE AUTORITE DE SANTE (HAS) SANTE PUBLIQUE FRANCE GROUPEMENT REGIONAL DE SANTE PUBLIQUE null Bernard;GAY therapeutic individual collective profile psychosocial cardiovascular risk nutrition alcohol tobacco physical activity Cardiology and vascular medicine Addiction medicine Essential hypertension Behavioral determinants: Addiction Behavioral determinants: Eating habits Behavioral determinants Socio-demographic and economic determinants To assesses the impact of therapeutic education on reducing the risk and/or cardiovascular morbidity and mortality for hypertensive patients compared to regular follow-up. Secondary objectives: - To describe the development of cardiovascular risk score in the three groups over 5 years: individual education, collective education and control group (regular follow-up); - To compare morbidity and mortality in the 3 groups; - To compare the impact of individual or collective action against standard follow-up; - To compare the results of individual action to collective action; - To analyse the psychosocial profile of respondents to either method; - To identify factors justifying the choice of either method or association; - To describe and compare the quality of life of patients in the 3 groups. null France Nouvelle-Aquitaine Individuals General population Male Female Middle Aged (45 to 64 years) Aged (65 to 79 years) Inclusion criteria: - Men over 50 and women over 60 years old (<75 years old); - Individuals with essential arterial hypertension (systolic pressure ≥140 mmHg, diastolic pressure ≥90 mmHg); - With another risk factor: smoking, diabetes, dyslipidemia (i.e., at least 3 cardiovascular risk factors); - No history of cardiovascular accident (primary prevention). Previous history of cardiovascular accident; - Secondary arterial hypertension; - Type 1 diabetes; - Short-term life-threatening disease; - Social or cultural situation making educational process impossible; - Cannot be monitored for at least two years; - Patient included in another study that could affect treatment (cohort study, therapeutic trial, etc.). Clinical data Participant-reported health data Biological data Health event/morbidity Health event/mortality Health care consumption and services Quality of life/health perception Others Other Through independent healthcare practitioners < 500 individuals Other Observational Study Observational Study Case-control study 188 patients included: 66 in the collective action group, 68 in the individual action group and 54 in the control group. Unknown Restricted access Contact the principal investigator Access on specific project only