Barriers and Facilitators to Psychosocial Management in Cardiac Rehabilitation at the South Francilien Hospital Center (CHSF) (PSYRCV)

The goal of this observational study is to describe the barriers to psychosocial management in cardiac rehabilitation patients at the south francilien hospital center (CHSF) and understand how to improve it, in order to facilitate their return to work.

The main questions it aims to answer are :

• What are the perceived barriers to psychosocial management among the male and female cardiac rehabilitation patients at the CHSF ?
• What are the perceived barriers to psychosocial management among the medical, paramedical and administrative staff members of the cardiac rehabilitation service at the CHSF ?

Study Overview

• Status: Not yet recruiting
• Conditions: Cardiac Rehabilitation
• Intervention / Treatment: Other: Self administered questionnaire of cardiac rehabilitation patients; Other: Self administered questionnaire of cardiac rehabilitation staff members; Other: Self administered questionnaire of occupational health physicians

Detailed Description

Cardiac rehabilitation is recommended for patients with acute or chronic cardiovascular disease in accordance with national and international guidelines.

The World Health Organization (WHO) defines cardiac rehabilitation as "the sum of activity and interventions required to ensure the best possible physical, mental, and social conditions so that patients with chronic or post-acute cardiovascular disease may, by their own efforts, preserve or resume their proper place in society and lead an active life".

In France, the clinical practice guidelines issued by the French National Authority for Health (HAS) and the French Society of Cardiology emphasize the need for a multidisciplinary approach to cardiac rehabilitation, integrating psychosocial support and preparation for return to work, in addition to exercise training, cardiovascular risk factor management, optimization of pharmacological treatment, screening for comorbidities, therapeutic and dietary education.

According to experts, improving patients' working conditions and preparing their return to work before actual work resumption constitute major components of psychosocial care.

Such interventions can be facilitated through occupational health services, including workplace assessments and adjustments to job tasks or working hours.

Although psychosocial care is recognized as an essential component of both cardiac rehabilitation and successful return to work, its implementation within rehabilitation programs remains insufficient in practice.

• Study Type: Observational
• Enrollment (Estimated): 20

Contacts and Locations

• Study Contact: Name: François KOUKOUI, MD; Phone Number: 33 1 01 61 69 80 86; Email: francois.koukoui@chsf.fr
• Study Contact Backup: Name: Caroline TOURTE; Phone Number: 33 1 01 61 69 31 50; Email: caroline.tourte@chsf.fr

Study Locations

• France
  • France
    • Corbeil-Essonnes, France, France, 91100
      • Centre Hospitalier Sud Francilien

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Patients admitted to the cardiac rehabilitation service at the south francilien hospital center

Description

Inclusion Criteria:

• Male and female, legally adult patients, participating in a cardiac rehabilitation program in day hospital at the CHSF
• Active in the workforce
• Planning to return to work
• Patients informed of the study and who did not object to it

Exclusion Criteria:

• Patient under legal guardianship
• Presence of cognitive impairments
• Patients who do not speak nor understand French.

Study Plan

How is the study designed?

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Patients; Patients with cardiovascular disease participating in a cardiac rehabilitation program at the CHSF	Other: Self administered questionnaire of cardiac rehabilitation patients; The staff members will be asked about : Their sociodemographic profile; Their professional profile; Perceived barriers to psychological support; Perceived barriers to referral to occupational health services.
Cardiac rehabilitation staff members; medical, paramedical and administrative staff members of the cardiac rehabilitation service at the CHSF	Other: Self administered questionnaire of cardiac rehabilitation staff members; Intervention Description : The patients will be asked about : Their sociodemographic profile (age, gender, family status); Their professional profile; Their current hospitalisation (reason for hospitalisation, and screening for symptoms of anxiety and depression); Perceived barriers to psychological support; Perceived barriers to using occupational health services
Occupational health physicians; A group of ccupational health physicians practicing in the Ile-de-France region, and members of an email distribution list.	Other: Self administered questionnaire of occupational health physicians; Occupational health physicians will be asked about their practices concerning employees returning to work after cardiac rehabilitation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Perceived barriers to psychosocial management	likert scale	at day 0

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Anxiety (GAD-7 score scale)	Minimal, mild, moderate, severe	at day 0
Depression (PHQ9 score scale)	Minimal, mild, moderate, severe	at day 0
Practices concerning employees returning to work after cardiac rehabilitation	likert scale	at day 0

Collaborators and Investigators

• Sponsor: Centre Hospitalier Sud Francilien
• Investigators: Principal Investigator: François KOUKOUI, MD, Centre Hospitalier Sud Francilien

Study record dates

Study Major Dates

• Study Start (Estimated): September 1, 2026
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026

Study Registration Dates

• First Submitted: June 11, 2026
• First Submitted That Met QC Criteria: June 11, 2026
• First Posted (Actual): June 16, 2026

Study Record Updates

• Last Update Posted (Actual): June 16, 2026
• Last Update Submitted That Met QC Criteria: June 11, 2026
• Last Verified: June 1, 2026

More Information

Terms related to this study

• Keywords: Occupational health; Psychosocial intervention; cardiac rehabilitation; Return to work
• Other Study ID Numbers: 2026-A01210-51

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No