The impact of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation

Meng, K.; Musekamp, Gunda; Schüler, Michael; Seekatz, Bettina; Glatz, Johannes; Karger, Gabriele; Kiwus, Ulrich; Knoglinger, Ernst; Schubmann, Rainer; Westphal, Ronja; Faller, Hermann

doi:10.1016/j.pec.2016.02.010

Cited by 52 publications

(48 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although it has been indicated that staff education may impact patient outcomes (train-the-trainer in acute clinical settings) [16], we were not able to detect effects in multifactorial inpatient rehabilitation. Studies examining the direct effect of patient education interventions in medical rehabilitation programs found no systematic effects of the implemented patient education curricula when comparing the intervention and control groups [7][8][9]. Further, in our study, all patients received patient education with "information, motivation, and education" constituting a particular category of therapeutic treatment in the Pension Insurance's KTL classification system [29].…”

Section: Rehabilitation Research and Practicementioning

confidence: 63%

See 1 more Smart Citation

Does a Train-the-Trainer Approach for Enhancing Healthcare Professionals’ Skills in Patient Education during Inpatient Medical Rehabilitation Improve Patient Outcomes?

Ullrich

Inhestern

Wehrmann³

et al. 2020

Rehabilitation Research and Practice

View full text Add to dashboard Cite

This study is aimed at identifying the impact of a team-based train-the-trainer program (TTT-P) to enhance healthcare professional (HCP) skills in patient education during medical rehabilitation. Focusing on patient-reported outcomes, a prospective, sequential two-cohort study was conducted in the fields of psychosomatic and oncological rehabilitation. Two hundred fifteen patients were evaluated before (Cohort 1) and 196 post implementation of TTT-P (Cohort 2). Patients of both cohorts completed validated questionnaires on self-management (heiQ®), general self-efficacy (GSE scale), and quality of life (WHOQOL-Bref) at the beginning, at the end, and at the 6-month follow-up to analyze short-and intermediate-term effects. Analyses were conducted separately for the psychosomatic and oncological setting. Results showed that TTT-P had no impact on patient outcomes in both rehabilitation settings. Patients did report positive outcomes as a result of the whole inpatient rehabilitation programs, though effects at follow-up were mostly small to medium size. Concerning self-management competencies, cancer patients gained less benefit during rehabilitation than psychosomatic patients. In conclusion, TTT-P did not result in measurable improvements at the patient level, likely because of the limited nature of the intervention. However, these populations of rehabilitants took benefit from participating in a multimodal rehabilitation program, of which patient education is one part.

show abstract

Section: Rehabilitation Research and Practicementioning

confidence: 63%

“…Meta-analyses found patient education to be an effective and cost-saving approach [4][5][6]. In the context of medical rehabilitation, effectiveness of standardized patient education programs has been evaluated for various medical conditions, i.e., heart failure, asthma, chronical back pain, or fibromyalgia [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Does a Train-the-Trainer Approach for Enhancing Healthcare Professionals’ Skills in Patient Education during Inpatient Medical Rehabilitation Improve Patient Outcomes?

Ullrich

Inhestern

Wehrmann³

et al. 2020

Rehabilitation Research and Practice

View full text Add to dashboard Cite

show abstract

“…This sample size will also provide the study with 90% power to claim noninferiority in the comparison between the 2 interventions if the true underlying difference between the groups is 0.29 SDs for either the heiQ or GHQ-12. A meta-analysis of Web-based emotional support reported an average effect size of approximately 0.4 across 15 studies [48]; similarly, previous research found modest effect sizes of 0.3-0.5 on the heiQ in self-management interventions in Australian and hospital-based samples [49,50]. The age group and gender of nonparticipants will be compared with that of participants to assess nonconsent bias.…”

Section: Methodsmentioning

confidence: 99%

Protocol for a Randomized Controlled Trial of Proactive Web-Based Versus Telephone-Based Information and Support: Can Electronic Platforms Deliver Effective Care for Lung Cancer Patients?

Paul

Boyes²,

O'Brien³

et al. 2016

JMIR Res Protoc

View full text Add to dashboard Cite

BackgroundCommunity-based services such as telephone support lines can provide valuable informational, emotional, and practical support for cancer patients via telephone- or Web-based (live chat or email) platforms. However, very little rigorous research has examined the efficacy of such services in improving patient outcomes.ObjectiveThis study will determine whether: proactive telephone or Web-delivered support produces outcomes superior to printed information; and Web-delivered support produces outcomes comparable to telephone support.MethodsA consecutive sample of 501 lung cancer outpatients will be recruited from 50 Australian health services to participate in a patient-randomized controlled trial (RCT). Eligible individuals must: be 18 years or older; have received a lung cancer diagnosis (including mesothelioma) within the previous 4 months; have an approximate life expectancy of at least 6 months; and have Internet access. Participants will be randomly allocated to receive: (1) an information booklet, (2) proactive telephone support, or (3) proactive Web support, chat, and/or email. The primary patient outcomes will be measured by the General Health Questionnaire (GHQ-12) and Health Education and Impact Questionnaire (heiQ) at 3 and 6 months post recruitment. The acceptability of proactive recruitment strategies will also be assessed.ResultsIt is hypothesized that participants receiving telephone or Web support will report reduced distress (GHQ-12 scores that are 0.3 standard deviations (SD) lower) and greater self-efficacy (heiQ scores that are 0.3 SDs higher) than participants receiving booklets. Individuals receiving Web support will report heiQ scores within 0.29 SDs of individuals receiving telephone support.ConclusionsIf proven effective, electronic approaches such as live-chat and email have the potential to increase the accessibility and continuity of supportive care delivered by community-based services. This evidence may also inform the redesigning of helpline-style services to be effective and responsive to patient needs.

show abstract

“…Two further open questions inquire positive feedback and suggestions for improvement. Items were taken from Meng et al [37] and slightly adapted to our intervention.…”

Section: Questionnairesmentioning

confidence: 99%

Prevention of post-splenectomy sepsis in patients with asplenia - a study protocol of a controlled trial

et al. 2020

View full text Add to dashboard Cite

Background: Patients with asplenia have a significantly increased lifelong risk of severe invasive infections, particular post-splenectomy sepsis (PSS). Clear preventive measures have been described in the literature, but previous studies found poor implementation of prevention recommendations. Aim of the study is to improve the adherence to guideline-based preventive measures and thereby reduce the incidence of PSS by a novel telephone-delivered intervention that involves both patients and their physicians. Methods: A prospective controlled, two-armed historical control group design is used to evaluate the new intervention compared to usual care. The intervention for patients includes both educational aspects and, building on the Health Action Process Approach (HAPA), intervention components that promote motivation and planning of preventive measures. For physicians the intervention is primarily information-based. The primary outcome, the adherence to preventative measures, is indicated by a study-specific 'Preventing PSS-score' (PrePSS-score), which is assessed at baseline and at 6-months follow-up. Secondary outcomes include, amongst others, patient self-efficacy and action-planning, asplenia-specific health literacy, general self-management and asplenia-specific self-management. In a process-evaluating part of the study interview-data on patients' and physicians' evaluation of the intervention will be gathered. Discussion: This trial will provide evidence about the effectiveness of the novel prevention intervention for asplenic patients. If demonstrated beneficial, the intervention manual will be made publicly available to enable implementation in practice. The experience gained within this trial may also be valuable for prevention strategies in patients with other diseases.

show abstract

The impact of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation

Cited by 52 publications

References 23 publications

Does a Train-the-Trainer Approach for Enhancing Healthcare Professionals’ Skills in Patient Education during Inpatient Medical Rehabilitation Improve Patient Outcomes?

Does a Train-the-Trainer Approach for Enhancing Healthcare Professionals’ Skills in Patient Education during Inpatient Medical Rehabilitation Improve Patient Outcomes?

Protocol for a Randomized Controlled Trial of Proactive Web-Based Versus Telephone-Based Information and Support: Can Electronic Platforms Deliver Effective Care for Lung Cancer Patients?

Prevention of post-splenectomy sepsis in patients with asplenia - a study protocol of a controlled trial

Contact Info

Product

Resources

About