Communicating with our patients for shared decision making

Otto, Catherine M

doi:10.1136/heartjnl-2018-313114

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Apart from that, we have scarcity of objective published data from patients' point of view as well as insufficient directions on how to successfully include patient in decision making process. 11 Current clinical practice guidelines suggested that patients having acute coronary syndrome (ACS) should be treated with invasive strategy. Invasive strategy includes two options; coronary artery bypass grafting (CABG) surgery and percutaneous coronary intervention (PCI).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Acute Coronary Syndrome Patients’ Knowledge Regarding Treatment Options for Revascularization After Coronary Angiography

Ali,

Solangi,

Shah

et al. 2022

Pak Heart J

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Objectives: The objective of this study was to assess the knowledge of acute coronary syndrome (ACS) patients regarding revascularization procedure following coronary angiography at a tertiary care cardiac center of Karachi, Pakistan. Methodology: This descriptive cross-sectional study included newly diagnosed adult patients of ACS admitted to the inpatients department. However, patients with the diagnosis of ST-segment elevation myocardial infarction (STEMI) undergone primary PCI were excluded. Patients’ knowledge level was assessed by interviewing patients with questionnaire consisted of a total of 10 multiple choice questions. Patients’ response against each of the question was verified by the patient’s hospital record file and categorized as correct or incorrect. Patients with ≥70% correct responses (7 out of 10) were categorized to have had sufficient knowledge about revascularization. Results: A total of 130 patients were included with mean age of patients was 57.42±18.43 years and majority of patients, 86.2%(112), were males. Sufficient knowledge regarding revascularization procedure was observed in only 37.7%(49) patients. Male patients had significantly higher frequency of sufficient knowledge than female patients (40.2%(45/112) vs. 22.2%(4/18); p<0.001). Similarly, knowledge level was significantly higher among urban resident than rural residents with frequency of 41.1%(39/95) vs. 28.6%(10/35); p=0.009. Likewise educational status (p<0.030) and age of the patients (p=0.003) were also found to be a significant factors associated with sufficient knowledge. Conclusion: Majority of patients had insufficient knowledge regarding acute coronary syndrome and its revascularization options among ACS patients. It is the need of hour to define strategies to so educate and counsel these patients properly.

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Section: Introductionmentioning

confidence: 99%

Assessment of Acute Coronary Syndrome Patients’ Knowledge Regarding Treatment Options for Revascularization After Coronary Angiography

Ali,

Solangi,

Shah

et al. 2022

Pak Heart J

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“…Improvements have been made regarding patient information and education through extensive written information, informational videos, or digitalized "how does it look" visual models [5][6][7][8]. Attempts at improving education in patients following myocardial infarction are scarce and have mainly focused on care processes and anatomical knowledge [9][10][11]. With rapid development of new technologies such as virtual reality [12] or more recent mixed reality modalities [3], patient information and education approaches have also been changing [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Perspectives of Patients and Professionals on Information and Education After Myocardial Infarction With Insight for Mixed Reality Implementation: Cross-Sectional Interview Study (Preprint)

Hilt¹,

Kapllani²,

Hierck³

et al. 2019

Preprint

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BACKGROUND Patient education is crucial in the secondary prevention of cardiovascular disease. Novel technologies such as augmented reality or mixed reality expand the possibilities for providing visual support in this process. Mixed reality creates interactive digital three-dimensional (3D) projections overlaying virtual objects on the real-world environment. While augmented reality only overlays objects, mixed reality not just overlays but anchors virtual objects to the real world. However, research on this technology in the patient domain is scarce. OBJECTIVE The aim of this study was to understand how patients perceive information provided after myocardial infarction and examine if mixed reality can be supportive in this process. METHODS In total, 12 patients that experienced myocardial infarction and 6 health care professionals were enrolled in the study. Clinical, demographic, and qualitative data were obtained through semistructured interviews, with a main focus on patient experiences within the hospital and the knowledge they gained about their disease. These data were then used to map a susceptible timeframe to identify how mixed reality can contribute to patient information and education. RESULTS Knowledge transfer after myocardial infarction was perceived by patients as too extensive, not personal, and inconsistent. Notably, knowledge on anatomy and medication was minimal and was not recognized as crucial by patients, whereas professionals stated the opposite. Patient journey analysis indicated the following four critical phases of knowledge transfer: at hospital discharge, at the first outpatient visit, during rehabilitation, and during all follow-up outpatient visits. Important patient goals were understanding the event in relation to daily life and its implications on resuming daily life. During follow-up, understanding physical limitations and coping with the condition and medication side effects in daily life emerged as the most important patient goals. The professionals’ goals were to improve recovery, enhance medication adherence, and offer coping support. CONCLUSIONS There is a remarkable difference between patients’ and professionals’ goals regarding information and education after myocardial infarction. Mixed reality may be a practical tool to unite perspectives of patients and professionals on the disease in a more even manner, and thus optimize knowledge transfer after myocardial infarction. Improving medication knowledge seems to be a feasible target for mixed reality. However, further research is needed to create durable methods for education on medication through mixed reality interventions.

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Perspectives of Patients and Professionals on Information and Education After Myocardial Infarction With Insight for Mixed Reality Implementation: Cross-Sectional Interview Study

Hilt¹,

Kapllani²,

Hierck³

et al. 2020

JMIR Hum Factors

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Background Patient education is crucial in the secondary prevention of cardiovascular disease. Novel technologies such as augmented reality or mixed reality expand the possibilities for providing visual support in this process. Mixed reality creates interactive digital three-dimensional (3D) projections overlaying virtual objects on the real-world environment. While augmented reality only overlays objects, mixed reality not just overlays but anchors virtual objects to the real world. However, research on this technology in the patient domain is scarce. Objective The aim of this study was to understand how patients perceive information provided after myocardial infarction and examine if mixed reality can be supportive in this process. Methods In total, 12 patients that experienced myocardial infarction and 6 health care professionals were enrolled in the study. Clinical, demographic, and qualitative data were obtained through semistructured interviews, with a main focus on patient experiences within the hospital and the knowledge they gained about their disease. These data were then used to map a susceptible timeframe to identify how mixed reality can contribute to patient information and education. Results Knowledge transfer after myocardial infarction was perceived by patients as too extensive, not personal, and inconsistent. Notably, knowledge on anatomy and medication was minimal and was not recognized as crucial by patients, whereas professionals stated the opposite. Patient journey analysis indicated the following four critical phases of knowledge transfer: at hospital discharge, at the first outpatient visit, during rehabilitation, and during all follow-up outpatient visits. Important patient goals were understanding the event in relation to daily life and its implications on resuming daily life. During follow-up, understanding physical limitations and coping with the condition and medication side effects in daily life emerged as the most important patient goals. The professionals’ goals were to improve recovery, enhance medication adherence, and offer coping support. Conclusions There is a remarkable difference between patients’ and professionals’ goals regarding information and education after myocardial infarction. Mixed reality may be a practical tool to unite perspectives of patients and professionals on the disease in a more even manner, and thus optimize knowledge transfer after myocardial infarction. Improving medication knowledge seems to be a feasible target for mixed reality. However, further research is needed to create durable methods for education on medication through mixed reality interventions.

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Communicating with our patients for shared decision making

Cited by 3 publications

References 9 publications

Assessment of Acute Coronary Syndrome Patients’ Knowledge Regarding Treatment Options for Revascularization After Coronary Angiography

Assessment of Acute Coronary Syndrome Patients’ Knowledge Regarding Treatment Options for Revascularization After Coronary Angiography

Perspectives of Patients and Professionals on Information and Education After Myocardial Infarction With Insight for Mixed Reality Implementation: Cross-Sectional Interview Study (Preprint)

Perspectives of Patients and Professionals on Information and Education After Myocardial Infarction With Insight for Mixed Reality Implementation: Cross-Sectional Interview Study

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