Hypertension identification via emergency responders: A randomized controlled intervention study

Meischke, Hendrika; Ike, Brooke; Fahrenbruch, Carol; Kuniyuki, Alan; Hannon, Peggy A.; Parks, Malcolm R.; Forehand, Mark R.; Weaver, Marcia R.; Harris, Jeffrey R.

doi:10.1016/j.ypmed.2013.05.010

Cited by 2 publications

(2 citation statements)

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“…Previous research shows that EMS-delivered chronic disease education can affect knowledge and behavior (11,12,16), but monetary costs of such interventions are high. Our study shows that a brief at-scene intervention in combination with patient materials is feasible.…”

Section: Discussionmentioning

confidence: 99%

“…Research shows that patient education materials alone can affect knowledge of chronic disease (10) and effect behavior change, particularly if these materials are part of an interpersonal intervention (11,12). In one study, EMS providers engaged older adults in a brief interpersonal intervention regarding heart attack symptoms during a nonemergency home visit and provided them with patient education materials.…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated With the Adoption of a Patient Education Intervention Among First Responders, King County, Washington, 2010–2011

Meischke¹,

Stubbs²,

Fahrenbruch³

et al. 2014

Prev. Chronic Dis.

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IntroductionThis study investigated facilitators and barriers to adoption of an at-scene patient education program by firefighter emergency medical technicians (EMTs) in King County, Washington.MethodsWe consulted providers of emergency medical services (EMS) to develop a patient education pamphlet in the form of a tear-off sheet that could be attached to the EMT medical incident report. The pamphlet included resources for at-scene patient education on high blood pressure, blood glucose, falls, and social services. The program was launched in 29 fire departments in King County, Washington, on January 1, 2010, and a formal evaluation was conducted in late 2011. We developed a survey based on diffusion theory to assess 1) awareness of the pamphlet, 2) evaluation of the pamphlet attributes, 3) encouragement by peers and superiors for handing out the pamphlet, 4) perceived behavioral norms, and 5) demographic variables associated with self-reported adoption of the at-scene patient education program. The survey was completed by 822 (40.1%) of 2,047 firefighter emergency medical technicians. We conducted bivariate and multivariable analyses to assess associations between independent variables and self-reported adoption of the program.ResultsAdoption of the at-scene patient education intervention was significantly associated with positive evaluation of the pamphlet, encouragement from peers and superiors, and perceived behavioral norms. EMS providers reported they were most likely to hand out the pamphlet to patients in private residences who were treated and left at the scene.ConclusionAttributes of chronic disease prevention programs and encouragement from peers and supervisors are necessary in diffusion of patient education interventions in the prehospital care setting.

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Section: Discussionmentioning

confidence: 99%