Implementing evidence‐based patient and family education on oral anticoagulation therapy: a community‐based participatory project

Shaha, Maya; Wüthrich, Erika; Stauffer, Yvonne; Herczeg, Franziska; Fattinger, Karin; Hirter, Kathrin; Papalini, Marianne; Herrmann, Luzia

doi:10.1111/jocn.12743

Cited by 6 publications

(34 citation statements)

References 29 publications

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“…Patient education has long been recognized as an important contributor to successful self‐management of a variety of chronic diseases, as well as improved patient outcomes . Recent literature in disorders of thrombosis and hemostasis focuses on describing and evaluating teaching strategies and content rather than exploring the impact of the underlying educational principle or theory . While it does make sense to ensure that patients possess the correct knowledge, the manner in which to best develop and deliver this information remains unclear.…”

Section: Discussionsupporting

confidence: 60%

“…Nine articles discussed conditions other than disorders of thrombosis and hemostasis while 5 articles identified approaches to generalized patient education . Eight articles discussed the education of health‐care providers with respect to the provision of patient education …”

Section: Resultsmentioning

confidence: 99%

“…Patient education in disorders of thrombosis and hemostasis is an important component in the ability of patients to self‐manage these conditions. Appropriate education has been linked to improved patient outcomes in a variety of chronic diseases, as well as in the use of oral anticoagulation . Common outcomes of interest include adherence, health goals, hospital admission rates, and side effect occurrence .…”

Section: Introductionmentioning

confidence: 99%

“…Common outcomes of interest include adherence, health goals, hospital admission rates, and side effect occurrence . Effective patient education has been shown to improve patient adherence to prescribed medication (dose and frequency), attendance at follow‐up appointments, and utilization of adjunct measures such as compression stockings or diet modifications . Appropriate education has also been shown to decrease hospital admission/readmission rates, as well as decrease the incidence of undesirable medication side effects and interactions .…”

Section: Introductionmentioning

confidence: 99%

“…Particularly evident in literature describing pediatrics, developmental theories such as Piaget's provide the basis for general educational interventions and teaching strategy and their use–in conjunction with teaching strategy–is well described. In comparison, current health care literature focusses on the use of teaching strategy and description of content without specifically identifying associated theory …”

Section: Introductionmentioning

confidence: 99%

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Principles and theory guiding development and delivery of patient education in disorders of thrombosis and hemostasis: Reviewing the current literature

Hews‐Girard

Guelcher

Meldau

et al. 2017

Research and Practice in Thrombosis and Haemostasis

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Essentials Appropriate, theory‐based education has been linked to improved patient and system outcomes.Literature regarding theory‐based education in thrombosis and hemostasis is extremely limited.Current literature describes teaching strategy in single centers vs. impact of underlying theory.Collaborative efforts are required to make recommendations regarding optimization of education. Prior work regarding patient education has identified the importance of using learning theory and educational models to develop and deliver content that will improve patient outcomes. Current literature appears to examine implementation of teaching strategies without clear identification of educational principles. This review aimed to identify educational principles and theory currently utilized in the planning and delivery of patient education in disorders of thrombosis and hemostasis. The majority of articles reviewed evaluated the impact of educational interventions on patient outcomes; links between educational principles and changes in outcomes was lacking. Few articles clearly referenced theory in development of patient education; fewer focussed on the population of interest. The lack of literature demonstrates the need for multi‐center collaborative research aimed at generation of an improved level of evidence regarding the most effective theoretical framework for the development, delivery and evaluation of patient education for patients with disorders of thrombosis and hemostasis. Once a theoretical framework for patient education is developed and tested, the unique contribution of patient education to both knowledge and clinical outcomes can be robustly evaluated.

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Section: Discussionsupporting

confidence: 60%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Principles and theory guiding development and delivery of patient education in disorders of thrombosis and hemostasis: Reviewing the current literature

Hews‐Girard

Guelcher

Meldau

et al. 2017

Research and Practice in Thrombosis and Haemostasis

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Perceptions of telemedicine for patient education among online support group patients with chronic or rare conditions

Leafman

Mathieson

2018

Cogent Medicine

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Protocol of a clinical trial study involving educational intervention in patients treated with warfarin

Costa¹,

Marcolino

Torres

et al. 2019

Medicine

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Background: Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide. Oral anticoagulation is an effective strategy for primary and secondary prevention of stroke in patients with AF. Warfarin is an oral anticoagulant widely prescribed and, despite its benefits, the achievement of the goals of drug therapy depends on patient involvement, among other factors. Educational interventions can contribute for effectiveness and safety of oral anticoagulation therapy. We sought to describe the protocol of a clinical trial designed to evaluate the effect of a patient-centered educational strategy focused on low-income patients with AF and poor anticoagulation control. Methods: Patients ≥18 years with AF, on warfarin for at least 6 months and time in therapeutic range (TTR) <60% will be recruited at 2 anticoagulation clinics (ACs) in Brazil. Patients from 1 AC will be allocated to the intervention group and patients from the other AC will be allocated to the control group. Intervention group will attend educational sessions based on a patient-centered care approach, and the control group will receive usual care. The intervention will be based on Paulo Freire's theory and tailored according to practices involving health empowerment and techniques applied to individuals with limited socioeconomic status. The intervention is estimated to last 5 months. We will consider TTR as the primary outcome and knowledge and self-reported non-adherence to warfarin therapy as secondary outcomes. TTR values and non-adherence will be measured before intervention (T0) and at times immediately after (T1), and 3 (T2), 6 (T3), 9 (T4), and 12 (T5) months after intervention. Knowledge will be measured at times T0, T1 e T5. The calculated sample size indicated 85 patients in each group. Discussion: The proposed study aims to investigate whether an innovative educational approach to deliver care to a low-income population on warfarin improves anticoagulation control. Once our hypothesis is confirmed, our findings are expected to help improving anticoagulation control, knowledge on warfarin therapy and adherence to drug therapy. Thus, we believe our results may contribute to improve oral anticoagulation effectiveness in a low-income population. Trial registration: Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR- 9cy6py and UTN: U1111-1217-0151 (March, 2019).

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Implementing evidence‐based patient and family education on oral anticoagulation therapy: a community‐based participatory project

Cited by 6 publications

References 29 publications

Principles and theory guiding development and delivery of patient education in disorders of thrombosis and hemostasis: Reviewing the current literature

Principles and theory guiding development and delivery of patient education in disorders of thrombosis and hemostasis: Reviewing the current literature

Perceptions of telemedicine for patient education among online support group patients with chronic or rare conditions

Protocol of a clinical trial study involving educational intervention in patients treated with warfarin

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