Randomized Trial of Geragogy-Based Medication Instruction in the Emergency Department

Hayes, Karen S.

doi:10.1097/00006199-199807000-00006

Cited by 47 publications

(60 citation statements)

References 25 publications

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“…It contains concrete language presented in an organized layout, and includes culturally diverse, text-enhancing graphics. (15)(16)(17)(18)(19) It contains the same advance care planning topics as the aforementioned standard form. However, it also contains broader treatment choices, such as providing more options than just to prolong or not to prolong life (the options available in the standard form), but also the options of wanting to prolong life but only for a period of time, being able to refuse certain treatments such as blood transfusions, and having the option of letting the health care agent decide.…”

Section: Interventionmentioning

confidence: 99%

“…We also incorporated input from the target population (15) and used a clear layout, large 14 point font, appropriate line spacing and margins, and graphics that helped to explain the text. (14,(16)(17)(18)(19) These techniques have been shown to improve acceptability (16,17), activate patients to initiate discussions with providers (17) and, in some cases, enhance understanding. (16,18,19) We then conducted a randomized trial to compare the redesigned to a standard form ( Figure 1).…”

Section: Introductionmentioning

confidence: 99%

“…(14,(16)(17)(18)(19) These techniques have been shown to improve acceptability (16,17), activate patients to initiate discussions with providers (17) and, in some cases, enhance understanding. (16,18,19) We then conducted a randomized trial to compare the redesigned to a standard form ( Figure 1). To our knowledge, no prior studies have assessed an advance directive redesigned in this manner.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An advance directive redesigned to meet the literacy level of most adults: A randomized trial

Sudore

Landefeld

Barnes

et al. 2007

Patient Education and Counseling

123

183

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Objective-To determine whether an advance directive redesigned to meet most adults' literacy needs (5 th grade reading level with graphics) was more useful for advance care planning than a standard form (>12 th grade level).Methods-We enrolled 205 English and Spanish-speaking patients, aged ≥ 50 years from an urban, general medicine clinic. We randomized participants to review either form. Main outcomes included acceptability and usefulness in advance care planning. Participants then reviewed the alternate form; we assessed form preference and six-month completion rates.Results-40% of enrolled participants had limited literacy. Compared to the standard form, the redesigned form was rated higher for acceptability and usefulness in care planning, P≤0.03, particularly for limited literacy participants (P for interaction ≤ 0.07). The redesigned form was preferred by 73% of participants. More participants randomized to the redesigned form completed an advance directive at six months (19% vs. 8%, P=0.03); of these, 95% completed the redesigned form.Conclusions-The redesigned advance directive was rated more acceptable and useful for advance care planning and was preferred over a standard form. It also resulted in higher six month completion rates.Practice Implications-An advance directive redesigned to meet most adults' literacy needs may better enable patients to engage in advance care planning.

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Section: Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An advance directive redesigned to meet the literacy level of most adults: A randomized trial

Sudore

Landefeld

Barnes

et al. 2007

Patient Education and Counseling

123

183

View full text Add to dashboard Cite

show abstract

“…A few studies in other disease models present evidence related to the role of health literacy in learning and retaining self-management skills in patients with other chronic diseases. For example, simplified materials have been shown to improve knowledge (38)(39)(40)(41)(42)(43)(44), health care use (45), and health behaviors (46,47) for patients with diabetes mellitus, rheumatoid arthritis, obesity, and hypertension, irrespective of health literacy. In addition, subjects with low health literacy have been able to learn and retain self- management skills in small studies of heart failure, obesity, and osteoarthritis (48)(49)(50).…”

Section: Table 4 Predictors Of Better Asthma Medication Knowledge Atmentioning

confidence: 99%

Tailored Education May Reduce Health Literacy Disparities in Asthma Self-Management

Paasche‐Orlow

Riekert

Bilderback

et al. 2005

Am J Respir Crit Care Med

237

202

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Health literacy is "the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions" (1-4) and is most often measured by reading comprehension of health-related information (5, 6). Multiple studies indicate that inadequate health literacy is associated with worse health status and higher rates of hospitalization across a number of patient populations (4,7,8), including patients with diabetes mellitus, patients with HIV infection, and the elderly (9-12). However, there are relatively few data about the effects of inadequate health literacy in patients with asthma, a common chronic respiratory disorder affecting 5 to 10% of the U.S. population (13).

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“…Medication knowledge was significantly higher for the subjects receiving the customized instructions, assessed by follow-up telephone interview 48-72 hours after discharge. 63 A final consideration is the consistency in the manner in which patient education is delivered in the acute care setting. Although one study in a pediatric ED showed that parents given standardized rather than nonstandardized verbal instructions demonstrated significantly greater knowledge of information of their child's illness, 64 patient education should still be flexible to accommodate the patient's learning needs.…”

Section: Considerations For Instructional Materialsmentioning

confidence: 99%

Patient Education in the Emergency Department

Wei

Camargo

2000

Academic Emergency Medicine

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Abstract. The emergency department (ED) visit provides an opportunity for patient education. Many ED patients have poor access to regular health care, including patient education. Accreditation standards, legal considerations, and cost-efficiency concerns encourage the clinician to implement formal patient education in the ED. More importantly, published clinical studies evaluating patient education in both the ED and comparable settings support the hypothesis that ED-based patient education improves outcomes. The article discusses considerations for instructional material, highlights challenges to ED-based patient education, and suggests possibilities for future research.

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Randomized Trial of Geragogy-Based Medication Instruction in the Emergency Department

Abstract: These findings suggest that a medication teaching intervention geared to the special needs of the elderly can be effective in increasing medication knowledge.

Cited by 47 publications

References 25 publications

An advance directive redesigned to meet the literacy level of most adults: A randomized trial

An advance directive redesigned to meet the literacy level of most adults: A randomized trial

Tailored Education May Reduce Health Literacy Disparities in Asthma Self-Management

Patient Education in the Emergency Department

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