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Patient Education

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103421. [Effects of an educational intervention on the quality of life of the hypertensive patient]. (PubMed)

[Effects of an educational intervention on the quality of life of the hypertensive patient]. To evaluate the effect of an educational program on the quality of life of the hypertensive patient.A randomized clinical trial was performed on 150 adult hypertensive patients who were divided into 2 groups. The experimental group received a short educational program on hypertension and the effects on the patients life style, specifically concerning their control of the disease. The control group did (...) not receive the educational program. Quality of life of both groups was determined by an analogous visual scale, before and 6 months after the educational program. Data were analyzed by the paired t- and Wilcoxon tests.The degree of improvement with respect to physical strength and emotional condition differed between groups (p < 0.05). In the areas of thought capacity, social participation, perceived quality of life and sexual function only the experimental group showed changes (p < 0.05).An educational

1999 Salud pública de México Controlled trial quality: uncertain

103422. Achieving National Cholesterol Education Program goals for low-density lipoprotein cholesterol in cardiac patients: importance of diet, exercise, weight control, and drug therapy. (PubMed)

Achieving National Cholesterol Education Program goals for low-density lipoprotein cholesterol in cardiac patients: importance of diet, exercise, weight control, and drug therapy. To determine how frequently the National Cholesterol Education Program (NCEP) goal of a low-density lipoprotein (LDL) cholesterol level of 100 mg/dL or less is achieved in clinical practice in patients with coronary artery disease and what fraction of patients can achieve this goal without drug therapy.We examined (...) the results of lipid management in 152 consecutive patients who had completed cardiac rehabilitation after an acute coronary event. Patients were randomized to follow-up by specially trained nurses or by preventive cardiologists, and they were not receiving lipid-lowering drugs at the start of the study.Patients were given aggressive diet and exercise recommendations and lipid-lowering drugs in accordance with NCEP guidelines. Follow-up was continued for a mean of 526 days after the first lipid assessment

1999 Mayo Clinic proceedings. Mayo Clinic Controlled trial quality: uncertain

103423. Adoption of a health education intervention for family members of breast cancer patients. (PubMed)

Adoption of a health education intervention for family members of breast cancer patients. Relatives of breast cancer patients often face substantial uncertainty and psychological stress regarding their own health risks and optimal strategies for prevention and early detection. Efficacious educational and counseling interventions are rarely evaluated for their potential adoption and use in medical practice settings. This study evaluates a health education program for first-degree relatives (...) of breast cancer patients based on the program's potential for being adopted and used by medical practices affiliated with cancer centers.A randomized, controlled trial was implemented in four community hospital-based medical practices. After 9 months, clinical and administrative staff at each practice were given self-administered surveys. Of 90 staff members recruited to respond, useable responses were received from 60 (67%), including 13 physicians (31%), 43 nurses (98%), and four program managers

2000 American journal of preventive medicine Controlled trial quality: uncertain

103424. Empowering diabetes out-patients with structured education: short-term and long-term effects of functional insulin treatment on perceived control over diabetes. (PubMed)

Empowering diabetes out-patients with structured education: short-term and long-term effects of functional insulin treatment on perceived control over diabetes. To investigate short-term and long-term effects of structured outpatient education for Functional Insulin Treatment (FIT: selective insulin dosages for eating, fasting or correcting hyperglycaemia) on perceived control over diabetes and related health beliefs. FIT was thought to influence the perception of self-efficacy in diabetes (...) , in contrast to conventional treatment, based on scheduled, rigid food intake and insulin delivery--it allows flexible eating, provided independent control of glycemia.Structured, comprehensive, outpatient group training in FIT for selective use of insulin either for eating, fasting or correction included practical "insulin games." The FIT program focused on everyday criteria for choices of insulin dosages and thus on the patient's ability to execute his/her newly gained flexible treatment to his/her

2000 Journal of psychosomatic research Controlled trial quality: uncertain

103425. Impact of risk information in a patient education leaflet. (PubMed)

Impact of risk information in a patient education leaflet. Informed consent requires the communication of information about possible adverse effects of treatment. Health professionals have expressed concern that increased provision of risk information may make patients unduly anxious and change their decisions about treatment. This study compared two patient leaflets about laparoscopy, one containing detailed information about potential side effects. Forty one consenting participants attending (...) provision and no increase in anxiety. Provision of detailed information about possible adverse consequences of treatment can improve patients' understanding and satisfaction without inducing increased anxiety.

2001 Patient education and counseling Controlled trial quality: uncertain

103426. Effects of psychosocial education on adaptation in elderly hemodialysis patients. (PubMed)

Effects of psychosocial education on adaptation in elderly hemodialysis patients. The purpose of this experimental field pilot study was to determine whether the application of psychosocial education sessions had an effect on the adaptation level of elderly hemodialysis patients. A pretest, posttest control group design with two randomly selected groups was used. Ten patients, 4 males and 6 females, age 65 years and older, were randomly selected and stratified according to gender, with 2 males (...) of the experimental group. The application of psychosocial education sessions did not have a significant effect on the adaptation level of elderly hemodialysis patients.

1999 ANNA journal / American Nephrology Nurses' Association Controlled trial quality: uncertain

103427. The effects on knowledge of the systematic education of patients with joint diseases treated with NSAIDs and diuretics. (PubMed)

The effects on knowledge of the systematic education of patients with joint diseases treated with NSAIDs and diuretics. In a randomised, controlled trial, patients with joint diseases and concomitant treatment with NSAIDs and diuretics received systematic education. The intervention group was given information by a self-conducted, interactive Kodak Photo-CD program in addition to personal drug information and non-commercial drug leaflets. Awareness of drug interactions and encouragement of self (...) -adjustment of treatment was focused on. Control patients received conventional information. Three months after randomisation, knowledge was tested by means of a questionnaire. At 3 months there was a significant difference in attained score between the intervention group and the control group. Greater knowledge was achieved, especially on drug interaction, in the intervention group. In conclusion, less than 1 h of systematic education significantly improved patients' knowledge on essential issues

2001 Patient education and counseling Controlled trial quality: uncertain

103428. Multicenter randomized evaluation of a nutritional education software in obese patients. (PubMed)

Multicenter randomized evaluation of a nutritional education software in obese patients. To study the efficacy of the nutritional education software, Nutri-Expert, in the management of obese adult patients.Two groups of obese patients were followed up over one year in a randomized study: the first group received close traditional management (seven nutritional visits over the year, with physicians and dietitians conjointly) and the second one also used at home by Minitel the Nutri-Expert system (...) . 557 patients were enrolled in the study by 16 French centers of diabetology and nutrition. Body mass index (BMI), tests of dietetic knowledge, dietary records and centralized biological measurements were assessed at inclusion, 6 and 12 months. 341 patients were evaluable at the end of the year.The group using Nutri-Expert scored significantly better in the tests of dietetic knowledge than the control group. For all patients, nutritional education led to a significant improvement in BMI, dietary

2001 Diabetes & metabolism Controlled trial quality: uncertain

103429. Outcomes of a health education intervention in a sample of patients infected by HIV, most of them injection drug users: possibilities and limitations. (PubMed)

Outcomes of a health education intervention in a sample of patients infected by HIV, most of them injection drug users: possibilities and limitations. We studied the receptivity of a population of HIV-infected patients to the development of a group educational intervention in order to enhance the adherence to therapy. We designed a group educational activity conducted by family physicians and directed to patients with HIV infection treated with antiretrovirals for at least six months. We (...) conducted a randomized trial that compared two interventions: an educational intervention plus individual counsel or the last option alone. We studied their clinical situation, adherence to therapy and familial support. We offered 115 patients (66.9% injection drug users (IDUs), 69.6% males) the opportunity to be included in our trial, but 73.9% of them refused. No group with four or more participants was formed. Fifty-nine per cent refused to be included claiming personal reasons and 32.9% cited

2001 AIDS care Controlled trial quality: uncertain

103430. Health care costs of heart failure: results from a randomised study of patient education. (PubMed)

Health care costs of heart failure: results from a randomised study of patient education. Heart failure is a serious syndrome with a bad prognosis. Hospitalisation is common and readmittance rate is high; factors which influence the cost of care and treatment. Only scarce data on detailed patient materials regarding health care costs are known.To describe in detail the health care costs for heart failure patients.Costs for patients (n=108) who completed a randomised education trial were studied (...) for 6 months after hospital discharge. Costs for hospital stay, out-patient visits, diagnostic tests and procedures, laboratory analyses and drug treatment were calculated. Official unit prices list used to reimburse providers of cross-boundary health services and prices for drugs in the Swedish Drug Compendium were employed.The total cost for a heart failure patient was approximately 20000 SEK (2564 US$, 7.80 SEK=1 US$) for 6 months. There was a 27-fold variation between patients

2000 European journal of heart failure Controlled trial quality: uncertain

103431. Hypertension control improved through patient education. Chinese PEP Investigators. (PubMed)

Hypertension control improved through patient education. Chinese PEP Investigators. To evaluate the effects of patient education for hypertension on hypertension control.Of 169 eligible patients (systolic blood pressure > or = 160 mmHg and/or diastolic blood pressure > or = 95 mmHg), 60 were assigned to educational group (group E, antihypertensive drug treatment with an addition of patient education) and 109 to routine group (group R, antihypertensive drug treatment alone). The average follow (...) E and 7.02% in group R (absolute difference = 2.59%, P = 0.48). The rate of missed appointments was somewhat higher in group R (10%) than in group E (7%) during the first year but lower in the 2nd and 3rd year (R vs E: 10% vs 2% in the 2nd year; 8% vs 2% in the 3rd year). Four patients lost to follow-up in group R (6.87%) and 1 patient in group E (1.74%, P = 0.08).The findings of this study suggest that patient education is of some benefits to the hypertension control.

1998 Chinese medical journal Controlled trial quality: uncertain

103432. Limited impact of lifestyle education in patients with Type 2 diabetes mellitus and microalbuminuria: results from a randomized intervention study. (PubMed)

Limited impact of lifestyle education in patients with Type 2 diabetes mellitus and microalbuminuria: results from a randomized intervention study. To assess the effect of intensified education on lifestyle (diet, exercise and smoking) as part of an intensified multifactorial intervention over a 4-year period in patients with Type 2 diabetes mellitus with microalbuminuria.Patients, aged 45-65 years, were randomly assigned either to an intensive group focusing on change of behaviour as well (...) in this study, only modest changes were obtained in nutrient intake. Further studies are required to determine the best method of inducing long-lasting changes in behaviour in Type 2 diabetic patients.

2001 Diabetic medicine : a journal of the British Diabetic Association Controlled trial quality: uncertain

103433. [Continuing medical education about the use of antilipemic agents in elderly patients aged 65-75 years]. (PubMed)

[Continuing medical education about the use of antilipemic agents in elderly patients aged 65-75 years]. The objective is evaluating the efficacy of the educative intervention to primary care physicians, about the accurate dyslipidaemia management in population between 65 and 75 years old with hypercholesterolemia.Simple-blind random clinical trial.Area 10 primary care (National Institute of Health of Spain).. Thirty eight primary care physicians of Area 10. Seven hundred and five patients (...) between 65 and 75 years old with dyslipidaemia.Clinical session to physicians about the dyslipidaemia management, reinforced with the shipment of the accurate management criteria and bibliographic information. Physicians were followed up for one year.The therapeutic management varied (p = 0.03) in the experimental group after educative intervention. The dietetic therapeutic increased 6.56 percent (p = 0.21), the therapeutic with HMG-CoA-reductase inhibitors increased 4.16 percent (p = 0.36

2001 Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria Controlled trial quality: uncertain

103434. Evaluation of two different educational interventions for adult patients consulting with an acute asthma exacerbation. (PubMed)

Evaluation of two different educational interventions for adult patients consulting with an acute asthma exacerbation. Asthma education decreases the number of emergency visits in specific subgroups of patients with asthma. However, it remains unknown whether this improvement is related only to the use of an action plan alone or to other components of the educational intervention. A total of 126 patients consulting urgently for an acute asthma exacerbation were recruited; 98 completed the study (...) . The first 45 patients were assigned to Group C (control; usual treatment). Thereafter, patients were randomized to either Group LE (limited education; teaching of the inhaler technique plus self- action plan given by the on call physician) or Group SE (same as group LE plus a structured educational program emphasizing self-capacity to manage asthma exacerbations). At baseline, there was no difference between groups in asthma morbidity, medication needs, or pulmonary function. After 12 mo, only Group SE

2001 American journal of respiratory and critical care medicine Controlled trial quality: uncertain

103435. Pharmaceutical care research and education project: patient outcomes. (PubMed)

Pharmaceutical care research and education project: patient outcomes. To compare patients' adherence to therapy, expectations, satisfaction with pharmacy services, and health-related quality of life (HRQOL) after the provision of pharmaceutical care with those of patients who received traditional pharmacy care.Randomized controlled cluster design.Sixteen community pharmacies in Alberta, Canada.Ambulatory elderly (> or = 65 years of age) patients covered under Alberta Health & Wellness's senior (...) drug benefit plan and who were concurrently using three or more medications according to pharmacy profiles.Pharmacies were randomly assigned to either treatment (intervention) or control (traditional pharmacy care) groups. Patients at treatment pharmacies were recruited into the study, and pharmacists provided comprehensive pharmaceutical care services. Pharmacists at control pharmacies continued to provide traditional pharmacy care.Study participants' opinions, adherence to therapy, and scores

2001 Journal of the American Pharmaceutical Association (Washington,D.C. : 1996) Controlled trial quality: uncertain

103436. Pool exercise combined with an education program for patients with fibromyalgia syndrome. A prospective, randomized study. (PubMed)

Pool exercise combined with an education program for patients with fibromyalgia syndrome. A prospective, randomized study. To evaluate the effects of 6 months of pool exercise combined with a 6 session education program for patients with fibromyalgia syndrome (FM).The study population comprised 58 patients, randomized to a treatment or a control group. Patients were instructed to match the pool exercises to their threshold of pain and fatigue. The education focused on strategies for coping (...) < 0.0001). Significant differences were also found for physical function, grip strength, pain severity, social functioning, psychological distress, and quality of life.The results suggest that a 6 month program of exercises in a temperate pool combined with education will improve the consequences of FM.

2000 The Journal of rheumatology Controlled trial quality: uncertain

103437. Individualized patient education and coaching to improve pain control among cancer outpatients. (PubMed)

Individualized patient education and coaching to improve pain control among cancer outpatients. An estimated 42% of cancer patients suffer from poorly controlled pain, in part because of patient-related barriers to pain control. The objective of this study was to evaluate the effect of an individualized education and coaching intervention on pain outcomes and pain-related knowledge among outpatients with cancer-related pain.English-speaking cancer patients (18 to 75 years old) with moderate (...) pain over the past 2 weeks were randomly assigned to the experimental (n = 34) or control group (n = 33). Experimental patients received a 20-minute individualized education and coaching session to increase knowledge of pain self-management, to redress personal misconceptions about pain treatment, and to rehearse an individually scripted patient-physician dialog about pain control. The control group received standardized instruction on controlling pain. Data on average pain, functional impairment

2001 Journal of clinical oncology : official journal of the American Society of Clinical Oncology Controlled trial quality: uncertain

103438. [Intensive patient education and treatment program for young adults with atopic eczema]. (PubMed)

[Intensive patient education and treatment program for young adults with atopic eczema]. By means of a 2-week intensive multidisciplinary training & treatment course in small groups (ISBP), young adults with atopic dermatitis may be able to achieve better self-management of their disease and reduce their number of doctor visits.Patients aged 18-35 with moderate to severe atopic dermatitis (SCORAD > 20) were randomized in a treatment (ISBP) group of n = 31 and a control group of n = 20. Follow (...) be judged successful because both the patients and their doctors perceive their interactions as more efficient, less time time-consuming and more satisfying.

2001 Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete Controlled trial quality: uncertain

103439. A randomized, controlled trial of interactive, multimedia software for patient colonoscopy education. (PubMed)

A randomized, controlled trial of interactive, multimedia software for patient colonoscopy education. The purpose of our study was to assess the effectiveness of computer-assisted instruction (CAI) in patients having colonoscopies. We conducted a randomized, controlled trial in large, multispecialty clinic. Eighty-six patients were referred for colonoscopies. The interventions were standard education versus standard education plus CAI, and the outcome measures were anxiety, comprehension (...) , and satisfaction. Computer-assisted instruction had no effect on patients' anxiety. The group receiving CAI demonstrated better overall comprehension (p < 0.001). However, Comprehension of certain aspects of serious complications and appropriate postsedation behavior were unaffected by educational method. Patients in the CAI group were more likely to indicate satisfaction with the amount of information provided when compared with the standard education counterparts (p = 0.001). Overall satisfaction

2001 Journal of clinical gastroenterology Controlled trial quality: uncertain

103440. Long-term economic evaluation of intensive patient education during the first treatment year in newly diagnosed adult asthma. (PubMed)

Long-term economic evaluation of intensive patient education during the first treatment year in newly diagnosed adult asthma. The cost-effectiveness of intensive patient education of guided asthma self-management given during the first treatment year was evaluated after 5 years of follow-up. Consecutive, newly-diagnosed asthmatics (n = 162, age 18-76 years) were randomized for intensive (80 patients) vs. conventional patient education. Effectiveness was evaluated in terms of lung functions (...) patient education.

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2001 Respiratory medicine Controlled trial quality: uncertain

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