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Web-Based Patient Education

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53981. Evaluation of a community-based inner-city disease management program for postmyocardial infarction patients: a randomized controlled trial. (Full text)

Evaluation of a community-based inner-city disease management program for postmyocardial infarction patients: a randomized controlled trial. Disease management programs (DMPs) that use multidisciplinary teams and specialized clinics reduce hospital admissions and improve quality of life and functional status. Evaluations of cardiac DMPs delivered by home health nurses are required.Between August 1999 and August 2000 we identified consecutive patients admitted to hospital with elevated cardiac (...) enzymes. Patients who agreed were randomly assigned to participate in a DMP or to receive usual care. The DMP included 6 home visits by a cardiac-trained nurse, a standardized nurses' checklist, referral criteria for specialty care, communication with the family physician and patient education. We measured readmission days per 1000 follow-up days for angina, congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD); all-cause readmission days; and provincial claims for emergency

2003 Canadian Medical Association Journal Controlled trial quality: predicted high

53982. Randomized trial of an intensive care unit-based early discharge planning intervention for critically ill elderly patients. (PubMed)

Randomized trial of an intensive care unit-based early discharge planning intervention for critically ill elderly patients. Few investigators have targeted elderly patients and monitored outcomes of care in studies on discharge planning interventions after critical illness.To pilot test an intensive care unit-based nursing screening intervention to assist in determining the discharge needs and outcomes of critically ill elderly patients.A randomized clinical trial with in-hospital and mailed (...) completed at home.One hundred patients 65 to 90 years old (mean 73, SD 5.78) completed the study. Sixty-six percent were men. The 2 groups did not differ with regard to age, race, sex, severity of illness, lengths of stay in the intensive care unit or hospital, education level, or income. Patients in the experimental group were more ready than patients in the control group for discharge (P =.06). Patients in the experimental group were also more likely to report they had adequate information, had less

2004 American journal of critical care : an official publication, American Association of Critical-Care Nurses Controlled trial quality: uncertain

53983. [Effects of a short-term home-based pulmonary rehabilitation program in patients with chronic lung disease]. (PubMed)

Questionnaire (CRDQ). Experimental group performed the 4-week home-based pulmonary rehabilitation program composed of inspiratory muscle training, upper and lower extremity exercise, relaxation, and telephone visit. Patients in control group were only given education about self-management strategies. Thirty four patients with moderate-to-severe respiratory impairment were recruited, and 28 patients (19 in experiments, 15 in control) completed the study.Significant improvements in lung function, exercise (...) [Effects of a short-term home-based pulmonary rehabilitation program in patients with chronic lung disease]. The purpose of this study is to exam the effects of a short-term pulmonary program on lung function, exercise tolerance, and quality of life in chronic lung patients.Randomized controlled pre-post test design was used. The outcome measures were forced expiratory volume in one second (FEV1, % predicted), 6 min walking distance (6MWD), Borg score after 6MWD, and Chronic Respiratory Disease

2003 Taehan Kanho Hakhoe chi Controlled trial quality: uncertain

53984. Effect of problem-based learning on stages of change for exercise behaviour in patients with coronary artery disease. (PubMed)

Effect of problem-based learning on stages of change for exercise behaviour in patients with coronary artery disease. Physical activity plays an important part in preventing coronary artery disease and is targeted in most rehabilitation and education programmes. The aim of the present study was to evaluate stages of change for exercise behaviour in patients with a recent event of coronary artery disease.A randomized two-group, pre--post-test design was used. Fifty-seven subjects were included (...) that individuals who were inactive before the intervention regressed, whereas individuals with some interest in physical activity remained static or improved. No significant differences between groups were found.Problem-based learning did not significantly influence patients' progression through exercise behaviour stages. Rehabilitation teams should be observant of inactive participants and their greater risk of regression.

2004 Physiotherapy research international : the journal for researchers and clinicians in physical therapy Controlled trial quality: uncertain

53985. Theory-based HIV risk reduction counseling for sexually transmitted infection clinic patients in Cape Town, South Africa. (PubMed)

Theory-based HIV risk reduction counseling for sexually transmitted infection clinic patients in Cape Town, South Africa. South Africa has the world's fastest growing AIDS epidemic. There is an urgent need for effective HIV risk reduction interventions in South Africa.The objective of this study was to develop and test the potential efficacy of a brief theory-based HIV prevention counseling intervention for sexually transmitted infection (STI) clinic patients in South Africa.STI clinic patients (...) testing after the intervention.Brief theory-based HIV prevention counseling may significantly reduce HIV risk behaviors for STI clinic patients in South Africa.

2004 Sexually transmitted diseases Controlled trial quality: uncertain

53986. Intensive telephone follow-up to a hospital-based disease management model for patients with diabetes mellitus. (Full text)

. The intervention group received a series of 12 weekly phone calls reinforcing base education and self-management skills. Five hundred and seven consenting patients, age 18 years or older, with type 1 or type 2 diabetes mellitus referred to the hospital- based disease management program who had telephones and were able to complete surveys in English or Spanish were enrolled. Outcomes were evaluated at 3 and 12 months follow- up. Adherence to ADA standards of care, specifically annual eye exams, physician foot (...) Intensive telephone follow-up to a hospital-based disease management model for patients with diabetes mellitus. The objective of this study was to evaluate the value of an intensive telephone follow-up as an additional component of a diabetes disease management program already shown to be effective in improving glycemic control, adherence with American Diabetes Association (ADA) standards of care, and health-related quality of life (HRQOL). The study involved a randomized controlled trial

2005 Disease management : DM Controlled trial quality: uncertain

53987. A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes. (PubMed)

A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes. To assess the efficacy of a pharmacist-led, primary care-based, disease management program to improve cardiovascular risk factors and glycated hemoglobin (A(1C)) levels in vulnerable patients with poorly controlled diabetes.A randomized controlled trial of 217 patients with type 2 diabetes and poor glycemic control (A(1C) level (...) >or=8.0%) was conducted at an academic general medicine practice from February 2001 to April 2003. Intervention patients received intensive management from clinical pharmacists, as well as from a diabetes care coordinator who provided diabetes education, applied algorithms for managing glucose control and decreasing cardiovascular risk factors, and addressed barriers to care. Control patients received a one-time management session from a pharmacist followed by usual care from their primary care

2005 The American journal of medicine Controlled trial quality: predicted high

53988. Patient-centred and professional-directed implementation strategies for diabetes guidelines: a cluster-randomized trial-based cost-effectiveness analysis. (PubMed)

Patient-centred and professional-directed implementation strategies for diabetes guidelines: a cluster-randomized trial-based cost-effectiveness analysis. Economic evaluations of diabetes interventions do not usually include analyses on effects and cost of implementation strategies. This leads to optimistic cost-effectiveness estimates. This study reports empirical findings on the cost-effectiveness of two implementation strategies compared with usual hospital outpatient care. It includes both (...) patient-related and intervention-related cost.In a clustered-randomized controlled trial design, 13 Dutch general hospitals were randomly assigned to a control group, a professional-directed or a patient-centred implementation programme. Professionals received feedback on baseline data, education and reminders. Patients in the patient-centred group received education and diabetes passports. A validated probabilistic Dutch diabetes model and the UKPDS risk engine are used to compute lifetime disease

2006 Diabetic medicine : a journal of the British Diabetic Association Controlled trial quality: uncertain

53989. Effects of home-based cardiac exercise program on the exercise tolerance, serum lipid values and self-efficacy of coronary patients. (PubMed)

Effects of home-based cardiac exercise program on the exercise tolerance, serum lipid values and self-efficacy of coronary patients. Exercise-based cardiac rehabilitation improves exercise capacity and reduces cardiac risk factors. The purpose of this pilot study was to examine the effects of a home-based cardiac exercise program (HBCEP) on exercise tolerance, serum lipids, and self-efficacy in coronary heart disease patients in Turkey. Self-efficacy theory provided the framework (...) for this study's intervention.The study design was a pre-test and post-test experimental, randomized assignment.The study included 30 participants in a home-based cardiac exercise program (HBCEP; mean age=54.7+/-7.8) and 30 in control (C; mean age=52.7+/-6.5). The Phase II cardiac exercise program included three 45-60-min sessions per week for 12 weeks, and the enhancement of self-efficacy through educational sessions and the use of goal setting, modelling, and physiological feedback strategies. Both groups

2006 European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology Controlled trial quality: uncertain

53990. A telephone-based intervention for depression in HIV patients: negative results from a randomized clinical trial. (PubMed)

A telephone-based intervention for depression in HIV patients: negative results from a randomized clinical trial. To determine if a telephone support behavioral intervention improves depressive symptoms among HIV positive outpatients, we enrolled 177 persons with Beck Depression Inventory (BDI) scores scores of >/=10. Participants were randomized to receive up to 12 scheduled psycho-educational calls over 6 months or to an assessment-only control condition. Co-enrolled informal caregivers (...) more likely to improve than women. We conclude that a psycho-educational telephone support intervention did not reduce depressive symptoms for HIV patients more than an assessment-only control condition.

2007 AIDS and behavior Controlled trial quality: uncertain

53991. Managing chronic obstructive pulmonary disease in the community. A randomized controlled trial of home-based pulmonary rehabilitation for elderly housebound patients. (PubMed)

the effects of a 12-week home-based pulmonary rehabilitation program for 60 housebound COPD patients older than 60 years.Intervention patients received an individually tailored supervised walking and arm exercise program as well as individual multidisciplinary education sessions on COPD and its management. Outcomes were assessed using the 6-minute walk test, St George's respiratory questionnaire, and Borg score of perceived breathlessness. Healthcare utilization was assessed using hospital admission rates (...) Managing chronic obstructive pulmonary disease in the community. A randomized controlled trial of home-based pulmonary rehabilitation for elderly housebound patients. Pulmonary rehabilitation is essential for managing chronic obstructive pulmonary disease (COPD). Housebound COPD patients are frequently excluded from this treatment because they are unable to access outpatient pulmonary rehabilitation programs because of the severity of their disease. This randomized controlled trial assesses

2005 Journal of cardiopulmonary rehabilitation Controlled trial quality: uncertain

53992. A randomized clinical trial of hospital-based, comprehensive cardiac rehabilitation versus usual care for patients with congestive heart failure, ischemic heart disease, or high risk of ischemic heart disease (the DANREHAB trial)--design, intervention, an (PubMed)

A randomized clinical trial of hospital-based, comprehensive cardiac rehabilitation versus usual care for patients with congestive heart failure, ischemic heart disease, or high risk of ischemic heart disease (the DANREHAB trial)--design, intervention, an Current guidelines broadly recommend comprehensive cardiac rehabilitation (CR), although evidence for this is still limited. It is not known whether evidence from before 1995 is still valid.The DANish Cardiac ReHABilitation (DANREHAB) trial (...) was designed as a centrally randomized clinical trial to clarify whether hospital-based comprehensive CR is superior to usual care for patients with congestive heart failure, ischemic heart disease, or high risk for ischemic heart disease. A combined primary outcome measure included total mortality, myocardial infarction, or readmissions due to heart disease based on linkage to public registries. The CR was an individually tailored, multidisciplinary program (6 weeks of intensive CR and 12 months of follow

2005 American heart journal Controlled trial quality: uncertain

53993. Effects of an Internet-based intervention on plasma glucose levels in patients with type 2 diabetes. (PubMed)

Effects of an Internet-based intervention on plasma glucose levels in patients with type 2 diabetes. This study applied a 12-week educational intervention that used both the cellular phone and the Internet to send short message service. Forty-two diabetic patients were asked to access a Web site by using a cellular phone or wire Internet and input their blood glucose levels every day. Patients were sent the optimal recommendations by both the cellular phone and the Internet. After 12 weeks (...) , the patients had a mean decrease of 28.6 mg/dL in fasting plasma glucose and 78.4 mg/dL in 2-hour postprandial blood sugar levels and a mean increase in the care satisfaction score.

2005 Journal of Nursing Care Quality Controlled trial quality: uncertain

53994. A community-based, randomized trial of ezetimibe added to statin therapy to attain NCEP ATP III goals for LDL cholesterol in hypercholesterolemic patients: the ezetimibe add-on to statin for effectiveness (EASE) trial. (PubMed)

A community-based, randomized trial of ezetimibe added to statin therapy to attain NCEP ATP III goals for LDL cholesterol in hypercholesterolemic patients: the ezetimibe add-on to statin for effectiveness (EASE) trial. To determine the extent of reduction in low-density lipoprotein cholesterol (LDL-C) level and improvement in National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) LDL-C goal attainment when ezetimibe was added to ongoing statin therapy in a diverse (...) population of community-based patients.In this multicenter, double-blind, placebo-controlled trial (from January 2003 to August 2003), hypercholesterolemic patients (from 299 US primary care and specialty practices) with LDL-C levels exceeding NCEP ATP III goals were randomized (2:1) to receive ezetimibe (10 mg/d) or placebo in addition to their ongoing statin therapy for 6 weeks.In a study of 3030 randomized patients, ezetimibe added to statin therapy significantly reduced the LDL-C level

2005 Mayo Clinic proceedings. Mayo Clinic Controlled trial quality: uncertain

53995. [Evaluation of a home-based intervention in heart failure patients. Results of a randomized study]. (PubMed)

[Evaluation of a home-based intervention in heart failure patients. Results of a randomized study]. Home-based interventions after hospital discharge in patients with heart failure (HF) have been shown to decrease readmission and mortality rates. The primary aim of this study was to determine the effect of a home-based educational intervention carried out by nursing staff on the readmission rate, emergency department visits, and healthcare costs.Patients hospitalized with systolic HF were (...) randomly assigned to receive either usual care or a single home-based educational intervention 1 week after discharge.Between July 2001 and November 2002, 70 patients entered the study: 34 in the intervention group and 36 in the control group. During the 6-month follow-up, there were fewer unplanned readmissions in the intervention group than in the control group (0.09 vs 0.94; P<.001), fewer emergency department visits (0.21 vs 1.33; P<.001), and fewer out-of-hospital deaths (2 vs 11; P<.01). Costs

2005 Revista española de cardiología Controlled trial quality: uncertain

53996. Can just-in-time, evidence-based "reminders" improve pain management among home health care nurses and their patients? (PubMed)

Can just-in-time, evidence-based "reminders" improve pain management among home health care nurses and their patients? The purpose of this randomized, controlled, home care intervention was to test the effectiveness of two nurse-targeted, e-mail-based interventions to increase home care nurses' adherence to pain assessment and management guidelines, and to improve patient outcomes. Nurses from a large urban non-profit home care organization were assigned to usual care or one of two (...) interventions upon identification of an eligible cancer patient with pain. The basic intervention consisted of a patient-specific, one-time e-mail reminder highlighting six pain-specific clinical recommendations. The augmented intervention supplemented the initial e-mail reminder with provider prompts, patient education material, and clinical nurse specialist outreach. Over 300 nurses were randomized and outcomes of 673 of their patients were reviewed. Data collection involved clinical record abstraction

2005 Journal of pain and symptom management Controlled trial quality: uncertain

53997. Is there any information on the assessment of, and education to promote foot care for diabetics?

across other content types including images, videos, patient information leaflets, educational courses and news. For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com Is there any information on the assessment of, and education to promote foot care for diabetics? Prodigy guidance on diabetes foot care (1) discusses assessment of foot ulcers and notes: " Assessment (...) bearing, often indicated by callus under the metatarsal heads. Callus formation often precedes the development of neuropathic ulcer. The provision of orthoses or therapeutic shoes, or both, can reduce abnormal foot pressures and thus reduce the ulcer rate in people at high risk of developing diabetic foot ulcers, compared with those who continue to wear their own shoes". SIGN guidance on management of diabetes (2) contains a chapter on management of diabetic foot disease and noteson patient education

2003 TRIP Answers

53998. Outcomes of a web-based patient education program for asthmatic children and adolescents

Outcomes of a web-based patient education program for asthmatic children and adolescents Outcomes of a web-based patient education program for asthmatic children and adolescents Outcomes of a web-based patient education program for asthmatic children and adolescents Runge C, Lecheler J, Horn M, Tews J T, Schaefer M Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods (...) by GlaxoSmithKline. Bibliographic details Runge C, Lecheler J, Horn M, Tews J T, Schaefer M. Outcomes of a web-based patient education program for asthmatic children and adolescents. Chest 2006; 129(3): 581-593 PubMedID DOI Indexing Status Subject indexing assigned by NLM MeSH Adolescent; Asthma /economics /physiopathology /prevention & Child; Cost-Benefit Analysis; Female; Germany; Humans; Internet /economics; Male; Patient Education as Topic /economics /methods; Quality of Life; Respiratory Function Tests

2006 NHS Economic Evaluation Database.

53999. Consumer demand for caesarean sections in Brazil: informed decision making, patient choice, or social inequality? A population based birth cohort study linking ethnographic and epidemiological methods. (Full text)

Consumer demand for caesarean sections in Brazil: informed decision making, patient choice, or social inequality? A population based birth cohort study linking ethnographic and epidemiological methods. To investigate why some women prefer caesarean sections and how decisions to medicalise birthing are influenced by patients, doctors, and the sociomedical environment.Population based birth cohort study, using ethnographic and epidemiological methods.Epidemiological study: women living (...) in the urban area of Pelotas, Brazil who gave birth in hospital during the study. Ethnographic study: subsample of 80 women selected at random from the birth cohort. Nineteen medical staff were interviewed.5304 women who gave birth in any of the city's hospitals in 1993.Birth by caesarean section or vaginal delivery.In both samples women from families with higher incomes and higher levels of education had caesarean sections more often than other women. Many lower to middle class women sought caesarean

2002 BMJ

54000. Randomised trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction. (PubMed)

Randomised trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction. Increases in life stress have been linked to poor prognosis, after myocardial infarction (MI). Previous research suggested that a programme of monthly screening for psychological distress, combined with supportive and educational home nursing interventions for distressed patients, may improve post-MI survival among men. Our study assessed this approach for both men and women. We (...) aimed to find out whether the programme would reduce 1-year cardiac mortality for women and men.We carried out a randomised, controlled trial of 1376 post-MI patients (903 men, 473 women) assigned to the intervention programme (n = 692) or usual care (n = 684) for 1 year. All patients completed a baseline interview that included assessment of depression and anxiety. Survivors were also interviewed at 1 year.The programme had no overall survival impact. Preplanned analyses showed higher cardiac (9.4

1997 Lancet Controlled trial quality: uncertain

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