Evaluation of a standardized patient education program for inpatient asthma rehabilitation: Impact on patient-reported health outcomes up to one year |
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| Institution: | 1. Department of Everyday Culture, Exercise and Health, University of Education, Freiburg, Germany;2. Department of Biology and its Didactics, University of Education, Freiburg, Germany;3. Rehabilitation Center Utersum, Föhr, Germany;1. Department of Public Health & Preventive Medicine, SUNY Upstate Medical University, Syracuse, USA;2. Department of Urology, SUNY Upstate Medical University, Syracuse, USA;3. Section of Urology, Geisel School of Medicine at Dartmouth, Lebanon, USA;4. Urology of Virginia, Eastern Virginia Medical School, Virginia Beach, USA;1. Department of Psychology, Stellenbosch University, Stellenbosch, Private Bag X1, Matieland, 7602, South Africa;2. Alan J. Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, Stellenbosch, Private Bag X1, Matieland, 7602, South Africa;1. Johns Hopkins University School of Medicine, Baltimore, MD, USA;2. Portland VA Medical Center, Portland, OR, USA;3. Department of Medicine, Oregon Health Sciences University, Portland, OR, USA;4. Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA;5. Saint-Lukes Roosevelt, New York, NY, USA;6. Department of Medicine, Wayne State University, Detroit, MI, USA;1. Addictive Behaviours Unit, Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain;2. Biomedical Research Networking Center on Mental Health (CIBERSAM), Barcelona, Spain;3. Community Mental Health Unit of Villamartín, Mental Health Clinical Management Unit of Hospital de Jerez de la Frontera, Northern Area Health Management of Cádiz, Andalusian Health Service, Spain;4. Addictive Disorders Network (RTA), Granada, Spain;5. Department of Psychiatry and Forensic Medicine, School of Medicine, Autonomous University of Barcelona (UAB), Bellaterra, Spain;1. Clinical Pharmacy & Toxicology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands;2. Science Communication & Society, Leiden University, Sylviusweg 72, 2333 BE, Leiden, The Netherlands;3. Communication, Faculty Management & Organisation, The Hague University, Johanna Westerdijkplein 75, 2521 EN, The Hague, The Netherlands |
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| Abstract: | ObjectivesTo modify and evaluate a patient education program for adult asthma patients in consideration of quality criteria for teaching.MethodsThis was a prospective single-center controlled trial in an inpatient rehabilitation center. The control group (n = 215) received the usual lecture-based education program, and the intervention group (n = 209) the modified patient education program. Data were assessed at admission, discharge, 6 and 12 months post discharge. The primary outcome was asthma control, the secondary outcomes were asthma knowledge, quality of life, and program acceptance. Analysis of change was performed by ANCOVA for each follow-up, adjusting for baseline values.ResultsStatistically significant increases in all health outcomes and in asthma control were maintained in both groups at 12 months: CG: +1.9 (95%-CI 1.3–2.6) IG: +1.6 (95%-CI 0.8–2.3). We observed no significant differences between the programs for asthma control and quality of life. Regarding practical asthma knowledge, after 12 months, a group*time interaction emerged with a small effect size (P = 0.06, η2 = 0.01).ConclusionThe modified program was not superior to traditional patient education concerning asthma control. It permanently increased self-management knowledge.Practical implicationsStructured and behavioral patient education fosters patient’s disease management ability. Possible ways of improving asthma control need to be explored. |
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| Keywords: | Patient education Evidence-based health education Asthma Controlled trial Asthma control |
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