Randomised controlled trial of an education and support package for stroke patients and their carers
Randomised controlled trial of an education and support package for stroke patients and their carers
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DOI：
10.1136/bmjopen-2012-002538
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发表时间：
2013-01-01
期刊：
影响因子：
2.9
通讯作者：
Wong, Andrew
中科院分区：
文献类型：
--
作者：
Eames, Sally;Hoffmann, Tammy;Wong, Andrew
目的：裁剪中风信息和提供强化机会是两个策略，提出了提高教育的有效性。本研究旨在评估教育包的效果，该教育包利用两种策略对中风患者和护理人员的知识、健康和心理社会结果进行了评估。设计：多地点随机试验，比较了常规护理与教育和支持包。设置：两个急性中风单元。参与者：患者及其护理者（N=138）被随机分配（对照组n=67，干预组n=71），其中119名参与者的数据（对照组n=59，干预组n=60）进行了分析。这套材料包括一份计算机生成的、量身定制的书面信息手册，以及在培训之前和之后3个月提供的口头强化，结果测量：结果测量在出院前和3个月随访时由盲法评估者进行。主要结局是卒中知识（评分范围：0-25）。次要结局为：自我效能（1-10）、焦虑和抑郁（0-21）、信息重要性评级（1-10）、被告知的感觉（1 - 10）、对信息的满意度（1-10）、照顾者负担（照顾者）（0-13）和生活质量结果：干预组参与者报告更好：中风信息获取自我效能（校正后的平均差异（MD）为1.0，95% CI 0.3 - 1.7，p=0.004）;感觉知情（MD 0.9，95% CI 0.2至1.6，p=0.008）;医疗满意度（MD 2.0，95% CI 1.1至2.8，p
Objective: Tailoring stroke information and providing reinforcement opportunities are two strategies proposed to enhance the effectiveness of education. This study aimed to evaluate the effects of an education package which utilised both strategies on the knowledge, health and psychosocial outcomes of stroke patients and carers.Design: Multisite, randomised trial comparing usual care with an education and support package.Setting: Two acute stroke units.Participants: Patients and their carers (N=138) were randomised (control n=67, intervention n=71) of which data for 119 participants (control n=59, intervention n=60) were analysed.Intervention: The package consisted of a computer-generated, tailored written information booklet and verbal reinforcement provided prior to, and for 3 months following, discharge.Outcome measures: Outcome measures were administered prior to hospital discharge and at 3-month follow-up by blinded assessors. The primary outcome was stroke knowledge (score range: 0-25). Secondary outcomes were: self-efficacy (1-10), anxiety and depression (0-21), ratings of importance of information (1-10), feelings of being informed (1-10), satisfaction with information (1-10), caregiver burden (carers) (0-13) and quality of life (patients) (1-5).Results: Intervention group participants reported better: self-efficacy for accessing stroke information (adjusted mean difference (MD) of 1.0, 95% CI 0.3 to 1.7, p=0.004); feeling informed (MD 0.9, 95% CI 0.2 to 1.6, p=0.008); and satisfaction with medical (MD 2.0, 95% CI 1.1 to 2.8, p