A theory-based practice guide for creating patient education

临床指南通常建议为患者提供补充教育。不过有 支持这一建议的证据有限，也没有执行指南。现有患者 教育干预已被证明会影响诸如知识，药物依从性， 和对护理的满意度，但很少与临床结果的改善相关， 死亡率或可预防的药物不良事件。有效的学习策略， 学习理论是可用的，但很少被结合到患者教育工具中。没有指导方针 目前存在开发利用最佳教育实践的患者教育工具， 基于，广泛可用，并且易于在医疗保健环境中实施。长期目标是 我的建议是支持我作为一名独立调查员的发展，专门从事开发有效的 患者教育和共享决策（SDM）工具，支持最佳的患者-临床医生 相互作用和有意义的临床结果。本研究的总体目标是创建和测试一个 以教育理论为基础开发患者教育工具的实践指南。中央 该建议的假设是，基于有效学习策略的患者教育工具将 比其他工具更有效。该提案的具体目的是：（1）建立证据- 基于实践指南的患者教育开发; 2）为患者设计新的患者教育工具 使用本实践指南接受抗凝治疗;以及3）试点测试将 患者教育工具，并在随机对照试验中对其进行测试。目标1将使用临床指南 创建方法，以确定基于证据的学习技术和理论，以指导创建 上述实践指南。一种基于网络的抗凝治疗患者教育工具 将在目标2中利用实践指南，并在包容性的用户设计的支持下，开发新的信息和通信技术。最后 教育工具将在目标3中进行试点测试，以便为随机对照试验做准备。这个职业 发展奖将由教育和抗凝研究领域的领导者指导，包括： 丹尼尔维特，抗凝治疗的领导者，安吉拉Fagerlin博士，共同决策的领导者， 博士克尔斯滕·布彻，教育技术和基于用户的设计专家，杰弗里·巴恩斯博士 抗凝研究领域的国际领导人Mark Crowther和专家托马斯Delate博士 在统计学和健康研究中。结合我的指导团队，这个培训计划将提供 技能1）临床指南方法，2）包容性教学和基于用户的设计，3）随机 控制试验的进行，和4）领导技能和granitarian。总而言之，该项目将创造 一个基于证据的实践指南，用于开发患者教育工具，并为 一项评估患者教育干预的随机对照试验。

Clinical guidelines often recommend providing supplemental education to patients. However, there is limited evidence to support this recommendation, nor is there implementation guidance. Existing patient education interventions have been shown to impact outcomes such as knowledge, medication adherence, and satisfaction with care, but few have been associated with improvements in clinical outcomes such as mortality or preventable adverse drug events. Effective learning strategies grounded in established learning theories are available but are rarely incorporated into patient education tools. No guideline for developing patient education tools currently exists that utilizes best educational practices and is evidence based, widely available, and easily implementable across health care settings. The long-term goal of this proposal is to support my development as an independent investigator specializing in developing effective patient educational and shared decision making (SDM) tools that support optimal patient-clinician interactions and meaningful clinical outcomes. The overall objective of this study is to create and test a practice guide for developing patient education tools grounded in educational theory. The central hypothesis of this proposal is that patient education tools based on effective learning strategies will be more effective than tools that are not. The specific aims of this proposal are to 1) create an evidence- based practice guide for developing patient education; 2) design a new patient education tool for patients receiving anticoagulant therapy using this practice guide; and 3) pilot test the feasibility of incorporating a patient education tool and testing it within a randomized controlled trial. Aim 1 will utilize clinical guideline creation methodology to identify evidence-based learning techniques and theories to guide creation of the aforementioned practice guide. A web-based education tool for anticoagulation therapy patient education will be developed in Aim 2 using the practice guide, supported by inclusive user-based design. Finally, the education tool will be piloted tested in Aim 3 in order to prepare for a randomized control trial. This career development award will be mentored by leaders in education and anticoagulation research including: Dr. Daniel Witt, a leader in anticoagulation therapy, Dr. Angela Fagerlin, a leader in Shared Decision Making, Dr. Kirsten Butcher, an expert in educational technology and user-based design, Drs. Geoffrey Barnes and Mark Crowther, international leaders in anticoagulation research, and Dr. Thomas Delate, an expert in statistics and health research. Combined with my mentoring team, this training program will provide skills in 1) clinical guideline methodology, 2) inclusive instructional and user-based design, 3) randomized controlled trial conduction, and 4) leadership skills and grantsmanship. In summary, this project will create an evidence-based practice guide for developing patient education tools as well as lay the groundwork for a randomized controlled trial for evaluating patient education interventions.