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Randomised trial of a computer-generated tailored written education package for patients following stroke.
- Source :
-
Age and ageing [Age Ageing] 2007 May; Vol. 36 (3), pp. 280-6. Date of Electronic Publication: 2007 Mar 14. - Publication Year :
- 2007
-
Abstract
- Background: The ideal method of providing stroke patients with information has not been established.<br />Objectives: To evaluate the effectiveness of providing stroke patients with computer-generated tailored written information.<br />Design: Randomised controlled trial with blinded assessor.<br />Setting: Acute stroke unit.<br />Participants: 138 stroke patients.<br />Methods: Patients were randomised to receive either computer-generated tailored written information about stroke or generic written information while in hospital. Three months following discharge, a blinded assessor evaluated the outcomes of knowledge about stroke, self-efficacy (Self-Efficacy to Perform Self-Management Behaviours Scale), anxiety and depression (Hospital Anxiety and Depression (HAD) Scale), perceived health status (COOP charts), satisfaction with content and presentation of the written information received (separate 10-point visual analogue scale for content and presentation), and desire for additional information.<br />Results: Complete data were obtained for 133 (96.4%) patients. Patients in the intervention group were significantly more satisfied with the content (difference on a 10-point visual analogue scale was 1, 95% confidence interval 0.4 to 1.7, P = 0.003) and presentation (difference on a 10-point visual analogue scale was 1.2, 95% confidence interval 0.6 to 1.9, P < 0.001). Significantly, fewer patients in the intervention group desired additional information about stroke at follow-up than patients in the control group (4.5% versus 32.8%; P < 0.001). Anxiety change scores improved slightly more in favour of the control group (1.4 difference on the HAD subscale, 95% confidence interval 0.2 to 2.8, P = 0.03). No significant differences between the groups were observed for any of the other outcome measures.<br />Interpretation: Providing stroke patients with computer-generated tailored written information improved satisfaction with the information that was received and was more effective in meeting patients' informational needs than non-tailored information, but had no effect on knowledge about stroke, self-efficacy, depression, or perceived health status.
- Subjects :
- Aged
Aged, 80 and over
Communication
Female
Humans
Male
Middle Aged
Nurse-Patient Relations
Pamphlets
Queensland epidemiology
Stroke epidemiology
Surveys and Questionnaires
Treatment Outcome
Computers
Health Knowledge, Attitudes, Practice
Patient Education as Topic methods
Patient Satisfaction statistics & numerical data
Stroke therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0002-0729
- Volume :
- 36
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Age and ageing
- Publication Type :
- Academic Journal
- Accession number :
- 17360794
- Full Text :
- https://doi.org/10.1093/ageing/afm003