Patient-Centered Education: Applying Learner-Centered Concepts to Asthma Education

Smith, Sheree; Mitchell, Charles; Bowler, Simon

doi:10.1080/02770900701645256

Cited by 22 publications

(13 citation statements)

References 80 publications

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“…In the present study, the traditional method of teaching patients was challenged through the application of a learner-centred process that shared common elements to patient-centred care [19]. The PCE also incorporated the acknowledgement of issues facing patients, in addition to their asthma, as the first step in building a therapeutic alliance to support the educator-patient relationship.…”

Section: Discussionmentioning

confidence: 99%

“…PCE [19] was underpinned with learnercentred principles, while SPE represented the traditional method of patient education. The primary aim of PCE was a reduction in ED re-attendance rates after 4 and 12 months.…”

Section: Methodsmentioning

confidence: 99%

“…The PCE process was underpinned by the self-determination theory, which emphasises autonomy, competence and relationship support. A review of this theory of human motivation in learner-centred education has been reported elsewhere [19,20,25]. The PCE intervention also required participants to respond to two openended questions: ''What is the most important issue for you at the moment?''…”

Section: Interventionmentioning

confidence: 99%

“…A brief, opportune, educational intervention in the ED may be a useful adjunct to current ED care and would be consistent with international and national guidelines [2,18]. However, asthma education studies poorly describe the teaching and learning principles underpinning the asthma education process [19].…”

mentioning

confidence: 99%

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Standardversuspatient-centred asthma education in the emergency department: a randomised study

Smith

Mitchell²,

Bowler³

2008

Eur Respir J

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High re-attendance rates are common after asthma emergency department (ED) care. Inadequate patient education has been cited as a potential cause of re-attendance and the optimal format of education is uncertain. The present study aimed to compare the effectiveness of patient-centred education (PCE) and standard asthma patient education on ED re-attendance.A randomised controlled trial was conducted at two inner-city Australian teaching hospitals' EDs, where patients received either standard patient education (SPE) or PCE. Both groups received a six-topic curriculum. However, PCE patients reordered the topics according to their own priority and thus controlled the order of education.In total, 146 adult patients presenting to EDs with acute asthma were enrolled. After 4 months, ED re-attendance decreased from 22 to 12% in the PCE group and remained unchanged in the SPE group (between group odds ratio 0.4, 95% confidence interval (0.2-1.1)). In 78 patients discharged after ED care, the PCE group had fewer re-attendances after 4 and 12 months (0.3 (0.1-0.9) and 0.3 (0.1-0.8), respectively ). PCE patients with no general practitioner care in the preceding 7 days had fewer re-attendances after 4 and 12 months (0.1 (0.0-0.7) and 0.2 (0.0-0.6), respectively). A trend of better asthma control was evident, with a reduction in activity limitation.In conclusion, patient-centred education offers promise as a brief education process in the emergency department. However, a large multicentre trial of patient-centred education is required.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

mentioning

confidence: 99%

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Standardversuspatient-centred asthma education in the emergency department: a randomised study

Smith

Mitchell²,

Bowler³

2008

Eur Respir J

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“…[1][2][3][4][5][6][7][8] There are many reasons for this, including fragmentation of care among specialists, 9 the lack of patients' participation in their own care, 4 and the inherent complexity of caring for patients with multiple diseases and risks. 1,2 The appropriate application of health information technology meant to be used by providers has been shown to improve process and clinical outcomes for many individual diseases.…”

mentioning

confidence: 99%

Electronic Reminders to Patients Within an Interactive Patient Health Record

Fischer

Hess

Landeen

et al. 2013

Telemedicine and e-Health

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Keeping patients with complex medical illnesses up to date with their preventive care and chronic disease management services, such as lipid testing and retinal exam in patients with diabetes, is challenging. Within a commercially available electronic health record (EHR) with a secure personal health record (PHR), we developed a system that sends up to three weekly reminders to patients who will soon be due for preventive care services. The reminder messages reside within the secure PHR, which is linked to the EHR, and are displayed on a screen where patients can also send to the physician's office an electronic message to request appointments for the needed services. The reminder messages stop when the patient logs on to review the reminders. The system, designed with patient input, groups together all services that will be due in the next 3 months to avoid repeatedly messaging the patient. After 2 months, the cycle of reminders begins again. This system, which is feasible and economical to build, has the potential to improve care and compliance with quality measures.

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Knowledge that people with intellectual disabilities have of their inhaled asthma medications: messages for pharmacists

Davis

Durvasula

Merhi³

et al. 2015

Int J Clin Pharm

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This research investigated aspects of asthma medication self-management of people with ID. Based on the barriers identified, pharmacists should promote use of spacers and written asthma action plans as well as counsel people with ID about how to recognise and minimise side effects of asthma medications. Specific strategies for pharmacists when educating people with ID and their caregivers include active listening to determine understanding of concepts, exercising care with language, and working with the person's known routines to maximise adherence with preventer medications.

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Patient-Centered Education: Applying Learner-Centered Concepts to Asthma Education

Cited by 22 publications

References 80 publications

Standardversuspatient-centred asthma education in the emergency department: a randomised study

Standardversuspatient-centred asthma education in the emergency department: a randomised study

Electronic Reminders to Patients Within an Interactive Patient Health Record

Knowledge that people with intellectual disabilities have of their inhaled asthma medications: messages for pharmacists

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