Patient teaching to promote behavioral change

Saarmann, Lembi; Daugherty, JoAnn; Riegel, Bárbara

doi:10.1067/mno.2000.107277

Cited by 31 publications

(32 citation statements)

References 45 publications

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“…A possible explanation for this finding was that both groups received education and counseling whereas the UC received educational pamphlets alone. This finding is consistent with the literature that education alone does not improve self-care outcomes, [41, 42] and lends support to the better outcome with the more intense FPI.…”

Section: Discussionsupporting

confidence: 91%

Family partner intervention influences self-care confidence and treatment self-regulation in patients with heart failure

Stamp

Dunbar

Clark

et al. 2015

European Journal of Cardiovascular Nursing

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Background Heart failure self-care requires confidence in one’s ability and motivation to perform a recommended behavior. Most self-care occurs within a family context, yet little is known about the influence of family on heart failure self-care or motivating factors. Aims To examine the association of family functioning and the self-care antecedents of confidence and motivation among heart failure participants and determine if a family partnership intervention would promote higher levels of perceived confidence and treatment self-regulation (motivation) at four and eight months compared to patient-family education or usual care groups. Methods Heart failure patients (N = 117) and a family member were randomized to a family partnership intervention, patient-family education or usual care groups. Measures of patient’s perceived family functioning, confidence, motivation for medications and following a low-sodium diet were analyzed. Data were collected at baseline, four and eight months. Results Family functioning was related to self-care confidence for diet (p=.02) and autonomous motivation for adhering to their medications (p=.05 and diet p=0.2). The family partnership intervention group significantly improved confidence (p=.05) and motivation (medications (p=.004; diet p=.012) at four months whereas patient-family education group and usual care did not change. Conclusion Perceived confidence and motivation for self-care was enhanced by family partnership intervention, regardless of family functioning. Poor family functioning at baseline contributed to lower confidence. Family functioning should be assessed to guide tailored family-patient interventions for better outcomes.

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Section: Discussionsupporting

confidence: 91%

Family partner intervention influences self-care confidence and treatment self-regulation in patients with heart failure

Stamp

Dunbar

Clark

et al. 2015

European Journal of Cardiovascular Nursing

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“…Most nurses would agree that patient education is an integral component of the nursing role. 1 One of the earliest independent interventions that nursing students are allowed to undertake is the education of patients about a specific issue. This role as the accessible, knowledgeable resource for patients in the throes of uncertainty regarding a new diagnosis, a planned procedure, or needing to monitor for complications or drug side effects is fundamental to our identities as nurses.…”

Section: Introductionmentioning

confidence: 99%

Are we teaching what patients need to know? Building skills in heart failure self-care

2009

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“…8–11 Following a therapeutic diet and taking medications require certain knowledge and skills, yet education alone may not improve self-care or outcomes. 12, 13 …”

Section: Introductionmentioning

confidence: 99%

A Trial of Family Partnership and Education Interventions in Heart Failure

Dunbar

Clark

Reilly

et al. 2013

Journal of Cardiac Failure

144

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Background Lowering dietary sodium and adhering to medication regimens are difficult for persons with heart failure (HF). Because these behaviors often occur within the family context, this study evaluated the effects of family education and partnership interventions on dietary sodium (NA) intake and medication adherence (MA). Methods HF patients and family member (FM) dyads (N = 117) were randomized to: usual care (UC), Patient-FM education (PFE), or a family partnership intervention (FPI). Dietary NA (3-day food record), Urine NA (24-hour urine) and MA (MEMS®) were measured at baseline (BL) prior to randomization, and at 4 and 8 months (M). Results FPI and PFE reduced Urine NA at 4 M, and FPI differed from UC at 8 M (p=.016). Dietary NA decreased from BL to 4M with both PFE (p=.04) and FPI (p=.018) lower than UC. The proportion of subjects adherent to NA intake (≤ 2500 mg/day) was higher at 8 M in PFE and FPI vs UC (χ2(2)=7.076, p=.029). MA did not differ among groups across time. Both FPI and PFE groups increased HF knowledge immediately after intervention. Conclusions Dietary NA intake, but not MA, was improved by the PFE and FPI interventions compared with UC. UC was less likely to be adherent with dietary NA. Greater efforts to study and incorporate family-focused education and support interventions into HF care are warranted.

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Patient teaching to promote behavioral change

Cited by 31 publications

References 45 publications

Family partner intervention influences self-care confidence and treatment self-regulation in patients with heart failure

Family partner intervention influences self-care confidence and treatment self-regulation in patients with heart failure

Are we teaching what patients need to know? Building skills in heart failure self-care

A Trial of Family Partnership and Education Interventions in Heart Failure

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