The patient education — Learning and Coping Strategies — improves adherence in cardiac rehabilitation (LC-REHAB): A randomised controlled trial

Lynggaard, Vibeke; Nielsen, Claus Vinther; Zwisler, Ann-Dorthe; Taylor, Rod S; May, Ole

doi:10.1016/j.ijcard.2017.02.051

Cited by 59 publications

(84 citation statements)

References 21 publications

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“…We do not have any data providing evidence of the subsequent adherence to the rehabilitation program or the resulting health behavior changes, but it is possible that participants with low health literacy adhere less from the services offered. Thus, a recent Danish randomized controlled trial testing a patient education intervention with several health-literacy-sensitive features in cardiac rehabilitation has also shown promising results regarding rehabilitation adherence [24]. To inform health-literacy-sensitive initiatives in cardiac rehabilitation, future research using longitudinal designs in larger populations should further explore the possible associations between health literacy and participation and adherence to cardiac rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…Mattson et al found that health literacy was associated with increased knowledge gain from cardiac patient education during a rehabilitation program [23]. A few intervention studies have also successfully addressed health literacy in their intervention design or measured it as an outcome [24,25]. In all these studies, as in most studies on health literacy in people with cardiac conditions, individual health literacy was measured using a single value or category [26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark

Aaby

Friis

Christensen

et al. 2020

IJERPH

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Health literacy (HL) is a dynamic determinant of health and a promising target of health equity interventions in noncommunicable disease prevention. Among people referred to a cardiac rehabilitation program, we examined the associations between (1) HL and participation in cardiac rehabilitation and (2) HL and health-related quality of life (HRQoL). Using a cross-sectional design, we invited 193 people referred to cardiac rehabilitation in Randers Municipal Rehabilitation Unit, Denmark, to respond to a questionnaire in 2017. Of these, 150 people responded (77.7%). HL was measured using the nine scales of the Health Literacy Questionnaire (HLQ), while HRQoL was measured using the Short Form Health Survey 12 (version 2) (SF-12). The mean age of respondents was 67.0 years; 71.3% of the sample were men. Nonrespondents had significantly lower educational attainment and more often lived alone than respondents. Using multiple regression analyses, we found no significant associations between HL and participation in cardiac rehabilitation. There were significant positive associations between several aspects of HL and physical and mental HRQoL. HL could be a factor of interest in initiatives aimed at improving participation and outcomes of cardiac rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark

Aaby

Friis

Christensen

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…In our organizational impact analysis, we also observed some promising indications about future maintenance, development, and dissemination of the initiatives. The literature on health literacy in relation to CR is scarce but suggests a possible association between health literacy and participation [46], as well as adherence [24] and learning outcomes [25]. Thus, our results call for a future larger scale effectiveness trial of the intervention.…”

Section: Idea Generation Co-designing and Testing The Interventionmentioning

confidence: 75%

“…Health literacy is associated with all of these determinants [21] and may be a modifying factor in relation to their impact on health outcomes [22,23]. Organizational initiatives responding to health literacy needs may be a suitable approach to improve the equitable impact of CR services [24,25].…”

Section: Introductionmentioning

confidence: 99%

Improving Organizational Health Literacy Responsiveness in Cardiac Rehabilitation Using A Co-Design Methodology: Results from The Heart Skills Study

Aaby

Simonsen

Ryom

et al. 2020

IJERPH

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For health services, improving organizational health literacy responsiveness is a promising approach to enhance health and counter health inequity. A number of frameworks and tools are available to help organizations boost their health literacy responsiveness. These include the Ophelia (OPtimising HEalth LIteracy and Access) approach centered on local needs assessments, co-design methodologies, and pragmatic intervention testing. Within a municipal cardiac rehabilitation (CR) setting, the Heart Skills Study aimed to: (1) Develop and test an organizational health literacy intervention using an extended version of the Ophelia approach, and (2) evaluate the organizational impact of the application of the Ophelia approach. We found the approach successful in producing feasible organizational quality improvement interventions that responded to local health literacy needs such as enhanced social support and individualized care. Furthermore, applying the Ophelia approach had a substantial organizational impact. The co-design process in the unit helped develop and integrate a new and holistic understanding of CR user needs and vulnerabilities based on health literacy. It also generated motivation and ownership among CR users, staff, and leaders, paving the way for sustainable future implementation. The findings can be used to inform the development and evaluation of sustainable co-designed health literacy initiatives in other settings.

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“…Consequently, education for patients and their families is important. Previous studies have demonstrated that patients' education is crucial in augmenting their compliance to physician recommendations [10][11][12]. This is particularly pertinent within the NPH cohort, in which some patients are treated with conservative management while others undergo surgery with the placement of a shunt.…”

Section: Introductionmentioning

confidence: 99%

Establishment and Benefits of a Normal Pressure Hydrocephalus Support Group on Patient Education and Experience

Tran¹,

Nguyen²,

Huang³

et al. 2019

Cureus

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Introduction: Normal pressure hydrocephalus (NPH) is a debilitating, neurological condition that can lead to mental deterioration. With the diagnosis and treatment of NPH constantly evolving and its symptoms worsening with age, education for patients and their families is crucial. In this study, we aim to explore the potential educational benefits of a physician-led NPH support group. Methods: Between December 2015 and November 2018, six semiannual NPH support group meetings were held for patients and their families. Attendees, ages 20-90, completed a Likert scale-based survey designed to assess the support group's educational benefits using the following primary outcome variables: (1) subjective knowledge, (2) perceived utility/efficacy, and (3) patient satisfaction. Results: Our survey data suggests that patients and their family members agree on the efficacy of the support group in learning about NPH. They felt that the support group served its purpose and improved their comfort/knowledge regarding NPH. There was consensus about sustaining and maintaining the support group for the future. Of 65 survey responses, the composite average score of questions pertaining to subjective knowledge, perceived utility/efficacy, and patient satisfaction was 4.5 out of 5.0. Conclusion: We demonstrated that support groups are effective in educating the adult NPH population and their family/friends about NPH onset and treatment. Enhanced educational awareness for patients and families can help patients cope with their neurological condition and improve patient adherence to follow-up and physician recommendations.

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The patient education — Learning and Coping Strategies — improves adherence in cardiac rehabilitation (LC-REHAB): A randomised controlled trial

Cited by 59 publications

References 21 publications

Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark

Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark

Improving Organizational Health Literacy Responsiveness in Cardiac Rehabilitation Using A Co-Design Methodology: Results from The Heart Skills Study

Establishment and Benefits of a Normal Pressure Hydrocephalus Support Group on Patient Education and Experience

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