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Evaluation of a model focusing on computer-based and individualized care by face-to-face psycho-education for adults with congenitally malformed hearts: a randomized controlled trial
Jönköping University, School of Health Science, HHJ. ADULT. Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden.
Department of Cardiology, County Council of Östergötland , Sweden.
Department of Cardiology, County Council of Östergötland , Sweden and Department of Medical and Health Sciences, Division of Cardiovascular Medicine, Linköping University, Sweden.
Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden and Department of Cardiology, County Council of Östergötland, Sweden.
2014 (English)In: Experimental & Clinical Cardiology, Vol. 20, no 9, 5349-5369 p.Article in journal (Refereed) Published
Abstract [en]

Objective: Evaluate the effects of a psycho-educational model for follow-up in adults with congenitally malformed hearts.

Methods: The study had a randomized controlled design. Usual care was compared with computer-based and individualized care by face-to-face psycho-education by a multidisciplinary team. Knowledge and perceived control regarding the heart condition, symptoms of anxiety and depression was analysed at baseline, 3 and 12-months.

Results: The 114 participants (control group n=58, intervention group n=56) had an average age of 34 years, SD 13.5. The intervention group had significantly higher general knowledge after 3 (effect size (ES) 0.63, p= <0.01), and 12-months (ES 0.53, p= 0.02). Knowledge regarding endocarditis was significantly increased at 3 (ES 1.43, p=<0.001), and 12-months (ES 0.58, p= 0.02) compared to baseline. There were no changes in knowledge regarding medical treatment, contraceptives and pregnancy, perceived control or anxiety and depression in any of the groups.

Conclusion: The model for follow-up was effective to improve and maintain knowledge about self-management.

Practice implication: Future evaluation of how the improved knowledge will affect health behaviours over-time is needed. Clinical Trials NCT01234753

Place, publisher, year, edition, pages
2014. Vol. 20, no 9, 5349-5369 p.
Keyword [en]
computer program, congenital heart disease, follow-up studies, hospital outpatient clinic, patient
National Category
Nursing
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URN: urn:nbn:se:hj:diva-24788OAI: oai:DiVA.org:hj-24788DiVA: diva2:749008
Available from: 2014-09-22 Created: 2014-09-22 Last updated: 2015-02-03Bibliographically approved

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