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
2014 (English)In: Experimental & Clinical Cardiology, Vol. 20, no 9, 5349-5369 p.Article in journal (Refereed) Published
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.
computer program, congenital heart disease, follow-up studies, hospital outpatient clinic, patient
IdentifiersURN: urn:nbn:se:hj:diva-24788OAI: oai:DiVA.org:hj-24788DiVA: diva2:749008