The Effectiveness of Interactive Nursing Education Program Through Health Belief Model Based and Informative Technology-assisted on Atrial Fibrillation Patients Receiving Oral Anticoagulant
2021年11月22日 更新者：Chang Gung Memorial Hospital
The Effectiveness of Interactive Nursing Education Program Through Health Belief Model Based and Informative Technology-assisted on Atrial Fibrillation Patients Receiving Oral Anticoagulant: A Randomized Control Trial
This study examined patients on taking oral anticoagulants (OACs) are often prescribed for Atrial fibrillation (AFib) to determine the effectiveness of a multiple interactive health education program, which was developed based on the health belief model (HBM) and incorporated information technologies.
研究概览
详细说明
A randomized controlled study was conducted on the cardiology outpatients.
The patients were recruited through purposive sampling.
The participants had been diagnosed with AFib and were receiving OACs.
The participants were divided according to the blocks of clinic hours and assigned randomly to the experimental group or control group.
The control variables involved demographic characteristics and medical history.
The dependent variables and corresponding research instruments were medication knowledge and health beliefs, medication satisfaction and quality of life (QoL).
Other than the medication knowledge questionnaire, which was assessed monthly, all the measurement instruments were applied twice: first in a pretest, and again in a posttest administered at the third month.
The interventions administered to the experimental group were one-on-one instruction and HBM-driven strategies, health information technology system, monthly telephone follow-ups, and providing medication cards.
The participants in the control group only received brochure and medication cards.
研究类型
介入性
注册 (实际的)
150
阶段
- 不适用
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
20年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- diagnosis of Atrial Fibration by a physician and taking oral anticoagulant as treatment
- 20years old or older
- clear consciousness for communication
- willingness to participate in research.
Exclusion Criteria:
- can not communicate clearly
- without willingness to participate in research
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：其他
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Educational group
The interventions administered to the experimental group were one-on-one instruction and Health Brief Model (HBM)-driven strategies, health information technology system, monthly telephone follow-ups, and providing medication cards.
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The interventions administered to the experimental group were one-on-one instruction and Health Belief Model (HBM)-driven strategies, health information technology system, monthly telephone follow-ups, and providing medication cards.
Patient education related oral anticoagulant: each subject in the experimental group was taught individually according to investigators' App in the outpatient department (OPD) by researchers.
Every months, participants received a follow-up phone call to clarify any questions related to the knowledge of anticoagulants.
The contents of the teaching material consisted of: the purpose of taking anticoagulant, side effects, adjustments to daily diet, and precautions (i.e.how to take medication safely, interaction between foods and medicine, prevention and checking of signs and symptoms of bleeding).
The control group received the brochure and medical card after pretest and routine care in the OPD.
All participants completed posttest at 3-month follow-up.
|
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无干预：Control group
Patients in the control group only received brochure and medication cards.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
The change of "medication knowledge of anticoagulants"
大体时间：medication knowledge of anticoagulants was assessed at baseline, change from baseline medication knowledge of anticoagulants at 2 months, and change from baseline medication knowledge of anticoagulants at 3 months
|
There were 11 questions related to knowledge of anticoagulants designed by investigators' research team.
The range of scores was 0-22.
The higher the score, the better the participants' knowledge of anticoagulants was.
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medication knowledge of anticoagulants was assessed at baseline, change from baseline medication knowledge of anticoagulants at 2 months, and change from baseline medication knowledge of anticoagulants at 3 months
|
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The change of "health beliefs of anticoagulants"
大体时间：health beliefs of anticoagulants were assessed at baseline, and change from baseline health beliefs of anticoagulants at 3 months
|
There were 22 questions related to health beliefs of anticoagulants designed by investigators' research team.
The range of scores was 0-88.
The higher the score, the better the participants' health beliefs was.
|
health beliefs of anticoagulants were assessed at baseline, and change from baseline health beliefs of anticoagulants at 3 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
The change of "medication satisfaction of anticoagulants"
大体时间：medication satisfaction of anticoagulants was assessed at baseline, and change from baseline medication satisfaction of anticoagulants at 3 months
|
There were 26 questions related to medication satisfaction of anticoagulants (Duke Anticoagulation Satisfaction Scale, DASS).
The range of scores was 1-182.
The lower the score, the better the participants' medication satisfaction was.
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medication satisfaction of anticoagulants was assessed at baseline, and change from baseline medication satisfaction of anticoagulants at 3 months
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The change of "quality of life for patients taking anticoagulants"
大体时间：quality of life for patients taking anticoagulants was assessed at baseline, and change from baseline quality of life for patients taking anticoagulants at 3 months
|
There were 12 questions related to quality of life for patients taking anticoagulants (Short Form-12, SF-12).
The range of scores was 0-100 transferred in each question.
The higher the score, the better the participants' quality of life was.
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quality of life for patients taking anticoagulants was assessed at baseline, and change from baseline quality of life for patients taking anticoagulants at 3 months
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Yu-Hsia Tsai、Chang Gung University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2014年12月1日
初级完成 (实际的)
2018年2月28日
研究完成 (实际的)
2018年2月28日
研究注册日期
首次提交
2021年7月23日
首先提交符合 QC 标准的
2021年11月22日
首次发布 (实际的)
2021年12月6日
研究记录更新
最后更新发布 (实际的)
2021年12月6日
上次提交的符合 QC 标准的更新
2021年11月22日
最后验证
2021年7月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.