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European Journal of Heart Failure 1999 1(3):219-227; doi:10.1016/S1388-9842(99)00041-0
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© 1999 European Society of Cardiology

Effects of systematic education on heart failure patients' knowledge after 6 months. A randomised, controlled trial

A. Björck Linnéa,*, H. Liedholma and B. Israelssonb

a B Pharm Department of Community Medicine, Malmö University Hospital, MFC Ing 59, S-205 02 Malmö, Sweden
b Department of Cardiology, Malmö University Hospital, University of Lund Malmö, Sweden

* Corresponding author. Tel: +46-40333449; fax: +46-40336215. E-mail address: agneta.bjork-linne{at}smi.mas.lu.se (A. Björck Linné


   Abstract

Background: Many procedures for patient education are introduced in clinical practice without proper evaluation in randomised trials.

Aims: To compare systematic nurse and pharmacist led education including an interactive Kodak Photo-CD Portfolio technique with conventional information regarding heart failure patients' knowledge.

Methods: One hundred and thirty heart failure patients discharged from hospital were randomised to receive either conventional information or additional structured education with a follow-up of 6 months. Difference in knowledge was tested by questionnaire after 6 months.

Results: At the end of the study there was a significant difference in the intervention group (n = 50) compared to the control group (n = 58) regarding knowledge as tested by a questionnaire. Of maximal 28 points the intervention group attained 17.2 points (mean) and the control group 14.3 points (mean), 95% confidence interval for difference 1.0–4.7 points (P = 0.0051).

Conclusions: Two to 3 hours of systematic education improved heart failure patients' knowledge on essential issues. High age does not preclude the introduction of a new technique for patient education.

Key Words: Heart failure • Patient education • Knowledge • Clinical trial • Randomisation • Interactive compact disc

Received June 18, 1999; Revised July 8, 1999; Accepted July 8, 1999


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