Effectiveness of Structured Education on Knowledge and Health Behaviors in Patients with Congenital Heart Disease - 24/05/15

Doi : 10.1016/j.jpeds.2015.02.041

Eva Goossens, MSc, RN ^1,², Steffen Fieuws, PhD, MSc ^3,⁴, Kristien Van Deyk, MSc, RN ⁵, Koen Luyckx, PhD, MSc ⁶, Marc Gewillig, MD, PhD ⁷, Werner Budts, MD, PhD ⁵, Philip Moons, PhD, RN ^1,^8,^9,^⁎
¹ Department of Public Health and Primary Care, KU Leuven–University of Leuven, Leuven, Belgium
² Research Foundation Flanders, Brussel, Belgium
³ I-BioStat, KU Leuven–University of Leuven, Leuven, Belgium
⁴ I-BioStat, UHasselt, Hasselt, Belgium
⁵ Division of Congenital and Structural Cardiology, KU Leuven–University of Leuven, University Hospitals Leuven, Leuven, Belgium
⁶ School Psychology and Child and Adolescent Development, KU Leuven–University of Leuven, Leuven, Belgium
⁷ Department of Pediatric Cardiology, KU Leuven–University of Leuven, University Hospitals Leuven, Leuven, Belgium
⁸ The Heart Centre, Copenhagen University Hospital, Copenhagen, Denmark
⁹ Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden

^∗Reprint requests: Philip Moons, PhD, RN, Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35, box 7001, B-3000 Leuven, Belgium.

Abstract

Objective

To investigate whether a single educational session increased the level of knowledge and changed the prevalence of health risk behaviors in young people with congenital heart disease (CHD).

Study design

We conducted a longitudinal study of patients transferred to adult CHD care who received a single educational session (n = 201) at a tertiary care center. Their knowledge level and prevalence of health risk behaviors were assessed via the Leuven Knowledge Questionnaire CHD and the Health Behavior Scale CHD, respectively. A general linear model for longitudinal measurements was used to analyze the natural progression of patients' knowledge during a 27-month period and the effect of one educational session on outcomes.

Results

Participating in an educational session resulted in a small-to-moderate, but significant, increase in total knowledge level and better understanding of deterioration symptoms, and rationale and frequency of follow-up; however, it did not improve patients' health behaviors.

Conclusions

This type of education did improve knowledge but did not improve the patients' tendency to engage in better health behaviors. Future studies should assess the effect of repetitive exposure to educational sessions dealing with CHD.

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Keyword : ACHD, APN, CHD, ES, GLM, HBS-CHD, LKQ-CHD, RR

Plan

The authors declare no conflicts of interest.

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Vol 166 - N° 6

P. 1370 - juin 2015 Retour au numéro

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Effectiveness of Structured Education on Knowledge and Health Behaviors in Patients with Congenital Heart Disease - 24/05/15

Abstract

Objective

Study design

Results

Conclusions

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