Disease-specific education in the primary care setting increases the knowledge of people with chronic obstructive pulmonary disease: A randomized controlled trial

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• 作者：Kylie Hill ; Suzanna Mangovski-Alzamora ; Maria Blouin ; Gordon Guyatt ; Diane Heels-Ansdell ; Pauline Bragaglia ; Itamar Tamari ; Karen Jones ; Roger Goldstein
• 关键词：Education ; COPD ; Primary care
• 刊名：Patient Education and Counseling
• 出版年：2010
• 出版时间：October 2010
• 年：2010
• 卷：81
• 期：1
• 页码：14-18
• 全文大小：144 K

文摘

Objective

To examine the effect of brief disease-specific education delivered in primary care on objective measures of knowledge in individuals recently diagnosed with chronic obstructive pulmonary disease (COPD).

Methods

A randomized control trial was undertaken during which an experimental group received 2 h of education delivered by a certified COPD educator and a control group received usual care. The Bristol COPD Knowledge Questionnaire (BCKQ) was self-administered at the time of randomization and approximately three months later.

Results

Of the 93 individuals that completed the study, 50 (forced expiratory volume in 1 s [FEV₁] = 60.0 ± 14.3 % predicted; 22 males) and 43 (FEV₁ = 58.2 ± 14.4 % predicted; 20 males) participants were randomized to the experimental and control groups, respectively. The BCKQ increased from 27.6 ± 8.7 to 36.5 ± 7.7 points (p < 0.001) in the experimental group, which was greater than any seen in the control group (between-group difference 8.3, 95 % confidence interval 5.5–11.2 points).

Conclusion

As little as 2 h of education delivered in primary care was effective at increasing objective measures of disease-specific knowledge.

Practice implications

A program of brief education delivered in the primary care setting, represents an important approach for many individuals with COPD who are unlikely to access pulmonary rehabilitation.