Coronary Artery Disease
Conditions
Keywords
Health literacy, patient education, health behaviors, chronic disease management, shared decision-making, patient-centered decision making
Brief summary
Study objective was to explore the impact of health literacy on effectiveness of an educational intervention describing life-style and behavior modification for patients Living with Coronary Artery Disease. Our hypothesis was that a VHS/DVD version of this educational program would be superior to printed material alone in its impact on patients' knowledge about coronary artery disease and important life-style changes. Furthermore, we believed this effect would be most notable among patients with low health literacy. We also were interested in the impact of the interventions on secondary outcomes including - health behaviors, health outcomes and patients' subjective experiences.
Detailed description
187 patients with coronary artery disease (CAD) were randomized to one of two educational interventions prior to scheduled ambulatory visit: VHS/DVD plus printed booklet; or booklet alone. Main measures included health literacy, CAD knowledge assessment; clinical outcomes and health behaviors including - blood pressure, weight, smoking status, exercise and dietary habits.
Interventions
BEHAVIORALEducational Intervention - Text plus DVD/VHS
In conjunction with a scheduled clinical visit, consenting patients spent roughly 40 minutes viewing a video program developed by the Foundation for Informed Decision Making (FIMDM), describing life-style and behavior modification for patients Living with Coronary Artery Disease. They also were given a booklet on the same subject material written at a 5th grade level.
BEHAVIORALEducational Intervention - Text Only
In conjunction with a scheduled clinical visit, consenting patients spent roughly 40 minutes reading a booklet developed by the Foundation for Informed Decision Making (FIMDM), describing life-style and behavior modification for patients Living with Coronary Artery Disease. Subject material was written at a 5th grade level.
Sponsors
Foundation for Informed Medical Decision Making
University of Cincinnati
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 87 Years
Healthy volunteers
No
Inclusion criteria
* Age \>= 18, * Diagnosis of ischemic heart disease.
Exclusion criteria
* Nursing home resident, * Did not speak English, or * Had a significant visual impairment that precluded their ability to read or watch television.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cardiovascular disease knowledge assessment score | immediate and 6 months | knowledge assessment performed prior to educational intervention, immediately after educational intervention and clinician visit, and once more at approximately 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Smoking status | over 6 months of study | Noted initial smoking status and followed whether patients continued to smoke and if so, how much |
| Diet | Over six months of study | Performed MEDFICTs dietary assessment at study start and at study completion, roughly 6 months later |
| Exercise | Over 6 months of study | Performed PASE exercise survey at study start and at study completion. |
| Weight | over 6 month study | Measured weight at study start and at study completion |
| Blood Pressure | over 6 months of study | Measured blood pressure at study start and at study completion. |
Countries
United States
Outcome results
None listed