Atrial Fibrillation, Blood Coagulation Disorders, Inherited, Cardiovascular Disease, Venous Thromboses
Conditions
Keywords
quality of life, medical adherence, warfarin, Health education
Brief summary
The aim of the study is to test if patients under oral anticoagulation therapy who are going to participate in the education program will have better Health-related quality of life, higher rate in pharmacological treatment adherence and better self efficacy to manage the treatment.
Detailed description
Patients who are going to use oral anticoagulant will participate in an individual orientation, using instructional material (slides and illustrative booklet) during hospitalization period. After the discharge 2 phone calls will be done (after: a week and four weeks) focusing on the strategies to improve patient's self-efficacy to manage the oral anticoagulation. There will be a personal contact among researcher and participants when the patients return at the oral anticoagulant ambulatory, two months after the treatment start. At this time the following variables of interest will be evaluated: Health-related quality of life; adherence to treatment and patients' self-efficacy.
Interventions
BEHAVIORALEducational program
Individual orientation (slides) during hospitalization period and telephone follow-up after discharge
Sponsors
Fundação de Amparo à Pesquisa do Estado de São Paulo
University of Sao Paulo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients admitted in two public hospitals, in São Paulo state interior and who are going to start the use of oral anticoagulant during this hospitalization * Patients admitted in two public hospitals, in São Paulo state interior and who are going to adjust therapeutically oral anticoagulant dosage or to start over treatment.
Exclusion criteria
* Individuals who do not at all have any ability to understand the data collection instrument questions, measured by the instrument Mental State Mini-exam. * Individuals who do not have a telephone to be contacted after hospital discharge; * Individuals who are going to metallic valve prosthesis implant surgery in the last six months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in health-related quality of life at 2 months | baseline (hospitalization time) and two months after discahrge | the health-related quality of life will be measure by Duke Anticoagulation Satisfaction Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change from baseline in oral anticoagulation treatment adherence at 2 months | baseline (hospitalization time) and two months after discahrge | Treatment adhrence will be measure by on specif scale |
Countries
Brazil
Contacts
Primary ContactFlávia M Pelegrino, MNS, PhD candidate
Backup ContactInaiara A Scalçone, MNS, PhD candidate
Outcome results
None listed