We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Evaluation of a digital patient education programme for Chinese immigrants after a heart attack.
- Authors
Shi, Wendan; Zhang, Ling; Ghisi, Gabriela L M; Panaretto, Lise; Oh, Paul; Gallagher, Robyn
- Abstract
Aims To evaluate a self-administered digital education resource for patients after a heart attack (adapted simplified Chinese version of Cardiac College™) on secondary prevention knowledge and health behaviour change outcomes. Methods and results Chinese immigrants recovering from a heart attack were recruited from cardiac rehabilitation programmes at four metropolitan tertiary hospitals. Participants provided access to Cardiac College™ (adapted simplified Chinese version), a self-learning secondary prevention virtual education resource over 4 weeks. The web-based resources include 9 booklets and 10 pre-recorded video education sessions. Assessments included health literacy, secondary prevention knowledge, self-management behaviours, self-reported physical activity, and a heart-healthy diet. Satisfaction, acceptability, and engagement were also assessed. From 81 patients screened, 67 were recruited, and 64 (95.5%) completed the study. The participants' mean age was 67.2 ± 8.1 years old, 81.2% were males, and the majority had no English proficiency (65.6%). Following the intervention, significant improvements were observed for secondary prevention knowledge overall and in all subdomains, with the most improvement occurring in medical, exercise, and psychological domains (P < 0.001). Dietary and self-management behaviours also improved significantly (P < 0.05). According to participants, the educational materials were engaging (100%), and the content was adequate (68.8%); however, 26.6% found the information overwhelming. Overall, 46.9% were highly satisfied with the resources. Conclusion A self-learning virtual patient-education package improved secondary prevention knowledge and self-care behaviour in Chinese immigrants after a heart attack. The culturally adapted version of Cardiac College™ offers an alternative education model where bilingual staff or translated resources are limited.
- Subjects
AUSTRALIA; EDUCATION of immigrants; PATIENT education; MYOCARDIAL infarction; HEALTH literacy; SELF-evaluation; FRUIT; SCALE analysis (Psychology); RESEARCH funding; SELF-management (Psychology); PHILOSOPHY of education; CRONBACH'S alpha; FOOD consumption; T-test (Statistics); HYPERLIPIDEMIA; DRUG side effects; MEDICAL care; EVALUATION of human services programs; EDUCATIONAL outcomes; CLINICAL trials; QUESTIONNAIRES; HYPERTENSION; PHYSICAL fitness mobile apps; INFORMATION resources; INTERNET; TERTIARY care; EXERCISE intensity; BEHAVIOR; DESCRIPTIVE statistics; CHI-squared test; CARDIOVASCULAR diseases risk factors; GAIT in humans; WEARABLE technology; LONGITUDINAL method; PRE-tests &; post-tests; CORONARY artery bypass; ONLINE education; HEALTH behavior; URBAN hospitals; RESEARCH; MEDICAL records; ACQUISITION of data; VEGETABLES; PERCUTANEOUS coronary intervention; FOOD habits; AEROBIC exercises; DISEASE relapse; PATIENT satisfaction; CORONARY artery disease; DATA analysis software; LEARNING strategies; WOUND care; CARDIAC rehabilitation; DISEASE progression; PATIENTS' attitudes; EMPLOYMENT reentry; DISEASE risk factors
- Publication
European Journal of Cardiovascular Nursing, 2024, Vol 23, Issue 6, p599
- ISSN
1474-5151
- Publication type
Article
- DOI
10.1093/eurjcn/zvad128