Randomised trial of a computer-generated tailored written education package for patients following stroke

Tammy Hoffmann, Kryss McKenna, Linda Worrall, Stephen J. Read

Research output: Contribution to journalArticleResearchpeer-review

40 Citations (Scopus)

Abstract

Background: the ideal method of providing stroke patients with information has not been established.

Objectives: to evaluate the effectiveness of providing stroke patients with computer-generated tailored written information.

Design: randomised controlled trial with blinded assessor.

Setting: acute stroke unit.

Participants: 138 stroke patients.

Methods: patients were randomised to receive either computer-generated tailored written information about stroke or generic written information while in hospital. Three months following discharge, a blinded assessor evaluated the outcomes of knowledge about stroke, self-efficacy (Self-Efficacy to Perform Self-Management Behaviours Scale), anxiety and depression (Hospital Anxiety and Depression (HAD) Scale), perceived health status (COOP charts), satisfaction with content and presentation of the written information received (separate 10-point visual analogue scale for content and presentation), and desire for additional information.

Results: complete data were obtained for 133 (96.4%) patients. Patients in the intervention group were significantly more satisfied with the content (difference on a 10-point visual analogue scale was 1, 95% confidence interval 0.4 to 1.7, P = 0.003) and presentation (difference on a 10-point visual analogue scale was 1.2, 95% confidence interval 0.6 to 1.9, P <0.001). Significantly, fewer patients in the intervention group desired additional information about stroke at follow-up than patients in the control group (4.5% versus 32.8%; P <0.001). Anxiety change scores improved slightly more in favour of the control group (1.4 difference on the HAD subscale, 95% confidence interval 0.2 to 2.8, P = 0.03). No significant differences between the groups were observed for any of the other outcome measures.

Interpretation: providing stroke patients with computer-generated tailored written information improved satisfaction with the information that was received and was more effective in meeting patients' informational needs than non-tailored information, but had no effect on knowledge about stroke, self-efficacy, depression, or perceived health status.

Original languageEnglish
Pages (from-to)280-286
Number of pages7
JournalAge and Ageing
Volume36
Issue number3
DOIs
Publication statusPublished - May 2007
Externally publishedYes

Cite this

Hoffmann, Tammy ; McKenna, Kryss ; Worrall, Linda ; Read, Stephen J. / Randomised trial of a computer-generated tailored written education package for patients following stroke. In: Age and Ageing. 2007 ; Vol. 36, No. 3. pp. 280-286.
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title = "Randomised trial of a computer-generated tailored written education package for patients following stroke",
abstract = "Background: the ideal method of providing stroke patients with information has not been established.Objectives: to evaluate the effectiveness of providing stroke patients with computer-generated tailored written information.Design: randomised controlled trial with blinded assessor.Setting: acute stroke unit.Participants: 138 stroke patients.Methods: patients were randomised to receive either computer-generated tailored written information about stroke or generic written information while in hospital. Three months following discharge, a blinded assessor evaluated the outcomes of knowledge about stroke, self-efficacy (Self-Efficacy to Perform Self-Management Behaviours Scale), anxiety and depression (Hospital Anxiety and Depression (HAD) Scale), perceived health status (COOP charts), satisfaction with content and presentation of the written information received (separate 10-point visual analogue scale for content and presentation), and desire for additional information.Results: complete data were obtained for 133 (96.4{\%}) patients. Patients in the intervention group were significantly more satisfied with the content (difference on a 10-point visual analogue scale was 1, 95{\%} confidence interval 0.4 to 1.7, P = 0.003) and presentation (difference on a 10-point visual analogue scale was 1.2, 95{\%} confidence interval 0.6 to 1.9, P <0.001). Significantly, fewer patients in the intervention group desired additional information about stroke at follow-up than patients in the control group (4.5{\%} versus 32.8{\%}; P <0.001). Anxiety change scores improved slightly more in favour of the control group (1.4 difference on the HAD subscale, 95{\%} confidence interval 0.2 to 2.8, P = 0.03). No significant differences between the groups were observed for any of the other outcome measures.Interpretation: providing stroke patients with computer-generated tailored written information improved satisfaction with the information that was received and was more effective in meeting patients' informational needs than non-tailored information, but had no effect on knowledge about stroke, self-efficacy, depression, or perceived health status.",
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Randomised trial of a computer-generated tailored written education package for patients following stroke. / Hoffmann, Tammy; McKenna, Kryss; Worrall, Linda; Read, Stephen J.

In: Age and Ageing, Vol. 36, No. 3, 05.2007, p. 280-286.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Randomised trial of a computer-generated tailored written education package for patients following stroke

AU - Hoffmann, Tammy

AU - McKenna, Kryss

AU - Worrall, Linda

AU - Read, Stephen J.

PY - 2007/5

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N2 - Background: the ideal method of providing stroke patients with information has not been established.Objectives: to evaluate the effectiveness of providing stroke patients with computer-generated tailored written information.Design: randomised controlled trial with blinded assessor.Setting: acute stroke unit.Participants: 138 stroke patients.Methods: patients were randomised to receive either computer-generated tailored written information about stroke or generic written information while in hospital. Three months following discharge, a blinded assessor evaluated the outcomes of knowledge about stroke, self-efficacy (Self-Efficacy to Perform Self-Management Behaviours Scale), anxiety and depression (Hospital Anxiety and Depression (HAD) Scale), perceived health status (COOP charts), satisfaction with content and presentation of the written information received (separate 10-point visual analogue scale for content and presentation), and desire for additional information.Results: complete data were obtained for 133 (96.4%) patients. Patients in the intervention group were significantly more satisfied with the content (difference on a 10-point visual analogue scale was 1, 95% confidence interval 0.4 to 1.7, P = 0.003) and presentation (difference on a 10-point visual analogue scale was 1.2, 95% confidence interval 0.6 to 1.9, P <0.001). Significantly, fewer patients in the intervention group desired additional information about stroke at follow-up than patients in the control group (4.5% versus 32.8%; P <0.001). Anxiety change scores improved slightly more in favour of the control group (1.4 difference on the HAD subscale, 95% confidence interval 0.2 to 2.8, P = 0.03). No significant differences between the groups were observed for any of the other outcome measures.Interpretation: providing stroke patients with computer-generated tailored written information improved satisfaction with the information that was received and was more effective in meeting patients' informational needs than non-tailored information, but had no effect on knowledge about stroke, self-efficacy, depression, or perceived health status.

AB - Background: the ideal method of providing stroke patients with information has not been established.Objectives: to evaluate the effectiveness of providing stroke patients with computer-generated tailored written information.Design: randomised controlled trial with blinded assessor.Setting: acute stroke unit.Participants: 138 stroke patients.Methods: patients were randomised to receive either computer-generated tailored written information about stroke or generic written information while in hospital. Three months following discharge, a blinded assessor evaluated the outcomes of knowledge about stroke, self-efficacy (Self-Efficacy to Perform Self-Management Behaviours Scale), anxiety and depression (Hospital Anxiety and Depression (HAD) Scale), perceived health status (COOP charts), satisfaction with content and presentation of the written information received (separate 10-point visual analogue scale for content and presentation), and desire for additional information.Results: complete data were obtained for 133 (96.4%) patients. Patients in the intervention group were significantly more satisfied with the content (difference on a 10-point visual analogue scale was 1, 95% confidence interval 0.4 to 1.7, P = 0.003) and presentation (difference on a 10-point visual analogue scale was 1.2, 95% confidence interval 0.6 to 1.9, P <0.001). Significantly, fewer patients in the intervention group desired additional information about stroke at follow-up than patients in the control group (4.5% versus 32.8%; P <0.001). Anxiety change scores improved slightly more in favour of the control group (1.4 difference on the HAD subscale, 95% confidence interval 0.2 to 2.8, P = 0.03). No significant differences between the groups were observed for any of the other outcome measures.Interpretation: providing stroke patients with computer-generated tailored written information improved satisfaction with the information that was received and was more effective in meeting patients' informational needs than non-tailored information, but had no effect on knowledge about stroke, self-efficacy, depression, or perceived health status.

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DO - 10.1093/ageing/afm003

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