Computer-based education for patients with chronic heart failure. A randomised, controlled, multicentre trial of the effects on knowledge, compliance and quality of life

Patient Educ Couns. 2006 Dec;64(1-3):128-35. doi: 10.1016/j.pec.2005.12.007. Epub 2006 Feb 15.

Abstract

Objective: To evaluate the effects of a single-session, interactive computer-based educational program on knowledge, compliance and quality of life in heart failure patients with special emphasis on gender differences.

Methods: One hundred and fifty-four patients, mean age 70 years, from five heart failure clinics were randomised to either receiving only standard education (n=72) or standard education and additional computer-based education (n=82).

Results: Knowledge was increased in both groups after 1 month with a trend towards higher knowledge (P=0.07) in the computer-based group. The increase in knowledge was significantly higher in the computer-based group after 6 months (P=0.03). No differences were found between the groups with regard to compliance with treatment and self-care or quality of life. The women had significantly lower quality of life and did not improve after 6 months as the men did (P=0.0001).

Conclusion: Computer-based education gave increased knowledge about heart failure.

Practice implications: Computers can be a useful tool in heart failure education, but to improve compliance a single-session educational intervention is not sufficient. Gender differences in learning and quality of life should be further evaluated.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Ambulatory Care Facilities
  • CD-ROM
  • Chronic Disease
  • Computer-Assisted Instruction / methods*
  • Computer-Assisted Instruction / standards
  • Female
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice
  • Health Services Needs and Demand
  • Heart Failure / prevention & control*
  • Heart Failure / psychology
  • Humans
  • Male
  • Middle Aged
  • Nursing Evaluation Research
  • Patient Compliance / psychology*
  • Patient Compliance / statistics & numerical data
  • Patient Education as Topic / methods*
  • Patient Education as Topic / standards
  • Quality of Life* / psychology
  • Self Care / psychology
  • Surveys and Questionnaires
  • Sweden
  • User-Computer Interface