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  • Using a structured, patient-centred, educational exchange to facilitate a shared conversation about stroke prevention medications

    Author(s)
    Coombes, Judith A
    Rowett, Debra
    Whitty, Jennifer A
    Cottrell, Neil W
    Griffith University Author(s)
    Whitty, Jennifer A.
    Year published
    2019
    Metadata
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    Abstract
    Objective:The aim of this study was to investigate the feasibility of a structured patient‐centred educational exchange to facilitate a shared conversation about stroke prevention medications.Methods:Participants (18 years or older) with a principal diagnosis of stroke or transient ischaemic attack were purposively sampled from the stroke unit of a 780‐bed teaching hospital in Australia and consented to participate in the study. A patient‐centred educational exchange was conducted face to face at the bedside before dis-charge and by telephone post discharge. The structure of these sessions was adapted from academic detailing, ...
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    Objective:The aim of this study was to investigate the feasibility of a structured patient‐centred educational exchange to facilitate a shared conversation about stroke prevention medications.Methods:Participants (18 years or older) with a principal diagnosis of stroke or transient ischaemic attack were purposively sampled from the stroke unit of a 780‐bed teaching hospital in Australia and consented to participate in the study. A patient‐centred educational exchange was conducted face to face at the bedside before dis-charge and by telephone post discharge. The structure of these sessions was adapted from academic detailing, an educational strategy, which includes identifying experience,listening to the needs of the audience, and tailoring messages to influence behaviour. To facilitate sharing of needs, three questionnaires, validated as research tools, were used to identify participants' experience, perceptions, and beliefs. The identified perceptions were used to personalize educational messages. The outcomes of the study were to provide descriptions of patients' perceptions necessities and concerns about their condition and medications, provide examples of personalized responses to these, evaluate accept-ability by patients, and determine the time taken to share the information.Results:Sixteen participants completed both the bedside session (average duration 27 minutes) and the telephone follow‐up (average duration 23 minutes). The strongest patient concern identified was having another stroke. Personalized responses included emphasizing long‐term treatment in response to the perception that stroke will last for a short time, reinforcement of necessity for medications, and further exploration of concerns.Conclusion:The questionnaires engaged the participants, allowing them to share perceptions and beliefs, facilitating a patient‐centred educational exchange in a timely manner.
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    Journal Title
    Journal of Evaluation in Clinical Practice
    DOI
    https://doi.org/10.1111/jep.13263
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version.
    Subject
    Health services and systems
    Public health
    Health Care Sciences & Services
    Medical Informatics
    Medicine, General & Internal
    TRANSIENT ISCHEMIC ATTACK
    EARLY RECURRENT STROKE
    Publication URI
    http://hdl.handle.net/10072/386852
    Collection
    • Journal articles

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