scholarly journals A systematic review of web-based educational interventions

2021 ◽  
Author(s):  
Suzanne Fredericks

A complement to in-hospital educational interventions is web-based patient education accessed during the home recovery period. While findings demonstrate the effectiveness of web-based patient education interventions on patient outcomes, they fall short of identifying the characteristics that are associated with desired outcomes. The purpose of this systematic review was to determine the characteristics of web-based patient education interventions that are associated with producing changes in self-care behaviours. A systematic review involving 19 studies was conducted to determine the most effective components of a web-based intervention. Findings suggest that the most effective form of web-based patient education is one that is interactive and allows patients to navigate the online system on their own. The findings from this systematic review allow for the design of a web-based educational intervention that will promote increased performance of self-care behaviours during the home recovery period.

2021 ◽  
Author(s):  
Suzanne Fredericks

A complement to in-hospital educational interventions is web-based patient education accessed during the home recovery period. While findings demonstrate the effectiveness of web-based patient education interventions on patient outcomes, they fall short of identifying the characteristics that are associated with desired outcomes. The purpose of this systematic review was to determine the characteristics of web-based patient education interventions that are associated with producing changes in self-care behaviours. A systematic review involving 19 studies was conducted to determine the most effective components of a web-based intervention. Findings suggest that the most effective form of web-based patient education is one that is interactive and allows patients to navigate the online system on their own. The findings from this systematic review allow for the design of a web-based educational intervention that will promote increased performance of self-care behaviours during the home recovery period.


2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Géraldine Martorella ◽  
Erone Newman ◽  
B. Swart

The effectiveness of written education materials have been examined across the cardiovascular surgical setting. Inconsistent findings have indicated minimal changes to patient outcomes. The absence of significant findings may be due to the lack of control patients have over the frequency in which they can access information, the amount and type of content they are able to peruse, and the actual time the materials can be reviewed. A complement to in-hospital patient educational interventions is web-based patient education, accessed during the home discharge period. This discursive paper presents a summary of a planned web-based patient education intervention that has been designed for use by a predominantly elderly population. In particular, modifications to account for reduced visibility, decreased hearing, and onset of physical impairment are discussed.


2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Géraldine Martorella ◽  
Erone Newman ◽  
B. Swart

The effectiveness of written education materials have been examined across the cardiovascular surgical setting. Inconsistent findings have indicated minimal changes to patient outcomes. The absence of significant findings may be due to the lack of control patients have over the frequency in which they can access information, the amount and type of content they are able to peruse, and the actual time the materials can be reviewed. A complement to in-hospital patient educational interventions is web-based patient education, accessed during the home discharge period. This discursive paper presents a summary of a planned web-based patient education intervention that has been designed for use by a predominantly elderly population. In particular, modifications to account for reduced visibility, decreased hearing, and onset of physical impairment are discussed.


2017 ◽  
Author(s):  
Tessa Dekkers ◽  
Marijke Melles ◽  
Bob Sander Groeneveld ◽  
Huib de Ridder

BACKGROUND Patients with orthopedic conditions frequently use the internet to find health information. Patient education that is distributed online may form an easily accessible, time- and cost-effective alternative to education delivered through traditional channels such as one-on-one consultations or booklets. However, no systematic evidence for the comparative effectiveness of Web-based educational interventions exists. OBJECTIVE The objective of this systematic review was to examine the effects of Web-based patient education interventions for adult orthopedic patients and to compare its effectiveness with generic health information websites and traditional forms of patient education. METHODS CINAHL, the Cochrane Library, EMBASE, MEDLINE, PsycINFO, PUBMED, ScienceDirect, Scopus, and Web of Science were searched covering the period from 1995 to 2016. Peer-reviewed English and Dutch studies were included if they delivered patient education via the internet to the adult orthopedic population and assessed its effects in a controlled or observational trial. RESULTS A total of 10 trials reported in 14 studies involving 4172 patients were identified. Nine trials provided evidence for increased patients’ knowledge after Web-based patient education. Seven trials reported increased satisfaction and good evaluations of Web-based patient education. No compelling evidence exists for an effect of Web-based patient education on anxiety, health attitudes and behavior, or clinical outcomes. CONCLUSIONS Web-based patient education may be offered as a time- and cost-effective alternative to current educational interventions when the objective is to improve patients’ knowledge and satisfaction. However, these findings may not be representative for the whole orthopedic patient population as most trials included considerably younger, higher-educated, and internet-savvy participants only.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Massimi ◽  
C De Vito ◽  
M L Rega ◽  
P Villari ◽  
G Damiani

Abstract Introduction Heart Failure (HF) is a pandemic chronic disease with a prevalence up to 3% in the general population, representing the main cause of hospitalization for people over 65. Self-care plays a central role in the management of patients with HF, showing evidence of effectiveness in reducing re-hospitalization rates and mortality. Methods We carried out a systematic review and meta-analysis to assess the efficacy of nurse-led educational interventions Vs usual care in improving self-care skills of patients with chronic HF. The main biomedical databases were searched for Randomized Control Trials (RCTs) of nurse-led educational interventions performed on adults with a previous diagnosis of HF. Improvement of HF self-management skills (self-care level) was summarized by calculating the standardized mean difference (SMD) and 95% confidence intervals (CI) stratified for the length of the follow-up. Results Globally, 14 RCTs were included involving 2078 participants. Ten studies showed the efficacy of the interventions at 3 months (short term) with a SMD of 0.78 (95% CI 0.38-1.18) in favor of the self-care education interventions. Five studies reported on self-care abilities at 6-9 months (medium term), not showing statistically significant results (SMD 0.35, 95%CI 0.11-0.81). The long-term effect of the educational interventions showed no statistically significant improvement in self-care behaviors (three studies, SMD 0.05, 95CI% 0.12 - 0.22). Conclusions These results show that nursing educational interventions improve self-care behaviors in HF, but mainly in the short term. Intensive educational interventions led by nurses, associated with appropriate continuity and transition of care, can determine the best outcomes for patients with HF, strengthening self-care behaviors over time. This approach could have a major impact not only on individual level, but on the general reduction of complications, hospitalization, medical costs and ultimately mortality. Key messages Nurse-led educational programs have a short-term efficacy in enhancing self-care behaviors among heart failure patients. Post-discharge repeated educational interventions, along with timely and shared plans ruling the transition between the hospital and the other providers, are strongly needed.


2021 ◽  
Author(s):  
Suzanne Fredericks

Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective post-operative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and methodology: The purpose of this systematic review was to examine who would most benefit from post-operative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5271 participants. Major results: Findings indicate delivery of post-operative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple sessions is associated with improvement in educational/health outcomes. Samples that contained individuals younger than 50 years of age and higher percentages of males showed benefits in outcomes of moderate magnitude. Application: The results highlight the importance of attending to the characteristics of both the elements of post-operative educational interventions and the individual patients in the design and delivery of patient education.


2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Sepali Guruge ◽  
Souraya Sidani ◽  
Teresa Wan

Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective post-operative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and methodology: The purpose of this systematic review was to examine who would most benefit from post-operative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5271 participants. Major results: Findings indicate delivery of post-operative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple sessions is associated with improvement in educational/health outcomes. Samples that contained individuals younger than 50 years of age and higher percentages of males showed benefits in outcomes of moderate magnitude. Application: The results highlight the importance of attending to the characteristics of both the elements of post-operative educational interventions and the individual patients in the design and delivery of patient education.


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