A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications

Abstract Background Cardiovascular diseases (CVDs) are always considered by healthcare specialists for different reasons, including extensive prevalence, increased costs, chronicity, and high risk of death. The control of CVDs is highly influenced by behavior and lifestyle and it seems necessary to...

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Autores principales:	Atiyeh Saboktakin, Mohammad Mehdi Sepehri, Roghaye Khasha
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Patient education Patient engagement Chronic diseases Cardiovascular diseases BPMN PROMETHEE Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/d167efc8af7343dcb66cf89a40f237cf
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spelling	oai:doaj.org-article:d167efc8af7343dcb66cf89a40f237cf2021-11-21T12:28:57ZA novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications10.1186/s12911-021-01680-x1472-6947https://doaj.org/article/d167efc8af7343dcb66cf89a40f237cf2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12911-021-01680-xhttps://doaj.org/toc/1472-6947Abstract Background Cardiovascular diseases (CVDs) are always considered by healthcare specialists for different reasons, including extensive prevalence, increased costs, chronicity, and high risk of death. The control of CVDs is highly influenced by behavior and lifestyle and it seems necessary to train special abilities about lifestyle and behavior modification to improve self-care skills for patients, and their caregivers. As a result, the development of effective training systems should be considered by healthcare specialists. Methods Hence, in this study, a framework for improving cardiovascular patients’ education processes is presented. Initially, an existing training system for cardiovascular patients is reviewed. Using field observations and targeted interviews with hospital experts, all components of its educating processes are identified, and their process maps are drawn up. After that, challenges in the training system are extracted with the aid of in-depth semi-structured interviews with experts. Due to the importance and different influence of the identified challenges, they are prioritized using a Multiple Criteria Decision-making (MCDM) method, and then their root causes were investigated. Finally, a novel framework is proposed and evaluated with hospital experts' help to improve the main challenges. Results The most important challenges included high nursing workload and shortage of time, lack of understanding of training concepts by patients, lack of attention to training, disruption of the training processes by the patients’ caregivers, and patient's weakness in understanding the standard language. In identifying the root causes, learner, educator, and educational tools are the most effective in the training process; therefore, the improvement scenarios were designed accordingly in the proposed framework. Conclusions Our study indicated that presenting a framework with applying different quantitative and qualitative methods has great potential to improve the processes of patient education for chronic diseases such as cardiovascular disease.Atiyeh SaboktakinMohammad Mehdi SepehriRoghaye KhashaBMCarticlePatient educationPatient engagementChronic diseasesCardiovascular diseasesBPMNPROMETHEEComputer applications to medicine. Medical informaticsR858-859.7ENBMC Medical Informatics and Decision Making, Vol 21, Iss 1, Pp 1-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Patient education Patient engagement Chronic diseases Cardiovascular diseases BPMN PROMETHEE Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Patient education Patient engagement Chronic diseases Cardiovascular diseases BPMN PROMETHEE Computer applications to medicine. Medical informatics R858-859.7 Atiyeh Saboktakin Mohammad Mehdi Sepehri Roghaye Khasha A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications
description	Abstract Background Cardiovascular diseases (CVDs) are always considered by healthcare specialists for different reasons, including extensive prevalence, increased costs, chronicity, and high risk of death. The control of CVDs is highly influenced by behavior and lifestyle and it seems necessary to train special abilities about lifestyle and behavior modification to improve self-care skills for patients, and their caregivers. As a result, the development of effective training systems should be considered by healthcare specialists. Methods Hence, in this study, a framework for improving cardiovascular patients’ education processes is presented. Initially, an existing training system for cardiovascular patients is reviewed. Using field observations and targeted interviews with hospital experts, all components of its educating processes are identified, and their process maps are drawn up. After that, challenges in the training system are extracted with the aid of in-depth semi-structured interviews with experts. Due to the importance and different influence of the identified challenges, they are prioritized using a Multiple Criteria Decision-making (MCDM) method, and then their root causes were investigated. Finally, a novel framework is proposed and evaluated with hospital experts' help to improve the main challenges. Results The most important challenges included high nursing workload and shortage of time, lack of understanding of training concepts by patients, lack of attention to training, disruption of the training processes by the patients’ caregivers, and patient's weakness in understanding the standard language. In identifying the root causes, learner, educator, and educational tools are the most effective in the training process; therefore, the improvement scenarios were designed accordingly in the proposed framework. Conclusions Our study indicated that presenting a framework with applying different quantitative and qualitative methods has great potential to improve the processes of patient education for chronic diseases such as cardiovascular disease.
format	article
author	Atiyeh Saboktakin Mohammad Mehdi Sepehri Roghaye Khasha
author_facet	Atiyeh Saboktakin Mohammad Mehdi Sepehri Roghaye Khasha
author_sort	Atiyeh Saboktakin
title	A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications
title_short	A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications
title_full	A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications
title_fullStr	A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications
title_full_unstemmed	A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications
title_sort	novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d167efc8af7343dcb66cf89a40f237cf
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A novel approach to educate hospitalized cardiovascular disease patients about lifestyle and behavior modifications

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