Key result
A 1-year problem-based learning intervention significantly improved patient empowerment scores over 5 years (mean 39.39; 95% CI 37.88 to 40.89) compared to baseline, while controls remained unchanged.
Why the study?
The long-term effects of a 1-year problem-based learning program on self-management and cardiac risk factors in patients with coronary heart disease remained to be determined.
Does a 1-year problem-based learning intervention improve patient empowerment and cardiac risk factors in patients with stable coronary heart disease?
RCT (n=157)
parallel
No
Does a 1-year problem-based learning intervention improve patient empowerment and cardiac risk factors in patients with stable coronary heart disease?
A 1-year problem-based learning intervention in primary care significantly improves long-term patient empowerment, self-rated health, and HDL-C in patients with stable coronary heart disease.
Supports PBL integration in primary care for stable CHD; extends short-term empowerment data to sustained 5-year gains.
OBJECTIVES: To investigate long-term effects of a 1-year problem-based learning (PBL) on self-management and cardiac risk factors in patients with coronary heart disease (CHD). DESIGN: A prospective, randomised, parallel single centre trial. SETTINGS: Primary care settings in Sweden. PARTICIPANTS: 157 patients with stable CHD completed the study. Subjects with reading and writing impairments, mental illness or expected survival less than 1 year were excluded. INTERVENTION: Participants were randomised and assigned to receive either PBL (intervention) or home-sent patient information (control group). In this study, participants were followed up at baseline, 1, 3 and 5 years. PRIMARY AND SECONDARY OUTCOMES: Primary outcome was patient empowerment (Swedish Coronary Empowerment Scale, SWE-CES) and secondary outcomes General Self-Efficacy Scale (GSES), self-rated health status (EQ-VAS), high-density lipoprotein cholesterol (HDL-C), body mass index (BMI), weight and smoking. Outcomes were adjusted for sociodemographic factors. RESULTS: The PBL intervention group resulted in a significant improved change in SWE-CES over the 5-year period (mean (M), 39.39; 95% CI 37.88 to 40.89) compared with the baseline (M 36.54; 95% CI 35.40 to 37.66). PBL intervention group increased HDL-C level (M 1.39; 95% CI 1.28 to 1.50) compared with baseline (M 1.24; 95% CI 1.15 to 1.33) and for EQ-VAS (M 77.33; 95% CI 73.21 to 81.45) compared with baseline (M 68.13; 95% CI 63.66 to 72.59) while these outcomes remained unchanged in the control group. There were no significant differences in BMI, weight or scores on GSES, neither between nor within groups over time. The overall proportion of smokers was significantly higher in the control group than in the experimental group. CONCLUSION: One-year PBL intervention had positive effect on patient empowerment, health status and HDL-C at a 5-year follow-up compared with the control group. PBL education aiming to improve patient empowerment in cardiac rehabilitation should account for sociodemographic factors. TRIAL REGISTRATION NUMBER: NCT01462799.
No takes yet. Share an insight, caveat, or question.
Andreae et al. (2023) conducted an RCT in coronary heart disease (CHD) (n=157). problem-based learning (PBL) vs. home-sent patient information was evaluated on patient empowerment (Swedish Coronary Empowerment Scale, SWE-CES) (95% CI 37.88 to 40.89). A 1-year problem-based learning intervention significantly improved patient empowerment scores over 5 years (mean 39.39; 95% CI 37.88 to 40.89) compared to baseline, while controls remained unchanged.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: