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Goossens E, Fieuws S, Van Deyk K, Luyckx K, Gewillig M, Budts W, Moons P. Effectiveness of structured education on knowledge and health behaviors in patients with congenital heart disease. J Pediatr 2015; 166:1370-6.e1. [PMID: 25841537 DOI: 10.1016/j.jpeds.2015.02.041] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2014] [Revised: 01/16/2015] [Accepted: 02/12/2015] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To investigate whether a single educational session increased the level of knowledge and changed the prevalence of health risk behaviors in young people with congenital heart disease (CHD). STUDY DESIGN We conducted a longitudinal study of patients transferred to adult CHD care who received a single educational session (n = 201) at a tertiary care center. Their knowledge level and prevalence of health risk behaviors were assessed via the Leuven Knowledge Questionnaire CHD and the Health Behavior Scale CHD, respectively. A general linear model for longitudinal measurements was used to analyze the natural progression of patients' knowledge during a 27-month period and the effect of one educational session on outcomes. RESULTS Participating in an educational session resulted in a small-to-moderate, but significant, increase in total knowledge level and better understanding of deterioration symptoms, and rationale and frequency of follow-up; however, it did not improve patients' health behaviors. CONCLUSIONS This type of education did improve knowledge but did not improve the patients' tendency to engage in better health behaviors. Future studies should assess the effect of repetitive exposure to educational sessions dealing with CHD.
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Affiliation(s)
- Eva Goossens
- Department of Public Health and Primary Care, KU Leuven-University of Leuven, Leuven, Belgium; Research Foundation Flanders, Brussel, Belgium
| | - Steffen Fieuws
- I-BioStat, KU Leuven-University of Leuven, Leuven, Belgium; I-BioStat, UHasselt, Hasselt, Belgium
| | - Kristien Van Deyk
- Division of Congenital and Structural Cardiology, KU Leuven-University of Leuven, University Hospitals Leuven, Leuven, Belgium
| | - Koen Luyckx
- School Psychology and Child and Adolescent Development, KU Leuven-University of Leuven, Leuven, Belgium
| | - Marc Gewillig
- Department of Pediatric Cardiology, KU Leuven-University of Leuven, University Hospitals Leuven, Leuven, Belgium
| | - Werner Budts
- Division of Congenital and Structural Cardiology, KU Leuven-University of Leuven, University Hospitals Leuven, Leuven, Belgium
| | - Philip Moons
- Department of Public Health and Primary Care, KU Leuven-University of Leuven, Leuven, Belgium; The Heart Centre, Copenhagen University Hospital, Copenhagen, Denmark; Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
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Janssens A, Goossens E, Luyckx K, Budts W, Gewillig M, Moons P. Exploring the relationship between disease-related knowledge and health risk behaviours in young people with congenital heart disease. Eur J Cardiovasc Nurs 2014; 15:231-40. [DOI: 10.1177/1474515114565214] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Accepted: 12/03/2014] [Indexed: 11/16/2022]
Affiliation(s)
- Astrid Janssens
- Department of Public Health and Primary Care, KU Leuven – University of Leuven, Belgium
| | - Eva Goossens
- Department of Public Health and Primary Care, KU Leuven – University of Leuven, Belgium
- Research Foundation Flanders, Belgium
| | - Koen Luyckx
- School of Psychology and Child and Adolescent Development, KU Leuven – University of Leuven, Belgium
| | - Werner Budts
- Division of Congenital and Structural Cardiology, KU Leuven – University of Leuven, University Hospitals Leuven, Belgium
| | - Marc Gewillig
- Department of Paediatric Cardiology, KU Leuven – University of Leuven, University Hospitals Leuven, Belgium
| | - Philip Moons
- Department of Public Health and Primary Care, KU Leuven – University of Leuven, Belgium
- The Heart Centre, Copenhagen University Hospital, Denmark
- Institute of Health and Care Sciences, University of Gothenburg, Sweden
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Loomba RS, Aggarwal S, Pelech AN. Addressing sexual health in congenital heart disease: when being the same isn't the same. CONGENIT HEART DIS 2014; 10:30-5. [PMID: 24521242 DOI: 10.1111/chd.12168] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/09/2014] [Indexed: 11/28/2022]
Abstract
A larger number of individuals born with congenital heart disease is living into adolescence and young adulthood. With this comes the responsibility to counsel these patients regarding their sexual and reproductive health. This study utilizes representative data from the National Health and Nutrition Examination Survey to compare sexual measures including percentage of that sexually active, age of first sexual activity, number of sexual partners, condom use, and history of sexually transmitted diseases in those with and without congenital heart disease. A total of 1086 patients (1057 without congenital heart disease and 29 with congenital heart disease) were included in this study. Likelihood of being sexually active, age of first sexual intercourse, and condom use did not differ significantly between the two groups after multivariate analysis. Incidence of sexually transmitted disease did not differ between the two groups after multivariate analysis except for genital warts. There are no major differences in sexual measures between those with and without congenital heart disease. The absence of significant differences in sexual measures in those with congenital heart disease compared with the general population places this group of individuals at increased health risk known to occur with pregnancy.
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Affiliation(s)
- Rohit S Loomba
- Department of Cardiology, Children's Hospital of Wisconsin/Medical College of Wisconsin, Naperville, Wis, USA
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An Evaluation of Disease Knowledge in Dyads of Parents and Their Adolescent Children With Congenital Heart Disease. J Cardiovasc Nurs 2013; 28:541-9. [DOI: 10.1097/jcn.0b013e318260c308] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Goossens E, Van Deyk K, Zupancic N, Budts W, Moons P. Effectiveness of structured patient education on the knowledge level of adolescents and adults with congenital heart disease. Eur J Cardiovasc Nurs 2013; 13:63-70. [PMID: 23420323 DOI: 10.1177/1474515113479231] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Patients with congenital heart disease (CHD) have poor understanding of their heart condition, treatment and prevention of complications. To improve their level of health-related knowledge, a structured education program was implemented in the adult congenital heart disease program. This study aimed (a) to evaluate the level of knowledge of patients who received structured CHD education as compared to patients who did not receive this education; (b) to explore if the provision of structured education is an independent determinant of knowledge; and (c) to evaluate whether patients who received structured education reached the educational target (>80% correct answers). METHODS AND RESULTS A total of 317 patients were included: 226 in the education group, and 91 in the comparison group. Knowledge was assessed using the 'Leuven Knowledge Questionnaire for Congenital Heart Disease'. The mean total knowledge score in the education group (57%) was significantly higher as compared to the comparison group (43%) (p<0.001). However, only 24 patients (11%) in the education group reached the educational target of the program. After adjusting for patient's age, educational level and disease complexity, hierarchical multivariable linear regression analysis showed that the provision of structured CHD education was an independent determinant of higher levels of knowledge. CONCLUSION A structured education program was associated with a higher level of knowledge. However, the educational target for sufficient knowledge was reached in a very limited number of patients. Hence, continuous efforts in educating patients and developing alternative education methods are needed.
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Affiliation(s)
- Eva Goossens
- 1Department of Public Health and Primary Care, KU Leuven, Belgium
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van Engelen K, Baars MJH, van Rongen LT, van der Velde ET, Mulder BJM, Smets EMA. Adults with congenital heart disease: Patients' knowledge and concerns about inheritance. Am J Med Genet A 2011; 155A:1661-7. [DOI: 10.1002/ajmg.a.34068] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2010] [Accepted: 03/30/2011] [Indexed: 11/10/2022]
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Hargrove A, Penny DJ, Sawyer SM. Sexual and reproductive health in young people with congenital heart disease: a systematic review of the literature. Pediatr Cardiol 2005; 26:805-11. [PMID: 16078118 DOI: 10.1007/s00246-005-0950-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Improved survival in young people with congenital heart disease (CHD) alters the significance of a range of developmentally important subjects, such as sexual and reproductive health. The aim of this study was to determine the level of knowledge about sexual and reproductive health issue in young people with CHD. METHODS We undertook a systematic review of the literature from 1966 to March 2004, searching Medline, Psych Info, and Em base using a broad range of search terms. Additionally, we searched the literature for published guidelines on standards of care for young people with CHD. RESULTS We identified ten articles that examined patients,' understanding of their heart disease. Seven of them specifically investigated knowledge of sexual and reproductive health as it related to cardiac disease. CONCLUSIONS In general, young people have a poor understanding of their heart disease. They appear to have a particularly poor grasp of sexual and reproductive health issues, yet they are interested in these issues. Therefore, health care programs for young people with CHD should incorporate sexual and reproductive health information and include anticipatory counseling and health risk screening.
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Affiliation(s)
- A Hargrove
- Centre for Adolescent Health, Royal Children's Hospital, Flemington Rd, Parkville, Victoria, 3052, Australia
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Abstract
The number of children with congenital heart disease surviving beyond adolescence is rapidly increasing. Consequently, pediatric health providers not only have to address medical issues associated with the cardiac condition but must begin to develop programs that assist adolescents and their families in dealing with special health care needs for the young patient to successfully move into the adult world. Transitional health-related issues facing the adolescent with congenital heart disease including medical follow-up, insurability, employability, sexuality, and reproduction are described. Discussion about advising and counseling both patient and parents is included.
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Affiliation(s)
- M M Canobbio
- School of Nursing, University of California Los Angeles, 90095, USA.
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Foster E, Graham TP, Driscoll DJ, Reid GJ, Reiss JG, Russell IA, Sermer M, Siu SC, Uzark K, Williams RG, Webb GD. Task force 2: special health care needs of adults with congenital heart disease. J Am Coll Cardiol 2001; 37:1176-83. [PMID: 11300419 DOI: 10.1016/s0735-1097(01)01277-3] [Citation(s) in RCA: 146] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Bar-Mor G, Bar-Tal Y, Krulik T, Zeevi B. Self-efficacy and physical activity in adolescents with trivial, mild, or moderate congenital cardiac malformations. Cardiol Young 2000; 10:561-6. [PMID: 11117387 DOI: 10.1017/s1047951100008829] [Citation(s) in RCA: 76] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Our purpose was to examine the cognitive processes that influence involvement in physical activity among 100 adolescents, 55 boys and 45 girls, ranging in age from 12 to 18 years, with trivial, mild, or moderate forms of congenital cardiac disease. We hypothesized, first, that the severity of the congenital cardiac malformation itself has an indirect effect on self-efficacy regarding physical activity, and that the relationship between the two is mediated by the recommendations of the cardiologist and the attitude of the mother. Second, we argued that self-efficacy serves as a mediating variable between the recommendations of the cardiologist and the attitude of the mother, on the one hand, and involvement in physical activity, on the other. The results confirmed both hypotheses. In a population of adolescents with trivial to moderate congenital cardiac malformations, beliefs in self-efficacy, rather than severity of the disease, were the most influential factors in determining whether or not adolescents will engage in sports or other physical activities. We also demonstrated the importance of the role played by the recommendations of the cardiologist in determining both the attitudes of the mother and the belief in self-efficacy of the adolescents.
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Affiliation(s)
- G Bar-Mor
- Cardiology Institute, Schneider Children's Medical Center of Israel.
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PHYSICAL ACTIVITY AND CONGENITAL HEART DISEASE. Nurs Clin North Am 1994. [DOI: 10.1016/s0029-6465(22)02737-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Tong E, Sparacino PS. Special Management Issues for Adolescents and Young Adults with Congenital Heart Disease. Crit Care Nurs Clin North Am 1994. [DOI: 10.1016/s0899-5885(18)30520-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Affiliation(s)
- U Brook
- Department of Pediatrics, Wolfson Medical Center, Holon, Israel
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Pidgeon V, Olson S. A comparison of illness concepts of school age children and adolescents. ISSUES IN COMPREHENSIVE PEDIATRIC NURSING 1986; 9:209-21. [PMID: 3635505 DOI: 10.3109/01460868609029856] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Pierce DK, Connor SL, Sexton G, Calvin L, Connor WE, Matarazzo JD. Knowledge of and attitudes toward coronary heart disease and nutrition in Oregon families. Prev Med 1984; 13:390-5. [PMID: 6504867 DOI: 10.1016/0091-7435(84)90030-6] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
In an effort to examine knowledge about heart disease and nutrition and attitudes toward dietary change, 754 women and 125 men were interviewed. The majority of respondents recognized the association between coronary heart disease and various risk factors, including dietary cholesterol. Although they acknowledged the value of dietary change in reducing risk, the majority denied that the food they now eat increases their risk for heart disease, which suggests a lack of perception about possible benefits to be derived from dietary change. The importance of addressing perceived barriers to change is discussed.
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