The Knowledge Test Feedback Intervention (KTFI) increases knowledge level of spinal stenosis patients before operation-A randomized controlled follow-up trial

Objective: To assess the impact of a preoperative educational intervention on the knowledge level of patients with spinal stenosis. Methods: One hundred spinal stenosis patients were randomized into a preoperative educational intervention group (IG, n = 50) or a control group (CG, n = 50). All the patients received routine preoperative education. In addition, the IG went through an empowering telephone discourse based on a knowledge test performed before admission to hospital. Data on patients' knowledge level were collected at baseline (after the treatment decision), admission to hospital, discharge from hospital and at 3 and 6 months follow-up. Results: At baseline, there was no difference in the knowledge level of the study groups. At admission, the knowledge level was significantly higher in five of six dimension of empowering knowledge in the IG compared to the CG. During follow-up, the knowledge level within the study groups remained stable. Conclusion: A preoperative KTFI significantly increased the patients' knowledge level in most dimensions of empowering knowledge. Practice implication: KTFI is an effective method of preoperative education in patients with spinal stenosis. (C) 2016 Elsevier Ireland Ltd. All rights reserved.Peer reviewe

Increased preoperative knowledge reduces surgery-related anxiety : a randomised clinical trial in 100 spinal stenosis patients

Purpose To assess the impact of preoperative knowledge on anxiety, health-related quality of life (HRQoL), disability, and pain in surgically treated spinal stenosis patients. Methods One hundred patients were randomised into an intervention group (IG, n = 50) or control group (CG, n = 50). Both groups received routine preoperative patient education. IG additionally underwent a feedback session based on a knowledge test. Primary outcome measure was anxiety at the time of surgery. HRQoL, disability, and pain constituted the secondary outcome measures during a 6-month follow-up. Results In IG, a significant reduction in anxiety was noted after the intervention, whereas in CG, anxiety reduced only after the surgery. In both groups, a significant improvement in HRQoL, disability, and pain was noticed at the 6-month follow-up, but there were no between-group differences. Conclusions Higher knowledge level may reduce preoperative anxiety but does not seem to affect the self-reported clinical outcomes of surgery.Peer reviewe

Information and control preferences and their relationship with the knowledge received among european joint arthroplasty patients

Background: The prevalence of joint arthroplasties is increasing internationally, putting increased emphasis on patient education. PURPOSE: This study describes information and control preferences of patients with joint arthroplasty in seven European countries, and explores their relationships with patients' received knowledge. METHODS: The data (n = 1,446) were collected during 2009-2012 with the Krantz Health Opinion Survey and the Received Knowledge of Hospital Patient scale. RESULTS: European patients with joint arthroplasty had low preferences. Older patients had less information preferences than younger patients (p =.0001). In control preferences there were signifi cant relationships with age (p =.021), employment in healthcare/social services (p =.033), chronic illness (p =.002), and country (p =.0001). Received knowledge of the patients did not have any relationships with information preferences. Instead, higher control preferences were associated with less received knowledge. CONCLUSION: The relationship between European joint arthroplasty patients' preferences and the knowledge they have received requires further research

Knowledge expectations of surgical orthopaedic patients: a European survey

Ageing population entails a growing international problem of osteoarthritis. Best practices for education of these patientsare lacking. This study focused on empowering education in Northern (Finland, Iceland, Lithuania and Sweden) andSouthern Europe (Cyprus, Greece and Spain). The aim was to analyse associations between expected knowledge andbackground factors. The data were collected from European arthroplasty patients with the Knowledge Expectations ofhospital patients- scale, (KEhp- scale), including bio-physiological, functional, experiential, ethical, social and financialdimensions. Patients had essential bio-physiological and functional knowledge expectations. Women expected more thanmen, employed less than retired, unemployed or who worked at home. Generally, patients in Northern countriesexpected more than in Southern countries. However, highest expectations were found in Sweden and Greece, lowest inSpain and Cyprus. There are differences in knowledge expectations based on patients’ backgrounds. Development ofcommon standards in European patient education needs further research