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. 2020 Aug 25:8:2050312120942118.
doi: 10.1177/2050312120942118. eCollection 2020.

Interactive patient education via an audience response system in cardiac rehabilitation

Dietrich Stoevesandt  1 , Andreas Weber  2 , Andreas Wienke  3 , Steffi Bethge  4 , Viktoria Heinze  4 , Simone Kowoll  5 , Axel Schlitt  4   6
Affiliations

Interactive patient education via an audience response system in cardiac rehabilitation

Dietrich Stoevesandt et al. SAGE Open Med. .

Abstract

Objectives: Patient education and compliance play an important role in the success of rehabilitation in cardiovascular diseases. The aim of this study is to analyze whether interactive learning methods, in this study, the audience response system with a "clicker," can improve the learning success of patients during and after their rehabilitation process.

Methods: In a randomized, prospective cohort study, a total of 260 patients were randomized to either an interactive training group using Athens audience response system or to a control group without the use of audience response system during the educational sessions. Patients were taught and tested on four different topics concerning their primary disease: heart failure, arterial hypertension, prevention of cardiovascular diseases, and coronary heart disease. After each session, the patients had to answer questions on the previously taught topics via questionnaires. These questions were asked again at the day of discharge, as well as 3 and 12 months after discharge. Additional information on the patients' health, plus their mental status, was gathered with the help of further questionnaires (HADS and SF-12).

Results: A total of 260 patients (201 men and 59 women) were recruited. The patients were on average 61.1 ± 11 years old. A significant short-term effect on the patients' knowledge about their disease was found immediately after the educational sessions in the intervention group. However, there was no long-term effect in either the intervention or control group. Although there was no statistical significance found in any of the observations, a positive short-term effect on learning capacity as well as positive trends in mental and physical health after discharge could be found in patients after the use of audience response system during their rehabilitation.

Conclusion: This study provides interesting and new data on the use of an interactive learning method for patients to gain knowledge about their primary disease and eventually improve their physical and mental health status in a long-term perspective. By implementing different and new ways of teaching and interaction during the hospitalization, not only patients, but also medical staff and caregivers could benefit.

Keywords: Cardiac rehabilitation; audience response system; patient education; questionnaire.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Results for the four different questionnaires during inpatient stay (maximum 10 points each).
Figure 2.
Figure 2.
Results of the combined questionnaire at the time of discharge, after 3 and 12 months (maximum 30 points each).
Figure 3.
Figure 3.
Points in HADS-D questionnaire: (a) anxiety and (b) depression.
Figure 4.
Figure 4.
Points in SF-12 questionnaire: (a) physical scales and (b) mental scales.
Figure 5.
Figure 5.
CONSORT 2010 flow diagram.
See this image and copyright information in PMC

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