Safety relevant knowledge of orally anticoagulated patients without self-monitoring : a baseline survey in primary care
BACKGROUND: Effective and safe management of oral anticoagulant treatment (OAT) requires a high level of patient knowledge and adherence. The aim of this study was to assess patient knowledge about OAT and factors associated with patient knowledge.
METHODS: This is a baseline survey of a cluster-randomized controlled trial in 22 general practices with an educational intervention for patients or their caregivers. We assessed knowledge about general information on OAT and key facts regarding nutrition, drug-interactions and other safety precautions of 345 patients at baseline.
RESULTS: Participants rated their knowledge about OAT as excellent to good (56%), moderate (36%) or poor (8%). However, there was a discrepancy between self-rated knowledge and evaluated actual knowledge and we observed serious knowledge gaps. Half of the participants (49%) were unaware of dietary recommendations. The majority (80%) did not know which non-prescription analgesic is the safest and 73% indicated they would not inform pharmacists about OAT. Many participants (35-75%) would not recognize important emergency situations. After adjustment in a multivariate analysis, older age and less than 10 years education remained significantly associated with lower overall score, but not with self-rated knowledge.
CONCLUSIONS: Patients have relevant knowledge gaps, potentially affecting safe and effective OAT. There is a need to assess patient knowledge and for structured education programs.
TRIAL REGISTRATION: Deutsches Register Klinischer Studien (German Clinical Trials Register): DRKS00000586.Universal Trial Number (UTN U1111-1118-3464).
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2014 |
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| Erschienen: |
2014 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:15 |
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| Enthalten in: |
BMC family practice - 15(2014) vom: 25. Mai, Seite 104 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chenot, Jean-François [VerfasserIn] |
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| Links: |
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| Themen: |
Anticoagulants |
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| Anmerkungen: |
Date Completed 16.01.2015 Date Revised 21.10.2021 published: Electronic DRKS: DRKS00000586 Citation Status MEDLINE |
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| doi: |
10.1186/1471-2296-15-104 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM238761347 |
|---|
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| 245 | 1 | 0 | |a Safety relevant knowledge of orally anticoagulated patients without self-monitoring |b a baseline survey in primary care |
| 264 | 1 | |c 2014 | |
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| 500 | |a Date Completed 16.01.2015 | ||
| 500 | |a Date Revised 21.10.2021 | ||
| 500 | |a published: Electronic | ||
| 500 | |a DRKS: DRKS00000586 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Effective and safe management of oral anticoagulant treatment (OAT) requires a high level of patient knowledge and adherence. The aim of this study was to assess patient knowledge about OAT and factors associated with patient knowledge | ||
| 520 | |a METHODS: This is a baseline survey of a cluster-randomized controlled trial in 22 general practices with an educational intervention for patients or their caregivers. We assessed knowledge about general information on OAT and key facts regarding nutrition, drug-interactions and other safety precautions of 345 patients at baseline | ||
| 520 | |a RESULTS: Participants rated their knowledge about OAT as excellent to good (56%), moderate (36%) or poor (8%). However, there was a discrepancy between self-rated knowledge and evaluated actual knowledge and we observed serious knowledge gaps. Half of the participants (49%) were unaware of dietary recommendations. The majority (80%) did not know which non-prescription analgesic is the safest and 73% indicated they would not inform pharmacists about OAT. Many participants (35-75%) would not recognize important emergency situations. After adjustment in a multivariate analysis, older age and less than 10 years education remained significantly associated with lower overall score, but not with self-rated knowledge | ||
| 520 | |a CONCLUSIONS: Patients have relevant knowledge gaps, potentially affecting safe and effective OAT. There is a need to assess patient knowledge and for structured education programs | ||
| 520 | |a TRIAL REGISTRATION: Deutsches Register Klinischer Studien (German Clinical Trials Register): DRKS00000586.Universal Trial Number (UTN U1111-1118-3464) | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 7 | |a Anticoagulants |2 NLM | |
| 700 | 1 | |a Hua, Thanh Duc |e verfasserin |4 aut | |
| 700 | 1 | |a Abu Abed, Manar |e verfasserin |4 aut | |
| 700 | 1 | |a Schneider-Rudt, Hannelore |e verfasserin |4 aut | |
| 700 | 1 | |a Friede, Tim |e verfasserin |4 aut | |
| 700 | 1 | |a Schneider, Simon |e verfasserin |4 aut | |
| 700 | 1 | |a Vormfelde, Stefan Viktor |e verfasserin |4 aut | |
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