TY  - JOUR
AB  - Objective:
              
            
            Diabetes affects the lives of patients and their close relatives. 
      Considering the proven benefit of patient education programs, DiaLife 
      was elaborated as the first German education program addressing the 
      needs of relatives. The objective of this study was to investigate its 
      efficacy.
          
        
      
        
      
      
                    
                      
      
      
        
          
            
              
                Methods:
              
            
            The evaluation was implemented in the form of a cRCT with 
      longitudinal design and waiting list condition.In total, 179 relatives 
      were recruited. Participants' diabetes-related knowledge was defined as 
      the primary outcome. Diabetes-related strains, family interaction and 
      other psychosocial factors were determined as secondary outcomes.
          
        
      
        
      
      
                    
                      
      
      
        
          
            
              
                Results:
              
            
            A generalized estimating equation model showed a persistent 
      increase of diabetes-related knowledge in the intervention group 
      compared to the control group regardless of the type of diabetes. 
      Concerning secondary outcomes, mixed linear models showed an improvement
       for relatives of people with type 2 diabetes who participated in the 
      DiaLife program.
          
        
      
        
      
      
                    
                      
      
      
        
          
            
              
                Conclusion:
              
            
            This study provides evidence of DiaLife's efficacy regarding a 
      persistent increase of diabetes-related knowledge and a positive effect 
      on psychosocial outcomes in relatives of people with type 2 but not in 
      type 1 diabetes. Adding (an)other psychosocial module(s) might improve 
      their well-being and psychosocial outcomes.
          
        
      
        
      
      
                    
                      
      
      
        
          
            
              
                Practice implications:
              
            
            Diabetes centers should consider implementing an education program for relatives, such as DiaLife, in their curriculum.
          
        
      
        
      
      
                    
                      
      
      
        
          
            
              
                Trial registration:
              
            
            The study was registered at the German Clinical Trials Register (DRKS00015157; date of registration: 24.08.2018).
AU  - Bernard, M.*
AU  - Lehmann, T.*
AU  - Hecht, L.*
AU  - Fabisch, G.*
AU  - Harder, A.*
AU  - Müller, N.*
AU  - Luck-Sikorski, C.
C1  - 64145
C2  - 51672
SP  - 2158-2165
TI  - Efficacy of DiaLife, an education program for 
      relatives of adult patients with diabetes - study protocol of a cluster 
      randomized controlled trial.
JO  - Patient Educ. Couns.
VL  - 105
IS  - 7
PY  - 2021
SN  - 0738-3991
ER  - 

TY  - JOUR
AB  - OBJECTIVE: We aimed to assess whether patients' knowledge about acute myocardial infarction (AMI) has an impact on the prehospital delay-time. METHODS: This investigation was based on 486 AMI patients who participated in the cross-sectional Munich-Examination-of-Delay-in-Patients-Experiencing-Acute-Myocardial-Infarction (MEDEA) study. A modified German-version of the ACS-Response-Index Questionnaire was used. Multivariate logistic-regression models were used to identify factors associated with knowledge-level as well as the impact of knowledge-level on delay-time. RESULTS: High AMI-knowledge shortened median delay-time in men (168[92-509] vs. 276[117-1519] mins, p=0.0069), and in women (189[101-601] vs. 262[107-951]mins, p=0.34). Almost half-of-patients (n=284,58%) demonstrated high AMI-knowledge. High-knowledge were independently associated with male-gender (OR=1.47[1.17-1.85]) and General-Practitioner as a knowledge-source (OR=1.42[1.14-1.77]). Old-age (OR=0.87[0.86-0.89]) and previous AMI-history/stent-placement (OR=0.65[0.46-0.93]) were significantly associated with lower-knowledge. Although the majority (476,98%) correctly recognized at least one AMI-symptom, 69(14.2%) patients correctly identified all AMI-symptoms. Additionally, one-in-three believed that heart-attack is always accompanied with severe chest-pain. Elderly-patients and women were more likely to be less-knowledgeable about atypical-symptoms (p=0.006), present with atypical AMI-presentation (p<0.001) and subsequently experience protracted delay-times (p<0.001). CONCLUSIONS: Knowledge of AMI-symptoms remains to be substandard, especially knowledge of atypical-symptoms. Knowledge is essential to reduce delay-times, but it is not a panacea, since it is not sufficient alone to optimize prehospital delay-times.
AU  - Albarqouni, L.
AU  - Smenes, K.R.*
AU  - Meinertz, T.*
AU  - Schunkert, H.*
AU  - Fang, X.
AU  - Ronel, J.*
AU  - Ladwig, K.-H.
C1  - 49046
C2  - 41607
CY  - Clare
SP  - 1845-1851
TI  - Patients' knowledge about symptoms and adequate behaviour during acute myocardial infarction and its impact on delay time: Findings from the multicentre MEDEA study.
JO  - Patient Educ. Couns.
VL  - 99
IS  - 11
PB  - Elsevier Ireland Ltd
PY  - 2016
SN  - 0738-3991
ER  - 

TY  - JOUR
AB  - OBJECTIVE: To examine the association between the smoking status of general practitioners (GPs) and abstinence rates among patients receiving GP-delivered brief advice for smoking cessation. METHODS: A quasi-experimental multilevel study with follow-up assessments at 6, 12, 18, and 24 months after baseline was conducted using a random sample of 39 general practices in a defined area (participation rate=87.2%). Patients aged 18-70 were consecutively screened for smoking status (n=11,560) over the course of 3 weeks and were assigned to a control group (week 1), a computer expert system intervention (week 2), or a personal counselling intervention with the GP (week 3). For the current analysis, patients participating in study week 2 were excluded. A total of 1260 patients fulfilled the inclusion criteria and 80.2% took part: 609 patients in study week 1 and 402 patients from study week 3. GPs participated in a training session concerning smoking counselling, which was held between study weeks 2 and 3. Self-reported 4-week and 6-month prolonged abstinence measures at the 6-, 12-, 18-, and 24-month follow-ups were assessed. RESULTS: The smoking status of the GP was neither significantly related to 4-week prolonged abstinence nor 6-month prolonged abstinence among patients in a main effects model. Further modelling revealed that the intervention group modified the effect of the non-smoking status of the GP on the likelihood to quit smoking. A significant interactive effect was found between the non-smoking status of the GP and the intervention group on both abstinence measures. CONCLUSION: The non-smoking status of the GP had a positive effect among counselled patients. PRACTICE IMPLICATIONS: The consideration of lifestyle behavioural variables such as the smoking status of the GP will be essential for further research concerning the efficacy of smoking interventions.
AU  - Ulbricht, S.*
AU  - Baumeister, S.E.
AU  - Meyer, C.*
AU  - Schmidt, C.O.*
AU  - Schumann, A.*
AU  - Rumpf, H.J.*
AU  - John, U.*
C1  - 1527
C2  - 25955
SP  - 23-28
TI  - Does the smoking status of general practitioners affect the efficacy of smoking cessation counselling?
JO  - Patient Educ. Couns.
VL  - 74
IS  - 1
PB  - Elsevier
PY  - 2009
SN  - 0738-3991
ER  -