Table 1.
Patient Education Strategies Related to Warfarin and Anticoagulation
Citation Location Study Design | Stated Goal | Group Size | Personnel involved | Strategy/Duration/Frequency |
Menendez-Jandula et al13 2005 Barcelona, Spain RCT | To prove the value of self-management on INR control and clinical outcomes | 5–8 patients and option of having family member present | Specially trained nurse | 2 sessions of 2 hours on consecutive days Based on German model |
Koertke et al14 20051 Westphalia, Germany Program description | To describe the principles of a training course to learn INR self-management | Not more than 5 patients | Not stated | Welcome period Two phase (hospital, 6 months later) Average duration 3–4 hours (1.5 for theoretical and 1.5 for device handling) |
Voller et al15 20041 Westphalia, Germany Program description | To evaluate the effects of a training program on patient knowledge | 2–5 patients | Not stated | Two half day sessions 2–7 days apart. Patient logbook |
Khan et al16 2004 Newcastle, U.K. RCT | To prove the value of education and self-monitoring on INR control and quality of life | 2–3 patients | Led by physician | 1 two hour educational session |
Gadisseur et al17 2003 Leiden, Netherlands RCT | To examine effects of self-management on quality of life | 4–5 patients | Specialized teams of physicians and nurses | 3 weekly sessions of 90–120 minutes |
Singla et al18 2003 Philadelphia, U.S. Cohort Survey | To examine effects of group education on knowledge | 11 persons | Pharmacist or nurse | 1 one hour session |
Amruso19 2003 Tampa, U.S. Program description | To examine effects of group education on knowledge | One-on-one | Chain pharmacy pharmacist | Ongoing monthly appointments |
Beyth et al20 2000 San Francisco, U.S. RCT | To prove the value of self-management | One-on-one | Lay educator | Specifically formatted workbook. Coaching on communication skills. Self monitoring |
Morsdorf et al21 1999 Saarland, Germany Program description | To examine the efficiency of patient training for self-management | 4–6 patients | Single MD\Single instructor | 4 theoretical and 2–6 practical sessions Video assisted demonstrations |
Foss et al22 1999 Denver, U.S. Program description | To describe the efficiencies of a high-volume anticoagulation clinic | Not more than 6 patients | Pharm D | 1 hour slide presentation |
Sawicki et al23 1999 Dusseldorf, Germany RCT | To prove effect of self management on accuracy of control and quality of life | 3–6 patients | Physicians and nurses | 3 consecutive weekly teaching sessions of 60 to 90 minutes in duration |
Stone et al24 1989 Worcester, U.S. RCT | To examine the effect of videotape on knowledge | One-on-one | Nurse | 15 minute videotape compared with 25 minute nurse lecture |
Scalley et al25 1979 San Antonio, U.S. Program description | To develop a program for patient education | One-on-one | Pharmacist or nurse | Average 30 minutes. Slide presentation and booklet. Checklist of learning objectives placed in patient's chart |