PATIENT- CENTRED EDUCATION IN SELF-CARE AFTER CORONARY HEART DISEASE - IMPLEMENTATION AND EVALUATION IN PRIMARY HEALTH CARE: S-COR-PRIM-STUDY | Application
PATIENT- CENTRED EDUCATION IN SELF-CARE AFTER CORONARY HEART DISEASE - IMPLEMENTATION AND EVALUATION IN PRIMARY HEALTH CARE: S-COR-PRIM-STUDY
Registration number: LIO-64821
Ansökan om ALF-medel för pedagogisk forskning - NYTT!!
Application started by: Anita Kärner Köhler, 2009-06-03
Professional title at the time of application: Universitetslektor, proprefekt
Work place at the time of application: Institutionen för Samhälls- och Välfärdsstudier, LiU Norrköping, Linköpings Universitet
Last updated / corrected by: Agneta Linghag, 2009-09-02
Application received by: Region Östergötland
RejectedRejected
Applicant: Anita Kärner Köhler
Universitetslektor, docent, Avdelningen för omvårdnad

Projektinformation

Sammanfattning

Coronary heart disease (CHD) is the leading cause to death in Sweden and in most European countries. Incidence and mortality of MI declined about 20% in Sweden and prevalence increase. Despite European guidelines patients with CHD show unfavourable lifestyle, medical parameters and beliefs not seeming to vouch for healthy choices. The gap between hospital care and primary health care (PHC) regarding follow-up of self-care is problematic. Nurses in PHC lack structured ways to follow- up patients after referral. Patients need pedagogical guidance. Patient-centred learning that takes the learning patients’ needs into account may stimulate healthy living. Nurse-led secondary preventive efforts in PHC have significantly improved recovery after CHD in Great Britain

During 2009 four PCH will be included in our study. One PHC is already involved. Vrinnevi hospital heart clinic want to collaborate with the PCH centres. About 160 patients will be enrolled during 2010-11 of which half will be randomised to controls and half to the PCE. Tutorial groups involving 6-9 patients meet 13 times during a year reflect lifestyle goals. Controls receive standard treatment which not involve PCE. Nurses work as tutors with a problem-solving process in PCE groups. The overall aim is to evaluate if patient-centred education affects self-care in relation to lifestyle goals included in the rehabilitation plan. Medical parameters, patient empowerment and visits at the general practitioner will be measured. Patients’ beliefs regarding lifestyle changes will be collected via reflective diary (during the educational process) and focus group interviews after 1 year and analysed qualitatively.
Results from this study are relevant for other PHC and educational programmes on all levels given by the Faculty of Health Sciences.

Budget

 BeskrivningÅr 1År 2År 3
Kalenderår som avsesProjektet planeras och startas upp under ht 2009. Intervention och datainsamling påbörjas 2010 och fortsätter 2011 (vilket vi i höst 2009 söker mer medel för). Under 2012 planeras projektet vara avslutat och publicerat.20092010 
Lönemedel huvudsökandeAnita Kärner Lön 37500:-/m(2009) 38250:-/m (2010) 25% arbete i projektet2 månader a 25%= 40030:-2 månader a 25%= 46952:- 
Lönemedel medarbetareHeléne Eriksson Lön 29.500:-/m(2009) 30100:-/m (2010) 25% arbete i projektet2 månader a 25%= 36.200:-2 månader a 25%= 36948:- 
Lönemedel medarbetarePia Tingström Lön 37550:-/m (2009) 38300:-/m (2010) 10% arbete i proj.2 månader a 10%= 18438:-2 månader a 10%= 18806:- 
Lönemedel medarbetareSjuksköterska 1- 5 Lön 26000:-/m (2009) 26520:-/m (2010) 25% arbete i proj.1 mån a 25%= 79758:-1 mån a 25%= 80555:- 
OverheadkostnaderIngår i ovanstående beräkning med 59%   
Övrigt    
Övrigt    
Övrigt    

Decision

Decision date: 2009-09-07

Decision 
Applied sum358 687
Granted sum0

PATIENT- CENTRED EDUCATION IN SELF-CARE AFTER CORONARY HEART DISEASE - IMPLEMENTATION AND EVALUATION IN PRIMARY HEALTH CARE: S-COR-PRIM-STUDY | Application, from Region Östergötland
http://researchweb.org/is/en/lio/ansokan/64821