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- Title:
Effects of a structured educational intervention on knowledge and emergency management in patients at risk for anaphylaxis.
- Document type:
- Journal Article
- Author(s):
- Brockow, Knut; Schallmayer, Sabine; Beyer, Kirsten; Biedermann, Tilo; Fischer, Jörg; Gebert, Norbert; Grosber, Martine; Jakob, Thilo; Klimek, Ludger; Kugler, Claudia; Lange, Lars; Pfaar, Oliver; Przybilla, Bernhard; Rietschel, Ernst; Ruëff, Franziska; Schnadt, Sabine; Szczepanski, Rüdiger; Worm, Margitta; Kupfer, Jörg; Gieler, Uwe; Ring, Johannes
- Abstract:
- Structured educational programs for patients at risk for anaphylaxis have not yet been established. Patients and caregivers often lack adequate skills in managing the disease.To investigate effects of structured patient education intervention on knowledge, emergency management skills, and psychological parameters in patients with previous episodes of anaphylaxis and caregivers of affected children.In a multicenter randomized controlled trial, 95 caregivers (11 male, 84 female, mean age 37 years) of affected children and 98 patients (32 male, 66 female, mean age 47.5 years) were randomly assigned to an intervention (IG) or control group (CG). The IG received two 3-hour schooling modules of group education; the CG received standard autoinjector training only. Knowledge of anaphylaxis and emergency management competence in a validated training anaphylaxis situation as main outcome measures as well as secondary psychological parameters were assessed at baseline and 3 months after intervention.In comparison to controls, the intervention led to significant improvement of knowledge from baseline to 3-months-follow-up (caregivers: IG 3.2/13.2 improvement / baseline versus CG 0.7/12.6; p<0.001; patients: IG 3.9/10.8 versus 1.3/12.6; p<0.001). Moreover, emergency management competence was increased after intervention as compared to controls (caregivers: IG 8.6/11.2 versus CG 1.2/10.8; p<0.001; patients: 7.1/ 11.0 versus 1.1 / 11.1; p<0.001). Intervention showed significant reduction of caregiver anxiety (-1.9/8.4 versus -0.7/7.5; p<0.05). There were no significant changes in the depression scores.Structured patient education programs may be beneficial in the management of anaphylaxis by increasing patients' empowerment to prevent and treat the disease. This article is protected by copyright. All rights reserved.
- Journal title abbreviation:
- Allergy
- Year:
- 2014
- Language:
- eng
- Fulltext / DOI:
- doi:10.1111/all.12548
- Pubmed ID:
- http://view.ncbi.nlm.nih.gov/pubmed/25407693
- Print-ISSN:
- 0105-4538
- TUM Institution:
- Klinik und Poliklinik für Dermatologie und Allergologie
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