PMID- 34801019
OWN - NLM
STAT- MEDLINE
DCOM- 20220124
LR  - 20220124
IS  - 1472-6947 (Electronic)
IS  - 1472-6947 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Nov 20
TI  - A novel approach to educate hospitalized cardiovascular disease patients about 
      lifestyle and behavior modifications.
PG  - 321
LID - 10.1186/s12911-021-01680-x [doi]
LID - 321
AB  - BACKGROUND: Cardiovascular diseases (CVDs) are always considered by healthcare 
      specialists for different reasons, including extensive prevalence, increased 
      costs, chronicity, and high risk of death. The control of CVDs is highly 
      influenced by behavior and lifestyle and it seems necessary to train special 
      abilities about lifestyle and behavior modification to improve self-care skills 
      for patients, and their caregivers. As a result, the development of effective 
      training systems should be considered by healthcare specialists. METHODS: Hence, 
      in this study, a framework for improving cardiovascular patients' education 
      processes is presented. Initially, an existing training system for cardiovascular 
      patients is reviewed. Using field observations and targeted interviews with 
      hospital experts, all components of its educating processes are identified, and 
      their process maps are drawn up. After that, challenges in the training system 
      are extracted with the aid of in-depth semi-structured interviews with experts. 
      Due to the importance and different influence of the identified challenges, they 
      are prioritized using a Multiple Criteria Decision-making (MCDM) method, and then 
      their root causes were investigated. Finally, a novel framework is proposed and 
      evaluated with hospital experts' help to improve the main challenges. RESULTS: 
      The most important challenges included high nursing workload and shortage of 
      time, lack of understanding of training concepts by patients, lack of attention 
      to training, disruption of the training processes by the patients' caregivers, 
      and patient's weakness in understanding the standard language. In identifying the 
      root causes, learner, educator, and educational tools are the most effective in 
      the training process; therefore, the improvement scenarios were designed 
      accordingly in the proposed framework. CONCLUSIONS: Our study indicated that 
      presenting a framework with applying different quantitative and qualitative 
      methods has great potential to improve the processes of patient education for 
      chronic diseases such as cardiovascular disease.
CI  - (c) 2021. The Author(s).
FAU - Saboktakin, Atiyeh
AU  - Saboktakin A
AD  - Faculty of Industrial and Systems Engineering, Tarbiat Modares University, 
      1411713116, Tehran, Iran.
FAU - Sepehri, Mohammad Mehdi
AU  - Sepehri MM
AUID- ORCID: 0000-0002-9920-7452
AD  - Faculty of Industrial and Systems Engineering, Tarbiat Modares University, 
      1411713116, Tehran, Iran. mehdi.sepehri@modares.ac.ir.
FAU - Khasha, Roghaye
AU  - Khasha R
AD  - Center of Excellence in Healthcare Systems Engineering, Tarbiat Modares 
      University, 1411713116, Tehran, Iran.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20211120
PL  - England
TA  - BMC Med Inform Decis Mak
JT  - BMC medical informatics and decision making
JID - 101088682
SB  - IM
MH  - Behavior Therapy
MH  - *Cardiovascular Diseases/prevention & control
MH  - Hospitals
MH  - Humans
MH  - Life Style
MH  - Research Design
PMC - PMC8606092
OTO - NOTNLM
OT  - BPMN
OT  - Cardiovascular diseases
OT  - Chronic diseases
OT  - PROMETHEE
OT  - Patient education
OT  - Patient engagement
COIS- The authors declare that they have no competing interests.
EDAT- 2021/11/22 06:00
MHDA- 2022/01/27 06:00
PMCR- 2021/11/20
CRDT- 2021/11/21 20:22
PHST- 2020/07/20 00:00 [received]
PHST- 2021/11/03 00:00 [accepted]
PHST- 2021/11/21 20:22 [entrez]
PHST- 2021/11/22 06:00 [pubmed]
PHST- 2022/01/27 06:00 [medline]
PHST- 2021/11/20 00:00 [pmc-release]
AID - 10.1186/s12911-021-01680-x [pii]
AID - 1680 [pii]
AID - 10.1186/s12911-021-01680-x [doi]
PST - epublish
SO  - BMC Med Inform Decis Mak. 2021 Nov 20;21(1):321. doi: 10.1186/s12911-021-01680-x.