Document Detail

Patient knowledge of immunotherapy before and after an educational intervention: a comparison of 2 methods.
MedLine Citation:
PMID:  15328674     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Immunotherapy is an invaluable therapy for allergic asthma, allergic rhinitis, and hymenoptera hypersensitivity. It is, however, not without risks. OBJECTIVES: To examine patient knowledge regarding immunotherapy and to determine the most effective educational method to improve their knowledge by answering the following questions: Before educational intervention, what is the current knowledge level regarding allergy vaccinations of patients receiving immunotherapy? What effect does an educational encounter have on that level of knowledge? Which educational intervention--a one-on-one session vs a handout--if either, increases patient knowledge more? METHODS: An original, self-administered patient questionnaire was distributed to all patients receiving immunotherapy. Patients were randomly assigned to a control group, an intervention group that received an educational handout monthly for 2 months, or an intervention group that had a one-on-one educational session with a physician or nurse practitioner. After 3 months, all patients completed an identical follow-up questionnaire. Pretest and posttest scores were compared for each group and among the different groups to determine which method was more effective. Repeated-measures analysis of variance was used to determine the effect of instruction type on differences in pretest and posttest scores. RESULTS: All 3 groups significantly improved their mean overall questionnaire scores (P < .001). The amount of change was greater in the intervention groups than in the control group, but it did not reach statistical significance (P = .59). CONCLUSIONS: Baseline immunotherapy knowledge of allergy vaccination patients was better than expected, and further educational interventions did not significantly improve this knowledge.
Melinda M Rathkopf; James M Quinn; David L Proffer; Diane C Napoli
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology     Volume:  93     ISSN:  1081-1206     ISO Abbreviation:  Ann. Allergy Asthma Immunol.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-08-26     Completed Date:  2004-09-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9503580     Medline TA:  Ann Allergy Asthma Immunol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  147-53     Citation Subset:  IM    
Department of Allergy/Immunology, Wilford Hall Medical Center, Lackland AFB, Texas 78236, USA.
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MeSH Terms
Adrenergic beta-Agonists / therapeutic use
Anaphylaxis / drug therapy,  etiology
Asthma / therapy
Epinephrine / therapeutic use
Follow-Up Studies
Health Knowledge, Attitudes, Practice*
Immunotherapy* / adverse effects
Information Services
Middle Aged
Patient Education as Topic* / methods*
Program Evaluation
Reg. No./Substance:
0/Adrenergic beta-Agonists; 51-43-4/Epinephrine

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