Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study

Trishul Siddharthan, Tracy Rabin, Maureen E Canavan, Faith Nassali, Phillip Kirchhoff, Robert Kalyesubula, Steven Coca, Asghar Rastegar and Felix Knauf

PLOS ONE, 2016, vol. 11, issue 11, 1-12

Abstract: Background: The majority of non-communicable disease related deaths occur in low- and middle-income countries. Patient-centered care is an essential component of chronic disease management in high income settings. Objective: To examine feasibility of implementation of a validated patient-centered education tool among patients with heart failure in Uganda. Design: Mixed-methods, prospective cohort. Settings: A private and public cardiology clinic in Mulago National Referral and Teaching Hospital, Kampala, Uganda. Participants: Adults with a primary diagnosis of heart failure. Interventions: PocketDoktor Educational Booklets with patient-centered health education. Main Measures: The primary outcomes were the change in Patient Activation Measure (PAM-13), as well as the acceptability of the PocketDoktor intervention, and feasibility of implementing patient-centered education in outpatient clinical settings. Secondary outcomes included the change in satisfaction with overall clinical care and doctor-patient communication. Key Results: A total of 105 participants were enrolled at two different clinics: the Mulago Outpatient Department (public) and the Uganda Heart Institute (private). 93 participants completed follow up at 3 months and were included in analysis. The primary analysis showed improved patient activation measure scores regarding disease-specific knowledge, treatment options and prevention of exacerbations among both groups (mean change 0.94 [SD = 1.01], 1.02 [SD = 1.15], and 0.92 [SD = 0.89] among private paying patients and 1.98 [SD = 0.98], 1.93 [SD = 1.02], and 1.45 [SD = 1.02] among public paying patients, p

Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0166411

DOI: 10.1371/journal.pone.0166411

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