Implementing a patient education intervention about Methicillin-resistant Staphylococcus aureus prevention and effect on knowledge and behavior in veterans with spinal cord injuries and disorders: a pilot randomized controlled trial
| Autor: | Marylou Guihan, Kathleen Risa, Jennifer N. Hill, Michael S. A. Richardson, Vicki Anderson, Amy S. Chin, Kenzie A. Cameron, Barry Goldstein, Susan Kellie, Charlesnika T. Evans |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Methicillin-Resistant Staphylococcus aureus medicine.medical_specialty Referral Pilot Projects medicine.disease_cause law.invention Randomized controlled trial Patient Education as Topic law Intervention (counseling) medicine Humans Veterans Affairs Spinal cord injury Tetraplegia Spinal Cord Injuries Research Articles Aged Veterans business.industry Middle Aged Staphylococcal Infections medicine.disease Methicillin-resistant Staphylococcus aureus Physical therapy Neurology (clinical) business Patient education |
| Zdroj: | The journal of spinal cord medicine. 37(2) |
| ISSN: | 1079-0268 |
| Popis: | To assess the feasibility and effect of a nurse-administered patient educational intervention about Methicillin-resistant Staphylococcus aureus (MRSA) prevention on knowledge and behavior of Veterans with spinal cord injuries and disorders (SCI/D).Blinded, block-randomized controlled pilot trial.Two Department of Veterans Affairs (VA) SCI Centers.Veterans were recruited March-September 2010 through referral by a healthcare provider from inpatient, outpatient, and residential care settings.Thirty participants were randomized to the nurse-administered intervention and 31 to the usual care group. The intervention included a brochure and tools to assist nurses in conducting the education.Pre- and post-intervention measurement of knowledge and behaviors related to MRSA and prevention strategies and feasibility measures related to implementation.Participants were primarily male (95.1%), white (63.9%), with tetraplegia (63.9%) and mean age and duration of injury of 64.3 and 20.5 years, respectively. The intervention groups mean knowledge score significantly increased between pre- and post-test (mean change score = 1.70, 95% confidence interval, CI 0.25-3.15) while the usual care groups score did not significantly change (mean change score = 1.45, 95% CI -0.08-2.98). However, the mean knowledge change between intervention and usual care groups was not significantly different (P = 0.81). Overall behavior scores did not significantly differ between treatment groups; however, the intervention group was more likely to report intentions to clean hands (90.0% vs. 64.5%, P = 0.03) and asking providers about MRSA status (46.7% vs. 16.1%, P = 0.01). Nurse educators reported that the quality of the intervention was high and could be implemented in clinical care.A targeted educational strategy is feasible to implement in SCI/D clinical practices and may improve some participants' knowledge about MRSA and increase intentions to improve hand hygiene and engagement with providers about their MRSA status. |
| Databáze: | OpenAIRE |
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