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Identifying Knowledge Gaps among LVAD Candidates

Education is an important aspect of evaluation and consent for left ventricular assist device (LVAD) candidates. A better understanding of candidate knowledge during the education process can help identify knowledge gaps and improve informed consent processes. This paper presents the results from a...

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Autores principales: Buchberg Trejo, Meredith, Kostick, Kristin M., Estep, Jerry D., Blumenthal-Barby, J.S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517914/
https://www.ncbi.nlm.nih.gov/pubmed/31018498
http://dx.doi.org/10.3390/jcm8040549
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author Buchberg Trejo, Meredith
Kostick, Kristin M.
Estep, Jerry D.
Blumenthal-Barby, J.S.
author_facet Buchberg Trejo, Meredith
Kostick, Kristin M.
Estep, Jerry D.
Blumenthal-Barby, J.S.
author_sort Buchberg Trejo, Meredith
collection PubMed
description Education is an important aspect of evaluation and consent for left ventricular assist device (LVAD) candidates. A better understanding of candidate knowledge during the education process can help identify knowledge gaps and improve informed consent processes. This paper presents the results from a validated, LVAD-specific Knowledge Scale administered to candidates before and after education to identify items most and least frequently answered correctly. At baseline and 1-week, both candidates educated with a standard education and an LVAD-specific decision aid were most likely to answer logistical items relating to support and self-care correctly with ≥90% of candidates answering these items correctly after education. Candidates were least likely to answer questions about risks, transplant eligibility, and expenses correctly with <60% of candidates answering them correctly after education. Items with the greatest improvement in correct answers from baseline to 1-week were primarily related to the logistics of living with an LVAD. Candidates educated with the decision aid showed significant improvements on more knowledge items including those related to the forecasting of recovery and complications when compared to candidates educated with a standard education. The 20-item scale provides a standardized way for clinicians to identify knowledge gaps with LVAD candidates, potentially helping to tailor education. Targeted improvements in LVAD education should focus on the understanding of risk and potential complications to ensure that decision-making and informed consent processes emphasize both the patient and clinicians’ conceptualizations of knowledge needs for informed consent.
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spelling pubmed-65179142019-05-31 Identifying Knowledge Gaps among LVAD Candidates Buchberg Trejo, Meredith Kostick, Kristin M. Estep, Jerry D. Blumenthal-Barby, J.S. J Clin Med Article Education is an important aspect of evaluation and consent for left ventricular assist device (LVAD) candidates. A better understanding of candidate knowledge during the education process can help identify knowledge gaps and improve informed consent processes. This paper presents the results from a validated, LVAD-specific Knowledge Scale administered to candidates before and after education to identify items most and least frequently answered correctly. At baseline and 1-week, both candidates educated with a standard education and an LVAD-specific decision aid were most likely to answer logistical items relating to support and self-care correctly with ≥90% of candidates answering these items correctly after education. Candidates were least likely to answer questions about risks, transplant eligibility, and expenses correctly with <60% of candidates answering them correctly after education. Items with the greatest improvement in correct answers from baseline to 1-week were primarily related to the logistics of living with an LVAD. Candidates educated with the decision aid showed significant improvements on more knowledge items including those related to the forecasting of recovery and complications when compared to candidates educated with a standard education. The 20-item scale provides a standardized way for clinicians to identify knowledge gaps with LVAD candidates, potentially helping to tailor education. Targeted improvements in LVAD education should focus on the understanding of risk and potential complications to ensure that decision-making and informed consent processes emphasize both the patient and clinicians’ conceptualizations of knowledge needs for informed consent. MDPI 2019-04-23 /pmc/articles/PMC6517914/ /pubmed/31018498 http://dx.doi.org/10.3390/jcm8040549 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Buchberg Trejo, Meredith
Kostick, Kristin M.
Estep, Jerry D.
Blumenthal-Barby, J.S.
Identifying Knowledge Gaps among LVAD Candidates
title Identifying Knowledge Gaps among LVAD Candidates
title_full Identifying Knowledge Gaps among LVAD Candidates
title_fullStr Identifying Knowledge Gaps among LVAD Candidates
title_full_unstemmed Identifying Knowledge Gaps among LVAD Candidates
title_short Identifying Knowledge Gaps among LVAD Candidates
title_sort identifying knowledge gaps among lvad candidates
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517914/
https://www.ncbi.nlm.nih.gov/pubmed/31018498
http://dx.doi.org/10.3390/jcm8040549
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