Changes in disease-related knowledge and educational needs of patients with coronary heart disease over a six-month period between hospital discharge and follow-up

Margrét Hrönn Svavarsdóttir*, Eva Charlotte Halapi, Auður Ketilsdóttir, Inga Valborg Ólafsdóttir, Brynja Ingadóttir

*Corresponding author for this work

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Objective: To describe changes in the disease-related knowledge and educational needs of individuals with coronary heart disease (CHD). Methods: Patients hospitalized for CHD answered questionnaires about disease-related knowledge (Coronary Artery Disease Education Questionnaire—short version (CADE-Q-SV), score 0–20), educational needs (investigator–designed questions), health literacy (Short version of the European Health Literacy Survey Questionnaire (HLS-EU-Q16)), self-care (Self-Care of Coronary Heart Disease Inventory version (SC-CHDI)), and physical activity (Leisure-time Physical Activity Questionnaire) at discharge (T1) and six months later (T2). Results: Participants’ (N = 308; mean [M] age=65.5 years [SD=8.7]; 81.5% male) knowledge scores increased from M= 13.8 (SD=3.2) to M= 14.8 (SD=2.8) (p < 0.001). At T1, educational level, age, health literacy, smoking, and self-care maintenance explained 14.5% of knowledge variability. At T2, these variables plus lack of awareness of CHD diagnosis explained 20.3% of the variability. Substantial educational needs were reported at both time points, although 89% received predischarge education. Conclusion: The patients’ educational needs were unfulfilled despite an increase in disease-related knowledge over time. Improved evidence-based patient education and follow-ups that address diagnosis, treatment, and self-care are needed. Practice Implications: Healthcare professionals can improve care of patients with CHD by providing focused patient education, prioritizing “need-to-know” topics and considering patients’ health literacy.

Original languageEnglish
Article number107972
Pages (from-to)107972
JournalPatient Education and Counseling
Early online date6 Sept 2023
Publication statusPublished - Dec 2023

Bibliographical note

Funding Information:
The study was supported by the Icelandic Regional Development Institute, Landspitali University Hospital Research Fund , Akureyri Hospital Research Fund , University of Akureyri Research Fund , Icelandic Nursing Association Research Fund , KEA Research Fund, and Akureyri Heart Association .

Publisher Copyright:
© 2023 The Authors

Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.

Other keywords

  • Educational needs
  • Health knowledge
  • Health literacy
  • Heart disease
  • Patient education
  • Self-care
  • Follow-Up Studies
  • Coronary Disease/therapy
  • Humans
  • Patient Discharge
  • Health Literacy
  • Male
  • Educational Status
  • Health Knowledge, Attitudes, Practice
  • Hospitals
  • Female
  • Surveys and Questionnaires
  • Aged


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