Source: Annual Congress 2006 - Training strategies and education in rehabilitation
Disease area: Airway diseases

Abstract

Background: Patient education is important to encourage effective management of the disease including self management and the importance of smoking, exercise and diet. LINQ is a self complete questionnaire which objectively assesses patients‘ need for education. (Hyland M E et al, Resp. Med. in press)
Methods: 59 subjects, 50 males, with stable COPD were randomly allocated into 2 groups. The education program group (EP) received 6 outpatient education sessions run by trained nurses and an information booklet which included disease knowledge, smoking cessation, nutrition, and avoiding acute exacerbations. The control group (CO) received routine instruction from trained nurses, without booklets. Information needs were evaluated at the beginning and end of this study using Japanese version of LINQ, in which a high LINQ score indicates sufficient information.
Results: Mean age was 69.9 yr, mean FEV1 of 1.6 L, mean FEV1%predict of 62.4%. At the end of the study, EP group showed significantly higher total LINQ scores (EP 24.2 vs. CO 22.9, p<.0005) and higher domain scores for disease knowledge, self-management and smoking (p<.04, p<.002, and p<.02). The EP group reduced their reliever medication use, while the controls showed significant increase (p<.04). There was no significant difference for emergency visits and hospitalizations, but EP group had no hospitalizations for 3 months after the study.
Conclusions: This RCT showed that an education programme significantly improved areas of information needs as detected by LINQ compared to normal care. LINQ should prove useful in evaluating patient information needs for outpatient settings.

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R. Wakabayashi, K. Kida, K. Yamada, R. C. M. Jones, M. E. Hyland (Tokyo, Japan; Plymouth, United Kingdom). A randomised controlled trial of a patient education programme versus normal care for COPD using the lung information needs questionnaire (LINQ). Eur Respir J 2006; 28: Suppl. 50, 3192

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