Education interventions in Chinese cardiac patients on health behaviours, disease-related knowledge, and health outcomes: A systematic review and meta-analysis. Issue 5 (May 2021)

• Record Type: Journal Article
• Authors: Feng, Yu Yang; Chaves, Gabriela S.S.; Shi, Wendan; Pakosh, Maureen; Zhang, Ling; Gallagher, Robyn; Oh, Paul; Ghisi, Gabriela Lima de Melo
• Is Part Of: Patient education and counseling. Volume 104:Issue 5(2021)
• Page Start: 1018
• Page End: 1029
• Publication Date: 2021-05
• Subjects: Cardiac rehabilitation -- Patient education as topic -- Coronary artery disease -- Health behaviour -- Health knowledge -- Attitudes -- Practice; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2020.12.001
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Education interventions for adult Chinese cardiac patients may be beneficial. There is a need to improve reporting of education interventions. Research is needed on education interventions in Chinese immigrant cardiac patients. Abstract: Objective: This systematic review and meta-analysis aimed to summarize and synthesize the available evidence in adult Chinese cardiac patients to determine the effect of education interventions on health behaviours, disease-related knowledge, self-efficacy, depressive symptoms, anxiety symptoms, health-related quality of life, morbidity, and mortality. Methods: Seven databases were searched from database inception until January 2020 for randomized controlled trials. Characteristics of education interventions were described and random-effects meta-analysis was performed where feasible. Results: Overall, 18 randomized controlled trials were included in this systematic review and suggested that education interventions are effective in improving patients' physical activity, dietary habits, medication behaviour, disease-related knowledge, and health-related quality of life. Meta-analysis of two studies demonstrated benefit on physical activity (standardized mean difference [SMD] 1.27, 95% confidence interval [CI] 1.06–1.48; participants = 422; I 2 = 0%), dietary habits (SMD 0.76, 95%CI 0.44–1.08; participants = 422; I 2 = 61%), and medication behaviour (mean difference [MD] 0.31, 95%CI 0.17–0.46; participants = 422; I 2 = 28%). Conclusion: This study supports the benefits of education interventions for adult Chinese cardiac patients on health behaviours, disease-related knowledge, and health-related quality of life. Future studies should characterize their education interventions in detail to facilitate reproducibility and comparison. Practice implications: This study identified the need for studies on the outcome of alcohol consumption and in Chinese immigrant populations.