Paper
Tuesday, July 8, 2008
This presentation is part of : Evidence-Based Projects for Chronic Conditions
The Effects of Health Education Brochure Combined with Telephone Consultation among Cardiovascular Diseases High Risk Population
Ching-Min Chen, DNS, College of Nursing, Taipei Medical University, Taipei, Taiwan
Learning Objective #1: To explore strategies to promote teaching-learning about the broad use of technology in the advancement of nursing science.
Learning Objective #2: To enhance technology access for international membership in the promotion of discovery and the advancement of nursing science in community health settings.

As the population aged, cardiovascular diseases (CVDs) have been listed as the top leading causes of death for five consecutive years in Taiwan. In order to prevent further dramatic medical expenditure and social economic costs due to the complications of CVDs, our government has implemented the 3 year's project to target on middle aged and elderly to prevent chronic diseases. This project focused on early detection of high risk population for CVDs and case management of this target population to enhance their health promotion knowledge and behaviors.

The purposes of this study were: 1. to explore the characteristics of CVDs high risk population; 2. to explain the relationship between characteristics and effects if intervention; 3. to develop “health education brochure” and “telephone consultation” health education programs; and 4. to compare the effects of two programs on enhancing CVDs knowledge, behaviors and status (Blood pressure, Blood sugar and cholesterol level) among this target population. The quasi-experimental research design was utilized to longitudinally follow cases for 3 months. Three groups were created to compare the effects of health education interventions: health education brochure combined 1 week, and 1 and 3 month's telephone consultation (group I), health education brochure alone (group II), and the control group (group III). A total of 144 cases participated at the baseline, and 98 completed the study. Results indicated that subjects' knowledge, and partial health status, such as systolic Bp and cholesterol improved with time. However, repeat measurement ANOVA to further analyzing the combination effects of time and group indicated that only knowledge with significant group difference. Recommendations of this study included promoting the health education pamphlets, and early detection for early intervention to enhance the education broadcasting. Due to limitation of time, further follow up for long-term effect of health promoting behavior changes was recommended.