Patient Education : A Practical Approach

by Lorig, Kate

• ISBN13: 9780761922902
• ISBN10: 0761922903
• Edition: 3rd
• Format: Paperback
• Copyright: 2000-10-13
• Publisher: Sage Publications, Inc

Summary

This volume is a practical, step-by-step description of the process of conceptualizing, designing, implementing, and evaluating a successful patient education program. Chapters focus on conducting a needs assessment, developing and evaluating a program-based upon that assessment, generating marketing strategies and selecting or preparing patient education materials. The author makes recommendations on how to work effectively with culturally diverse populations and with difficult patients and on how to deal with compliance problems.

Table of Contents

Preface	ix
Acknowledgments	xi
Introduction	xiii
Some Words and Definitions	xiii
How to Use This Book	xv
Problem List	xvi
How Do I Know What Patients Want and Need? Needs Assessment	1	(20)
Kate Lorig
Interested-Party Analysis	2	(2)
Checklist Needs Assessment	4	(1)
Salient Belief Assessment	5	(3)
Matrix Assessment	8	(2)
Focus Groups	10	(3)
Structured and Semistructured Interviews	13	(1)
Balanced Incomplete Block Design	14	(3)
Epi Info: A Tool for Data Analysis	17	(4)
What Do We Know About What Works? The Role of Theory in Patient Education	21	(35)
Thomas R. Prohaska
Kate Lorig
Rational Behavioral Risk Factors and Disease Management	23	(5)
Health Belief Model	28	(4)
Social Cognitive Theory	32	(7)
Theory of Reasoned Action/Planned Behavior	39	(4)
Transtheoretical Model of Behavior Change	43	(5)
Precede-Proceed Model	48	(3)
A Word About Monitoring and Social Support	51	(2)
Summary	53	(3)
Do I Know Where to Go, and Will I Know When I Get There? Evaluation	56	(29)
Kate Lorig
Some Evaluation Words	57	(5)
Evaluating Instructors (A Process Evaluation)	62	(1)
Asking the Right Questions	63	(2)
Methods: How Do I Find Out What I Want to Find Out?	65	(4)
Finding and Choosing the Right Questions	69	(5)
Tips on Data Collection	74	(6)
Study Design	80	(5)
How Do I Get From a Needs Assessment to a Program? Program Planning and Implementation	85	(58)
Kate Lorig
Margo Harris
Setting Priorities: Choosing What to Teach in the Time Allotted	86	(3)
Refining Your Content	89	(1)
Setting Objectives	90	(4)
Process	94	(15)
Who Will Teach the Program?	109	(1)
Knowing What to Teach and When to Teach	110	(1)
Knowing How to Teach	111	(1)
One-on-One Education	112	(1)
Group Education	113	(1)
Special Problems With Groups	114	(1)
Putting It All Together	115	(5)
Dissemination	120	(4)
Questions in Patient Education	124	(2)
Protocol for the First Session of the Chronic Disease Self-Management Workshop	126	(17)
How Do I Get People to Come?	143	(20)
Virginia M. Gonzalez
Kate Lorig
Marketing to Health Professionals	144	(5)
Marketing to the Public	149	(10)
Using Community Resources	159	(4)
Working Cross-Culturally	163	(20)
Virginia M. Gonzalez
Kate Lorig
Understanding Cultural Diversity	164	(2)
Where to Start	166	(4)
How Do I Create a Culturally Appropriate Program?	170	(2)
Strategies for Adapting Program Content and Process	172	(6)
Translation: More Than Meets the Eye	178	(3)
Conclusion	181	(2)
Selecting, Preparing, and Using Materials	183	(15)
Cecilia Doak
Leonard Doak
Lynn Gordon
Kate Lorig
Does the Material Contain the Information the Patient Wants?	184	(2)
Does the Material Contain the Information the Patient Needs?	186	(2)
Can the Patient Understand the Material as Presented?	188	(8)
Summary	196	(2)
Helping People Who are Hard to Help	198	(9)
Kate Lorig
Strong, Silent Types	198	(3)
Talkers	201	(2)
Antagonistic or Belligerent Participants	203	(1)
``Yes, Buts''	203	(1)
Attention Seekers	204	(1)
Special Problem People	205	(2)
The Special Problem of Compliance: How Do I Get People to Do What is Good for Them?	207	(12)
Kate Lorig
Meeting JCAHO Standards for Patient Education	219	(10)
Barbara E. Giloth
Glossary	229	(4)
Index	233	(10)
About the Author	243	(2)
About the Contributing Coauthors	245