J Korean Acad Nurs.  2011 Feb;41(1):47-60. 10.4040/jkan.2011.41.1.47.

Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke

• Kim CG
• Park HA

• KMID: 1007008
• DOI: http://doi.org/10.4040/jkan.2011.41.1.47

Abstract

PURPOSE
This study was conducted to develop and evaluate a web-based education program for secondary stroke prevention.
METHODS
A web-based secondary stroke prevention education program was developed using the system's life cycle methods and evaluated by comparing the effects of education among three groups, a web group, a booklet group and a control group.
RESULTS
Knowledge level of both patients and family, as well as some health behavior compliance in the web-based and booklet education groups were significantly higher than those of the control group. Family support in the web-based and booklet education groups was significantly higher than that of the control group after 12 weeks. The urine cotinine level in the web-based education group was significantly lower than that of the control group after 12 weeks. Medication adherence, blood pressure and perceived health status were not statistically different among the three groups at any time.
CONCLUSION
Web-based and booklet education programs were equally effective regarding the level of knowledge of patients and their families, family support, health behavior compliance, and urine cotinine level. These results demonstrate the potential use of a web-based education program for secondary stroke prevention.

Keyword

Education; Stroke; Secondary prevention; Internet

MeSH Terms

Aged
Blood Pressure
Caregivers/psychology
Cotinine/urine
Demography
Female
Health Behavior
Health Promotion
Humans
*Internet
Male
Middle Aged
Patient Education as Topic/*methods
Program Evaluation
Stroke/*prevention & control/psychology

Figure

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  Figure 1 Development process of web-based education program.

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  Figure 2 The change of outcome variables by group and time. (A) Patient's knowledge, (B) Family's knowledge, (C) Urine cotinine level. *Cross Sectional difference in the 4th week; †Cross Sectional difference in the 12th week.

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