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Health education and patient satisfaction.

BACKGROUND: The objective of this research was to determine whether patients who reported that their physician or other health care professional had discussed health education topics with them were more satisfied with their physician than were patients who reported they had not. METHODS: Data were from the 1994 Health Plan Value Check conducted by the Pacific Business Group on Health (52% response rate). The study sample included 5066 employees ranging in age from 19 to 64 years and representing four large corporations and 21 health plans. This population was randomly sampled by company and health plan. Bivariate and multivariate analyses were used to assess the relationship between level of patient satisfaction with physician and reported discussion of health education topics with a physician or other health professional in the last 3 years. RESULTS: Patients who reported that their physician or other health care professional discussed at least one health education topic with them in the last 3 years were more likely to be satisfied with their physician (unadjusted odds ratio [OR] = 1.96; 95% confidence interval [CI] 1.79 to 2.25) compared with patients who did not. In the multivariate model, the relationship remained positive and statistically significant (adjusted OR = 1.49; 95% CI, 1.32 to 1.68). This relationship was observed for patients enrolled in all types of HMOs and managed care plans, as well as those with indemnity or fee-for-service insurance. CONCLUSIONS: Patients who reported that their physician or other health care professional had discussed one or more health education topics with them in the last 3 years were more likely to be very satisfied with their physician than were patients who reported they had not.

Adult↗

Controlled trial of worksite health education through face-to-face counseling vs. e-mail on drinking behavior modification.

This study examined the effectiveness of a traditional face-to-face health education and e-mail health education on alcohol usage among male workers in comparison with a control group. Male workers at a manufacturing plant (N=36) who had abnormal serum gamma-GTP were stratified by age and job types, then randomized into three groups: face-to-face education, e-mail education, and the control. The subjects were assessed on their knowledge about and attitude towards drinking, reported alcohol consumption, and serum gamma-GTP before the start of education and 2 months later after comparison of the education. Paired t-test and repeated ANOVA were conducted to test the significance of changes pre and post the intervention and across groups. In the face-to-face group, knowledge (p=0.001), attitude (p=0.026), alcohol consumption (p=0.003) and serum gamma-GTP showed significant improvement. In the e-mail group, only alcohol consumption showed marginal improvement (p=0.077). In the control group, no variables remarkably changed. These results indicate that the face-to-face health education was more effective than the e-mail program. We discuss why the face-to-face approach was superior to the e-mail approach in this study by referring to self-monitoring, goal setting processes and timely feedback. We concluded that further studies are warranted to identify the effect of health education using e-mails and other network tools in consideration of the above three factors.

Adult↗

The telephone as a communication medium for health education.

The telephone is being widely used by the private sector as a communication medium for understanding and influencing consumer behavior. Coinciding with the growth of telephone use in the private sector is the expansion of telephone use in health care to include complex health promotion and disease prevention interventions aimed at initiating and maintaining health-related behavioral changes. While several studies have evaluated the impact of telephone interventions on a wide range of health behaviors, no published reports synthesizing current knowledge about using the telephone as a communication medium for health education were identified. In this article, the authors therefore (1) examine recent applications of telephone use in health education by describing three example interventions, (2) outline key features and alternatives in conceptualizing and designing health education using the telephone, (3) review advantages and disadvantages of using the telephone for health education, and (4) discuss implications for health education practice and research.

Communication↗

The National Lung Health Education Program: roots, mission, future directions.

The National Lung Health Education Program (NLHEP), founded in 1997, is a national health care initiative to promote early diagnosis of chronic obstructive pulmonary disease and related disorders. NLHEP creates and provides lung health publications for laypeople and health professionals and develops and conducts workshops for health care professionals, to promote clinician expertise in office spirometry and spirogram interpretation, and to increase everyone's awareness of the effects of smoking and the availability of smoking-cessation programs, support systems, and treatments. The American Association for Respiratory Care (AARC) has been a NLHEP partner from the beginning, and now those 2 organizations are adding another dimension to their partnership: AARC is going to take over all NLHEP administrative functions.

Health Care Coalitions↗

An oral health education program for Latino immigrant parents.

A high prevalence of dental caries in the pediatric population is a major health problem. At highest risk are low-income minority groups, including refugee and immigrant populations. Consequences of oral disease include pain, difficulty eating and speaking, poor school performance, and poor self-esteem. Parent involvement in oral health education is crucial. This program provided oral health education for Latino immigrant parents in a northern California school district. A pretest-posttest was administered to measure changes in oral health knowledge and reported oral health behaviors following two sessions of oral health education. This program provides a framework for school nurses who are in an ideal position to implement similar programs that address the oral health needs of the pediatric population, particularly those of the Latino immigrant community.

California↗

What do master teachers consider important in professional preparation for school health education.

The purpose of the two studies presented in this article was for master health education teachers at the middle school and high school levels to identify content, skills, and experiences that are important for professional preparation in school health education. Teachers were identified by health education directors in state departments of education. The Delphi technique was used for data collection and analysis for both studies. Teachers completed three rounds of questionnaires gradually coming to consensus on content, skills, and learning experiences in nine areas related to professional preparation. Fifty high school teachers representing 29 states and 46 middle school teachers representing 32 states provided input. Professional preparation priorities were identified for both middle school and high school levels. Four responses--awareness/use of a variety of instructional techniques; skill in working with parents; knowledge of health content; and awareness of, and ability to work with community agencies/organizations--were ranked as priorities at both levels. Recommendations for future research and practice activities are presented.

Faculty↗