Author + information
- Wajeeha Saeed,
- Muhammad Iqbal,
- Catherine Prince,
- Ankush Lahoti,
- Marwan Badri,
- Usman Khan,
- Pradeepto Ghosh,
- Muhammad Sardar,
- James F. Burke and
- Ronald Zolty
Online patient-education has been shown to be an effective tool in managing several chronic medical problems. We sought to examine the frequency of the use of internet education in heart failure patients in 3 different communities and the factors that impede patient access to internet education.
Medical questionnaire survey conducted in three major tertiary care referral centers representing 3 different communities with different socioeconomic status and educational backgrounds. Patients were selected from CHF clinics and inpatient cardiology services with known diagnosis of CHF.
Out of 235 patients, only 18.3% (Cohort A, n=43) used the internet to obtain heart failure information, p=<0.001. Patients not using the internet for that purpose (Cohort B, n=192) were older (p 0.003), had lower level of education (p <0.001) than those in Cohort A. No gender differences are found in using internet. In Cohort A, 62% Males, mean age 57.9±15.3, 79% acquire general information, 72% medication information, 41% research trials, 62.8% nutrition, 16.3% support group, 42% pacemaker/defibrillator, 40% decision making, 53.5% treatment options, 25.6% physician search, 9.3% others. 83.6% searched one or more websites, of which 42% AHA, 25% Mayo clinic, 25.6% Medline, 56% WebMD, 70% Google, 18.6% HFonline, 30% Wikipedia, 23 % NEJM, 28% CNN, 42% Yahoo. After using internet, 61% felt hopeful, 67.4% improved knowledge, 28% felt anxious, 11.6% felt confused and 16.3% felt nervous. In Cohort B, males 49.5 % mean age 66.3±11.5, African American 50%. The most common reasons for not using the internet were being computer illiterate (42.7%), not having a computer (22.9%), preferring information directly from physicians (7.8%) and feeling such information is not necessary (7.8%).
Online education for heart failure patients is more likely to be effective for younger and educated patients. This study prepares the ground for further qualitative and quantitative work in understanding the different ways in which internet is used by heart failure patients and its impact on physician patient relationships.
Poster Sessions, Expo North
Sunday, March 10, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Improving Heart Failure Outcomes II
Abstract Category: 28. Quality of Care and Outcomes Assessment
Presentation Number: 1200-100
- 2013 American College of Cardiology Foundation