Persons' various experiences of learning processes in patient education for osteoarthritis, a qualitative phenomenographic approach

被引:2
作者
Larsson, Ingalill [1 ]
Sunden, Anne [1 ]
Hansson, Eva Ekvall [1 ]
机构
[1] Lund Univ, Dept Hlth Sci, Physiotherapy, Lund, Sweden
关键词
Patient education; osteoarthritis; learning processes; empowerment; phenomenography; SELF-MANAGEMENT; CHRONIC DISEASE; EMPOWERMENT; KNOWLEDGE; MODEL; CARE; KNEE;
D O I
10.1080/09593985.2018.1457111
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Background: Patient education (PE) is a core treatment of osteoarthritis (OA) with the aim to increase persons' knowledge, self-efficacy, and empowerment. Objective: To describe person's various experiences of learning processes in PE for OA. Design: Phenomenography. Method: Semi-structured interviews were performed with the same persons, pre- (11) and post- (9) education. Results: Various experiences on learning processes were found and were described in an outcome space. Achieving knowledge describes self-regulated learning and strongly relates to Control, which describes a high order cognitive learning skill, and minor to Confirm, which describes a cognitive learning skill based on recognition and application. Receiving knowledge describes the expectancy of learning regulated from the educator and strongly relates to Comply, which describes a low-order cognitive learning skill, and minor to Confirm. Conclusion: Different experiences of motivation and learning impact on persons' learning processes which, in turn, influence the persons' capability to accomplish self-efficacy and empowerment. The outcome space may serve as a basis for discussions between healthcare educators involved in PE to better understand what learning implies and to develop PE further.
引用
收藏
页码:738 / 747
页数:10
相关论文
共 37 条
[1]  
[Anonymous], 2005, Chronic diseases and health promotion
[2]  
[Anonymous], 2003, Teaching for quality learning at university
[3]   Patient empowerment in theory and practice: Polysemy or cacophony? [J].
Aujoulat, Isabelle ;
d'Hoore, William ;
Deccache, Alain .
PATIENT EDUCATION AND COUNSELING, 2007, 66 (01) :13-20
[4]   SELF-EFFICACY - TOWARD A UNIFYING THEORY OF BEHAVIORAL CHANGE [J].
BANDURA, A .
PSYCHOLOGICAL REVIEW, 1977, 84 (02) :191-215
[5]   Educating Patients: Understanding Barriers, Learning Styles, and Teaching Techniques [J].
Beagley, Linda .
JOURNAL OF PERIANESTHESIA NURSING, 2011, 26 (05) :331-337
[6]   Patient self-management of chronic disease in primary care [J].
Bodenheimer, T ;
Lorig, K ;
Holman, H ;
Grumbach, K .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (19) :2469-2475
[7]   Theorising teaching and learning: pre-service teachers' theoretical awareness of learning [J].
Brante, Goran ;
Olander, Mona Holmqvist ;
Holmquist, Per-Ola ;
Palla, Marta .
EUROPEAN JOURNAL OF TEACHER EDUCATION, 2015, 38 (01) :102-118
[8]   Educating patients: Self-management approaches [J].
Burckhardt, CS .
DISABILITY AND REHABILITATION, 2005, 27 (12) :703-709
[9]   Differential effects of health knowledge and health empowerment over patients' self-management and health outcomes: A cross-sectional evaluation [J].
Camerini, Luca ;
Schulz, Peter J. ;
Nakamoto, Kent .
PATIENT EDUCATION AND COUNSELING, 2012, 89 (02) :337-344
[10]   Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model [J].
Charles, C ;
Gafni, A ;
Whelan, T .
SOCIAL SCIENCE & MEDICINE, 1999, 49 (05) :651-661