ArticlePloS one2016
Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 42 citations in OpenAlex.
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- Factors, including patient education, that impact cancer treatment adherence in low- and middle-income African countries: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- A pilot educational intervention to improve knowledge and readiness for self-management among patients with rheumatic diseases in Uganda.Clinical rheumatology · 2026Article
- Patient-centred care measurement in sub-Saharan Africa: a scoping review of the evidence (1990-2024).International health · 2026Article
- Acceptability of patient education for hypertension self-management among healthcare providers and beneficiaries in South Africa, 2024: A qualitative study.African journal of primary health care & family medicine · 2025Article
- Patient education and counselling of fertility preservation for transgender and gender diverse people: A scoping review.Paediatrics & child health · 2024Article
- A multi-site mixed-method evaluation of 'Cardiac College for Women' implementation: perspectives of cardiac rehabilitation patients and providers.Frontiers in cardiovascular medicine · 2024Article
- SEE-Diabetes, a patient-centered diabetes self-management education and support for older adults: Findings and information needs from patients' perspectives.Primary care diabetes · 2022Article
- Acceptability of patient-centered hypertension education delivered by community health workers among people living with HIV/AIDS in rural Uganda.BMC public health · 2021Article
- Impact of Digital Health Monitoring in the Management of Inflammatory Bowel Disease.Journal of medical systems · 2021Article
- Patient experiences and perspectives on hypertension at a major referral hospital in rural southwestern Uganda: a qualitative analysis.BMJ open · 2021Article
- When Doctor Means Teacher: An Interactive Workshop on Patient-Centered Education.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Illness representations of chronic obstructive pulmonary disease (COPD) to inform health education strategies and research design-learning from rural Uganda.Health education research · 2020Article
- A perspective of private health care providers in the state of Madhya Pradesh on adopting key strategies of the India hypertension control initiative.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Global Health Education Programs in the Americas: A Scoping Review.Annals of global health · 2020Article
- Evaluation of provider documentation patterns as a tool to deliver ongoing patient-centred diabetes education and support.International journal of clinical practice · 2020Article
- Comparison of learning needs priorities between healthcare providers and patients with heart failure.PloS one · 2020Article
- Self-management of non-communicable diseases in low- and middle-income countries: A scoping review.PloS one · 2019Article
- Capacity of Ugandan public sector health facilities to prevent and control non-communicable diseases: an assessment based upon WHO-PEN standards.BMC health services research · 2018Article
- Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 4 countries.
Funding
Abstract
backgroundThe majority of non-communicable disease related deaths occur in low- and middle-income countries. Patient-centered care is an essential component of chronic disease management in high income settings.
objectiveTo examine feasibility of implementation of a validated patient-centered education tool among patients with heart failure in Uganda.
designMixed-methods, prospective cohort. SETTINGS: A private and public cardiology clinic in Mulago National Referral and Teaching Hospital, Kampala, Uganda.
participantsAdults with a primary diagnosis of heart failure.
interventionsPocketDoktor Educational Booklets with patient-centered health education. MAIN MEASURES: The primary outcomes were the change in Patient Activation Measure (PAM-13), as well as the acceptability of the PocketDoktor intervention, and feasibility of implementing patient-centered education in outpatient clinical settings. Secondary outcomes included the change in satisfaction with overall clinical care and doctor-patient communication. KEY
resultsA total of 105 participants were enrolled at two different clinics: the Mulago Outpatient Department (public) and the Uganda Heart Institute (private). 93 participants completed follow up at 3 months and were included in analysis. The primary analysis showed improved patient activation measure scores regarding disease-specific knowledge, treatment options and prevention of exacerbations among both groups (mean change 0.94 [SD = 1.01], 1.02 [SD = 1.15], and 0.92 [SD = 0.89] among private paying patients and 1.98 [SD = 0.98], 1.93 [SD = 1.02], and 1.45 [SD = 1.02] among public paying patients, p<0.001 for all values) after exposure to the intervention; this effect was significantly larger among indigent patients. Participants reported that materials were easy to read, that they had improved knowledge of disease, and stated improved communication with physicians.
conclusionsPatient-centered medical education can improve confidence in self-management as well as satisfaction with doctor-patient communication and overall care in Uganda. Our results show that printed booklets are locally appropriate, highly acceptable and feasible to implement in an LMIC outpatient setting across socioeconomic groups.
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