Training for patients in a randomised controlled trial of self management of warfarin treatment
- 19 February 2004
- Vol. 328 (7437) , 437-438
- https://doi.org/10.1136/bmj.328.7437.437
Abstract
Introduction Self management of warfarin treatment by patients, using a point of care coagulometer for testing international normalised ratios, is comparable to home glucose monitoring and may provide a robust model of service provision.1 2 Self management can lead to improvements in patients' self efficacy, closer adherence to treatment, and increased control of treatment with oral anticoagulants.3 We report data on the effectiveness of the training programme used for a clinical trial (self management of anticoagulation: a randomised trial, SMART) which aimed to evaluate clinical and cost effectiveness of self management compared with routine care. UK guidelines indicated that training to a standard acceptable is essential, although the nature of the training was not clearly defined.2Keywords
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- Training of Patients for Self-Management of Oral Anticoagulant Therapy: Standards, Patient Suitability, and Clinical AspectsSeminars in Thrombosis and Hemostasis, 1999
- A Structured Teaching and Self-management Program for Patients Receiving Oral AnticoagulationA Randomized Controlled TrialJAMA, 1999