{"id":36,"date":"2007-06-28T09:41:32","date_gmt":"2007-06-28T14:41:32","guid":{"rendered":"http:\/\/72.9.147.40\/archives\/2007\/06\/health-education-vs-outcomes.html"},"modified":"2007-06-28T09:41:32","modified_gmt":"2007-06-28T14:41:32","slug":"health-education-vs-outcomes","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2007\/06\/health-education-vs-outcomes.html","title":{"rendered":"Health Education vs. Outcomes"},"content":{"rendered":"<p>The Pew Internet Project has found that the internet has a significant impact on <a href=\"http:\/\/www.pewinternet.org\/PPF\/r\/181\/report_display.asp\">some life decisions<\/a> (which school to attend, for example), but it does not play a big role in other &#8220;major life moments.&#8221;  Is there something similar in health care? Are there conditions and diseases which are more likely to yield to an e-patient\u2019s ability to change the outcome? Is it enough that e-patients are more informed and feel empowered by information, or should we expect more?<\/p>\n<p>I was reminded of these questions when I saw the current issue of the British Medical Journal. If only the <a href=\"http:\/\/www.bmj.com\/cgi\/content\/abstract\/334\/7607\/1305\">cover story<\/a> were as arresting as the <a href=\"http:\/\/www.bmj.com\/home\/cover-page.dtl\">cover image<\/a> of a giant pregnant belly. A randomized controlled trial found, <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/sites\/entrez?cmd=Retrieve&#038;db=PubMed&#038;list_uids=16336366&#038;dopt=Abstract\">once again<\/a>, that pregnant women who are given decision aids about <a href=\"http:\/\/www.vbac.com\/index.html\">VBAC <\/a>are more likely than the control group to be informed about their choices, but no more likely to have a different outcome. Two editorials accompany the article and both are worth reading, along with the study (see: <a href=\"http:\/\/www.bmj.com\/cgi\/content\/full\/334\/7607\/0\">Evidence to inform<\/a> and <a href=\"http:\/\/www.bmj.com\/cgi\/content\/short\/334\/7607\/1281?flh\">Decision aids for women with a previous caesarean section<\/a>).<\/p>\n<p><!--more--><br \/>\nI post these links for a few reasons.<\/p>\n<p>First, to remind everyone to check out BMJ on a regular basis since they do a good job of tracking the <a href=\"http:\/\/www.bmj.com\/cgi\/content\/full\/328\/7449\/1148\">first generation of e-patients<\/a>.<\/p>\n<p>Second, to elicit people\u2019s thoughts about the benefits of health education. <a href=\"http:\/\/patienteducation.stanford.edu\/staff.html\">Kate Lorig<\/a> and her colleagues conducted a <a href=\"http:\/\/med.stanford.edu\/profiles\/immunology\/frdActionServlet?choiceId=showPublication&#038;pubid=18859&#038;fid=4102\">randomized controlled trial<\/a> of people with chronic back pain and found that participation in a closed, moderated, email discussion group had an effect on health outcomes. But many of the other studies I\u2019ve read are likely to report what one of the BMJ editorialists describe: Information interventions can \u201cimprove people\u2019s knowledge of the options, create realistic expectations of their benefits and harms, improve decision making, and increase participation in the process\u201d but not actually change the outcomes. (For example: <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/sites\/entrez?db=pubmed&#038;cmd=Retrieve&#038;dopt=AbstractPlus&#038;list_uids=17491172&#038;query_hl=20&#038;itool=pubmed_ExternalLink\">smoking cessation<\/a> and <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/sites\/entrez?db=pubmed&#038;cmd=Retrieve&#038;dopt=AbstractPlus&#038;list_uids=16377608&#038;query_hl=15&#038;itool=pubmed_ExternalLink\">breast cancer<\/a>)<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Pew Internet Project has found that the internet has a significant impact on <a href=\"http:\/\/www.pewinternet.org\/PPF\/r\/181\/report_display.asp\">decisions <\/a>about which school to attend, but it does not play a big role in other &#8220;major life moments.&#8221;  Is there something similar in health care? Are there conditions and diseases which are more likely to yield to an e-patient\u2019s ability to change the outcome? Is it enough that e-patients are more informed and feel empowered by information, or should we expect more?<\/p>\n","protected":false},"author":29,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[62],"tags":[9,83,82,7699,84],"coauthors":[8266],"class_list":["post-36","post","type-post","status-publish","format-standard","hentry","category-reforming-healthcare","tag-cancer","tag-chronic-pain","tag-e-patient","tag-patient-networks","tag-pregnancy"],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Health Education vs. Outcomes - SPM Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/participatorymedicine.org\/epatients\/2007\/06\/health-education-vs-outcomes.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Health Education vs. Outcomes - SPM Blog\" \/>\n<meta property=\"og:description\" content=\"The Pew Internet Project has found that the internet has a significant impact on decisions about which school to attend, but it does not play a big role in other &quot;major life moments.&quot; Is there something similar in health care? 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