Abstract
Aim: To test if the Barrows Cards method improves adherence to immunosuppressive therapy self-management following hematopoietic stem-cell transplantation in adolescents affected by blood cancer and reduce costs. Background: Chronically ill adolescents need to be helped to improve self-management, make sure they can confidently and safely manage therapy at home and reduce readmissions and costs. We identified the Barrows Cards method, originally used to test decision-making skills and critical thinking in medical students. In this pilot study, we tested the efficacy of the Barrows Cards Method in improving adhesion to immunosuppressive therapy in a group of adolescents following hematopoietic stem-cell transplantation and analysed its cost-effectiveness. Design: A mixed-method study. Methods: The Barrows Cards method is an educational intervention based on the theory of problem-based learning that uses at least 15 cards specially designed to teach participants how to manage a specific problem. We piloted the Barrows cards method in terms of adherence to immunosuppressive therapy and self-management in a group of 17 adolescents affected by blood cancer before being discharged. Participants were enrolled between 2013-2015. Activity Based Costing was used to analyse the cost-effectiveness. Results: The Barrows Cards method significantly improved adherence to immunosuppressive therapy in blood cancer adolescents and reduced readmissions. We also showed how this method could significantly reduce healthcare costs. Conclusions: Further research is required, but the Barrows Cards method could be effectively used by nurses to improve self-management in chronic patients and reduce health costs.
| Original language | English |
|---|---|
| Pages (from-to) | 754-758 |
| Number of pages | 5 |
| Journal | Journal of Advanced Nursing |
| Volume | 72 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 1 2016 |
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Keywords
- Barrows cards
- Chronic illness
- Costs
- Nursing
- Patient education
- Problem-based learning
- Safety
- Self-management
ASJC Scopus subject areas
- Nursing(all)
Cite this
Investigating the use of Barrows Cards to improve self-management and reduce healthcare costs in adolescents with blood cancer : A pilot study. / Bagnasco, Annamaria; Calza, Simona; Petralia, Paolo; Aleo, Giuseppe; Fornoni, Laura; Sasso, Loredana.
In: Journal of Advanced Nursing, Vol. 72, No. 4, 01.04.2016, p. 754-758.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Investigating the use of Barrows Cards to improve self-management and reduce healthcare costs in adolescents with blood cancer
T2 - A pilot study
AU - Bagnasco, Annamaria
AU - Calza, Simona
AU - Petralia, Paolo
AU - Aleo, Giuseppe
AU - Fornoni, Laura
AU - Sasso, Loredana
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Aim: To test if the Barrows Cards method improves adherence to immunosuppressive therapy self-management following hematopoietic stem-cell transplantation in adolescents affected by blood cancer and reduce costs. Background: Chronically ill adolescents need to be helped to improve self-management, make sure they can confidently and safely manage therapy at home and reduce readmissions and costs. We identified the Barrows Cards method, originally used to test decision-making skills and critical thinking in medical students. In this pilot study, we tested the efficacy of the Barrows Cards Method in improving adhesion to immunosuppressive therapy in a group of adolescents following hematopoietic stem-cell transplantation and analysed its cost-effectiveness. Design: A mixed-method study. Methods: The Barrows Cards method is an educational intervention based on the theory of problem-based learning that uses at least 15 cards specially designed to teach participants how to manage a specific problem. We piloted the Barrows cards method in terms of adherence to immunosuppressive therapy and self-management in a group of 17 adolescents affected by blood cancer before being discharged. Participants were enrolled between 2013-2015. Activity Based Costing was used to analyse the cost-effectiveness. Results: The Barrows Cards method significantly improved adherence to immunosuppressive therapy in blood cancer adolescents and reduced readmissions. We also showed how this method could significantly reduce healthcare costs. Conclusions: Further research is required, but the Barrows Cards method could be effectively used by nurses to improve self-management in chronic patients and reduce health costs.
AB - Aim: To test if the Barrows Cards method improves adherence to immunosuppressive therapy self-management following hematopoietic stem-cell transplantation in adolescents affected by blood cancer and reduce costs. Background: Chronically ill adolescents need to be helped to improve self-management, make sure they can confidently and safely manage therapy at home and reduce readmissions and costs. We identified the Barrows Cards method, originally used to test decision-making skills and critical thinking in medical students. In this pilot study, we tested the efficacy of the Barrows Cards Method in improving adhesion to immunosuppressive therapy in a group of adolescents following hematopoietic stem-cell transplantation and analysed its cost-effectiveness. Design: A mixed-method study. Methods: The Barrows Cards method is an educational intervention based on the theory of problem-based learning that uses at least 15 cards specially designed to teach participants how to manage a specific problem. We piloted the Barrows cards method in terms of adherence to immunosuppressive therapy and self-management in a group of 17 adolescents affected by blood cancer before being discharged. Participants were enrolled between 2013-2015. Activity Based Costing was used to analyse the cost-effectiveness. Results: The Barrows Cards method significantly improved adherence to immunosuppressive therapy in blood cancer adolescents and reduced readmissions. We also showed how this method could significantly reduce healthcare costs. Conclusions: Further research is required, but the Barrows Cards method could be effectively used by nurses to improve self-management in chronic patients and reduce health costs.
KW - Barrows cards
KW - Chronic illness
KW - Costs
KW - Nursing
KW - Patient education
KW - Problem-based learning
KW - Safety
KW - Self-management
UR - http://www.scopus.com/inward/record.url?scp=84959465079&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84959465079&partnerID=8YFLogxK
U2 - 10.1111/jan.12883
DO - 10.1111/jan.12883
M3 - Article
AN - SCOPUS:84959465079
VL - 72
SP - 754
EP - 758
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
SN - 0309-2402
IS - 4
ER -