Svavarsdóttir, Margrét HrönnHalapi, Eva CharlotteKetilsdóttir, AuðurÓlafsdóttir, Inga ValborgIngadóttir, Brynja2025-11-142025-11-142023-12Svavarsdóttir, M H, Halapi, E C, Ketilsdóttir, A, Ólafsdóttir, I V & Ingadóttir, B 2023, 'Changes in disease-related knowledge and educational needs of patients with coronary heart disease over a six-month period between hospital discharge and follow-up', Patient Education and Counseling, vol. 117, 107972, pp. 107972. https://doi.org/10.1016/j.pec.2023.1079720738-39911970647530c67257c-1c85-406b-8e5a-a8b87a1c00d78517175693537703621https://hdl.handle.net/20.500.11815/5870Funding Information: The study was supported by the Icelandic Regional Development Institute, Landspitali University Hospital Research Fund , Akureyri Hospital Research Fund , University of Akureyri Research Fund , Icelandic Nursing Association Research Fund , KEA Research Fund, and Akureyri Heart Association . Publisher Copyright: © 2023 The Authors Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.Objective: To describe changes in the disease-related knowledge and educational needs of individuals with coronary heart disease (CHD). Methods: Patients hospitalized for CHD answered questionnaires about disease-related knowledge (Coronary Artery Disease Education Questionnaire—short version (CADE-Q-SV), score 0–20), educational needs (investigator–designed questions), health literacy (Short version of the European Health Literacy Survey Questionnaire (HLS-EU-Q16)), self-care (Self-Care of Coronary Heart Disease Inventory version (SC-CHDI)), and physical activity (Leisure-time Physical Activity Questionnaire) at discharge (T1) and six months later (T2). Results: Participants’ (N = 308; mean [M] age=65.5 years [SD=8.7]; 81.5% male) knowledge scores increased from M= 13.8 (SD=3.2) to M= 14.8 (SD=2.8) (p < 0.001). At T1, educational level, age, health literacy, smoking, and self-care maintenance explained 14.5% of knowledge variability. At T2, these variables plus lack of awareness of CHD diagnosis explained 20.3% of the variability. Substantial educational needs were reported at both time points, although 89% received predischarge education. Conclusion: The patients’ educational needs were unfulfilled despite an increase in disease-related knowledge over time. Improved evidence-based patient education and follow-ups that address diagnosis, treatment, and self-care are needed. Practice Implications: Healthcare professionals can improve care of patients with CHD by providing focused patient education, prioritizing “need-to-know” topics and considering patients’ health literacy.1378564107972eninfo:eu-repo/semantics/openAccessEducational needsHealth knowledgeHealth literacyHeart diseasePatient educationSelf-careFollow-Up StudiesCoronary Disease/therapyHumansPatient DischargeHealth LiteracyMaleEducational StatusHealth Knowledge, Attitudes, PracticeHospitalsFemaleSurveys and QuestionnairesAgedGeneral MedicineSDG 3 - Good Health and Well-being/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article10.1016/j.pec.2023.107972