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- W4380184433 abstract "Patients with asplenia have an increased lifelong risk of severe infections especially post splenectomy sepsis with hospital mortality rates of 30-50%. Adherence to existing guidelines for preventive measures is low. Objective of the study is the evaluation of a novel intervention to increase health psychological outcomes in patients with asplenia resulting in better adherence to preventive measures.The intervention was evaluated by conducting a prospective, two-armed historical control group design via propensity score analysis. Focus are health-psychological outcomes: self-efficacy, intention, risk perception, behaviour planning, self-management, health literacy, patient involvement and disease-knowledge.Patients in the intervention group (N = 110) showed a higher increase in almost all outcomes compared to a historical control group (N = 115). The strongest increase was observed in asplenia-specific self-management (average treatment effect: ATE 1.14 [95% CI 0.91-1.36] p < .001) and asplenia-specific health-literacy (ATE 1.42 [95% CI 1.18-1.65] p < .001). Significant intervention effects were also found in behaviour planning, perceived involvement and disease-knowledge.The patient-focused intervention is effective in improving health-psychological outcomes in patients with asplenia.The implementation of the intervention can make an important contribution to care and lead to an improvement of health-psychological outcomes that may result in a higher adherence to prevention measures." @default.
- W4380184433 created "2023-06-11" @default.
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- W4380184433 date "2023-09-01" @default.
- W4380184433 modified "2023-10-18" @default.
- W4380184433 title "Effects of a health psychology-based intervention for patients with asplenia on psychological determinants of preventive behaviour: A propensity score analysis" @default.
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- W4380184433 doi "https://doi.org/10.1016/j.pec.2023.107851" @default.
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