BMJ  2004;328:437-438 (21 February), doi:10.1136/bmj.328.7437.437

Paper

Training for patients in a randomised controlled trial of self management of warfarin treatment

¹ Department of Primary Care and General Practice, Medical School, University of Birmingham, Birmingham B15 2TT

The first 150 words of the full text of this article appear below.

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.²

Participants, methods, and results

Patients aged over 18 with a long term indication for warfarin, from 48 general practices in the West Midlands, were eligible. After giving consent patients were randomly allocated to either self management or routine care. Data . . . [Full text of this article]

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Training for patients in a randomised controlled trial of self management of warfarin treatment

Dave M Hambidge
bmj.com, 1 Mar 2004 [Full text]

Re: Training for patients in a randomised controlled trial of self management of warfarin treatment

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Re: Re: Training for patients in a randomised controlled trial of self management of warfarin treatment

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