AIM: To test if the Barrows Cards method improves adherence to immunosuppressive therapy self-management following hematopoietic stem-cell transplantation in adolescents affected by @entity5 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 @entity1 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 @entity5 before being discharged. @entity1 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 @entity5 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 @entity1 and reduce health costs.

Investigating the use of Barrows Cards to improve self-management and reduce healthcare costs in adolescents with XXXX : a pilot study.

@entity5 :: ('MESH:D009369', 'Disease') :: ['blood cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'Participants', 'participants']
@entity5 :: (MESH:D009369,Disease) :: ['blood cancer']
