Skip to main content

Research Repository

Advanced Search

A cost-effectiveness analysis of a multimedia learning education program for stoma patients: A cost-effectiveness analysis of MLEP for stoma pateints

Lo, Shu-Fen; Wang, Yun-Tung; Wu, Li-Yue; Hsu, Mei-Yu; Chang, Shu-Chuan; Hayter, Mark


Shu-Fen Lo

Yun-Tung Wang

Li-Yue Wu

Mei-Yu Hsu

Shu-Chuan Chang

Mark Hayter


Study aims: The purpose of this study was to compare the costs and effectiveness of enterostomal education using a multimedia learning education program (MLEP) and a conventional education service program (CESP). Background: Multimedia health education programs not only provide patients with useful information in the absence of health professionals, but can also augment information provided in traditional clinical practice. However, the literature on the cost-effectiveness of different approaches to stoma education is limited. Design: This study used a randomised experimental design. Methods: A total of 54 stoma patients were randomly assigned to MLEP or CESP nursing care with a follow-up of one week. Effectiveness measures were knowledge of self-care (KSC), attitude of self-care (ASC) and behavior of self-care (BSC). The costs measures for each patient were: health care costs, MLEP cost and family costs. Results: Subjects in the MLEP group demonstrated significantly better outcomes in the effectiveness measures of KSC, ASC and BSC. Additionally, the total social costs for each MLEP patient and CESP patient were US$7396·90 and US$8570·54, respectively. The cost-effectiveness ratios in these two groups showed that the MLEP model was better than the CESP model after one intervention cycle. In addition, the Incremental Cost Effectiveness Ratio was -20·99. Conclusion: This research provides useful information for those who would like to improve the self-care capacity of stoma patients. Due to the better cost-effectiveness ratio of MLEP, hospital policy-makers may consider these results when choosing to allocate resources and develop care and educational interventions. Relevance to clinical practice: This study provides a cost effective way of addressing stoma care in the post-operative period that could be usefully transferred to stoma care settings internationally. © 2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd.


Lo, S., Wang, Y., Wu, L., Hsu, M., Chang, S., & Hayter, M. (2010). A cost-effectiveness analysis of a multimedia learning education program for stoma patients: A cost-effectiveness analysis of MLEP for stoma pateints. Journal of clinical nursing, 19(13-14), 1844-1854.

Journal Article Type Article
Acceptance Date Feb 13, 2009
Online Publication Date Sep 4, 2009
Publication Date 2010-07
Journal Journal of Clinical Nursing
Print ISSN 0962-1067
Electronic ISSN 1365-2702
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 19
Issue 13-14
Pages 1844-1854
Keywords Cost of care; Experimental design; Nurses; Patient teaching; Stoma care; Taiwan
Public URL