Improving cardiovascular disease risk communication in NHS Health Checks: a qualitative study.
communication
information technology
preventive medicine
primary care
public health
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
03 09 2019
03 09 2019
Historique:
entrez:
5
9
2019
pubmed:
5
9
2019
medline:
4
8
2020
Statut:
epublish
Résumé
The NHS Health Check programme is a public screening and prevention initiative in England to detect early signs of cardiovascular ill health among healthy adults. We aimed to explore patient perspectives and experiences of a personalised Risk Report designed to improve cardiovascular risk communication in the NHS Health Check. This is a qualitative study with NHS Health Check attendees in three general practices in the London Borough of Newham. A personalised Risk Report for the NHS Health Check was developed to improve communication of results and advice. The Risk Report was embedded in the electronic health record, printed with auto-filled results and used as a discussion aid during the NHS Health Check, and was a take-home record of information and advice on risk reduction for the attendees. 18 purposively sampled socially diverse participants took part in semistructured interviews, which were analysed thematically. For most participants, the NHS Health Check was an opportunity for reassurance and assessment, and the Risk Report was an enduring record that supported risk understanding, with impact beyond the individual. For a minority, ambivalence towards the Risk Report occurred in the context of attending for other reasons, and risk and lifestyle advice were not internalised or acted on. Our findings demonstrate the potential of a personalised Risk Report as a useful intervention in NHS Health Checks for enhancing patient understanding of cardiovascular risk and strategies for risk reduction. Also highlighted are the challenges that must be overcome to ensure transferability of these benefits to diverse patient groups. NCT02486913.
Identifiants
pubmed: 31481364
pii: bmjopen-2018-026058
doi: 10.1136/bmjopen-2018-026058
pmc: PMC6731822
doi:
Banques de données
ClinicalTrials.gov
['NCT02486913']
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e026058Subventions
Organisme : Medical Research Council
ID : MR/M014517/1
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: JR has a non-pecuniary interest as a coauthor of QRISK2 and is also a member of a national NHS Health Check advisory group.
Références
J Public Health (Oxf). 2016 Sep;38(3):543-551
pubmed: 26408822
J Med Internet Res. 2011 Feb 23;13(1):e20
pubmed: 21345783
Int J Health Serv. 1993;23(3):425-35
pubmed: 8375947
Health Psychol. 2009 Mar;28(2):210-6
pubmed: 19290713
Cochrane Database Syst Rev. 2011 Dec 07;(12):CD006777
pubmed: 22161408
Psychol Sci. 2004 Apr;15(4):286-7
pubmed: 15043650
Health Promot Int. 2016 Mar;31(1):106-15
pubmed: 25073761
Ann Fam Med. 2008 May-Jun;6(3):213-7
pubmed: 18474883
BMC Fam Pract. 2015 Jan 22;16:1
pubmed: 25608667
BMC Health Serv Res. 2015 Dec 10;15:546
pubmed: 26651487
Health Expect. 2015 Dec;18(6):2437-48
pubmed: 24889817
Value Health. 2016 Mar-Apr;19(2):202-9
pubmed: 27021754
BMJ. 2008 Jun 28;336(7659):1475-82
pubmed: 18573856
J Health Organ Manag. 2006;20(5):434-55
pubmed: 17087404
J Public Health (Oxf). 2015 Jun;37(2):210-7
pubmed: 25118218
J Public Health (Oxf). 2011 Sep;33(3):422-9
pubmed: 21546385
BMC Public Health. 2012 Aug 31;12:723
pubmed: 22938046
J Health Serv Res Policy. 2011 Jan;16(1):37-43
pubmed: 20819914
BMC Fam Pract. 2015 Mar 08;16:33
pubmed: 25879731
Qual Prim Care. 2014;22(5):232-7
pubmed: 25897543
Arch Public Health. 2015 Mar 30;73(1):14
pubmed: 25825674
BMJ Open. 2015 Apr 13;5(4):e007578
pubmed: 25869692
Patient Educ Couns. 2011 Feb;82(2):169-81
pubmed: 20471766
Ann N Y Acad Sci. 2008 Apr;1128:18-28
pubmed: 18469211
J Public Health (Oxf). 2015 Jun;37(2):218-25
pubmed: 25237034
BMJ Open. 2016 Jul 07;6(7):e010951
pubmed: 27388356
Sci Public Policy. 2016 Oct;43(5):713-723
pubmed: 28066123
Med Decis Making. 2010 Nov-Dec;30(6):672-84
pubmed: 20484088
Heart. 2014 Apr;100 Suppl 2:ii1-ii67
pubmed: 24667225
Health Expect. 2016 Apr;19(2):345-55
pubmed: 25732686
Patient Educ Couns. 2004 Nov;55(2):301-7
pubmed: 15530768