FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3195743439> ?p ?o ?g. }

• W3195743439 endingPage "124" @default.
• W3195743439 startingPage "1" @default.
• W3195743439 abstract "The NHS Health Check is a national cardiovascular disease prevention programme. There is a lack of evidence on how health checks are conducted, how cardiovascular disease risk is communicated to foster risk-reducing intentions or behaviour, and the impact on communication of using different cardiovascular disease risk calculators.RIsk COmmunication in Health Check (RICO) study aimed to explore practitioner and patient understanding of cardiovascular disease risk, the associated advice or treatment offered by the practitioner, and the response of the patients in health checks supported by either the QRISK®2 or the JBS3 lifetime risk calculator.This was a qualitative study with quantitative process evaluation.Twelve general practices in the West Midlands of England, stratified on deprivation of the local area (bottom 50% vs. top 50%), and with matched pairs randomly allocated to use QRISK2 or JBS3 during health checks.A total of 173 patients eligible for NHS Health Check and 15 practitioners.The health check was delivered using either the QRISK2 10-year risk calculator (usual practice) or the JBS3 lifetime risk calculator, with heart age, event-free survival age and risk score manipulation (intervention).Video-recorded health checks were analysed quantitatively (n = 173; JBS3, n = 100; QRISK2, n = 73) and qualitatively (n = 128; n = 64 per group), and video-stimulated recall interviews were undertaken with 40 patients and 15 practitioners, with 10 in-depth case studies. The duration of the health check varied (6.8-38 minutes), but most health checks were short (60% lasting < 20 minutes), with little cardiovascular disease risk discussion (average < 2 minutes). The use of JBS3 was associated with more cardiovascular disease risk discussion and fewer practitioner-dominated consultations than the use of QRISK2. Heart age and visual representations of risk, as used in JBS3, appeared to be better understood by patients than 10-year risk (QRISK2) and, as a result, the use of JBS3 was more likely to lead to discussion of risk factors and their management. Event-free survival age was not well understood by practitioners or patients. However, a lack of effective cardiovascular disease risk discussion in both groups increased the likelihood of a maladaptive coping response (i.e. no risk-reducing behaviour change). In both groups, practitioners often missed opportunities to check patient understanding and to tailor information on cardiovascular disease risk and its management during health checks, confirming apparent practitioner verbal dominance.The main limitations were under-recruitment in some general practices and the resulting imbalance between groups.Communication of cardiovascular disease risk during health checks was brief, particularly when using QRISK2. Patient understanding of and responses to cardiovascular disease risk information were limited. Practitioners need to better engage patients in discussion of and action-planning for their cardiovascular disease risk to reduce misunderstandings. The use of heart age, visual representation of risk and risk score manipulation was generally seen to be a useful way of doing this. Future work could focus on more fundamental issues of practitioner training and time allocation within health check consultations.Current Controlled Trials ISRCTN10443908.This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 50. See the NIHR Journals Library website for further project information.In England, NHS Health Checks aim to prevent cardiovascular diseases, such as heart attack and stroke. Health checks are conducted in primary care by a health-care assistant or practice nurse, who should measure the patient’s risk of cardiovascular disease before advising them on how to reduce their risk. Cardiovascular disease risk is measured using a cardiovascular disease risk calculator. These calculators use various patient characteristics (e.g. age, sex, blood pressure and cholesterol) to predict how likely patients are to have a heart attack or stroke in the future. The aim of this study was to compare how practitioners explain cardiovascular disease risk to patients during health checks when using two risk calculators: QRISK®2, which measures the risk of heart attack or stroke over the next 10 years (current usual practice), and JBS3 (a newer risk calculator), which gives this risk across the lifetime, is more interactive and has various visual displays of risk. We were interested to see if using JBS3 in health checks would lead to better practitioner and patient understanding of cardiovascular disease risk and result in patients intending to change, or actually changing, their behaviour to reduce their cardiovascular disease risk (compared with QRISK2). Health checks were video-recorded: 73 using QRISK2 and 100 using JBS3. Patients and members of the public advised on the study design, methods and management. Most consultations lasted < 20 minutes, with most time spent discussing the causes of cardiovascular disease. There was evidence that, compared with health checks using JBS3, those using QRISK2 led to less discussion of risk and practitioners speaking far more than patients. Sixty-four health checks from each risk calculator group were examined in depth. Opportunities to check whether or not patients understood the cardiovascular disease risk information and to encourage ways to lower risk were missed, making it less likely that patients would change their behaviour. The way that risk is presented by JBS3 seems to be more easily understood by patients than that presented by QRISK2. Nineteen patients in the QRISK2 group and 21 patients in the JBS3 group were interviewed 4 weeks after the consultation, and the practitioners were interviewed after they had completed all of their health checks. Patients found it difficult to understand and remember what they had been told about their cardiovascular disease risk during their health check. Their understanding and motivation to change behaviour appeared to be higher when they were visually shown how behaviour changes could lower their risk. Practitioners sometimes misunderstood risk and used patients’ reactions to judge whether or not they understood, rather than asking them. Our findings should help to improve how cardiovascular disease risk is communicated during health checks in future, through simple changes to the consultations (e.g. using aspects of JBS3) and by highlighting a gap in practitioners’ training." @default.
• W3195743439 created "2021-08-30" @default.
• W3195743439 creator A5019143395 @default.
• W3195743439 creator A5028521818 @default.
• W3195743439 creator A5029745359 @default.
• W3195743439 creator A5031856983 @default.
• W3195743439 creator A5038483943 @default.
• W3195743439 creator A5038969449 @default.
• W3195743439 creator A5045432335 @default.
• W3195743439 creator A5047122564 @default.
• W3195743439 creator A5069733336 @default.
• W3195743439 date "2021-08-01" @default.
• W3195743439 modified "2023-10-10" @default.
• W3195743439 title "Cardiovascular disease risk communication in NHS Health Checks using QRISK®2 and JBS3 risk calculators: the RICO qualitative and quantitative study" @default.
• W3195743439 cites W1497132007 @default.
• W3195743439 cites W1533707383 @default.
• W3195743439 cites W1806746396 @default.
• W3195743439 cites W1964743817 @default.
• W3195743439 cites W1969776198 @default.
• W3195743439 cites W1973727966 @default.
• W3195743439 cites W1979290264 @default.
• W3195743439 cites W1986923508 @default.
• W3195743439 cites W1994791486 @default.
• W3195743439 cites W1999198731 @default.
• W3195743439 cites W2002306964 @default.
• W3195743439 cites W2014079428 @default.
• W3195743439 cites W2015011409 @default.
• W3195743439 cites W2025829466 @default.
• W3195743439 cites W2029615977 @default.
• W3195743439 cites W2035869296 @default.
• W3195743439 cites W2040491870 @default.
• W3195743439 cites W2049487316 @default.
• W3195743439 cites W2055494518 @default.
• W3195743439 cites W2056555182 @default.
• W3195743439 cites W2058627732 @default.
• W3195743439 cites W2082777179 @default.
• W3195743439 cites W2087928601 @default.
• W3195743439 cites W2093812294 @default.
• W3195743439 cites W2102661682 @default.
• W3195743439 cites W2108155721 @default.
• W3195743439 cites W2116609513 @default.
• W3195743439 cites W2117278400 @default.
• W3195743439 cites W2119700561 @default.
• W3195743439 cites W2122085558 @default.
• W3195743439 cites W2133674686 @default.
• W3195743439 cites W2134247783 @default.
• W3195743439 cites W2135071297 @default.
• W3195743439 cites W2137789210 @default.
• W3195743439 cites W2141176796 @default.
• W3195743439 cites W2141229480 @default.
• W3195743439 cites W2149344757 @default.
• W3195743439 cites W2158553842 @default.
• W3195743439 cites W2160346910 @default.
• W3195743439 cites W2162187829 @default.
• W3195743439 cites W2166108177 @default.
• W3195743439 cites W2167905976 @default.
• W3195743439 cites W2168840694 @default.
• W3195743439 cites W2170652936 @default.
• W3195743439 cites W2181553928 @default.
• W3195743439 cites W2191728955 @default.
• W3195743439 cites W2236077962 @default.
• W3195743439 cites W2238049877 @default.
• W3195743439 cites W2323395772 @default.
• W3195743439 cites W2342645455 @default.
• W3195743439 cites W2414777308 @default.
• W3195743439 cites W2516998275 @default.
• W3195743439 cites W2787529320 @default.
• W3195743439 cites W2792615715 @default.
• W3195743439 cites W2794442283 @default.
• W3195743439 cites W2794927838 @default.
• W3195743439 cites W2796354332 @default.
• W3195743439 cites W2810653020 @default.
• W3195743439 cites W2901035567 @default.
• W3195743439 cites W2914358705 @default.
• W3195743439 cites W2939043544 @default.
• W3195743439 cites W2944718967 @default.
• W3195743439 cites W2944949746 @default.
• W3195743439 cites W2971481473 @default.
• W3195743439 cites W2975218441 @default.
• W3195743439 cites W2981375008 @default.
• W3195743439 cites W2988329023 @default.
• W3195743439 cites W3001059859 @default.
• W3195743439 cites W3088914481 @default.
• W3195743439 cites W3105693424 @default.
• W3195743439 cites W3122476533 @default.
• W3195743439 cites W4200168933 @default.
• W3195743439 cites W4251002741 @default.
• W3195743439 cites W4376596064 @default.
• W3195743439 cites W71499563 @default.
• W3195743439 cites W2076965351 @default.
• W3195743439 doi "https://doi.org/10.3310/hta25500" @default.
• W3195743439 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34427556" @default.
• W3195743439 hasPublicationYear "2021" @default.
• W3195743439 type Work @default.
• W3195743439 sameAs 3195743439 @default.
• W3195743439 citedByCount "5" @default.
• W3195743439 countsByYear W31957434392021 @default.
• W3195743439 countsByYear W31957434392022 @default.

• next