Involving people with type 2 diabetes in facilitating participation in a cardiovascular screening programme.

Autor: Dahl M; Vascular Research Unit, Department of Surgery, Regional Hospital Central Denmark, Viborg, Denmark.; Department of Clinical Medicine, Aarhus University, Denmark., Søndergaard SF; Centre for Research in Clinical Nursing, School of Nursing, Regional Hospital Central Denmark/VIA University College, Viborg, Denmark.; Department of Public Health, Nursing, Aarhus University, Aarhus, Denmark., Diederichsen A; Department of Cardiology, Odense University Hospital, Odense, Denmark., Søndergaard J; Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark., Thilsing T; Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark., Lindholt JS; Department of Cardiothoracic and Vascular Surgery, Odense University Hospital, Odense, Denmark.; Elitary Research Centre of Individualized Medicine in Arterial Disease (CIMA), Odense University Hospital, Odense, Denmark.; Cardiovascular Centre of Excellence in Southern Denmark (CAVAC), Odense University Hospital, Odense, Denmark.
Jazyk: angličtina
Zdroj: Health expectations : an international journal of public participation in health care and health policy [Health Expect] 2021 Jun; Vol. 24 (3), pp. 880-891. Date of Electronic Publication: 2021 Mar 24.
DOI: 10.1111/hex.13228
Abstrakt: Background: Knowledge is lacking about how to increase uptake among people with type 2 diabetes (T2D) invited to preventive initiatives like cardiovascular screening.
Aim: To explore how to improve participation of people with T2D in cardiovascular screening using patient and public involvement (PPI).
Methods: Patient and public involvement was included in a qualitative research design. From April to October 2019, we invited 40- to 60-year-old people with T2D (n = 17) to individual consultative meetings, using an interviewing approach. Before the interviews, participants were asked to read a proposed invitation letter to be used in a cardiovascular screening programme. Inductive content analysis was undertaken.
Results: Participants considered cardiovascular screening important and beneficial from both a personal and social perspective. We found that the relational interaction between the person with T2D and the health-care professional was key to participation and that nudging captured through the design of the screening programme and the wording of the invitation letter was requested.
Conclusion: In preventive initiatives perceived as meaningful by the invitee, a focus on recruitment is crucial to facilitate participation. This study contributed with knowledge about how to promote participation by involving health-care professionals in recruitment initiatives and through nudging. This knowledge may assist researchers, policymakers and ethicists' understanding and assessment of the ethical appropriateness and public acceptability of nudging in cardiovascular screening.
Patient or Public Contribution: By consulting 17 people with T2D, we are now in a position to suggest how a screening initiative should be altered because tools to improve uptake have been identified.
(© 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje