Improving lifestyle and risk perception through patient involvement in nurse-led cardiovascular risk management: A cluster-randomized controlled trial in primary care
| Autor: | Glyn Elwyn, Bjorn Winkens, Gaby Ronda, Marije S Koelewijn-van Loon, Ben van Steenkiste, Richard Grol, Trudy van der Weijden |
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| Přispěvatelé: | Promovendi PHPC, Family Medicine, Ondersteunend personeel PHPC, FHML Methodologie & Statistiek, RS: CAPHRI School for Public Health and Primary Care |
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Epidemiology Motivational interviewing Implementation Science [NCEBP 3] law.invention Risk communication Randomized controlled trial law medicine Cluster Analysis Humans Patient participation Life Style Risk management Shared decision making Preventive healthcare Motivation Primary prevention Primary Health Care business.industry Public Health Environmental and Occupational Health Middle Aged Primary care Multiple behaviour change Risk perception Cardiovascular diseases Physical therapy Anxiety Female medicine.symptom Patient Participation business Risk assessment Nurse-Patient Relations Practice nurses Risk Reduction Behavior |
| Zdroj: | Preventive Medicine, 50, 35-44 Preventive Medicine, 50(1-2), 35-44. Elsevier Science Preventive Medicine, 50, 1-2, pp. 35-44 |
| ISSN: | 0091-7435 |
| DOI: | 10.1016/j.ypmed.2009.11.007 |
| Popis: | Contains fulltext : 88115.pdf (Publisher’s version ) (Closed access) OBJECTIVE: To determine if lifestyle improved at a short term through an intervention to involve patients in cardiovascular risk management by the practice nurse. METHODS: The IMPALA study (2006, the Netherlands) was a cluster-randomised controlled trial involving 25 general practices and 615 patients who were eligible for cardiovascular risk management. The intervention consisted of (1) individual 10-year cardiovascular risk assessment, (2) risk communication, (3) use of a decision aid and (4) adapted motivational interviewing, applied by practice nurses in two consultations. Outcomes were smoking, alcohol, diet, physical activity and the secondary outcomes risk perception, anxiety, confidence about the decision and satisfaction with the communication, measured at baseline and after 12 weeks. RESULTS: Patients of both groups improved their lifestyle, but no relevant significant differences between the groups were found. Intervention group patients improved in terms of the appropriateness of risk perception, although not significantly. Intervention group patients improved significantly in terms of appropriateness of anxiety and were more satisfied with the communication compared to control group patients. CONCLUSION: The intervention seems to have improved the patients' risk perception, anxiety and satisfaction with the communication, which are important conditions for shared decision making. However, we found no additional effect of the intervention on lifestyle. |
| Databáze: | OpenAIRE |
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