Communication approaches to enhance patient motivation and adherence in cardiovascular disease prevention

Duffy, Eamon; Ashen, Dominique; Blumenthal, Roger S.; Davis, Denny; Gulati, Martha; Blaha, Michael J.; Michos, Erin D.; Nasir, Khurram; Cainzos‐Achirica, Miguel

doi:10.1002/clc.23555

Cited by 22 publications

(16 citation statements)

References 54 publications

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“…This supports the idea that brief educational intervention after community-based screening can enhance individual knowledge of CVD risk factors and empower them to seek medical assistance from a primary health care provider. This finding supports the communication approaches "from education to motivation" and personalized communication' to enhance patient motivation and adherence to CVD prevention [33].…”

Section: Discussionsupporting

confidence: 76%

The Effectiveness of Community-based Cardiovascular Risk Factors Screening Program in Rural Community Shopping Mall: Health Takes Heart Study

MacDonald¹,

Alsrayheen²,

Taylor³

et al. 2023

ujph

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Cardiovascular disease (CVD) significantly impacts rural communities due to the high CVD prevalence rates compared with urban communities. This study aimed to assess the effectiveness of a community-based screening program for CVD risk factors by employing established risk factor scoring in a rural community. In this descriptive cross-sectional study, 1582 participants aged 20 and above participated in the screening program. Data was collected using a self-report questionnaire and measuring other CVD risk factors directly. The metabolic syndrome score and Framingham risk score (FRS) for 10-years of risk of developing heart attack and death were calculated for all participants. Then the level of follow-up with family physicians (FPs) following a screening program for CVD risk factors and a brief one-on-one educational intervention from a Registered Nurse to modify their risk factors was evaluated. The result revealed that 77% of the participants had 1 to 3 risk factors, and 52.7% followed up with FPs. Hypertension and abdominal obesity were the most common risk factors, with 51.1% and 55%, respectively. This study showed that 36.2% of the population had moderate to high FRS (death/MI>20%), and 30% had a high metabolic syndrome score. Community-based CVD risk factor screening successfully identified a high ratio of participants with high CVD risk factors and FRS. The screening program and educational interventions were beneficial in increasing public awareness of CVD risk factors, and a high percentage of participants with high FRS followed up with their FPs.

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Section: Discussionsupporting

confidence: 76%

The Effectiveness of Community-based Cardiovascular Risk Factors Screening Program in Rural Community Shopping Mall: Health Takes Heart Study

MacDonald¹,

Alsrayheen²,

Taylor³

et al. 2023

ujph

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“…Patient education and information are important and established approaches to ensure and facilitate patient adherence and motivation. 17 According to a recent study, age and educational level are crucial domains for successful implementation of telemedicine. 18 Within TeleCheck-AF, we developed and published standardized instructions that were followed by all participating centres.…”

Section: Assistance In Obtaining Optimal Motivation and Adherencementioning

confidence: 99%

Patient motivation and adherence to an on-demand app-based heart rate and rhythm monitoring for atrial fibrillation management: data from the TeleCheck-AF project

Gawałko

Hermans

Velden

et al. 2022

European Journal of Cardiovascular Nursing

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Aims The aim of this TeleCheck-AF sub-analysis was to evaluate motivation and adherence to on-demand heart rate/rhythm monitoring app in patients with atrial fibrillation (AF). Methods and results Patients were instructed to perform 60 s app-based heart rate/rhythm recordings 3 times daily and in case of symptoms for 7 consecutive days prior to teleconsultation. Motivation was defined as number of days in which the expected number of measurements (≥3/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period. Data from 990 consecutive patients with diagnosed AF [median age 64 (57–71) years, 39% female] from 10 centres were analyzed. Patients with both optimal motivation (100%) and adherence (≥100%) constituted 28% of the study population and had a lower percentage of recordings in sinus rhythm [90 (53–100%) vs. 100 (64–100%), P < 0.001] compared with others. Older age and absence of diabetes were predictors of both optimal motivation and adherence [odds ratio (OR) 1.02, 95% coincidence interval (95% CI): 1.01–1.04, P < 0.001 and OR: 0.49, 95% CI: 0.28–0.86, P = 0.013, respectively]. Patients with 100% motivation also had ≥100% adherence. Independent predictors for optimal adherence alone were older age (OR: 1.02, 95% CI: 1.00–1.04, P = 0.014), female sex (OR: 1.70, 95% CI: 1.29–2.23, P < 0.001), previous AF ablation (OR: 1.35, 95% CI: 1.03–1.07, P = 0.028). Conclusion In the TeleCheck-AF project, more than one-fourth of patients had optimal motivation and adherence to app-based heart rate/rhythm monitoring. Older age and absence of diabetes were predictors of optimal motivation/adherence.

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“…In our study, and prior studies, we found a disconnect between patient diagnoses and their own understanding of their pregnancy and future risk related to cardiometabolic disease ( 17 – 19 , 25 ). Consistent with prior research, participants in our study prioritized the needs of their developing fetuses and babies over their own health ( 17 , 26 ). Effective postpartum counseling may include value-based discussions helping mothers see heart disease prevention as part of caring for their family ( 27 ).…”

Section: Discussionmentioning

confidence: 55%

A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021

et al. 2022

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Introduction Despite the strong link between cardiometabolic pregnancy complications and future heart disease, there are documented gaps in engaging those who experience such conditions in recommended postpartum follow-up and preventive care. The goal of our study was to understand how people in a Medicaid-insured population perceive and manage risks during and after pregnancy related to an ongoing cardiometabolic disorder. Methods We conducted in-depth qualitative interviews with postpartum participants who had a cardiometabolic conditions during pregnancy (chronic or gestational diabetes, chronic or gestational hypertension, or preeclampsia). We recruited postpartum participants from a single safety-net hospital system in Atlanta, Georgia, and conducted virtual interviews during January through May 2021. We conducted a content analysis guided by the Health Belief Model and present themes related to risk management. Results From the 28 interviews we conducted, we found that during pregnancy, advice and intervention by the clinical care team facilitated management behaviors for high-risk conditions. However, participants described limited understanding of how pregnancy complications might affect future outcomes, and few described engaging in postpartum management behaviors. Conclusion Improving continuity and content of care during postpartum may improve uptake of preventive behaviors among postpartum patients at risk of heart disease.

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Communication approaches to enhance patient motivation and adherence in cardiovascular disease prevention

Cited by 22 publications

References 54 publications

The Effectiveness of Community-based Cardiovascular Risk Factors Screening Program in Rural Community Shopping Mall: Health Takes Heart Study

The Effectiveness of Community-based Cardiovascular Risk Factors Screening Program in Rural Community Shopping Mall: Health Takes Heart Study

Patient motivation and adherence to an on-demand app-based heart rate and rhythm monitoring for atrial fibrillation management: data from the TeleCheck-AF project

A Qualitative Study of Perceptions, Strengths, and Opportunities in Cardiometabolic Risk Management During Pregnancy and Postpartum in a Georgia Safety-Net Hospital, 2021

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