&lt;p&gt;Feasibility Study of Advanced Cardiovascular Screening in Middle-Aged Patients with Diabetes&lt;/p&gt;

Lindholt, Jes Sanddal; Frystyk, Jan; Hallas, Jesper; Rasmussen, Lars Melholt; Diederichsen, Axel Cosmus Pyndt

doi:10.2147/clep.s246636

Cited by 9 publications

(19 citation statements)

References 38 publications

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“…The strength of qualitative research is reaching a new understanding of a phenomenon, including suggestions for practice rather than achieving generalisability [20], which requires testing the results in a randomised setup. Interestingly, the uptake in the DIACAVAS pilot study (41%) [2] corresponds to the number of interviewees who would be likely to respond to the invitation strategy used in DIACAVAS (a written invitation with self-booking) in accordance with our model (35%). This supports our ndings of the bene ts of using a differentiated invitation strategy.…”

Section: Limitations and Strengthsmentioning

confidence: 93%

“…The structured interview conformed to the questionnaire used in DIACAVAS for collecting information on cardiovascular symptoms and morbidity, smoking habits, family history of CVD and quality of life (EQ-5D-3L). The DIACAVAS questionnaire was developed in accordance with a literature review on diabetes-speci c factors for assessing the individuals' characteristics including cardiovascular risk [2]. The DIACAVAS questionnaire was supplemented with information on education and employment for the purpose of this study.…”

Section: Data Collectionmentioning

confidence: 99%

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Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Dahl

Søndergaard

Diederichsen

et al. 2020

Preprint

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Background: Type 2 diabetes (T2D) is associated with a significantly increased risk of cardiovascular disease (CVD). The DIAabetic CArdioVAscular Screening and intervention trial (DIACAVAS) was designed to clarify whether advanced imaging for subclinical atherosclerosis combined with medical treatment is an effective strategy to develop individualised treatment algorithms for Danish men and women with T2D aged 40–60. But in the DIACAVAS pilot study, the uptake was only 41%. Consequently, we explored how people experienced living with T2D to understand how to improve the uptake in initiatives targeting the prevention of CVD. Methods: We used semi-structured interviews to obtain information on how the respondents experienced having T2D. For supplementary information, we used structured interviews on e.g. socioeconomic factors. From April to October 2019, 17 participants aged 40–60 years were recruited from general practices and diabetes outpatient clinics in Denmark. Several levels of analysis were involved consistent with inductive content analysis.Results: The participants’ experiences of living with T2D fell along two continuums, from an emotional to a cognitive expression and from proactive to reactive disease management. This led to identification of four archetypal characteristics: (I) powerlessness, (II) empowerment, (III) health literacy, and (IV) self-efficacy. These characteristics indicated the importance of using different approaches to facilitate participation in cardiovascular preventive initiatives. Additionally, findings inspired us to develop a model for facilitating participation in future preventive initiatives.Conclusion: Encouraging people with T2D to participate in cardiovascular preventive initiatives may necessitate a tailored invitation strategy. We propose a model for an invitational process that takes into consideration invitees’ characteristics, including powerlessness, empowerment, health literacy and self-efficacy. This model may enhance participation in such initiatives. However, participation is a general concern, not only in relation to cardiovascular prevention. Our proposed model may be applicable in preventive services for people with T2D in general.

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Section: Limitations and Strengthsmentioning

confidence: 93%

Section: Data Collectionmentioning

confidence: 99%

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Dahl

Søndergaard

Diederichsen

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The structured interview conformed to the questionnaire used in DIACAVAS for collecting information on cardiovascular symptoms and morbidity, smoking habits, family history of CVD and quality of life (EQ-5D-3L). The DIACAVAS questionnaire was developed in accordance with a literature review on diabetes-specific factors for assessing the individuals’ characteristics including cardiovascular risk [ 2 ]. The DIACAVAS questionnaire was supplemented with information on education and employment for the purpose of this study.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the DIA betic CA rdio VA scular S creening and intervention trial (DIACAVAS) has been designed to clarify whether advanced imaging for subclinical atherosclerosis combined with preventive medical treatment is an effective strategy to develop individualised treatment algorithms among Danish men and women with T2D aged 40–60. However, the uptake in the DIACAVAS pilot study was only 41% [ 2 ]. This finding is in line with earlier studies suggesting that persons with T2D are less likely to participate in initiatives such as DIACAVAS.…”

Section: Introductionmentioning

confidence: 99%

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

et al. 2021

View full text Add to dashboard Cite

Background Type 2 diabetes (T2D) is associated with a significantly increased risk of cardiovascular disease (CVD). The DIAbetic CArdioVAscular Screening and intervention trial (DIACAVAS) was designed to clarify whether advanced imaging for subclinical atherosclerosis combined with medical treatment is an effective strategy to develop individualised treatment algorithms for Danish men and women with T2D aged 40–60. But in the DIACAVAS pilot study, the uptake was only 41%. Consequently, we explored how people experienced living with T2D to understand how to improve the uptake in initiatives targeting the prevention of CVD. Methods We used semi-structured interviews to obtain information on how the respondents experienced having T2D. For supplementary information, we used structured interviews on e.g. socioeconomic factors. From April to October 2019, 17 participants aged 40–60 years were recruited from general practices and diabetes outpatient clinics in Denmark. Several levels of analysis were involved consistent with inductive content analysis. Results The participants’ experiences of living with T2D fell along two continuums, from an emotional to a cognitive expression and from reactive to proactive disease management. This led to identification of four archetypal characteristics: (I) powerlessness, (II) empowerment, (III) health literacy, and (IV) self-efficacy. These characteristics indicated the importance of using different approaches to facilitate participation in cardiovascular preventive initiatives. Additionally, findings inspired us to develop a model for facilitating participation in future preventive initiatives. Conclusion Encouraging people with T2D to participate in cardiovascular preventive initiatives may necessitate a tailored invitation strategy. We propose a model for an invitational process that takes into consideration invitees’ characteristics, including powerlessness, empowerment, health literacy and self-efficacy. This model may enhance participation in such initiatives. However, participation is a general concern, not only in relation to cardiovascular prevention. Our proposed model may be applicable in preventive services for people with T2D in general.

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“…In the DIACAVAS pilot study, the invitation strategy was sending the invitation to a digital mailbox provided by the Danish public authorities without a pre-booked appointment (2). This digital invitation was chosen as it is an easy and well-known strategy to reach the majority of the Danish population in a safe, secure and inexpensive way (35).…”

Section: Improving the Basis For Increasing Participation In Preventimentioning

confidence: 99%

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Dahl

Soendergaard

Diederichsen

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Type 2 diabetes (T2D) is associated with a significant increased risk of cardiovascular disease (CVD). The DIAabetic CArdioVAscular Screening and intervention trial (DIACAVAS) was designed to clarify whether advanced imaging for subclinical atherosclerosis combined with medical treatment is an effective strategy to develop individualised treatment algorithms for Danish men and women with T2D aged 40–60. But in the DIACAVAS pilot study, the uptake was only 41%. Consequently, we explored how people experienced living with T2D to understand how to improve the uptake in initiatives targeting prevention of CVD. Methods We used semi-structured interviews to obtain information on how the respondents experienced having T2D. For supplementary information, we used structured interviews on e.g. socioeconomic factors. From April to October 2019, 17 participants aged 40–60 years were recruited from general practices and diabetes outpatient clinics in Denmark. Several levels of analysis were involved consistent with inductive content analysis. Results The participants’ experiences of living with T2D fell along two continuums, from an emotional to a cognitive expression and from proactive to reactive disease management. This led to identification of four archetypal characteristics: (I) powerlessness, (II) empowerment, (III) health literacy, and (IV) self-efficacy. These characteristics indicated the importance of using different approaches to facilitate participation in cardiovascular preventive initiatives. Additionally, findings inspired us to develop a model for facilitating participation in forthcoming preventive initiatives. Conclusion Encouraging people with T2D to participate in cardiovascular preventive initiatives might necessitate a tailored invitation strategy. We propose a model for an invitational process that takes into consideration invitees’ characteristics, including powerlessness, empowerment, health literacy and self-efficacy. This model may enhance participation in such initiatives. However, participation is a general concern, not only in relation to cardiovascular disease prevention. Our proposed model may be applicable in preventive services for people with T2D in general.

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<p>Feasibility Study of Advanced Cardiovascular Screening in Middle-Aged Patients with Diabetes</p>

Cited by 9 publications

References 38 publications

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

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