Perceived cardiovascular risk and attitude towards lifestyle change

Vörös, Krisztián; Márkus, Bernadett; Hargittay, Csenge; Sisak, Orsolya; Kopper, László

doi:10.1093/fampra/cmy028

Cited by 7 publications

(6 citation statements)

References 30 publications

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“…While our sample, on average, perceived themselves to be highly susceptible, this perception was not associated with healthier lifestyle intentions. This is in line with a study by Vörös et al ( 2018 ), who neither found a link between patient's estimations of their own cardiovascular risk and their willingness to change their lifestyle. According to the Health Belief Model (HBM) theory, the likelihood of engaging in health-protective behaviors is explained by both the perceived threat of a disease as well as perceptions regarding the effectiveness of behaviors adopted to counteract that threat (Becker, 1974 ).…”

Section: Discussionsupporting

confidence: 93%

The COVID-19 Crisis as a Teachable Moment for Lifestyle Change in Dutch Cardiovascular Disease Patients

et al. 2021

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Objective: When lifestyle changes are needed, life events or crises such as COVID-19 may function as “teachable moments”. This study aimed to explore whether the pandemic can provoke a teachable moment regarding lifestyle change in cardiovascular disease patients.Method: In this cross-sectional survey study, 830 cardiovascular disease patients reported their intentions to change lifestyle, instigated by the corona crisis, together with risk perception, affective impact, and changed self-concept, based on a “teachable moments” framework.Results: Between 8 and 28% of the sample reported increased intentions to optimize lifestyle behaviors, particularly related to general lifestyle (28%), physical activity (25%), and diet (21%). Multivariate regression analyses revealed that changed self-concept was associated with higher intentions to improve general lifestyle (B = 0.26; CI = 0.19–0.33), physical activity (B = 0.23; CI = 0.16–0.30), and smoking (B = 0.29; CI = 0.01–0.57). In addition, changed self-concept and affective impact were both significantly associated with higher intentions to improve diet (resp. B = 0.29; CI = 0.21–0.36 and B = 0.12; CI = 0.04–0.21) and to limit alcohol consumption (resp. B = 0.22; CI = 0.13–0.30 and B = 0.11; CI = 0.01–0.20). We did not find evidence for an important role of risk perception on behavior change intentions.Conclusion: The COVID-19 crisis evoked a potential teachable moment for lifestyle change in cardiovascular disease patients, driven by a change in a patient's self-concept and to a lesser extent by an affective impact of the COVID-19 crisis. These results suggest an important window of opportunity for healthcare professionals to utilize the pandemic to promote a healthy lifestyle to their patients.

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Section: Discussionsupporting

confidence: 93%

The COVID-19 Crisis as a Teachable Moment for Lifestyle Change in Dutch Cardiovascular Disease Patients

et al. 2021

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“…[29][30][31][32] Studies have consistently reported that hypertensive patients often have inaccurate subjective risk perceptions of adverse CVD event 33,34 and underestimate their risk when compared to objective measures such as the FRS. [35][36][37] For example, despite an increased risk of CVD events from comorbidities such as diabetes and unhealthy lifestyle behaviors (smoking), hypertensive patients were unable to provide an accurate risk estimate 33,38,39 even in high-income countries (HICs) such as the Netherlands, 33 US, 40 and Switzerland. 41 Research on CVD risk perceptions in Africa is very limited.…”

Section: Introductionmentioning

confidence: 99%

Low Subjective Cardiovascular Disease Risk Perceptions among Hypertensive Patients in Addis Ababa, Ethiopia

Mengistu¹,

Goshu²,

Yalew³

et al. 2022

IBPC

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Background Accurate cardiovascular disease (CVD) risk appraisal is essential for hypertensive patients to identify correctly their risk status and take efficient behavioral measures timely to avoid major adverse outcomes. However, hypertensive patients’ risk perceptions of CVD events in Ethiopia are unknown. Thus, the study aimed to compare the subjective CVD risk perception level of patients with the nonlaboratory Framingham Risk Score (nl-FRS). Methods A cross-sectional design was used. The Attitudes and Beliefs about Cardiovascular Disease Risk Questionnaire and the nl-FRS were used to compare subjective versus objective measures of CVD risk. Agreement between participants’ risk perceptions and the nl-FRS were examined using the kappa statistic. Bivariate chi-square test and multinomial logistic regression analyses were run to identify factors associated with risk perceptions. The statistical significance was set at a p-value < 0.05 level. Results Participants (n=377) had a mean age of 53.61 ± 12.80-years, range (18–82 years), 51.2% were males, 42.7% had less than high school education, 45.1% achieved target BP control, and mean HTN duration was 8.01 ± 6.07 years. The majority (58.62%) of the participants had a low subjective risk perception of CVD events (mean 17.79, 95% CI: 17.43–18.15). Approximately three-fourths (72.4%) had a moderate nl-FRS risk calculation (mean, 13.84, 95% CI: 13.36–14.33). Agreement between participants perceived-risk and the nl-FRS was poor (kappa = 0.0002, standard error = 0.023, p =0.99). Participants’ CVD risk-perception inaccuracy was also high (76%) primarily due to underestimation. Hypertension duration, frequency of physician visits, and level of diabetes control were significant predictors of CVD risk underestimation. Conclusion Hypertensive patients had inaccurate and low subjective risk perceptions of CVD events compared to moderate objective risks identified using the nl-FRS. Planned education on HTN and CVD risk factors is essential to improve patients’ CVD risk perception to reduce adverse CVD events.

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“…Reported examples of barriers to drug adherence are side effects, the complexity of drug regimens and the impact of medication on daily life ( AlGhurair et al., 2012 ). Barriers to performing lifestyle changes could be an underestimation of one's own cardiovascular risk ( Vörös et al., 2018 ). Several interventions have been tried out to help people to adhere to medication by increasing patients’ knowledge ( Gwadry-Sridhar et al., 2013 ), home BP monitoring ( Fletcher et al., 2015 ; Stergiou et al., 2014 ), education on hypertension and advice on lifestyle ( Cheema et al., 2014 ), e-counselling programs ( Nolan et al., 2014 ), other digital interventions ( McLean et al., 2016 ) and linking adherence behaviour with habits, giving adherence feedback to patients, using dose dispenser or other special packaging and motivational interviewing ( Conn et al., 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Persons’ experiences of having hypertension: An interview study

Rosén

Persson

et al. 2022

International Journal of Nursing Studies Advances

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Perceived cardiovascular risk and attitude towards lifestyle change

Abstract: Perceived cardiovascular risk and incorrect optimism about this hazard have minimal, if any, influence on attitude towards lifestyle change. Patients' motivation seems not to be primarily health related.

Cited by 7 publications

References 30 publications

The COVID-19 Crisis as a Teachable Moment for Lifestyle Change in Dutch Cardiovascular Disease Patients

The COVID-19 Crisis as a Teachable Moment for Lifestyle Change in Dutch Cardiovascular Disease Patients

Low Subjective Cardiovascular Disease Risk Perceptions among Hypertensive Patients in Addis Ababa, Ethiopia

Persons’ experiences of having hypertension: An interview study

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