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Cardiovascular disease risk communication in NHS Health Checks: video-stimulated recall interviews with practitioners

GIDLOW, Christopher, ELLIS, Naomi, RILEY, Victoria, COWAP, Lisa, Grogan, Sarah, Cottrell, Elizabeth, Crone, Diane, Calvert, Sian and CLARK-CARTER, David (2021) Cardiovascular disease risk communication in NHS Health Checks: video-stimulated recall interviews with practitioners. BJGP Open, 5 (5). ISSN 1478-5242

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Abstract or description

NHS Health Check (NHSHC) is a national programme to identify and manage cardiovascular disease (CVD) risk. Practitioners delivering the programme should be competent in discussing CVD risk, but there is evidence of limited understanding of the recommended 10-year percentage CVD risk scores. Lifetime CVD risk calculators might improve understanding and communication of risk.

To explore practitioner understanding, perceptions and experiences of CVD risk communication in NHSHCs when using two different CVD risk calculators.

Design and setting
Qualitative video-stimulated recall (VSR) study with NHSHC practitioners.

VSR interviews were conducted with practitioners who delivered NHSHCs using either the QRISK2 10-year risk calculator (n=7) or JBS3 lifetime CVD risk calculator (n=8). Data were analysed using reflexive thematic analysis.

Findings from analysis of VSR interviews with 15 practitioners (9 Healthcare Assistants, 6 General Practice Nurses) are presented by risk calculator. There was limited understanding and confidence of 10-year risk, which was used to guide clinical decisions through determining low/medium/high risk thresholds, rather than as a risk communication tool. Potential benefits of some JBS functions were evident, particularly heart age, risk manipulation and visual presentation of risk.

There is a gap between the expectation and reality of practitioners’ understanding, competencies and training in CVD risk communication for NHS Health Check. Practitioners would welcome heart age and risk manipulation functions of JBS3 to promote patient understanding of CVD risk, but there is a more fundamental need for practitioner training in CVD risk communication.

Item Type: Article
Uncontrolled Keywords: Cardiovascular diseases; Risk; Preventive Medicine; Primary Health Care; Qualitative Research
Faculty: School of Life Sciences and Education > Sport and Exercise
Depositing User: Christopher GIDLOW
Date Deposited: 16 Jun 2021 09:22
Last Modified: 06 Apr 2023 14:17
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