Abstract
BackgroundThe success of a cardiovascular health check programme depends not only on the identification of individuals at high risk of cardiovascular disease (CVD) but also on reducing CVD risk. We examined factors that might influence engagement and adherence to lifestyle change interventions and medication amongst people recently assessed at medium or high risk of CVD (>10% in the next 10 years).MethodQualitative study using individual semi‐structured interviews. Data were analysed using the Framework method.ResultsTwenty‐two participants (12 men, 10 women) were included in the study. Four broad themes are described: (a) the meaning of ‘risk’, (b) experiences with medication, (c) attempts at lifestyle change, and (d) perceived enablers to longer‐term change. The experience of having a health check was mostly positive and reassuring. Although participants may not have understood precisely what their CVD risk meant, many reported efforts to make lifestyle changes and take medications to reduce their risk. Individual’s experience with medications was influenced by family, friends and the media. Lifestyle change services and family and friends support facilitated longer‐term behaviour change.ConclusionsPeople generally appear to respond positively to having a CVD health check and report being motivated towards behaviour change. Some individuals at higher risk may need clearer information about the health check and the implications of being at risk of CVD. Concerns over medication use may need to be addressed in order to improve adherence. Strategies are required to facilitate engagement and promote longer‐term maintenance with lifestyle changes amongst high‐risk individuals.
Highlights
Cardiovascular disease (CVD) is a major cause of death globally[1] and accounts for around 160 000 deaths annually in the United Kingdom (UK).[2]
A systematic review of the literature of providing coronary risk information to adults suggested that whilst global risk information seems to improve the accuracy of risk perception, there is no evidence that risk perception translated into lifestyle changes.[7]
This review has examined patients’ overall experience with the health check programme, rather than high‐risk individuals respond to risk‐re‐ ducing interventions, including lifestyle and medication uptake and adherence
Summary
Cardiovascular disease (CVD) is a major cause of death globally[1] and accounts for around 160 000 deaths annually in the United Kingdom (UK).[2]. The success of a cardiovascular health check programme depends on the identification of individuals at high risk of cardiovascular disease (CVD) and on reducing CVD risk. We examined factors that might influence engage‐ ment and adherence to lifestyle change interventions and medication amongst peo‐ ple recently assessed at medium or high risk of CVD (>10% in the 10 years). Participants may not have understood precisely what their CVD risk meant, many reported efforts to make lifestyle changes and take medications to reduce their risk. Conclusions: People generally appear to respond positively to having a CVD health check and report being motivated towards behaviour change. Strategies are required to facilitate engagement and pro‐ mote longer‐term maintenance with lifestyle changes amongst high‐risk individuals
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