Does Your Heart Forecast help practitioner understanding ... - CiteSeerX
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ORIGINAL SCIENTIFIC PAPERS QUANTITATIVE RESEARCH
Does Your Heart Forecast help practitioner understanding and confidence with cardiovascular disease risk communication? Sue Wells MBChB, MPH(Hons) PhD;1 Andrew Kerr MBChB, MA;2 Elizabeth Broadbent BE, MSc, PhD;3 Craig MacKenzie BPharm(Hons), PGCertPharm, PGDipClinPharm;4 Karl Cole MBChB, PGDipHealInfo;5 Andy McLachlan MN (Hons)2 School of Population Health, The University of Auckland, Auckland, New Zealand
ABSTRACT
Middlemore Hospital, Counties Manukau District Health Board, Auckland
Introduction: Explaining what cardiovascular disease (CVD) risk means and engaging in shared decision-making regarding risk factor modification is challenging. An electronic CVD risk visualisation tool containing multiple risk communication strategies (Your Heart Forecast) was designed in 2009.
1
2
Department of Psychological Medicine, The University of Auckland, Auckland 3
Dunedin Hospital, Southern District Health Board, Dunedin, New Zealand 4
ProCare Health Ltd, Auckland 5
Aim: To assess whether this tool facilitated explaining CVD risk to primary care patients. Methods: Health professionals who accessed a Primary Health Organisation website or who attended educational peer groups over a three-month period were invited to complete questionnaires before and after viewing a four-minute video about the tool. Respondents were asked to make an informed guess of the CVD risk of a 35-year-old patient (actual CVD risk 5%) and rate the following sentence as being true or false: ‘If there were 100 people like Mr Andrews, five would go on to have a cardiac event in the next five years.’ They also were asked to rank their understanding of CVD risk and confidence in explaining the concept to patients. Results: Fifty health professionals (37 GPs, 12 practice nurses, one other) completed before and after questionnaires. Respondents’ CVD risk estimates pre-video ranged from
