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Published on: September 26, 2018
Does Your Heart Forecast help practitioner understanding and confidence with cardiovascular disease risk
Sue Wells1, Andrew Kerr, Elizabeth Broadbent
1Section of Epidemiology and Biostatistics, School of Population Health, The University of Auckland, PB 92019, Auckland, New Zealand. s.wells@auckland.ac.nz
Insights
A new tool effectively improved health professionals' understanding and confidence in explaining cardiovascular disease (CVD) risk to patients. Further trials are needed to assess its impact on patient outcomes and lifestyle changes.
Area of Science:
- Medical Informatics
- Health Communication
- Cardiology
Background:
- Explaining cardiovascular disease (CVD) risk and shared decision-making for risk factor modification presents challenges.
- An electronic CVD risk visualization tool, 'Your Heart Forecast,' was developed in 2009 to aid risk communication.
Purpose of the Study:
- To evaluate if the 'Your Heart Forecast' tool enhances health professionals' ability to explain CVD risk to primary care patients.
Main Methods:
- Fifty health professionals (GPs, practice nurses) completed pre- and post-video questionnaires.
- Participants estimated a patient's CVD risk and evaluated a risk communication statement before and after viewing a video about the tool.
- Self-reported understanding and confidence in explaining CVD risk were also assessed.
Main Results:
- Initially, CVD risk estimates varied widely, with some participants incorrectly assessing the risk statement.
- Following the video, all participants correctly estimated the CVD risk and validated the risk statement.
- Post-intervention, participants showed a narrower range and higher self-rated understanding and confidence in explaining CVD risk.
Conclusions:
- The tool demonstrated potential in improving health professionals' grasp of CVD risk communication.
- A randomized controlled trial is necessary to confirm the tool's efficacy in facilitating patient discussions, enhancing patient understanding, and influencing lifestyle behaviors.
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.
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 <5% to 25% and nine rated the sentence as being false. After the video, all respondents answered these questions correctly. Personal rankings from zero to 10 about understanding CVD risk and confidence in explaining risk reduced in range and shifted towards greater efficacy.
Discussion:
Whether this tool facilitates discussions of CVD risk with patients and improves patient understanding and lifestyle behaviour needs to be evaluated in a randomised trial.
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