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Patient Perspectives on a Nurse-Led Personalised Cardiovascular Risk Intervention in Type 2 Diabetes: A Qualitative
Ruofei Trophy Chen1, Mihirika Pincha Baduge2, Robyn A Clark3
1Monash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Aims:
To explore patient perspectives on the acceptability of a nurse-led personalised cardiovascular risk intervention in Type 2 diabetes.
Design:
A qualitative study nested within a randomised controlled trial.
Methods:
Two online focus groups (n = 5 per group) were conducted with adults who received personalised cardiovascular risk information through computed tomography coronary angiography or polygenic risk scores within a nurse-led intervention. A co-designed discussion guide explored risk understanding, views of the nurse-led consultation, emotional responses, behaviour change and feasibility. Data were analysed using reflexive thematic analysis informed by the Theoretical Framework of Acceptability.
Results:
Five interrelated themes were identified: (1) making personalised risk tangible; (2) interpretation requires relationship; (3) channelling concern into action; (4) from insight to incremental agency; and (5) feasibility and system conditions for scale.
Conclusion:
Among focus group participants who completed the intervention, the model was highly acceptable, with nurse-led translation of complex risk information supporting engagement and behaviour change.
Implications For The Profession And Patient Care:
Cardiovascular nurse coaching may strengthen the clinical value of personalised risk tools by supporting understanding, emotional response and translation into achievable prevention goals.
Impact:
This study addressed the limited understanding of how adults with Type 2 diabetes perceive personalised cardiovascular risk communication. It found that acceptability was dynamic and improved when nurse-led explanation and goal setting supported behavioural engagement, with implications for cardiovascular nurses and services implementing personalised prevention.
Reporting Method:
This study adhered to the consolidated criteria for reporting qualitative research.
Patient Or Public Contribution:
Participants contributed to study design through co-development of the focus group guide and informed interpretation of findings.
Trial And Protocol Registration:
ClinicalTrials.gov (NCT07091162).
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