Patients’ experiences of cardiovascular health education and risk communication

a qualitative synthesis

Stefanie Mentrup, Emma Harris, Timothy Gomersall, Sascha Köpke, Felicity Astin

Research output: Contribution to journalArticle

Abstract

Coronary heart disease (CHD) has no cure and patients with myocardial infarction are at high risk for further cardiac events. Health education is a key driver for patients’ understanding and motivation for lifestyle change, but little is known about patients’ experience of such education. In this review, we aimed to explore how patients with CHD experience health education and in particular risk communication. A total of 2221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized by using thematic analysis. Findings show that both ‘what’ was communicated, and ‘the way’ it was communicated, had the potential to influence patients’ engagement with lifestyle changes. Communication about the potential of lifestyle change to reduce future risk were largely missing causing uncertainty, anxiety and for some disengagement with lifestyle change. Recommendations for ways to improve health education and risk communication are discussed to inform international practice.
Original languageEnglish
JournalQualitative Health Research
Publication statusAccepted/In press - 21 Oct 2019

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Health Education
Life Style
Communication
Coronary Disease
Patient Participation
Uncertainty
Motivation
Anxiety
Myocardial Infarction
Databases
Education

Cite this

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title = "Patients’ experiences of cardiovascular health education and risk communication: a qualitative synthesis",
abstract = "Coronary heart disease (CHD) has no cure and patients with myocardial infarction are at high risk for further cardiac events. Health education is a key driver for patients’ understanding and motivation for lifestyle change, but little is known about patients’ experience of such education. In this review, we aimed to explore how patients with CHD experience health education and in particular risk communication. A total of 2221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized by using thematic analysis. Findings show that both ‘what’ was communicated, and ‘the way’ it was communicated, had the potential to influence patients’ engagement with lifestyle changes. Communication about the potential of lifestyle change to reduce future risk were largely missing causing uncertainty, anxiety and for some disengagement with lifestyle change. Recommendations for ways to improve health education and risk communication are discussed to inform international practice.",
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T1 - Patients’ experiences of cardiovascular health education and risk communication

T2 - a qualitative synthesis

AU - Mentrup, Stefanie

AU - Harris, Emma

AU - Gomersall, Timothy

AU - Köpke, Sascha

AU - Astin, Felicity

PY - 2019/10/21

Y1 - 2019/10/21

N2 - Coronary heart disease (CHD) has no cure and patients with myocardial infarction are at high risk for further cardiac events. Health education is a key driver for patients’ understanding and motivation for lifestyle change, but little is known about patients’ experience of such education. In this review, we aimed to explore how patients with CHD experience health education and in particular risk communication. A total of 2221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized by using thematic analysis. Findings show that both ‘what’ was communicated, and ‘the way’ it was communicated, had the potential to influence patients’ engagement with lifestyle changes. Communication about the potential of lifestyle change to reduce future risk were largely missing causing uncertainty, anxiety and for some disengagement with lifestyle change. Recommendations for ways to improve health education and risk communication are discussed to inform international practice.

AB - Coronary heart disease (CHD) has no cure and patients with myocardial infarction are at high risk for further cardiac events. Health education is a key driver for patients’ understanding and motivation for lifestyle change, but little is known about patients’ experience of such education. In this review, we aimed to explore how patients with CHD experience health education and in particular risk communication. A total of 2221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized by using thematic analysis. Findings show that both ‘what’ was communicated, and ‘the way’ it was communicated, had the potential to influence patients’ engagement with lifestyle changes. Communication about the potential of lifestyle change to reduce future risk were largely missing causing uncertainty, anxiety and for some disengagement with lifestyle change. Recommendations for ways to improve health education and risk communication are discussed to inform international practice.

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KW - Nurse-Patient < Communication

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KW - Lived Experience < Health

KW - Information Seeking < Health

KW - Chronic < Illness and Disease

KW - Experiences < Illness and Disease

KW - Prevention < Illness and Disease

KW - Heart Health

KW - Risk

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