TY - JOUR
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 - 2020/1/1
Y1 - 2020/1/1
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 2,221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized 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 was 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 2,221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized 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 was 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.
KW - acute myocardial infarction
KW - coronary heart disease
KW - Europe
KW - lifestyle change
KW - patient education
KW - patient experience
KW - patient-centered care
KW - qualitative research
KW - qualitative synthesis
KW - risk communication
KW - secondary prevention
KW - thematic synthesis
UR - http://www.scopus.com/inward/record.url?scp=85075137343&partnerID=8YFLogxK
U2 - 10.1177/1049732319887949
DO - 10.1177/1049732319887949
M3 - Article
AN - SCOPUS:85075137343
VL - 30
SP - 88
EP - 104
JO - Qualitative Health Research
JF - Qualitative Health Research
SN - 1049-7323
IS - 1
ER -