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Training family doctors and primary care nurses in evidence-based prevention, screening and management of cardiovascular risks in Western Ukraine: A longitudinal study


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Figure 1

Mean participant knowledge and levels of readiness to change at different times, with 95% confidence intervals.
Mean participant knowledge and levels of readiness to change at different times, with 95% confidence intervals.

Figure 2

Percentage of participants who answered more than half of the questions correctly at different times, and who were very ready to make changes to their practice, with 95% confidence intervals.
Percentage of participants who answered more than half of the questions correctly at different times, and who were very ready to make changes to their practice, with 95% confidence intervals.

Module aims and teaching methods.

Module name Key learning aims Teaching methods used
Evidence-based approaches to effective counselling for patients with cardiovascular risks Evidence-based counselling methods for patients with cardiovascular risks • Participant discussion of clinical cases • Work in small groups • Role-play

Metabolic syndrome Screening and management of components of metabolic syndrome • Brainstorming • Demonstrations of practical skills (determination of BMI, waist circumference, glucose measurement) • Clinical cases discussion • Work in small groups

Rational statin therapy Evidence-based steps for dyslipidemia screening and rational statin therapy for patients with cardiovascular risks • Brainstorming • Hands-on training in taking blood samples for lipid profile and glucose measurement • Clinical cases discussion • Work in small groups

Essential hypertension and its complications Evidence-based steps for management of patients with essential hypertension and its complications • Brainstorming • Work in small groups • Participant discussion of clinical cases

j.sjph-2020-0029.tab.004

Rating, from 1 to 5
1. From a personal point of view, how motivated are you to conduct evidence-based screening of cardio-vascular risks in your own clinical practice?

2. Taking external factors into account, how motivated are you to conduct evidence-based screening of cardio-vascular risks?

3. How ready will you be to implement the planned new state programme of screening for cardio-vascular risks?

4. How ready are you, in terms of your own clinical abilities, to conduct evidence-based screening of cardio-vascular risks?

5. How ready are you to manage the full range of evidence-based screening tests for cardio-vascular risks?

Evidence-based screening of cardiovascular risks includes:

- every 1-2 years, measuring the blood pressure of all your patients who are aged 18 or older;

- regular assessment of cardio-vascular risk factors (smoking, alcohol intake, calculation of BMI, family history) for all your patients who are aged 18 or older;

- lipid profile measurement every 5 years, in all your male patients who are aged 40 or older, and all your female patients who are aged 45 or older;

- blood glucose measurement every 5 years for all your patients who are aged 45 or older, or sooner in patients with BMI ≥25 or who have additional risk factors.

Characteristics of study population (N=307).

Mean age (SD) 45.4 (12.8)
Age <45years (%) 146 (47.6)
Profession (%)
Primary care nurse 96 (31.3)
Family doctor 211 (68.7)
Years in practice (%)
<10 59 (19.1)
10-19 48 (15.7)
20-29 85 (27.8)
≥30 115 (37.4)
Working in rural practices (%) 225 (73.4)

Results of the knowledge and readiness to change questionnaires before and after the training sessions.

Knowledge
Readiness to change
Characteristic Mean score (SD) High level of knowledge, % (95% CI) Mean score (SD) High level of motivation, % (95% CI)
Before training 6.1 (1.8) 2.4 (1.0-4.7) 15.8 (3.4) 18.4 (11.8-26.7)
Immediately after training 14.9 (2.3) 93.7 (90.5-96.1) 20.0 (2.4) 62.3 (52.7-71.2)
After 3 months 10.2 (3.2) 51.7 (46.1-57.1) 19.1 (3.2) 40.4 (31.3-50.0)
After 12 months 10.4 (3.3) 48.2 (41.4-55.1) 16.1 (4.5) 27.4 (21.6-33.8)
eISSN:
1854-2476
Sprache:
Englisch
Zeitrahmen der Veröffentlichung:
4 Hefte pro Jahr
Fachgebiete der Zeitschrift:
Medizin, Klinische Medizin, Hygiene- und Umweltmedizin