A qualitative study of facilitators and barriers to cardiovascular risk factor control in a semiurban population in India

Abstract

Cardiovascular (CV) risk factors like diabetes and hypertension are poorly controlled in both rural and urban India. This study was designed to identify the reasons for suboptimal control in a semiurban population in India. A total of 70 participants from the Study to Expand Heart Associated Treatments (SEHAT) trial, conducted in West Bengal, India. We qualitatively examined perspectives regarding CV risk factor control using focus group discussions based on the theory of reasoned action. Qualitative content analysis was used to analyze prevailing themes. Participants demonstrated a generalized knowledge of healthy lifestyle practices but lacked insight into disease-specific prevention methods. We further noticed significant gaps in the translation of existing knowledge into behavior. While personal and systemic barriers exist, factors like high patient motivation and a deep sense of trust in providers can potentially be harnessed to improve risk factor control in the community. We identified key facilitators and barriers to CV risk factor control in the community using a knowledge attitude behavior approach. Our findings provide direction for the development of community-based CV risk reduction models.

Hypertension knowledge and treatment initiation, adherence, and discontinuation among adults in Chennai, India: a cross-sectional study

“… 27 Similarly, Satish et al conducted qualitative interviews with hypertensive patients in the semiurban city of Dalkhola, West Bengal, and found that few respondents acknowledged a link between hypertension the risk of heart attacks or stroke. 18 We hypothesised that individuals who were aware of the serious consequences of hypertension would find hypertension control more salient and thus be more likely to take daily treatment; however, we found no association between knowledge of hypertension consequences and daily treatment use. Since this was a descriptive finding, rather than a causal one, an important focus of future intervention work will be to determine if improving individuals’ knowledge of hypertension consequences increases their probability of daily treatment.…”

Patient and provider’s perspective on barriers and facilitators for medication adherence among adult patients with cardiovascular diseases and diabetes mellitus in India: a qualitative evidence synthesis

“…From these records, we retrieved 33 articles, and after going through the full text of these articles, 18 studies were included in the review (figure 1). 26–43…”

Implementasi Edukasi dan Senam Hipertensi pada Keluarga Binaan

“…Kurangnya pengetahuan tentang penyakit hipertensi sehingga tidak mematuhi pengobatan menyebabkan konsekuensi negatif dari hipertensi yang tidak terkontrol. Selain itu mungkin masyarakat telah memahami pentingnya kontrol tekanan darah tetapi tidak mengetahui terkait terapi minum obat setiap hari yang merupakan cara yang paling efektif untuk mengontrol tekanan darah (Satish et al, 2019). Sebuah studi yang dilakukan di Chennai, menunjukkan bahwa sekitar 1/3 orang dewasa yang terdiagnosis hipertensi tidak minum obat setiap hari.…”