From Death and Disability to Patient Empowerment: An Interprofessional Partnership to Achieve Cardiovascular Health in Canada

McClaran, Jacqueline; Kaufman, David; Toombs, Millicent; Beardall, Sue; Lévy, Isidore; Chockalingam, Arun

doi:10.1007/bf03404970

Cited by 8 publications

(7 citation statements)

References 18 publications

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“…The primary care setting is an appropriate point for screening, detecting, monitoring and treating CVD risk factors, and physicians can serve as an immediate portal for CVD health promotion and disease prevention information since they have contact with at least 70% of all adults each year [ 12 ]. Research supports the need for a kit such as HHK, as one study demonstrated that only about half of the physicians routinely advise people to quit smoking and only a third of patients who should have treatment for high blood cholesterol receive it [ 13 ]. Further, in a large study of 603 CVD patients, 199 patients (33%) with CVD were not screened with lipid panels, 271 patients (45%) were not receiving dietary counselling, and 404 (67%) were not receiving cholesterol medication in accordance with the National Cholesterol Education Program guidelines [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…In other words, new health information innovations must clearly have an 'edge' or advantage over existing resources. It is not surprising that physicians found the HHK to have a relative advantage especially considering that McClaran and colleagues described the HHK to be the most comprehensive tools for CVD health promotion [ 13 ], and the Achieving Cardiovascular Health in Canada (ACHIC) partnership endorsed the HHK.…”

Section: Discussionmentioning

confidence: 99%

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Factors influencing the adoption of an innovation: An examination of the uptake of the Canadian Heart Health Kit (HHK)

et al. 2008

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Background: There is an emerging knowledge base on the effectiveness of strategies to close the knowledge-practice gap. However, less is known about how attributes of an innovation and other contextual and situational factors facilitate and impede an innovation's adoption. The Healthy Heart Kit (HHK) is a risk management and patient education resource for the prevention of cardiovascular disease (CVD) and promotion of cardiovascular health. Although previous studies have demonstrated the HHK's content validity and practical utility, no published study has examined physicians' uptake of the HHK and factors that shape its adoption.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors influencing the adoption of an innovation: An examination of the uptake of the Canadian Heart Health Kit (HHK)

et al. 2008

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“…Evidence supports a multi-faceted, collaborative approach to implement programs for primary care intervention and health awareness. [1][2][3][4][5][6][7][8] Approaches directed at cardiovascular health promotion, including education seminars and other singlestrategy interventions, have been largely unsuccessful. [1][2][3]9,10 Developing communitybased health awareness programs should help remove system barriers to monitoring and management of cardiovascular risk factors, especially those difficulties associated with regular blood pressure measurements.…”

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confidence: 99%

A Community-based Program for Cardiovascular Health Awareness

Chambers

Kaczorowski

Dolovich

et al. 2005

Can J Public Health

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Objective: The objective of the Cardiovascular Health Awareness Program (CHAP) is to improve the processes of care related to the cardiovascular health of older adults. Participants: Two Ontario communities including family physicians (FP), pharmacists, public health units and nurses, volunteer peer health educators, older adult patients and community organizations. Setting: Community pharmacies and family physician offices. Intervention: CHAP is designed to close a process of care loop around cardiovascular health awareness that originates from, and returns to, the FP. Older patients are invited by their FP to attend pharmacy CHAP sessions. At these sessions, trained volunteer peer health educators (PHEs) assist patients both in recording their blood pressure using a calibrated automated device and in completing a cardiovascular risk profile. This information is relayed to their respective FP via an automated computerized database. Pharmacists and patients receive copies of the results. Based on these cumulative risk profiles, patients are advised to follow-up with their FP. Outcomes: Of the FPs and pharmacists asked, 47% and 79%, respectively, agreed to participate in the project. 39% of older adult patients invited by their FPs attended the CHAP community pharmacy sessions. Of these, 100% agreed to having their risk profile, including their blood pressure readings, forwarded to their FP. Positive feedback about CHAP was expressed by the volunteer PHEs, the FPs and the pharmacists. Conclusion: The community-based pharmacy CHAP sessions are a feasible way of improving patient, physician, and pharmacist access to reliable blood pressure measurements and to cardiovascular health information. A randomized trial is in progress that will assess the impact of CHAP on monitoring of blood pressure.

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“…Collaboration and communication gaps in health services are widely recognised as major barriers to patient education (Falvo, 2010;Frølich et al, 2010;McClaran et al, 2001) however our study participants perceived collaboration gaps between cardiac patients and their family members/relatives as more important. This suggests that effective collaboration and communication must be established and maintained in cardiac rehabilitation services so that health professionals, clients and families all work towards enhancing well-being through mutually agreeable goals (Holroyd, Twinn, & Shiu, 2001).…”

Section: Recommendationsmentioning

confidence: 64%

Barriers to education in cardiac rehabilitation within an Iranian society: A qualitative descriptive study

et al. 2013

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Barriers to comprehensive patient education and cardiac rehabilitation in Iran must be addressed and urgent consideration should be given to the introduction and evaluation of education programmes to prepare health/support system professionals as well as service users, and cardiac rehabilitation services that employ a collaborative and individualised approach. This in turn may reduce the burden of CVD and improve the overall health and quality of life for people in Isfahan Iran.

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From Death and Disability to Patient Empowerment: An Interprofessional Partnership to Achieve Cardiovascular Health in Canada

Cited by 8 publications

References 18 publications

Factors influencing the adoption of an innovation: An examination of the uptake of the Canadian Heart Health Kit (HHK)

Factors influencing the adoption of an innovation: An examination of the uptake of the Canadian Heart Health Kit (HHK)

A Community-based Program for Cardiovascular Health Awareness

Barriers to education in cardiac rehabilitation within an Iranian society: A qualitative descriptive study

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