How do people with Type 2 diabetes perceive and respond to cardiovascular risk?

Carroll, Craig; Naylor, E.; Marsden, Phil; Dornan, Tim

doi:10.1046/j.1464-5491.2003.00910.x

Cited by 46 publications

(46 citation statements)

References 19 publications

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“…This is true in the US (Merz, Buse, Tuncer, & Twillman, 2002), and such results have been replicated in other countries (Carroll, Naylor, Marsden, & Dornan, 2003; Lai, Chie, & Lew-Ting, 2007). …”

Section: Resultsmentioning

confidence: 73%

Older Adults’ Fears About Diabetes

et al. 2012

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This study examines older adults’ fears of diabetes complications and their effects on self-management practices. Existing models of diabetes self-management posit that patients’ actions are grounded in disease beliefs and experience, but there is little supporting evidence. In-depth qualitative interviews were conducted with a community-based sample of 74 African American, American Indian, and white older adults with diabetes. Analysis uses Leventhal’s Common Sense Model of Diabetes to link fears to early experience and current self-management. Sixty-three identified fears focused on complications that could limit carrying out normal activities: amputation, blindness, low blood glucose and coma, and disease progression to insulin use and dialysis. Most focused self-management on actions to prevent specific complications, rather than on managing the disease as a whole. Early experiences focused attention on the inevitability of complications and the limited ability of patients to prevent them. Addressing older adults’ fears about diabetes may improve their diabetes self-management practices.

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Section: Resultsmentioning

confidence: 73%

Older Adults’ Fears About Diabetes

et al. 2012

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“…A study evaluating the knowledge level of stroke risk factors among primary care patients found that DM had the lowest identification rate as a risk factor. 36 Other studies also showed a considerable percentage of patients who did not recognize this condition as a risk factor. 37,38 This may lead to general underestimation of risk in our study population since a significant proportion of patients have DM.…”

Section: Discussionmentioning

confidence: 97%

Prevalence of atherogenic dyslipidemia in primary care patients at moderate-very high risk of cardiovascular disease. Cardiovascular risk perception

Plana

Ibarretxe

Cabré

et al. 2014

Clínica e Investigación en Arteriosclerosis

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“…It was found that 79 patients discharged following treatment for heart attack showed no correlation between their perceived risk of another heart attack and their TIMI scores (a measure of risk post heart attack) 65. A small study of 20 patients with diabetes showed that only 7 considered diabetes as a risk factor for CVD 66. Strecher et al67 evaluated whether smokers had a more realistic perception of their CVD risk than nonsmokers and found that although smokers were more likely to perceive themselves as at a higher risk of heart attack and stroke, they were still more likely than nonsmokers to have optimistic bias.…”

Section: Patients’ Perception Of Their Cvd Riskmentioning

confidence: 99%

Perceptions of risk: understanding cardiovascular disease

Webster¹,

Heeley²

2010

RMHP

100

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Cardiovascular disease (CVD) is still the leading cause of death and disability worldwide despite the availability of well-established and effective preventive options. Accurate perception of a patient’s risk by both the patient and the doctors is important as this is one of the components that determine health-related behavior. Doctors tend to not use cardiovascular (CV) risk calculators and underestimate the absolute CV risk of their patients. Patients show optimistic bias when considering their own risk and consistently underestimate it. Poor patient health literacy and numeracy must be considered when thinking about this problem. Patients must possess a reasonably high level of understanding of numerical processes when doctors discuss risk, a level that is not possessed by large numbers of the population. In order to overcome this barrier, doctors need to utilize various tools including the appropriate use of visual aids to accurately communicate risk with their patients. Any intervention has been shown to be better than nothing in improving health understanding. The simple process of repeatedly conveying risk information to a patient has been shown to improve accuracy of risk perception. Doctors need to take responsibility for the accurate assessment and effective communication of CV risk in their patients in order to improve patient uptake of cardioprotective lifestyle choices and preventive medications.

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How do people with Type 2 diabetes perceive and respond to cardiovascular risk?

Cited by 46 publications

References 19 publications

Older Adults’ Fears About Diabetes

Older Adults’ Fears About Diabetes

Prevalence of atherogenic dyslipidemia in primary care patients at moderate-very high risk of cardiovascular disease. Cardiovascular risk perception

Perceptions of risk: understanding cardiovascular disease

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