2010
DOI: 10.1186/1471-2458-10-391
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Overcoming barriers to engaging socio-economically disadvantaged populations in CHD primary prevention: a qualitative study

Abstract: BackgroundPreventative medicine has become increasingly important in efforts to reduce the burden of chronic disease in industrialised countries. However, interventions that fail to recruit socio-economically representative samples may widen existing health inequalities. This paper explores the barriers and facilitators to engaging a socio-economically disadvantaged (SED) population in primary prevention for coronary heart disease (CHD).MethodsThe primary prevention element of Have a Heart Paisley (HaHP) offer… Show more

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Cited by 62 publications
(73 citation statements)
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References 26 publications
(27 reference statements)
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“…23 This approach is widely used in qualitative studies and allows researchers to analyze textual data in order to identify "thematized meaning" across that data set. Thematic analysis has been used in health, sociological, and psychological studies (see references [24][25][26] for examples).…”
Section: Discussionmentioning
confidence: 99%
“…23 This approach is widely used in qualitative studies and allows researchers to analyze textual data in order to identify "thematized meaning" across that data set. Thematic analysis has been used in health, sociological, and psychological studies (see references [24][25][26] for examples).…”
Section: Discussionmentioning
confidence: 99%
“…The recruitment strategy used evidence‐based techniques for hard to reach and minority groups: culturally sensitive study materials, multiple recruitment strategies and incentives 37, 38, 39, 40, 41, 42, 43. Two recruitment strategies were assessed: recruitment from general practice registers and by a community outreach strategy.…”
Section: Methodsmentioning
confidence: 99%
“…Key considerations have included location, timing (flexibility was needed to enable people to fit attending a clinic around their work or their sometimes unpredictable lives, and enough time was needed to explain risk), providing a nonthreatening (informal) environment and managing expectations. Examples from respondents in Harkins et al's study [33] are illustrative of some of these issues:…”
Section: Service Designmentioning
confidence: 97%
“…There is consensus in the evidence that 'risk' is a difficult concept to grasp and communicate, for both HCPs and patients, particularly the concept of 'absolute' risk and the use of risk profiles (incorporating multiple rather than individual risk factors) [17 && , [31][32][33][34]. As Hill et al explain, for general practitioners 'communicating a risk derived from population studies to an individual was the challenge' [32] (p. 11).…”
Section: Communicating About Riskmentioning
confidence: 97%