Perception of health and understanding of cardiovascular risk among patients with recently diagnosed diabetes and/or metabolic syndrome

Martell-Clarós, Nieves; Aranda, Pedro J.; González-Albarrán, O.; Dalfó-Baqué, Antoni; Domínguez-Sardiña, Manuel; Cruz, Juan; Campo, Carlos; Álvaro, Cristina de

doi:10.1177/1741826711423114

Cited by 25 publications

(29 citation statements)

References 27 publications

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“…Seven studies measured the absolute accuracy of risk perceptions , reporting either people's own (eight outcomes) or average (one outcome) perceived absolute risks. One study clearly reported quantitative estimates of the difference between actual and perceived risks , two studies provided enough information (either numerically or graphically ) for us to calculate it, and four studies did not report sufficient quantitative information for an estimate to be derived . Results were mixed, but tended towards overestimation: overestimation (three studies), underestimation (one study) and absence of a significant correlation between actual and perceived risks (meaning that no inference can be made towards under‐ or overestimation; three studies) were reported.…”

Section: Resultsmentioning

confidence: 99%

Perceptions of risks for diabetes‐related complications in Type 2 diabetes populations: a systematic review

et al. 2016

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AimIn Type 2 diabetes, there is no clear understanding of how people perceive their risk of experiencing diabetes‐related complications. To address this issue, we undertook an evidence‐based synthesis of how people with Type 2 diabetes perceive their risk of complications.MethodsWe performed a systematic search of nine electronic databases for peer‐reviewed articles published on or before 1 March 2016. Data from 18 studies reporting lay perceptions of risks for complications in Type 2 diabetes populations were included. Publication year ranged between 2002 and 2014.ResultsMethods used to assess risk perceptions were heterogeneous, ranging from questionnaires measuring the accuracy of perceived risks to semi‐structured and focus group interviews. We found evidence of low risk awareness in most dimensions of risk perceptions measured and the existence of optimistic bias.ConclusionsPerceptions were generally biased and varied according to the dimension of risk measured, the subpopulation concerned and the type of complications considered. Future work is needed to identify the best practical ways of correcting for biased risk perceptions so as to encourage self‐care behaviours and treatment adherence.

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Section: Resultsmentioning

confidence: 99%

Perceptions of risks for diabetes‐related complications in Type 2 diabetes populations: a systematic review

et al. 2016

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“…This finding is consistent with other findings that CVD risk is a difficult concept for people to grasp (Angus et al, 2005). In the general population, one study found that 40% of diabetic patients could not estimate their CVD risk, and agreement between risk perception and clinical data was weak (Martell-Claros et al, 2011). Alwan et al (2009) had similar findings, reporting that only half of their participants were able to estimate their perceived risk and the ability to do so was associated with higher socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Risk-Factor Knowledge and Risk Perception Among HIV-Infected Adults

Cioe¹,

Crawford²,

Stein³

2014

Journal of the Association of Nurses in AIDS Care

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Cardiovascular disease (CVD) has emerged as a major cause of morbidity and mortality in HIV-infected adults. Research in non-infected populations has suggested that knowledge of CVD risk factors significantly influences perceptions of risk. This cross-sectional study describes CVD risk factor knowledge and risk perception in HIV-infected adults. We recruited 130 HIV-infected adults (mean age = 48 years, 62% male, 56% current smokers, mean years since HIV diagnosis, 14.7). The mean CVD risk factor knowledge score was fairly high. However, controlling for age, CVD risk factor knowledge was not predictive of perceived risk (F[1,117] = 0.13, p > .05). Estimated risk and perceived risk were weakly, but significantly, correlated, r(126) = .24, p = .01. HIV-infected adults are at increased risk for CVD. Despite having adequate risk factor knowledge, CVD risk perception was inaccurate. Improving risk perception and developing CVD risk reduction interventions for this population are imperative.

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“…Other studies [5,8] have also shown patient compliance to be the most common barrier to the implementation of cardiovascular risk reduction. A study designed to assess understanding of CV risk by patients recently diagnosed with diabetes mellitus and/or metabolic syndrome treated at primary care centres showed that participants had poor awareness of their CV risk and almost half thought they had good or excellent health [14]. …”

Section: Discussionmentioning

confidence: 99%

Implementation of Spanish adaptation of the European guidelines on cardiovascular disease prevention in primary care

Brotons¹,

Lobos

Royo-Bordonada

et al. 2013

BMC Fam Pract

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BackgroundThe successful implementation of cardiovascular disease (CVD) prevention guidelines relies heavily on primary care physicians (PCPs) providing risk factor evaluation, intervention and patient education. The aim of this study was to ascertain the degree of awareness and implementation of the Spanish adaptation of the European guidelines on CVD prevention in clinical practice (CEIPC guidelines) among PCPs.MethodsA cross-sectional survey of PCPs was conducted in Spain between January and June 2011. A random sample of 1,390 PCPs was obtained and stratified by region. Data were collected by means of a self-administered questionnaire.ResultsMore than half (58%) the physicians were aware of and knew the recommendations, and 62% of those claimed to use them in clinical practice, with general physicians (without any specialist accreditation) being less likely to so than family doctors. Most PCPs (60%) did not assess cardiovascular risk, with the limited time available in the surgery being cited as the greatest barrier by 81%. The main reason to be sceptical about recommendations, reported by 71% of physicians, was that there are too many guidelines. Almost half the doctors cited the lack of training and skills as the greatest barrier to the implementation of lifestyle and behavioural change recommendations.ConclusionsMost PCPs were aware of the Spanish adaptation of the European guidelines on CVD prevention (CEIPC guidelines) and knew their content. However, only one third of PCPs used the guidelines in clinical practice and less than half CVD risk assessment tools.

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Perception of health and understanding of cardiovascular risk among patients with recently diagnosed diabetes and/or metabolic syndrome

Abstract: Patients with recently diagnosed DM and/or with MS have a poor awareness of their CV risk and 42.2% of them think that they have good or excellent health.

Cited by 25 publications

References 27 publications

Perceptions of risks for diabetes‐related complications in Type 2 diabetes populations: a systematic review

Perceptions of risks for diabetes‐related complications in Type 2 diabetes populations: a systematic review

Cardiovascular Risk-Factor Knowledge and Risk Perception Among HIV-Infected Adults

Implementation of Spanish adaptation of the European guidelines on cardiovascular disease prevention in primary care

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