Using Behavioral Risk Factor Surveillance Data for Heart Disease and Stroke Prevention Programs

Greenlund, Kurt J.; Denny, Clark H.; Mokdad, Ali H.; Watkins, Nancy; Croft, Janet B.; Mensah, George A.

doi:10.1016/j.amepre.2005.07.007

Cited by 15 publications

(8 citation statements)

References 25 publications

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“…Third and finally, it is possible that the nonresponders to the BRFSS might have scored differently on the questions, skewing the results. 7 On the positive side, a strength of the study is the large number of individuals surveyed, yielding a nationally representative sample.…”

Section: Discussionmentioning

confidence: 99%

“…Delays in acute treatments, such as thrombolytic therapy and angioplasty, worsen the risk of death from heart attack. [6][7][8][9] Similarly, there is a narrow window of opportunity for acute intervention in stroke patients. For optimum benefit, intravenous recombinant tissue plasminogen activator (rtPA) should be administered within 3 hours from the onset of ischemic stroke symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Disparities in Adult African American Women's Knowledge of Heart Attack and Stroke Symptomatology: An Analysis of 2003–2005 Behavioral Risk Factor Surveillance Survey Data

Lutfiyya

Cumba

McCullough

et al. 2008

Journal of Women's Health

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The findings indicated that knowledge of heart attack and stroke symptoms varied significantly among African American women, depending on socioeconomic variables. Targeting interventions to African American women, particularly those in lower socioeconomic groups, may increase knowledge of heart attack and stroke symptoms, subsequently improving preventive action taken in response to these conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Disparities in Adult African American Women's Knowledge of Heart Attack and Stroke Symptomatology: An Analysis of 2003–2005 Behavioral Risk Factor Surveillance Survey Data

Lutfiyya

Cumba

McCullough

et al. 2008

Journal of Women's Health

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“…A 23‐item, self‐administered questionnaire was developed using items from the Behavioral Risk Factor Surveillance System questionnaire (6) and supplemented with SLE disease‐specific questions. All information gathered was deidentified and included demographic data, confirmation by the patient of SLE diagnosis, history of CVD (e.g., MI, physician‐diagnosed angina, coronary bypass surgery, angioplasty, or coronary artery stent placement), self‐assessment of CVD risk (categorized as low, moderate, or high), and presence of traditional CVD risk factors.…”

Section: Methodsmentioning

confidence: 99%

Cardiovascular disease risk awareness in systemic lupus erythematosus patients

Scalzi¹,

Ballou²,

Park³

et al. 2008

Arthritis & Rheumatism

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Objective. Cardiovascular disease (CVD) is a major cause of morbidity and mortality in systemic lupus erythematosus (SLE) patients. The aim of this study was to identify factors associated with patients' recognition of SLE as an independent risk factor for CVD and their perception of their personal CVD risk.Methods. SLE patients were sent questionnaires that assessed demographic characteristics, any CVD risk factors, and information regarding the CVD counseling they had received from their physicians. Variables significantly associated with the outcomes were analyzed using logistic regression models.Results. Information obtained from 226 questionnaires was analyzed. Fifty-eight percent of the respondents reported receiving no CVD counseling from a physician. Patients who recalled receiving counseling from a physician were 2.3 times more likely (P ‫؍‬ 0.02) to recognize SLE as a CVD risk factor and 3.2 times more likely (P ‫؍‬ 0.02) to perceive themselves as being at risk of CVD compared with those patients who did not receive physician counseling. Receiving physician CVD counseling was the strongest predictor of a patient's self-perception of CVD risk. Those patients at intermediate to high risk (n ‫؍‬ 167) who reported having received counseling were 5.3 times as likely (P ‫؍‬ 0.007) to perceive themselves to be at higher risk of CVD compared with similar patients who did not receive counseling. Younger patients were 4.2 times as likely (P ‫؍‬ 0.002) as older patients to recognize SLE as a CVD risk factor. Other variables associated with patients' self-perceptions of CVD risk included family history of CVD and hypertension. Conclusion. Physician counseling regarding CVD in SLE patients has an important impact on patients' awareness of SLE as a CVD risk factor and their self-perception of CVD risk.Cardiovascular disease (CVD) is a major cause of morbidity and mortality in patients with systemic lupus erythematosus (SLE). Reported CVD risk estimates vary based upon definitions of CVD and demographic characteristics of study populations. In general, the risk of clinical heart disease has been estimated to be 5-9-fold greater in SLE patients than in the general population (1-3). One study showed the risk of myocardial infarction (MI) to be increased 10-fold after adjusting for known atherosclerotic risk factors (4). A study of the Johns Hopkins Lupus Cohort showed the prevalence of cardiac events to be 8.3%; these comprised 30% of all deaths (3). Despite increasing awareness that SLE is an independent risk factor for CVD, there has been very little research to determine whether SLE patients are being appropriately educated about this risk factor and whether provision of such patient counseling varies according to sex, race, age, and/or socioeconomic factors.We hypothesized that CVD counseling by a physician has a significant impact on SLE patients' recognition of SLE as a CVD risk factor and in their selfperception of CVD risk status. We also hypothesized that physician counseling was dependent on patients' demogra...

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“…Age, gender, race, ethnicity, educational attainment, marital status and insurance status were measured, using standardized instruments such as those from the Behavioral Risk Factor Surveillance System (BRFSS) [ 37 , 38 ]. These variables have been shown to be related to asthma prevalence, asthma quality of care and asthma-related quality of life [ 39 – 41 ].…”

Section: Methodsmentioning

confidence: 99%

Impact of online patient reminders to improve asthma care: A randomized controlled trial

et al. 2017

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ImportanceAsthma is one of the most burdensome chronic illnesses in the US. Despite widespread dissemination of evidence-based guidelines, more than half of the adults with asthma have uncontrolled symptoms.ObjectiveTo examine the efficacy of an online tool designed to improve asthma control.Design12-month single blind randomized controlled trial of the online tool (Intervention condition, IC) versus an active control tool (CC).SettingPatients enrolled in an insurance plan.ParticipantsParticipants were 408 adults (21–60 years of age) with persistent asthma.InterventionAt least once each month and before provider visits, participants in the IC answered questions online about their asthma symptoms, asthma medications and asthma care received from providers, such as an asthma management plan. The tool then provided tailored feedback to remind patients 1) to ask health care providers specific questions that may improve asthma control (e.g., additional controller medications) and 2) to consistently perform specific self-care behaviors (e.g., proper inhaler technique). Participants in the CC received similar questions and feedback, yet focused instead on preventive services unrelated to asthma control (e.g., cancer screening).Main outcome measuresThe main outcome measure was asthma control, as assessed by the 5-question Asthma Control Test (ACT). Secondary outcomes included quality of life, medication use and healthcare utilization (e.g., emergency department visits).ResultsAfter 12 months, 323 participants completed follow-up measures (79.2%). Participants in the IC reported a greater mean improvement in the ACT score than participants in the CC (2.3 vs. 1.2; p = 0.02) and 9 of 11 individual asthma control survey items showed non-significant improvements favoring the IC. No differences were observed in medication adherence, number of asthma controller medications or health care utilization.Conclusion and relevanceSimple and brief online patient reminders improved asthma control among insured patients. Although future studies are needed to understand the mechanism of the improvement, the magnitude of the effect on asthma control was similar to the addition of an additional controller medication. Given the widespread use of the Internet, simple tools such as this may be useful for improving the control of other chronic diseases as well.Trial registrationThis study is registered at clinicaltrials.gov, NCT00921401, “Improving the Quality of Asthma Care Using the Internet”

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Using Behavioral Risk Factor Surveillance Data for Heart Disease and Stroke Prevention Programs

Cited by 15 publications

References 25 publications

Disparities in Adult African American Women's Knowledge of Heart Attack and Stroke Symptomatology: An Analysis of 2003–2005 Behavioral Risk Factor Surveillance Survey Data

Disparities in Adult African American Women's Knowledge of Heart Attack and Stroke Symptomatology: An Analysis of 2003–2005 Behavioral Risk Factor Surveillance Survey Data

Cardiovascular disease risk awareness in systemic lupus erythematosus patients

Impact of online patient reminders to improve asthma care: A randomized controlled trial

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