Using general practitioners to recruit individuals with low socioeconomic position to preventive health checks is feasible: a cross sectional study

Kamstrup-Larsen, Nina; Dalton, Susanne Oksbjerg; Broholm-Jørgensen, Marie; Larsen, Lars Bruun; Thomsen, Janus Laust; Johansen, Christoffer; Tolstrup, Janne S

doi:10.1080/02813432.2019.1639901

Cited by 6 publications

(6 citation statements)

References 33 publications

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“…In addition, Kibbey et al [ 26 ] found that lack of recognition as an individual engaging with diabetes care could cause non-participation in diabetes check-ups. Furthermore, studies have found that individuals with low self-efficacy were less likely to participate in general health checks offered by GPs [ 39 , 40 ]. By contrast, in a cross-sectional analysis of participation in a study aimed to prevent T2D, CVD and chronic obstructive pulmonary disease, Larsen et al [ 41 ] found that lower self-efficacy was associated with a higher likelihood of getting health checks.…”

Section: Discussionmentioning

confidence: 99%

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

et al. 2021

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Background Type 2 diabetes (T2D) is associated with a significantly increased risk of cardiovascular disease (CVD). The DIAbetic CArdioVAscular Screening and intervention trial (DIACAVAS) was designed to clarify whether advanced imaging for subclinical atherosclerosis combined with medical treatment is an effective strategy to develop individualised treatment algorithms for Danish men and women with T2D aged 40–60. But in the DIACAVAS pilot study, the uptake was only 41%. Consequently, we explored how people experienced living with T2D to understand how to improve the uptake in initiatives targeting the prevention of CVD. Methods We used semi-structured interviews to obtain information on how the respondents experienced having T2D. For supplementary information, we used structured interviews on e.g. socioeconomic factors. From April to October 2019, 17 participants aged 40–60 years were recruited from general practices and diabetes outpatient clinics in Denmark. Several levels of analysis were involved consistent with inductive content analysis. Results The participants’ experiences of living with T2D fell along two continuums, from an emotional to a cognitive expression and from reactive to proactive disease management. This led to identification of four archetypal characteristics: (I) powerlessness, (II) empowerment, (III) health literacy, and (IV) self-efficacy. These characteristics indicated the importance of using different approaches to facilitate participation in cardiovascular preventive initiatives. Additionally, findings inspired us to develop a model for facilitating participation in future preventive initiatives. Conclusion Encouraging people with T2D to participate in cardiovascular preventive initiatives may necessitate a tailored invitation strategy. We propose a model for an invitational process that takes into consideration invitees’ characteristics, including powerlessness, empowerment, health literacy and self-efficacy. This model may enhance participation in such initiatives. However, participation is a general concern, not only in relation to cardiovascular prevention. Our proposed model may be applicable in preventive services for people with T2D in general.

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Section: Discussionmentioning

confidence: 99%

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

et al. 2021

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“…In addition, Kibbey et al (18) found that lack of recognition as an individual engaging with diabetes care could cause non-participation in diabetes controls. Furthermore, studies have found that individuals with low self-e cacy were less likely to participate in general heath checks offered by GPs (31,32). By contrast, in a cross-sectional analysis of participation in a study aimed to prevent T2D, CVD and chronic obstructive pulmonary disease, Larsen et al (33) found that lower selfe cacy was associated with a higher likelihood of getting health checks.…”

Section: Self-e Cacymentioning

confidence: 99%

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Dahl

Soendergaard

Diederichsen

et al. 2020

Preprint

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Background Type 2 diabetes (T2D) is associated with a significant increased risk of cardiovascular disease (CVD). The DIAabetic CArdioVAscular Screening and intervention trial (DIACAVAS) was designed to clarify whether advanced imaging for subclinical atherosclerosis combined with medical treatment is an effective strategy to develop individualised treatment algorithms for Danish men and women with T2D aged 40–60. But in the DIACAVAS pilot study, the uptake was only 41%. Consequently, we explored how people experienced living with T2D to understand how to improve the uptake in initiatives targeting prevention of CVD. Methods We used semi-structured interviews to obtain information on how the respondents experienced having T2D. For supplementary information, we used structured interviews on e.g. socioeconomic factors. From April to October 2019, 17 participants aged 40–60 years were recruited from general practices and diabetes outpatient clinics in Denmark. Several levels of analysis were involved consistent with inductive content analysis. Results The participants’ experiences of living with T2D fell along two continuums, from an emotional to a cognitive expression and from proactive to reactive disease management. This led to identification of four archetypal characteristics: (I) powerlessness, (II) empowerment, (III) health literacy, and (IV) self-efficacy. These characteristics indicated the importance of using different approaches to facilitate participation in cardiovascular preventive initiatives. Additionally, findings inspired us to develop a model for facilitating participation in forthcoming preventive initiatives. Conclusion Encouraging people with T2D to participate in cardiovascular preventive initiatives might necessitate a tailored invitation strategy. We propose a model for an invitational process that takes into consideration invitees’ characteristics, including powerlessness, empowerment, health literacy and self-efficacy. This model may enhance participation in such initiatives. However, participation is a general concern, not only in relation to cardiovascular disease prevention. Our proposed model may be applicable in preventive services for people with T2D in general.

show abstract

“…In addition, Kibbey et al [26] found that lack of recognition as an individual engaging with diabetes care could cause non-participation in diabetes check-ups. Furthermore, studies have found that individuals with low self-e cacy were less likely to participate in general health checks offered by GPs [39,40]. By contrast, in a cross-sectional analysis of participation in a study aimed to prevent T2D, CVD and chronic obstructive pulmonary disease, Larsen et al [41] found that lower selfe cacy was associated with a higher likelihood of getting health checks.…”

Section: Self-e Cacymentioning

confidence: 99%

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Dahl

Søndergaard

Diederichsen

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Type 2 diabetes (T2D) is associated with a significantly increased risk of cardiovascular disease (CVD). The DIAabetic CArdioVAscular Screening and intervention trial (DIACAVAS) was designed to clarify whether advanced imaging for subclinical atherosclerosis combined with medical treatment is an effective strategy to develop individualised treatment algorithms for Danish men and women with T2D aged 40–60. But in the DIACAVAS pilot study, the uptake was only 41%. Consequently, we explored how people experienced living with T2D to understand how to improve the uptake in initiatives targeting the prevention of CVD. Methods: We used semi-structured interviews to obtain information on how the respondents experienced having T2D. For supplementary information, we used structured interviews on e.g. socioeconomic factors. From April to October 2019, 17 participants aged 40–60 years were recruited from general practices and diabetes outpatient clinics in Denmark. Several levels of analysis were involved consistent with inductive content analysis.Results: The participants’ experiences of living with T2D fell along two continuums, from an emotional to a cognitive expression and from proactive to reactive disease management. This led to identification of four archetypal characteristics: (I) powerlessness, (II) empowerment, (III) health literacy, and (IV) self-efficacy. These characteristics indicated the importance of using different approaches to facilitate participation in cardiovascular preventive initiatives. Additionally, findings inspired us to develop a model for facilitating participation in future preventive initiatives.Conclusion: Encouraging people with T2D to participate in cardiovascular preventive initiatives may necessitate a tailored invitation strategy. We propose a model for an invitational process that takes into consideration invitees’ characteristics, including powerlessness, empowerment, health literacy and self-efficacy. This model may enhance participation in such initiatives. However, participation is a general concern, not only in relation to cardiovascular prevention. Our proposed model may be applicable in preventive services for people with T2D in general.

show abstract

Using general practitioners to recruit individuals with low socioeconomic position to preventive health checks is feasible: a cross sectional study

Cited by 6 publications

References 33 publications

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study

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