Abstract
Background: Screening for cardiovascular disease (CVD) followed by preventive medicine are expected to reduce CVD consequences. However, screening effects may be influenced by low medical adherence. It remains uncertain which interventions are suitable to increase medical adherence and support citizens in their decision-making about preventive CVD medicine. We evaluated if and how nurse-led telephone follow-up (TFU) calls supported citizens with screen-detected CVD in making an informed decision concerning preventive CVD medicine.
Methods and results: Employing a theory-based evaluation design inspired by Dahler-Larsen, we developed a programme theory describing the TFU call intervention and the expected effects in terms of how participants felt supported in making an informed decision about preventive CVD medicine initiation. We analysed 65 TFU calls collected between May 2017 and April 2019, finding that TFU calls worked. The calls supported participant reflections on their own perspective towards preventive medicine and allowed them to decide if they wanted the medicine. Four main topics were particularly decisive: understanding the purpose of taking the medicine, meaningfulness and joint reflection support the decision, relation to the healthcare professionals and personal experience with other medication.
Conclusion: Initiation of preventive medicine for citizens with screen-detected CVD is complex. Especially for citizens who have not previously taken medication. Thus, the first pill was the hardest to swallow. Recommendations from healthcare professionals whom they trust was a favoured support source. Supporting an informed choice about preventive medicine therefore requires tailored information and communicative skills allowing healthcare workers to listen and embrace citizens’ perspectives and needs.
Methods and results: Employing a theory-based evaluation design inspired by Dahler-Larsen, we developed a programme theory describing the TFU call intervention and the expected effects in terms of how participants felt supported in making an informed decision about preventive CVD medicine initiation. We analysed 65 TFU calls collected between May 2017 and April 2019, finding that TFU calls worked. The calls supported participant reflections on their own perspective towards preventive medicine and allowed them to decide if they wanted the medicine. Four main topics were particularly decisive: understanding the purpose of taking the medicine, meaningfulness and joint reflection support the decision, relation to the healthcare professionals and personal experience with other medication.
Conclusion: Initiation of preventive medicine for citizens with screen-detected CVD is complex. Especially for citizens who have not previously taken medication. Thus, the first pill was the hardest to swallow. Recommendations from healthcare professionals whom they trust was a favoured support source. Supporting an informed choice about preventive medicine therefore requires tailored information and communicative skills allowing healthcare workers to listen and embrace citizens’ perspectives and needs.
| Bidragets oversatte titel | Evaluering af opfølgende telefonsamtaler, der støtter borgere i beslutningstagning om forebyggende medicin for tidlig opsporet hjerte-kar-sygdom. |
|---|---|
| Originalsprog | Engelsk |
| Publikationsdato | 4 okt. 2023 |
| Status | Udgivet - 4 okt. 2023 |
| Begivenhed | 5th Nordic Conference in Nursing Research - Reykjavik, Island Varighed: 2 okt. 2023 → 4 okt. 2023 |
Konference
| Konference | 5th Nordic Conference in Nursing Research |
|---|---|
| Land/Område | Island |
| By | Reykjavik |
| Periode | 02/10/2023 → 04/10/2023 |
Emneord
- Cardiovascular diseases; Prevention, Medical decision making; Medication adherence; Nurse-led telephone follow-up (TFU) calls; Nursing interventions; Health screening; Early interventions; Communications skills; Evaluation research; Qualitative research