First pill hardest to swallow: An evaluation study of cardiovascular nurse-led follow-up phone calls

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-03-01 DOI:10.1016/j.jvn.2023.11.007

Helen Gräs Højgaard MSc(Nursing), RN , Kirsten Frederiksen PhD, MEd, RN , Annette Langager Høgh PhD, MD , Marie Dahl PhD, MSc(Nursing), RN

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引用次数: 0

Abstract

Introduction

Screening for cardiovascular disease (CVD) followed by preventive medication is expected to reduce CVD (2,3,5). However, insufficient medication adherence may affect screening effectiveness (11-12). It remains uncertain which interventions are suitable to support citizens in their decision-making about taking CVD preventive medication.

Objective

We evaluated if and how three nurse-led telephone follow-up (TFU) calls supported citizens in making informed decisions regarding CVD preventive medication and thereby potentially strengthened their medication adherence.

Methods

Employing a theory-based evaluation design inspired by Dahler-Larsen (39-41), we developed and tested a programme theory describing if and how the TFU calls supported medical decision-making and potentially improved medication adherence. Data were collected via telephone.

Findings

We analysed 61 TFU calls collected between May 2017 and April 2019 and found that TFU calls supported participants’ reflections on preventive medication. TFU calls supported informed decision-making regarding initiating medication, allowing participants to consider personal preferences and values, including both opting for and abstaining from medication. The content of the TFU calls revolved around four crucial themes: I) understanding the purpose of taking the medicine; II) meaningfulness and joint reflection support the decision; III) relation to healthcare professionals; and IV) taking medication for the first time.

Conclusion

TFU calls effectively supported citizens' understanding and addressed their needs. Trusted healthcare professionals' recommendations were preferred for decisional support. Initiating CVD preventive medication was particularly challenging for citizens who had not previously taken such medication. We recommend scheduling TFU calls early: the first after one week, the second after one month and the third after six months.

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第一颗药丸最难下咽心血管病护士主导的电话随访评估研究

导言：心血管疾病（CVD）筛查后服用预防性药物有望减少心血管疾病（2,3,5）。然而，服药依从性不足可能会影响筛查效果（11-12）。我们评估了由护士主导的三次电话随访（TFU）是否以及如何支持公民就心血管疾病预防用药做出知情决定，从而可能加强他们的用药依从性。方法我们采用了受 Dahler-Larsen (39-41)启发而设计的基于理论的评估方法，开发并测试了描述电话随访是否以及如何支持医疗决策并可能改善用药依从性的方案理论。我们对 2017 年 5 月至 2019 年 4 月期间收集的 61 个 TFU 电话进行了分析，发现 TFU 电话支持参与者对预防性用药进行反思。TFU电话支持关于开始用药的知情决策，允许参与者考虑个人偏好和价值观，包括选择和放弃用药。TFU 电话会议的内容围绕四个关键主题展开：I) 了解服药的目的；II) 支持决定的意义和共同思考；III) 与医疗保健专业人员的关系；IV) 首次服药。值得信赖的医疗保健专业人员的建议是决策支持的首选。对于以前从未服用过心血管疾病预防药物的公民来说，开始服用此类药物尤其具有挑战性。我们建议尽早安排 TFU 电话：一周后第一次，一个月后第二次，六个月后第三次。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.