Ruofei Trophy Chen, Mihirika Pincha Baduge, Robyn A Clark, Adam J Nelson, Sophia Zoungas, Stephen J Nicholls
{"title":"Patient Perspectives on a Nurse-Led Personalised Cardiovascular Risk Intervention in Type 2 Diabetes: A Qualitative Study Within the VOLTAIRE Trial.","authors":"Ruofei Trophy Chen, Mihirika Pincha Baduge, Robyn A Clark, Adam J Nelson, Sophia Zoungas, Stephen J Nicholls","doi":"10.1111/jocn.70589","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>To explore patient perspectives on the acceptability of a nurse-led personalised cardiovascular risk intervention in Type 2 diabetes.</p><p><strong>Design: </strong>A qualitative study nested within a randomised controlled trial.</p><p><strong>Methods: </strong>Two online focus groups (n = 5 per group) were conducted with adults who received personalised cardiovascular risk information through computed tomography coronary angiography or polygenic risk scores within a nurse-led intervention. A co-designed discussion guide explored risk understanding, views of the nurse-led consultation, emotional responses, behaviour change and feasibility. Data were analysed using reflexive thematic analysis informed by the Theoretical Framework of Acceptability.</p><p><strong>Results: </strong>Five interrelated themes were identified: (1) making personalised risk tangible; (2) interpretation requires relationship; (3) channelling concern into action; (4) from insight to incremental agency; and (5) feasibility and system conditions for scale.</p><p><strong>Conclusion: </strong>Among focus group participants who completed the intervention, the model was highly acceptable, with nurse-led translation of complex risk information supporting engagement and behaviour change.</p><p><strong>Implications for the profession and patient care: </strong>Cardiovascular nurse coaching may strengthen the clinical value of personalised risk tools by supporting understanding, emotional response and translation into achievable prevention goals.</p><p><strong>Impact: </strong>This study addressed the limited understanding of how adults with Type 2 diabetes perceive personalised cardiovascular risk communication. It found that acceptability was dynamic and improved when nurse-led explanation and goal setting supported behavioural engagement, with implications for cardiovascular nurses and services implementing personalised prevention.</p><p><strong>Reporting method: </strong>This study adhered to the consolidated criteria for reporting qualitative research.</p><p><strong>Patient or public contribution: </strong>Participants contributed to study design through co-development of the focus group guide and informed interpretation of findings.</p><p><strong>Trial and protocol registration: </strong>ClinicalTrials.gov (NCT07091162).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.70589","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Aims: To explore patient perspectives on the acceptability of a nurse-led personalised cardiovascular risk intervention in Type 2 diabetes.
Design: A qualitative study nested within a randomised controlled trial.
Methods: Two online focus groups (n = 5 per group) were conducted with adults who received personalised cardiovascular risk information through computed tomography coronary angiography or polygenic risk scores within a nurse-led intervention. A co-designed discussion guide explored risk understanding, views of the nurse-led consultation, emotional responses, behaviour change and feasibility. Data were analysed using reflexive thematic analysis informed by the Theoretical Framework of Acceptability.
Results: Five interrelated themes were identified: (1) making personalised risk tangible; (2) interpretation requires relationship; (3) channelling concern into action; (4) from insight to incremental agency; and (5) feasibility and system conditions for scale.
Conclusion: Among focus group participants who completed the intervention, the model was highly acceptable, with nurse-led translation of complex risk information supporting engagement and behaviour change.
Implications for the profession and patient care: Cardiovascular nurse coaching may strengthen the clinical value of personalised risk tools by supporting understanding, emotional response and translation into achievable prevention goals.
Impact: This study addressed the limited understanding of how adults with Type 2 diabetes perceive personalised cardiovascular risk communication. It found that acceptability was dynamic and improved when nurse-led explanation and goal setting supported behavioural engagement, with implications for cardiovascular nurses and services implementing personalised prevention.
Reporting method: This study adhered to the consolidated criteria for reporting qualitative research.
Patient or public contribution: Participants contributed to study design through co-development of the focus group guide and informed interpretation of findings.
Trial and protocol registration: ClinicalTrials.gov (NCT07091162).
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
