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dc.contributor.authorEscortell-Mayor, Esperanza
dc.contributor.authorDel Cura-González, Isabel
dc.contributor.authorOjeda-Ruiz, Elena 
dc.contributor.authorSanz-Cuesta, Teresa
dc.contributor.authorRodríguez-Salceda, Isidro
dc.contributor.authorGarcía-Soltero, Jesús
dc.contributor.authorRojas-Giraldo, María-José
dc.contributor.authorHerrera-Municio, Pedro
dc.contributor.authorJorge-Formariz, Alicia
dc.contributor.authorLorenzo-Lobato, Ángela
dc.contributor.authorCabello-Ballesteros, Luisa
dc.contributor.authorRiesgo-Fuertes, Rosario
dc.contributor.authorGarrido-Elustondo, Sofía
dc.contributor.authorMorey-Montalvo, Mariel
dc.contributor.authorRico-Blázquez, Milagros
dc.contributor.authorRodríguez-Barrientos, Ricardo
dc.contributor.authorFuente-Arriaran, María-Dolores
dc.contributor.authorSierra-Ocaña, Gloria
dc.contributor.authorSerrano-Serrano, Encarnación
dc.contributor.authorSanz-Velasco, Carmelina
dc.contributor.authorCarrascoso-Calvo, Roberto
dc.contributor.authorRecio-Velasco, Juan Carlos
dc.contributor.authorSanz-Sanz, Marta
dc.contributor.authorRumayor-Zarzuelo, Mercedes
dc.contributor.authorBermejo-Mayoral, Olga-Inés
dc.contributor.authorGalán-Esteban, Josefina
dc.contributor.authorSarria-Santamera, Antonio
dc.identifier.citationPLoS One. 2020 Jan 23;15(1):e0226398.es_ES
dc.description.abstractPURPOSE: Uncertainty exists regarding the best way to communicate cardiovascular risk (CVR) to patients, and it is unclear whether the comprehension and perception of CVR varies according to the format used. The aim of the present work was to determine whether a strategy designed for communicating CVR information to patients with poorly controlled high blood pressure (HBP), but with no background of cardiovascular disease, was more effective than usual care in the control of blood pressure (BP) over the course of a year. METHODS: A pragmatic, two-arm, cluster-randomized controlled trial was performed. Consecutive patients aged 40-65 years, all diagnosed with HBP in the last 12 months, and all of whom showed poor control of their condition (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg), were recruited at 22 primary healthcare centres. Eleven centres were randomly assigned to the usual care arm, and 11 to the informative intervention arm (Educore arm). At the start of the study, the Educore arm subjects were shown the "low risk SCORE table", along with impacting images and information pamphlets encouraging the maintenance of good cardiovascular health. The main outcome variable measured was the control of HBP; the secondary outcome variables were SCORE table score, total plasma cholesterol concentration, use of tobacco, adherence to prescribed treatment, and quality of life. RESULTS: The study participants were 411 patients (185 in the Educore arm and 226 in the usual care arm). Multilevel logistic regression showed that, at 12 months, the Educore intervention achieved better control of HBP (OR = 1.57; 1.02 to 2.41). No statistically significant differences were seen between the two arms at 12 months with respect to the secondary outcomes. CONCLUSIONS: Compared to usual care, the Educore intervention was associated with better control of HBP after adjusting for age, baseline SBP and plasma cholesterol, at 12 months.es_ES
dc.description.sponsorshipThis study was funded by the Spanish Ministry of Science and Innovation via the Instituto de Salud Carlos III, Subprograma de Proyectos de Investigación en Evaluación de Tecnologías Sanitarias y Servicios de Salud (PI 09/90354), and the Fundación de Investigación e Innovación Biomédica en Atención Primaria (FIIBAP). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscriptes_ES
dc.publisherPublic Library of Science (PLOS) es_ES
dc.titleA primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study-A pragmatic, cluster-randomized triales_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderMinisterio de Ciencia e Innovación (España) 
dc.identifier.journalPloS onees_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/PI 09/90354es_ES
dc.rights.accessRightsopen accesses_ES

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