2024-03-29T06:32:20Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/90972022-10-24T12:13:45Zcom_20.500.12105_2053com_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_2054
Repisalud
author
Escortell-Mayor, Esperanza
author
Del Cura-González, Isabel
author
Ojeda-Ruiz, Elena
author
Sanz-Cuesta, Teresa
author
Rodríguez-Salceda, Isidro
author
García-Soltero, Jesús
author
Rojas-Giraldo, María-José
author
Herrera-Municio, Pedro
author
Jorge-Formariz, Alicia
author
Lorenzo-Lobato, Ángela
author
Cabello-Ballesteros, Luisa
author
Riesgo-Fuertes, Rosario
author
Garrido-Elustondo, Sofía
author
Morey-Montalvo, Mariel
author
Rico-Blázquez, Milagros
author
Rodríguez-Barrientos, Ricardo
author
Fuente-Arriaran, María-Dolores
author
Sierra-Ocaña, Gloria
author
Serrano-Serrano, Encarnación
author
Sanz-Velasco, Carmelina
author
Carrascoso-Calvo, Roberto
author
Recio-Velasco, Juan Carlos
author
Sanz-Sanz, Marta
author
Rumayor-Zarzuelo, Mercedes
author
Bermejo-Mayoral, Olga-Inés
author
Galán-Esteban, Josefina
author
Sarria-Santamera, Antonio
funder
Instituto de Salud Carlos III
funder
Ministerio de Ciencia e Innovación (España)
2020-02-14T11:47:41Z
2020-02-14T11:47:41Z
2020
PLoS One. 2020 Jan 23;15(1):e0226398.
1932-6203
http://hdl.handle.net/20.500.12105/9097
31971952
10.1371/journal.pone.0226398
1932-6203
PloS one
PURPOSE: 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.
eng
A 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 trial
journal article
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URL
https://repisalud.isciii.es/bitstream/20.500.12105/9097/1/APrimaryHealthcareInformation_2020.pdf
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https://repisalud.isciii.es/bitstream/20.500.12105/9097/5/APrimaryHealthcareInformation_2020.pdf.txt
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APrimaryHealthcareInformation_2020.pdf.txt