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Cho RY, Weng J, Lynch K, Ng P, Brown C, Hoens AM, Barry K, Brunham LR, Pimstone S. Priorities for Services in Young Patients With Atherosclerotic Cardiovascular Disease and Their Family Members: An Exploratory Mixed-Methods Study. CJC Open 2020; 1:107-114. [PMID: 32159092 PMCID: PMC7063662 DOI: 10.1016/j.cjco.2019.02.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Accepted: 02/12/2019] [Indexed: 11/26/2022] Open
Abstract
Background Optimal design of clinical programs for patients with premature atherosclerotic cardiovascular disease (ASCVD) (men aged ≤ 50 years, women aged ≤ 55 years) requires an understanding of their priorities. We aimed to explore patient and family priorities for services in clinical programs. Methods We co-designed this study with a Patient Partner Committee using a sequential exploratory mixed-methods design. In Phase I, we conducted semistructured interviews with participants from the Study to Avoid Cardiovascular Events in British Columbia (SAVE BC) (n = 15). In Phase II, we designed a questionnaire based on Phase I data and distributed it to all current SAVE BC participants. We collected close-ended responses (n = 116) and stratified data using participant category (index, family member), age, sex, and number of clinic visits. Results We identified 4 major priorities for services in clinical programs: social support (weight: 62.6%), patient education (weight: 83.5%), mental health (weight: 50.7%), and lifestyle changes (85.1%). To address these priorities, participants wanted ASCVD clinical programs to enable recruitment of their family members, establish a comprehensive education component (with research updates in research programs), deliver mental health screening and support after myocardial infarction, and provide longitudinal sessions to support maintenance of lifestyle modifications. These services were identified in Phase I and verified in Phase II. Conclusion We identified 4 priorities for services in clinical programs designed for patients with premature ASCVD and their families. Further research should be done to elucidate their outcomes and most effective methods to provide these services.
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Affiliation(s)
- Raymond Y Cho
- MD Undergraduate Program, University of British Columbia, Vancouver, British Columbia, Canada.,Centre for Heart Lung Innovation Centre, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jian Weng
- MD Undergraduate Program, University of British Columbia, Vancouver, British Columbia, Canada.,Centre for Heart Lung Innovation Centre, University of British Columbia, Vancouver, British Columbia, Canada
| | - Kelsey Lynch
- Centre for Heart Lung Innovation Centre, University of British Columbia, Vancouver, British Columbia, Canada
| | - Phoebe Ng
- Centre for Heart Lung Innovation Centre, University of British Columbia, Vancouver, British Columbia, Canada
| | - Chad Brown
- Centre for Heart Lung Innovation Centre, University of British Columbia, Vancouver, British Columbia, Canada
| | - Alison M Hoens
- Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
| | - Kevin Barry
- Centre for Heart Lung Innovation Centre, University of British Columbia, Vancouver, British Columbia, Canada
| | - Liam R Brunham
- Centre for Heart Lung Innovation Centre, University of British Columbia, Vancouver, British Columbia, Canada.,Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Simon Pimstone
- Centre for Heart Lung Innovation Centre, University of British Columbia, Vancouver, British Columbia, Canada.,Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
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Astin F, Closs SJ, Yusuf R, Keenan C. Understanding angioplasty: An evaluation of a person-centred educational resource. ACTA ACUST UNITED AC 2014. [DOI: 10.12968/bjca.2014.9.7.345] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Rifat Yusuf
- former Research Fellow, School of Healthcare, University of Leeds
| | - Chanele Keenan
- Nurse Specialist-Team Leader, Cardiac Therapy Services, Leeds Teaching Hospitals
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