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A cardiovascular educational intervention for primary care professionals in Spain: positive impact in a quasi-experimental study
dc.contributor.author | Gil-Guillén, Vicente F | |
dc.contributor.author | Hermida, Enrique | |
dc.contributor.author | Pita Fernández, Salvador | |
dc.contributor.author | Palazón-Bru, Antonio | |
dc.contributor.author | Durazo-Arvizu, Ramon | |
dc.contributor.author | Pallarés-Carratalá, Vicente | |
dc.contributor.author | Orozco Beltrán, Domingo | |
dc.contributor.author | Carratalá Munuera, Concepción | |
dc.contributor.author | López Pineda, Adriana | |
dc.contributor.author | Navarro Pérez, Jorge | |
dc.date.accessioned | 2016-03-07T12:31:01Z | |
dc.date.available | 2016-03-07T12:31:01Z | |
dc.date.issued | 2015-01-01 | |
dc.identifier.citation | GIL-GUILLÉN, Vicente, et al. A cardiovascular educational intervention for primary care professionals in Spain: positive impact in a quasi-experimental study. Br J Gen Pract, 2015, vol. 65, no 630, p. e32-e40. | ca_CA |
dc.identifier.issn | 0960-1643 | |
dc.identifier.uri | http://hdl.handle.net/10234/152528 | |
dc.description.abstract | Background Routine general practice data collection can help identify patients at risk of cardiovascular disease. Aim To determine whether a training programme for primary care professionals improves the recording of cardiovascular disease risk factors in electronic health records. Design and setting A quasi-experimental study without random assignment of professionals. This was an educational intervention study, consisting of an online-classroom 1-year training programme, and carried out in the Valencian community in Spain. Method The prevalence rates of recording of cardiovascular factors (recorded every 6 months over a 4-year period) were compared between intervention and control group. Clinical relevance was calculated by absolute risk reduction (ARR), relative risk reduction (RRR), and number of patients needed-to-attend (NNA), to avoid under-recording, with their 95% confidence intervals (CIs). Linear regression models were used for each of the variables. Results Of the 941 professionals initially registered, 78.1% completed the programme. The ARR ranged from 1.87% (95% CI = 1.79 to 1.94) in the diagnosis of diabetes to 15.27% (95% CI = 15.14 to 15.40) in the recording of basal blood glucose. The NNA ranged from 7 in blood pressure, cholesterol, and blood glucose recording to 54 in the diagnosis of diabetes. The RRR ranged from 26.7% in the diagnosis of diabetes to 177.1% in the recording of the Systematic Coronary Risk Evaluation (SCORE). The rates of change were greater in the intervention group and the differences were significant for recording of cholesterol (P<0.001), basal blood glucose (P<0.001), smoking (P<0.001), alcohol (P<0.001), microalbuminuria (P = 0.001), abdominal circumference (P<0.001), and SCORE (P<0.001). Conclusion The education programme had a beneficial effect at the end of the follow-up that was significant and clinically relevant. | ca_CA |
dc.description.sponsorShip | We are grateful to Conselleria de Sanidad for allowing access to the ABUCASIS system and Antonio Fernandez who provided technical support during the study period. | ca_CA |
dc.format.extent | 9 p. | ca_CA |
dc.format.mimetype | application/pdf | ca_CA |
dc.language.iso | eng | ca_CA |
dc.publisher | Royal College of General Practitioners | ca_CA |
dc.relation.isPartOf | Br J Gen Pract, 2015, vol. 65, no 630 | ca_CA |
dc.rights | © 2016 British Journal of General Practice | ca_CA |
dc.rights.uri | http://rightsstatements.org/vocab/InC/1.0/ | * |
dc.subject | cardiovascular diseases | ca_CA |
dc.subject | health education | ca_CA |
dc.subject | prevention and control | ca_CA |
dc.subject | registries | ca_CA |
dc.title | A cardiovascular educational intervention for primary care professionals in Spain: positive impact in a quasi-experimental study | ca_CA |
dc.type | info:eu-repo/semantics/article | ca_CA |
dc.identifier.doi | http://dx.doi.org/10.3399/bjgp15X683137 | |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | ca_CA |
dc.relation.publisherVersion | http://bjgp.org/content/65/630/e32.short | ca_CA |
dc.type.version | info:eu-repo/semantics/publishedVersion |
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