A cardiovascular educational intervention for primary care professionals in Spain: positive impact in a quasi-experimental study
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Altres documents de l'autoria: Gil-Guillén, Vicente F; Hermida, Enrique; Pita Fernández, Salvador; Palazón-Bru, Antonio; Durazo-Arvizu, Ramon; Pallarés-Carratalá, Vicente; Orozco Beltrán, Domingo; Carratalá Munuera, Concepción; López Pineda, Adriana; Navarro Pérez, Jorge
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INVESTIGACIONMetadades
Títol
A cardiovascular educational intervention for primary care professionals in Spain: positive impact in a quasi-experimental studyAutoria
Data de publicació
2015-01-01Editor
Royal College of General PractitionersISSN
0960-1643Cita bibliogràfica
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.Tipus de document
info:eu-repo/semantics/articleVersió de l'editorial
http://bjgp.org/content/65/630/e32.shortVersió
info:eu-repo/semantics/publishedVersionParaules clau / Matèries
Resum
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 ... [+]
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. [-]
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Br J Gen Pract, 2015, vol. 65, no 630Drets d'accés
© 2016 British Journal of General Practice
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info:eu-repo/semantics/openAccess
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