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Training family doctors and primary care nurses in evidence-based prevention, screening and management of cardiovascular risks in Western Ukraine: A longitudinal study Cover

Training family doctors and primary care nurses in evidence-based prevention, screening and management of cardiovascular risks in Western Ukraine: A longitudinal study

Open Access
|Oct 2020

Figures & Tables

Figure 1

Mean participant knowledge and levels of readiness to change at different times, with 95% confidence intervals.
Mean participant knowledge and levels of readiness to change at different times, with 95% confidence intervals.

Figure 2

Percentage of participants who answered more than half of the questions correctly at different times, and who were very ready to make changes to their practice, with 95% confidence intervals.
Percentage of participants who answered more than half of the questions correctly at different times, and who were very ready to make changes to their practice, with 95% confidence intervals.

Module aims and teaching methods_

Module nameKey learning aimsTeaching methods used
Evidence-based approaches to effective counselling for patients with cardiovascular risksEvidence-based counselling methods for patients with cardiovascular risks• Participant discussion of clinical cases • Work in small groups • Role-play

Metabolic syndromeScreening and management of components of metabolic syndrome• Brainstorming • Demonstrations of practical skills (determination of BMI, waist circumference, glucose measurement) • Clinical cases discussion • Work in small groups

Rational statin therapyEvidence-based steps for dyslipidemia screening and rational statin therapy for patients with cardiovascular risks• Brainstorming • Hands-on training in taking blood samples for lipid profile and glucose measurement • Clinical cases discussion • Work in small groups

Essential hypertension and its complicationsEvidence-based steps for management of patients with essential hypertension and its complications• Brainstorming • Work in small groups • Participant discussion of clinical cases

j_sjph-2020-0029_tab_004

Rating, from 1 to 5
1. From a personal point of view, how motivated are you to conduct evidence-based screening of cardio-vascular risks in your own clinical practice?

2. Taking external factors into account, how motivated are you to conduct evidence-based screening of cardio-vascular risks?

3. How ready will you be to implement the planned new state programme of screening for cardio-vascular risks?

4. How ready are you, in terms of your own clinical abilities, to conduct evidence-based screening of cardio-vascular risks?

5. How ready are you to manage the full range of evidence-based screening tests for cardio-vascular risks?

Evidence-based screening of cardiovascular risks includes:

- every 1-2 years, measuring the blood pressure of all your patients who are aged 18 or older;

- regular assessment of cardio-vascular risk factors (smoking, alcohol intake, calculation of BMI, family history) for all your patients who are aged 18 or older;

- lipid profile measurement every 5 years, in all your male patients who are aged 40 or older, and all your female patients who are aged 45 or older;

- blood glucose measurement every 5 years for all your patients who are aged 45 or older, or sooner in patients with BMI ≥25 or who have additional risk factors.

Characteristics of study population (N=307)_

Mean age (SD)45.4 (12.8)
Age <45years (%)146 (47.6)
Profession (%)
Primary care nurse96 (31.3)
Family doctor211 (68.7)
Years in practice (%)
<1059 (19.1)
10-1948 (15.7)
20-2985 (27.8)
≥30115 (37.4)
Working in rural practices (%)225 (73.4)

Results of the knowledge and readiness to change questionnaires before and after the training sessions_

Knowledge
Readiness to change
CharacteristicMean score (SD)High level of knowledge, % (95% CI)Mean score (SD)High level of motivation, % (95% CI)
Before training6.1 (1.8)2.4 (1.0-4.7)15.8 (3.4)18.4 (11.8-26.7)
Immediately after training14.9 (2.3)93.7 (90.5-96.1)20.0 (2.4)62.3 (52.7-71.2)
After 3 months10.2 (3.2)51.7 (46.1-57.1)19.1 (3.2)40.4 (31.3-50.0)
After 12 months10.4 (3.3)48.2 (41.4-55.1)16.1 (4.5)27.4 (21.6-33.8)
DOI: https://doi.org/10.2478/sjph-2020-0029 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 227 - 235
Submitted on: Nov 9, 2019
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Accepted on: Sep 12, 2020
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Published on: Oct 18, 2020
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2020 Ivanna Shushman, Pavlo Kolesnyk, Yochai Schonmann, Michael Harris, Thomas Frese, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.