Cardiovascular Disease Risk Prediction in Older People: A Qualitative Study

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aut.relation.endpageBJGP.2020.1038
aut.relation.journalBritish Journal of General Practiceen_NZ
aut.relation.startpageBJGP.2020.1038
dark.contributor.authorTaylor, DAen_NZ
dark.contributor.authorWallis, Ken_NZ
dark.contributor.authorFeki, Sen_NZ
dark.contributor.authorMoala, SSen_NZ
dark.contributor.authorLatu, MH-NEen_NZ
dark.contributor.authorFanueli, EFen_NZ
dark.contributor.authorSaravanakumar, PPen_NZ
dark.contributor.authorWells, Sen_NZ
dc.date.accessioned2021-05-30T21:48:26Z
dc.date.available2021-05-30T21:48:26Z
dc.description.abstractBackground: Despite cardiovascular disease (CVD) risk prediction equations becoming more widely available for people aged 75 years and over, views of older people on CVD risk assessment are unknown. Aim: To explore older people’s views on CVD risk prediction and its assessment. Design and Setting: Qualitative study of community dwelling older New Zealanders. Methods: We purposively recruited a diverse group of older people. Semi-structured interviews and focus groups were conducted, transcribed verbatim and thematically analysed. Results: Thirty-nine participants (mean age 74 years) of Māori, Pacific, South Asian and European ethnicities participated in one of 26 interviews or three focus groups. Three key themes emerged, (1) Poor knowledge and understanding of cardiovascular disease and its risk assessment, (2) Acceptability and perceived benefit of knowing and receiving advice on managing personal cardiovascular risk; and (3) Distinguishing between CVD outcomes; stroke and heart attack are not the same. Most participants did not understand CVD terms but were familiar with ‘heart attack,’ ‘stroke’ and understood lifestyle risk factors for these events. Participants valued CVD outcomes differently, fearing stroke and disability which might adversely affect independence and quality of life, but being less concerned about a heart attack, perceived as causing less disability and swifter death. These findings and preferences were similar across ethnic groups. Conclusion: Older people want to know their CVD risk and how to manage it, but distinguish between CVD outcomes. To inform clinical decision making for older people, risk prediction tools should provide separate event types rather than just composite outcomes.en_NZ
dc.identifier.citationBritish Journal of General Practice 19 May 2021; BJGP.2020.1038. DOI: 10.3399/BJGP.2020.1038
dc.identifier.doi10.3399/bjgp.2020.1038en_NZ
dc.identifier.issn0960-1643en_NZ
dc.identifier.issn1478-5242en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14222
dc.languageenen_NZ
dc.publisherRoyal College of General Practitionersen_NZ
dc.relation.urihttps://bjgp.org/content/early/2021/05/19/BJGP.2020.1038
dc.rightsCopyright © 2021, The Authors. This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectCardiovascular disease; Clinical (physical); Risk assessment; Older people
dc.titleCardiovascular Disease Risk Prediction in Older People: A Qualitative Studyen_NZ
dc.typeJournal Article
pubs.elements-id430742
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Nursing Department
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