ArticleBMC family practice2014
Communicating cardiovascular disease risk: an interview study of General Practitioners' use of absolute risk within tailored communication strategies.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Cardiovascular risk communication strategies in primary prevention. A systematic review with narrative synthesis.Journal of advanced nursing · 2022Pooled it
- Factors influencing the implementation of cardiovascular risk scoring in primary care: a mixed-method systematic review.Implementation science : IS · 2020Pooled it
- Pooled it
- Application of the COM-B model to barriers and facilitators to chlamydia testing in general practice for young people and primary care practitioners: a systematic review.Implementation science : IS · 2018Pooled it
- A randomised trial assessing the acceptability and effectiveness of providing generic versus tailored feedback about health risks for a high need primary care sample.BMC family practice · 2015Trial
- Beyond Fracture Probability: Communicating the Full Consequences of Fracture and Contextualization.Current osteoporosis reports · 2026Review
- Factors associated with higher cardiovascular disease risk awareness among patients with cardiovascular risk factors in primary care.BMC primary care · 2026Article
- Patient-physician communication of health and risk information in the management of cardiovascular diseases and diabetes: a systematic scoping review.BMC medicine · 2025Article
- Implementing decision aids for cardiovascular disease prevention: stakeholder interviews and case studies in Australian primary care.BMC primary care · 2024Article
- Effects of message framing and risk perception on health communication for optimum cardiovascular disease primary prevention: a protocol for a multicenter randomized controlled study.Frontiers in public health · 2024Article
- Guideline-Based Cardiovascular Risk Assessment Delivered by an mHealth App: Development Study.JMIR cardio · 2023Article
- Implementing patient decision aids into general practice clinical decision support systems: Feasibility study in cardiovascular disease prevention.PEC innovation · 2023Article
- Assessment of digital risks in child and adolescent mental health services: A mixed-method, theory-driven study of clinicians' experiences and perspectives.Clinical child psychology and psychiatry · 2023Article
- Perceived cardiovascular disease risk and tailored communication strategies among rural and urban community dwellers in Rwanda: a qualitative study.BMC public health · 2022Article
- "Patients would probably be more compliant to therapy if encouraged by those around them": a qualitative study exploring primary care physicians' perceptions on barriers to CVD risk management.BMC primary care · 2022Article
- Interventions Using Heart Age for Cardiovascular Disease Risk Communication: Systematic Review of Psychological, Behavioral, and Clinical Effects.JMIR cardio · 2021Review
- Polygenic risk scores in the clinic: new perspectives needed on familiar ethical issues.Genome medicine · 2021Article
- A qualitative exploration of two risk calculators using video-recorded NHS health check consultations.BMC family practice · 2020Article
- Connecting primary care patients to community-based physical activity: a qualitative study of health professional and patient views.BJGP open · 2020Article
- Implementing cardiovascular disease prevention guidelines to translate evidence-based medicine and shared decision making into general practice: theory-based intervention development, qualitative piloting and quantitative feasibility.Implementation science : IS · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiovascular disease (CVD) prevention guidelines encourage assessment of absolute CVD risk - the probability of a CVD event within a fixed time period, based on the most predictive risk factors. However, few General Practitioners (GPs) use absolute CVD risk consistently, and communication difficulties have been identified as a barrier to changing practice. This study aimed to explore GPs' descriptions of their CVD risk communication strategies, including the role of absolute risk.
methodsSemi-structured interviews were conducted with a purposive sample of 25 GPs in New South Wales, Australia. Transcribed audio-recordings were thematically coded, using the Framework Analysis method to ensure rigour.
resultsGPs used absolute CVD risk within three different communication strategies: 'positive', 'scare tactic', and 'indirect'. A 'positive' strategy, which aimed to reassure and motivate, was used for patients with low risk, determination to change lifestyle, and some concern about CVD risk. Absolute risk was used to show how they could reduce risk. A 'scare tactic' strategy was used for patients with high risk, lack of motivation, and a dismissive attitude. Absolute risk was used to 'scare' them into taking action. An 'indirect' strategy, where CVD risk was not the main focus, was used for patients with low risk but some lifestyle risk factors, high anxiety, high resistance to change, or difficulty understanding probabilities. Non-quantitative absolute risk formats were found to be helpful in these situations.
conclusionsThis study demonstrated how GPs use three different communication strategies to address the issue of CVD risk, depending on their perception of patient risk, motivation and anxiety. Absolute risk played a different role within each strategy. Providing GPs with alternative ways of explaining absolute risk, in order to achieve different communication aims, may improve their use of absolute CVD risk assessment in practice.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.