ArticleJournal of public health (Oxford, England)2015
Reasons for (non)compliance with intervention following identification of 'high-risk' status in the NHS Health Check programme.
Article in Journal of public health (Oxford, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Influences on NHS Health Check behaviours: a systematic review.BMC public health · 2020Pooled it
- Systematic review of the predictors of statin adherence for the primary prevention of cardiovascular disease.PloS one · 2019Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Patient beliefs and attitudes to taking statins: systematic review of qualitative studies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- Patient experience of NHS health checks: a systematic review and qualitative synthesis.BMJ open · 2017Pooled it
- Improving cardiovascular disease risk communication in NHS Health Checks: a qualitative study.BMJ open · 2019Trial
- Article
- Design and Preliminary Testing of the CardioCare System in Health Checkup Centers: Implementation Report.JMIR medical informatics · 2026Article
- Article
- Brief Report: A Latent Class Analysis of Guideline Compliance Across Nine Health Behaviors.International journal of behavioral medicine · 2022Article
- Modelling tool to support decision-making in the NHS Health Check programme: workshops, systematic review and co-production with users.Health technology assessment (Winchester, England) · 2021Article
- Patient experiences of telephone outreach to enhance uptake of NHS Health Checks in more deprived communities and minority ethnic groups: A qualitative interview study.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- Implementing multiple health behaviour change interventions for cardiovascular risk reduction in primary care: a qualitative study.BMC family practice · 2018Article
- Do health checks improve risk factor detection in primary care? Matched cohort study using electronic health records.Journal of public health (Oxford, England) · 2016Article
- Scottish Keep Well health check programme: an interrupted time series analysis.Journal of epidemiology and community health · 2016Article
- Patterns of Statin Use in a Real-World Population of Patients at High Cardiovascular Risk.Journal of managed care & specialty pharmacy · 2016Article
- Patients' willingness to attend the NHS cardiovascular health checks in primary care: a qualitative interview study.BMC family practice · 2015Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundThe Department of Health introduced a risk assessment, management and reduction programme, NHS Health Checks, which aimed to reduce premature morbidity and mortality from cardiovascular diseases for those aged 40-74. Those identified as at increased risk of CVD are offered prophylactic medication and lifestyle advice to reduce their risk. Health gains will only be achieved if patients are compliant with advice/intervention however. This study sought to understand factors that influenced adherence to medication and advice in 'high-risk' patients.
methodsQualitative data were collected through 29 semi-structured interviews with a purposive sample of individuals who had been identified as at high-risk of CVD. Participants had been offered lifestyle advice, lipid lowering medications and attended at least one annual review.
resultsFindings explore the challenges and experiences confronting 'high-risk' individuals when making decisions about engaging with intervention. Key findings explore: statin adherence, as well as adherence to advice about diet, physical activity, alcohol consumption and smoking cessation.
conclusionsAttention needs to be paid to the way prophylactic medications are prescribed and explained to high-risk patients. Consistent provision of tailored lifestyle advice and access to appropriate services could facilitate sustained changes to factors that increase CVD risk.
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