Evidence map›Paper›PMID 25733436›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2015

Patient reactions to a web-based cardiovascular risk calculator in type 2 diabetes: a qualitative study in primary care.

Tom Nolan, Charlotte Dack, Kingshuk Pal, Jamie Ross, Fiona A Stevenson, Richard Peacock, Mike Pearson, David Spiegelhalter, Michael Sweeting, Elizabeth Murray

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 39 citations in OpenAlex.

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  6. Acceptability and optimisation of resources to support antidepressant cessation: a qualitative think-aloud study with patients in Australian primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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  9. Translating and piloting a cardiovascular risk assessment and management online tool using mobile technology.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
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  17. How lay people understand and make sense of personalized disease risk information.Health expectations : an international journal of public participation in health care and health policy · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Tom NolanBrockwell Park Surgery, London.
Charlotte DackPsychology Department, University of Bath, Bath.
Kingshuk Pale-Health Unit, Research Department of Primary Care and Population Health, University College London, London.
Jamie Rosse-Health Unit, Research Department of Primary Care and Population Health, University College London, London.
Fiona A Stevensone-Health Unit, Research Department of Primary Care and Population Health, University College London, London.
Richard PeacockWhittington Health Library, The Whittington Hospital, London, UK.
Mike PearsonStatistical Laboratory, Centre for Mathematical Sciences;
David SpiegelhalterStatistical Laboratory, Centre for Mathematical Sciences;
Michael SweetingDepartment of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge, Cambridge.
Elizabeth Murraye-Health Unit, Research Department of Primary Care and Population Health, University College London, London.
Institute of Mathematical Statistics · USStatistical and Applied Mathematical Sciences Institute · USUniversity of Bath · GB

Funding

British Heart Foundation RG/08/014/24067Department of Health RP-PG-0609-10135Medical Research Council MR/L003120/1
6 · The paper itself

Abstract

backgroundUse of risk calculators for specific diseases is increasing, with an underlying assumption that they promote risk reduction as users become better informed and motivated to take preventive action. Empirical data to support this are, however, sparse and contradictory.

aimTo explore user reactions to a cardiovascular risk calculator for people with type 2 diabetes. Objectives were to identify cognitive and emotional reactions to the presentation of risk, with a view to understanding whether and how such a calculator could help motivate users to adopt healthier behaviours and/or improve adherence to medication. DESIGN AND

settingQualitative study combining data from focus groups and individual user experience. Adults with type 2 diabetes were recruited through website advertisements and posters displayed at local GP practices and diabetes groups.

methodParticipants used a risk calculator that provided individualised estimates of cardiovascular risk. Estimates were based on UK Prospective Diabetes Study (UKPDS) data, supplemented with data from trials and systematic reviews. Risk information was presented using natural frequencies, visual displays, and a range of formats. Data were recorded and transcribed, then analysed by a multidisciplinary group.

resultsThirty-six participants contributed data. Users demonstrated a range of complex cognitive and emotional responses, which might explain the lack of change in health behaviours demonstrated in the literature.

conclusionCardiovascular risk calculators for people with diabetes may best be used in conjunction with health professionals who can guide the user through the calculator and help them use the resulting risk information as a source of motivation and encouragement.

Indexed as

Health BehaviorPrimary Health CareSelf CareAdultDiabetes Mellitus, Type 2Diabetic AngiopathiesFemaleHumansInternetMaleMotivationPatient Education as TopicPatient SatisfactionProspective StudiesQualitative ResearchRisk Assessmentdiabetes mellitus, type 2patientsprimary carequalitative researchrisk assessment

Identifiers

PMID25733436
PMCPMC4337303
OpenAlexW2158974177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.