ArticleHealth expectations : an international journal of public participation in health care and health policy2016
'I should have taken that further' - missed opportunities during cardiovascular risk assessment in patients with psoriasis in UK primary care settings: a mixed-methods study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions.Frontiers in medicine · 2022Pooled it
- When primary care providers and smokers meet: a systematic review and metasynthesis.NPJ primary care respiratory medicine · 2021Pooled it
- Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals.International journal of environmental research and public health · 2020Pooled it
- A Qualitative Exploration of the Impact, Management, and Existing Psychological Support Available for Adults Living with Skin Conditions.Acta dermato-venereologica · 2024Article
- Improving cardiovascular health in patients with an abdominal aortic aneurysm: development of the cardiovascular risk reduction in patients with aneurysms (CRISP) behaviour change intervention.Pilot and feasibility studies · 2024Article
- Evidence of the content validity, acceptability, and feasibility of a new Patient-Reported Impact of Dermatological Diseases measure.Frontiers in medicine · 2023Article
- How do dermatologists' personal models inform a patient-centred approach to management: a qualitative study using the example of prescribing a new treatment (Apremilast).The British journal of dermatology · 2022Article
- "Exercise Is My Medicine": A Qualitative Study Exploring the Experiences of Non-admitted Patients Receiving Physical Activity Promotion From Hospital Surgeons.Frontiers in public health · 2022Article
- Enhancing the implementation of the Making Every Contact Count brief behavioural intervention programme in Ireland: protocol for the Making MECC Work research programme.HRB open research · 2022Article
- Implementation of the PsoWell™ Model for the Management of People with Complex Psoriasis.Acta dermato-venereologica · 2021Article
- Perceptions of receiving behaviour change interventions from GPs during routine consultations: A qualitative study.PloS one · 2020Article
- Identifying demographic, social and clinical predictors of biologic therapy effectiveness in psoriasis: a multicentre longitudinal cohort study.The British journal of dermatology · 2019Observational
- Therapeutic effects of lentinan on inflammatory bowel disease and colitis-associated cancer.Journal of cellular and molecular medicine · 2019Article
- Are healthcare professionals delivering opportunistic behaviour change interventions? A multi-professional survey of engagement with public health policy.Implementation science : IS · 2018Article
- 'New to me': changing patient understanding of psoriasis and identifying mechanisms of change. The Pso WellThe British journal of dermatology · 2017Article
- Primary care-based screening for cardiovascular risk factors in patients with psoriasis.The British journal of dermatology · 2016Article
- Communicating Cardiovascular Disease Risk to People with Psoriasis: What Techniques do Practitioners Use?International journal of behavioral medicine · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundUnhealthy lifestyle is common in psoriasis, contributing to worsening disease and increased cardiovascular disease (CVD) risk. CVD risk communication should improve patients' understanding of risk and risk-reducing behaviours; however, the effectiveness of risk screening is debated and evaluation currently limited.
objectiveTo examine the process of assessing for and communicating about CVD risk in the context of psoriasis.
designMixed-methods study in English general practices to (i) determine proportions of CVD risk factors among patients with psoriasis at risk assessment and (ii) examine patient and practitioner experiences of risk communication to identify salient 'process' issues. Audio recordings of consultations informed in-depth interviews with patients and practitioners using tape-assisted recall, analysed with framework analysis.
participantsPatients with psoriasis (n = 287) undergoing CVD risk assessment; 29 patients and 12 practitioners interviewed.
resultsA high proportion of patients had risk factor levels apparent at risk assessment above NICE recommendations: very high waist circumference (52%), obesity (35%), raised blood pressure (29%), smoking (18%) and excess alcohol consumption (18%). There was little evidence of personalized discussion about CVD risk and behaviour change support in consultations. Professionals reported a lack of training in behaviour change, while patients wanted to discuss CVD risk/risk reduction and believed practitioners to be influential in supporting lifestyle management.
conclusionsDespite high levels of risk factors identified, opportunities may be missed in consultations to support patients with psoriasis to understand CVD risk/risk reduction. Practitioners need training in behaviour change techniques to capitalize on 'teachable moments' and increase the effectiveness of risk screening.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.