ArticleBMC primary care2026
Nurses' experiences with cardiovascular risk communication and lifestyle counselling during preventive dialogues in primary care: a qualitative interview study.
Article in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiovascular disease (CVD) is the leading cause of morbidity and mortality globally and in Sweden. Effective primary prevention requires not only clinical risk assessment but also person-centred communication to promote a healthy lifestyle. Nurses play a key role in structured preventive dialogues, such as those in the Västerbotten Intervention Programme (VIP), one of the world's largest prevention programmes. However, little is known about how nurses experience and navigate risk communication in real-world primary care. This study aimed to explore nurses' experiences with cardiovascular risk communication and lifestyle counselling during preventive dialogues in primary care.
methodsSemistructured interviews were conducted with 11 nurses delivering VIP health dialogues across primary care centres in Västerbotten County between December 2024 and April 2025. The interviews were audio-recorded and transcribed verbatim. Data were analysed via qualitative content analysis, identifying meaning units, codes, categories, and an overarching theme. Reporting followed COREQ.
resultsThe analysis generated two main categories. The first, Meeting the person professionally while taking a step back, captured how nurses described exploring each patient's unique situation, needs, motivations, and attitudes. The second, Continuously adapting approaches in self-management support, captured nurses' accounts of using flexible strategies, such as gradual goal setting, visual tools, and practical daily habit suggestions, to support patients in understanding and working with lifestyle change. Together, these categories formed the overarching theme Shifting between leading and following, illustrating how nurses experienced balancing individualised adaptation with professional guidance while navigating structural and contextual challenges.
conclusionsNurses described translating cardiovascular risk into person-centred, relational dialogue by flexibly combining structure, responsiveness, and motivational strategies. Understanding preventive dialogues as interactive, person-centred processes, supported by the sensitive use of visualisation tools, may inform the continued development of cardiovascular prevention in primary care and warrants further evaluation.
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.