Absolute risk representation in cardiovascular disease prevention: Comprehension and preferences of health care consumers and general practitioners involved in a focus group study

BMC Public Health

Volumn 10, Issue , 2010, Pages

  Hill, Sophie ^a   Spink, Janet ^a   Cadilhac, Dominique ^b   Edwards, Adrian ^c   Kaufman, Caroline ^d   Rogers, Sophie ^e   Ryan, Rebecca ^a   Tonkin, Andrew ^f  

^a LA TROBE UNIVERSITY   (Australia)

^b FLOREY INSTITUTE OF NEUROSCIENCE AND MENTAL HEALTH   (Australia)

^c CARDIFF UNIVERSITY   (United Kingdom)

^d UNIVERSITY OF TEXAS AT AUSTIN   (United States)

^e UNIVERSITY OF MELBOURNE   (Australia)

^f MONASH UNIVERSITY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO HEALTH; AUDIOVISUAL AID; AUSTRALIA; CARDIOVASCULAR DISEASE; COLOR; COMPARATIVE STUDY; CONSUMER; FEMALE; GENERAL PRACTITIONER; HEALTH PERSONNEL ATTITUDE; HUMAN; INFORMATION DISSEMINATION; INFORMATION PROCESSING; MALE; METHODOLOGY; MIDDLE AGED; RISK ASSESSMENT; RISK FACTOR; STATISTICS;

ADULT; ATTITUDE OF HEALTH PERSONNEL; AUDIOVISUAL AIDS; AUSTRALIA; CARDIOVASCULAR DISEASES; COLOR; CONSUMER SATISFACTION; FEMALE; FOCUS GROUPS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INFORMATION DISSEMINATION; MALE; MIDDLE AGED; PHYSICIANS, FAMILY; RISK ASSESSMENT; RISK FACTORS;

EID: 77950192911     PISSN: None     EISSN: 14712458     Source Type: Journal    
DOI: 10.1186/1471-2458-10-108     Document Type: Article

References (38)

1. Australia's health: the tenth biennial health report of the Australian Institute of Health and Welfare 2006 biennial report of the Australian Institute of Health. Australian Institute of Health and Welfare (AIHW), Canberra: Australian Government Publishing Service 2006
2. Consensus statement for the prevention of vascular disease. Aust Fam Physician 2004 33 4 235 239 15129468
3. Communicating risks. A Edwards, BMJ (Clinical research ed) 2003 327 7417 691 692 10.1136/bmj.327.7417.691 14512448
4. General practice registrar responses to the use of different risk communication tools in simulated consultations: a focus group study. A Edwards G Elwyn R Gwyn, BMJ (Clinical research ed) 1999 319 7212 749 752 10488001
5. Communication about risk: the responses of primary care professionals to standardizing the 'language of risk' and communication tools. A Edwards E Matthews R Pill M Bloor, Fam Pract 1998 15 4 301 307 10.1093/fampra/15.4.301 9792344
6. Simple tools for understanding risks: from innumeracy to insight. G Gigerenzer A Edwards, BMJ (Clinical research ed) 2003 327 7417 741 744 10.1136/bmj.327.7417.741 14512488
7. Patients' understanding of risk. H Thornton, BMJ (Clinical research ed) 2003 327 7417 693 694 10.1136/bmj.327.7417.693 14512450
8. Personalised risk communication for informed decision making about taking screening tests. AG Edwards R Evans J Dundon S Haigh K Hood GJ Elwyn, Cochrane Database Syst Rev 2006 4 D001865 17054144
9. Comparison of estimates and calculations of risk of coronary heart disease by doctors and nurses using different calculation tools in general practice: cross sectional study. RJ McManus J Mant CF Meulendijks RA Salter HM Pattison AK Roalfe FD Hobbs, BMJ (Clinical research ed) 2002 324 7335 459 464 10.1136/bmj.324.7335.459 11859049
10. Coronary heart disease risk prediction by general practitioners in Victoria. A Peeters J Ting MR Nelson JJ McNeil, Med J Aust 2004 180 5 252 14984351
11. American Heart Foundation, http://www.americanheart.org/presenter.jhtml? identifier=3003499
12. Explaining risks: turning numerical data into meaningful pictures. A Edwards G Elwyn A Mulley, BMJ (Clinical research ed) 2002 324 7341 827 830 10.1136/bmj.324.7341.827 11934777
13. Absolute, attributable, and relative risk in the management of coronary heart disease. JE Sedgwick, Heart (British Cardiac Society) 2001 85 5 491 492 11302989
14. Identifying patient preferences for communicating risk estimates: a descriptive pilot study. JM Fortin LK Hirota BE Bond AM O'Connor NF Col, BMC Med Inform Decis Mak 2001 1 2 10.1186/1472-6947-1-2 11545684
15. Strategies to help patients understand risks. J Paling, BMJ (Clinical research ed) 2003 327 7417 745 748 10.1136/bmj.327.7417.745 14512489
16. Qualitative research. Introducing focus groups. J Kitzinger, BMJ (Clinical research ed) 1995 311 7000 299 302 7633241
17. PL Rice D Ezzy, Qualitative research methods: A health focus Melbourne, Australia: Oxford University Press 2000
18. Qualitative data analysis for applied policy research. J Ritchie L Spencer, Analyzing Qualitative Data London: Routledge, Bryman A, Burgess RG, 1994
19. Cardiovascular disease risk profiles. KM Anderson PM Odell PW Wilson WB Kannel, American heart journal 1991 121 1 Pt 2 293 298 10.1016/0002-8703(91) 90861-B 1985385
20. How do the Australian guidelines for lipid-lowering drugs perform in practice? Cardiovascular disease risk in the AusDiab Study, 1999-2000. L Chen SL Rogers S Colagiuri DA Cadilhac TH Mathew AN Boyden A Peeters DJ Magliano JE Shaw PZ Zimmet, et al. Medical Journal of Australia 2008 189 6 319 322 18803535
21. National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand: position statement on lipid management - 2005. A Tonkin P Barter J Best A Boyden J Furler K Hossack D Sullivan P Thompson M Vale C Cooper, et al. Heart, lung & circulation 2005 14 4 275 291 10.1016/j.hlc.2005.10.010 16361000
22. Presenting risk information to people with diabetes: evaluating effects and preferences for different formats by a web-based randomised controlled trial. A Edwards R Thomas R Williams AL Ellner P Brown G Elwyn, Patient Educ Couns 2006 63 3 336 349 10.1016/j.pec.2005.12.016 16860964
23. Patients' perceptions of cholesterol, cardiovascular disease risk, and risk communication strategies. RE Goldman DR Parker CB Eaton JM Borkan R Gramling RT Cover DK Ahern, Ann Fam Med 2006 4 3 205 212 10.1370/afm.534 16735521
24. Use of focus groups to develop methods to communicate cardiovascular disease risk and potential for risk reduction to people with type 2 diabetes. HC Price C Dudley B Barrow I Kennedy SJ Griffin RR Holman, Fam Pract 2009 26 5 351 358 10.1093/fampra/cmp041 19546119
25. How can doctors communicate information about risk more effectively? A Alaszewski T Horlick-Jones, Bmj 2003 327 7417 728 731 10.1136/bmj.327.7417.728 14512483
26. Communication about risk: diversity among primary care professionals. A Edwards E Matthews R Pill M Bloor, Fam Pract 1998 15 4 296 300 10.1093/fampra/15.4.296 9792343
27. GPs' views of absolute cardiovascular risk and its role in primary prevention. D Torley N Zwar EJ Comino M Harris, Aust Fam Physician 2005 34 6 503 504 15931411
28. Heart to Heart: a computerized decision aid for assessment of coronary heart disease risk and the impact of risk-reduction interventions for primary prevention. M Pignone SL Sheridan YZ Lee J Kuo C Phillips C Mulrow R Zeiger, Preventive cardiology 2004 7 1 26 33 10.1111/j.1520-037X.2004.2188.x 15010625
29. The impact of a decision aid about heart disease prevention on patients' discussions with their doctor and their plans for prevention: a pilot randomized trial. SL Sheridan J Shadle RJ Simpson Jr MP Pignone, BMC health services research 2006 6 121 10.1186/1472-6963-6-121 17005051
30. Presenting risk information - a review of the effects of "framing" and other manipulations on patient outcomes. A Edwards G Elwyn J Covey E Matthews R Pill, J Health Commun 2001 6 1 61 82 10.1080/10810730150501413 11317424
31. Key issues in the analysis of qualitative data in health services research. J Donovan C Sanders, Handbook of health research methods Berkshire, England: Open University Press, Bowling A, Ebrahim S, 2005
32. Cardiovascular risk models. L Bonneux, BMJ (Clinical research ed) 2007 335 7611 107 108 10.1136/bmj.39262.643090.47 17616541
33. Methods of consumer involvement in developing healthcare policy and research, clinical practice guidelines and patient information material. ES Nilsen HT Myrhaug M Johansen S Oliver AD Oxman, Cochrane Database Syst Rev 2006 3 D004563 10.1002/14651858.CD004563.pub2 16856050
34. A simple computer program for guiding management of cardiovascular risk factors and prescribing. AD Hingorani P Vallance, Bmj 1999 318 7176 101 105 9880285
35. Heart to Heart Coronary Heart Disease Risk Assessment. http://www.med-decisions.com/cvtool/phys/phys.html
36. Assessing the impact of classical risk factors on myocardial infarction by rate advancement periods. AD Liese HW Hense H Brenner H Lowel U Keil, Am J Epidemiol 2000 152 9 884 888 10.1093/aje/152.9.884 11085401
37. A model for predicting the future incidence of coronary heart disease within percentiles of coronary heart disease risk. JJ McNeil A Peeters D Liew S Lim T Vos, J Cardiovasc Risk 2001 8 1 31 37 10.1097/00043798-200102000-00005 11234724
38. Frequency or probability? A qualitative study of risk communication formats used in health care. MM Schapira AB Nattinger CA McHorney, Med Decis Making 2001 21 6 459 467 11760103