A realist evaluation approach to explaining the role of context in the impact of a complex eHealth intervention for improving prevention of cardiovascular disease

In Slovenia, the role of general practitioners in counselling physical activity for prevention of cardiovascular disease (CVD) is well recognized. The role of general practitioners in advising healthy lifestyle for individuals who are at risk of developing CVD is formally defined in the National Program for Primary Prevention of Cardiovascular Disease, which has been running since 2001. Part of the program is counselling on healthy lifestyle including physical activity, performed in all health centres across the country. First a screening and medical examination is performed. In case of higher risk for CVD (>20%) the physician should give advice on the particular risk factor and direct patients to health-education centres, where they can participate in healthy lifestyle workshops lead by health professionals. Physicians and other health professionals who are involved in the implementation of prevention activities within the program need knowledge and skills that are crucial for successful counselling on healthy lifestyle. The educational program “basic education in health promotion and prevention of chronic non-communicable diseases in primary health care/family medicine” consists of two parts. The first part of the training is open to all health professionals working within the program. The second part is intended for health professionals working in health-education workshops. In the last few years a new family practice model has been introduced and disseminated. Some duties of the family physician, including health promotion and counselling, are being transferred to graduate nurses who become part of the family practice team. This new division of work undoubtedly brings many advantages, both in terms of the work organization, and of high-quality patient care. Nevertheless preventive action cannot be fully passed on to graduate nurses. Careful planning and education are needed to ensure a comprehensive approach in healthy life style counselling.

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The role of nutraceuticals in the prevention of cardiovascular disease

Cardiovascular Diagnosis and Therapy ◽

10.21037/cdt.2017.03.20 ◽

2017 ◽

Vol 67 (1) ◽

pp. S21-S31 ◽

Cited By ~ 36

Author(s):

Bozena Sosnowska ◽

Peter Penson ◽

Maciej Banach

Keyword(s):

Cardiovascular Disease ◽

Prevention Of Cardiovascular Disease

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Roles of Nutraceuticals and Functional Food in Prevention of Cardiovascular Disease

10.4018/978-1-6684-3546-5.ch041 ◽

2022 ◽

pp. 810-839

Author(s):

Shahrul Bariyah Hamid ◽

Auni Fatin Abd Hamid

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Functional Food ◽

Food Sources ◽

Supporting Evidence ◽

Tropical Fruits ◽

Medical Plants ◽

Economic And Social Impacts ◽

Prevention Of Cardiovascular Disease

The chapter provides an overview of cardiovascular disease, a major cause of mortality worldwide. It relates economic and social impacts to the disease, especially in developing countries. One of the approaches to addressing this challenge is increasing awareness within society, through implementation of education programs. It is important for society to understand the types and roles of the risk factors leading to cardiovascular disease. Emphasis is on the role of functional food and nutraceuticals as dietary sources that could prevent development of cardiovascular disease. The chapter highlights roles of nutraceuticals and functional food sources from medical plants, seeds, berries, and tropical fruits in lowering risk factors. Key findings from trials conducted in Asia, China, Europe, and America provide supporting evidence for the importance of functional food to health, and its potential for modifying the level of risk factors related to cardiovascular diseases.

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New Male Users of Lipid-Lowering Drugs for Primary Prevention of Cardiovascular Disease: The Impact of Treatment Persistence on Morbimortality. A Longitudinal Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207653 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7653

Author(s):

Isabel Aguilar-Palacio ◽

María José Rabanaque ◽

Lina Maldonado ◽

Armando Chaure ◽

José María Abad-Díez ◽

...

Keyword(s):

Cardiovascular Disease ◽

Primary Prevention ◽

Smoking Status ◽

Lipid Lowering ◽

Major Adverse Cardiovascular Events ◽

Treatment Persistence ◽

Effect Of Treatment ◽

Lowering Drug ◽

The Impact ◽

Prevention Of Cardiovascular Disease

The objective of this study was to analyse persistence to lipid-lowering drug use for primary prevention of cardiovascular disease (CVD) in a new users cohort, to explore all-cause and cardiovascular related morbidity, comorbidity and mortality in this group and, finally, to study the relationship between persistence and morbimortality. We selected subjects who started lipid-lowering treatment for primary prevention of CVD between 1 January 2010 and 31 December 2017 (N = 1424), and classified them as treatment-persistent or -nonpersistent. Bivariate analyses were performed to compare sociodemographic and clinical variables, morbimortality and time to event between groups. The association between morbidities was explored using comorbidity network analysis. The effect of persistence was analysed using logistic regression and Cox survival analyses. Only 38.7% of users were persistent with treatment. Persistent and nonpersistent users had similar sociodemographic and clinical profiles, although differed in age, smoking status, and glycemia. Comorbidity networks revealed that the number of co-occurring diagnoses was higher in nonpersistent than persistent users. Adjusted analyses indicated a protective effect of treatment persistence, especially against major adverse cardiovascular events (MACE), but this effect was not statistically significant. Observational studies are crucial to characterize real-world effectiveness.

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A quality evaluation approach to disclosing third mission activities and intellectual capital in Italian universities

Journal of Intellectual Capital ◽

10.1108/jic-02-2017-0042 ◽

2018 ◽

Vol 19 (1) ◽

pp. 178-201 ◽

Cited By ~ 19

Author(s):

Daniela Di Berardino ◽

Christian Corsi

Keyword(s):

Intellectual Capital ◽

Quality Evaluation ◽

Mandatory Reporting ◽

Third Mission ◽

Research Activity ◽

Content Type ◽

Evaluation Approach ◽

The University ◽

The Impact

Purpose Using the quality evaluation approach, the purpose of this paper is to analyze the contribution of intellectual capital (IC) to the development of the third mission in Italian universities, defining the impact of these activities in the regional context. This research aims to verify if the mandatory reporting on quality discloses the contribution of IC to value creation, enhancing the universities’ awareness about IC management and third mission development. Design/methodology/approach The convergence between IC framework and quality evaluation approach is tested through an empirical research on a sample of 71 Italian universities funded by the government. Statistical analyses use data collected for the period 2004-2014 during the national assessment for research activity and third mission performance. The impact of third mission on the university ecosystem is verified using the indexes related to the territorial development rates. Findings This research found significant IC disclosure in the quality evaluation model and it highlights the possible integration between the IC measures and the quality evaluation indicators. The research findings show also a positive impact of third mission activities in the university ecosystem and the relevant role of structural capital and relational capital in the development of third mission. These findings encourage a collegial discussion in the university governance and among academics, stimulating a strategic behavior in the whole system Research limitations/implications The paper focuses the attention on research activity and third mission, considering the final results provided by an external stakeholder of university. Further research must include the role of teaching activity and the opinion of universities’ managers, researchers and administrative staff. Originality/value Following the neo-institutional sociology perspective, this research analyses for the first time the convergence between the solid experience of quality assessment and the immature IC culture in Italian universities. This analysis explores the value created by intangible activities in the university ecosystem, with a longitudinal perspective, contributing to the fourth stage of the IC literature.

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The Nueva Ecija cardiovascular risk experiment: An evaluation of the impact of risk information and screening on primary prevention of cardiovascular disease

AEA Randomized Controlled Trials ◽

10.1257/rct.2867-1.0 ◽

2018 ◽

Author(s):

Owen O'Donnell

Keyword(s):

Cardiovascular Disease ◽

Cardiovascular Risk ◽

Primary Prevention ◽

Risk Information ◽

The Impact ◽

Prevention Of Cardiovascular Disease

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How can we better support families living with cardiovascular disease and depression?

The Journal of Mental Health Training Education and Practice ◽

10.1108/jmhtep-04-2015-0017 ◽

2016 ◽

Vol 11 (1) ◽

pp. 61-71

Author(s):

Martin Jones ◽

David Thompson ◽

Chantal Ski ◽

Robyn Clark ◽

Richard Gray ◽

...

Keyword(s):

Cardiovascular Disease ◽

Health Care ◽

Health Workers ◽

Content Type ◽

Cardiovascular Rehabilitation ◽

Care And Treatment ◽

Programme Of Care ◽

Care Worker ◽

The Impact

Purpose – The purpose of this paper is to discuss the role of psychosocial treatments to support families living with cardiovascular disease (CVD) and depression. The paper highlights that depression in people with CVD is a predictor of non-adherence to both medicines and cardiovascular rehabilitation programmes. The authors believe there is a clinical need to develop a programme of care to support the whole family to adhere to cardiovascular rehabilitation programmes. Design/methodology/approach – A team of expert cardiovascular nurses, mental health nurses (MHN) and cardiologist clinical opinions and experiences. These opinions and experiences were supplemented by literature using MEDLINE as the primary database for papers published between December 2000 and December 2013. Findings – People with CVD who become depressed are more likely to stop taking their medicine and stop working with their health care worker. Most people with heart and mood problems live with their families. Health workers could have a role in supporting families living with heart and mood problems to their care and treatment. The paper has highlighted the importance of working with families living with heart and mood problems to help them to stick with care and treatment. Originality/value – Most people with heart and mood problems live with their families. The paper has highlighted the importance of working with families living with heart and mood problems to help them to persevere with care and treatment. MHN may have a role, though consideration should also be given to exploring the role of other health care workers and members of the community. As the population ages, clinicians and communities will need to consider the impact of depression on adherence when working with families living with CVD and depression.

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