scholarly journals Digital Recruitment and Acceptance of a Stepwise Model to Prevent Chronic Disease in the Danish Primary Care Sector: Cross-Sectional Study (Preprint)

2018 ◽  
Author(s):  
Lars Bruun Larsen ◽  
Jens Sondergaard ◽  
Janus Laust Thomsen ◽  
Anders Halling ◽  
Anders Larrabee Sønderlund ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Low Cost ◽  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Chi Square ◽  
Cross Sectional ◽  
Interaction Detection ◽  
Health Checks

BACKGROUND During recent years, stepwise approaches to health checks have been advanced as an alternative to general health checks. In 2013, we set up the Early Detection and Prevention project (Tidlig Opsporing og Forebyggelse, TOF) to develop a stepwise approach aimed at patients at high or moderate risk of a chronic disease. A novel feature was the use of a personal digital mailbox for recruiting participants. A personal digital mailbox is a secure digital mailbox provided by the Danish public authorities. Apart from being both safe and secure, it is a low-cost, quick, and easy way to reach Danish residents. OBJECTIVE In this study we analyze the association between the rates of acceptance of 2 digital invitations sent to a personal digital mailbox and the sociodemographic determinants, medical treatment, and health care usage in a stepwise primary care model for the prevention of chronic diseases. METHODS We conducted a cross-sectional analysis of the rates of acceptance of 2 digital invitations sent to randomly selected residents born between 1957 and 1986 and residing in 2 Danish municipalities. The outcome was acceptance of the 2 digital invitations. Statistical associations were determined by Poisson regression. Data-driven chi-square automatic interaction detection method was used to generate a decision tree analysis, predicting acceptance of the digital invitations. RESULTS A total of 8814 patients received an invitation in their digital mailbox from 47 general practitioners. A total of 40.22% (3545/8814) accepted the first digital invitation, and 30.19 % (2661/8814) accepted both digital invitations. The rates of acceptance of both digital invitations were higher among women, older patients, patients of higher socioeconomic status, and patients not diagnosed with or being treated for diabetes mellitus, chronic obstructive pulmonary disease, or cardiovascular disease. CONCLUSIONS To our knowledge, this is the first study to report on the rates of acceptance of digital invitations to participate in a stepwise model for prevention of chronic diseases. More studies of digital invitations are needed to determine if the acceptance rates seen in this study should be expected from future studies as well. Similarly, more research is needed to determine whether a multimodal recruitment approach, including digital invitations to personal digital mailboxes will reach hard-to-reach subpopulations more effectively than digital invitations only.

Association between Food Intake and Overweight in Children Assisted by Primary Care

2021 ◽  
Vol 15 (1) ◽  
pp. 305-312
Author(s):  
Erivelton Sousa Lima ◽  
Amanda de Castro Amorim Serpa Brandão ◽  
Antonio Luiz Gomes Junior ◽  
Luana kelle Batista Moura ◽  
Gerardo Vasconcelos Mesquita ◽  
...  
Keyword(s):  
Primary Care ◽  
Food Intake ◽  
Food Consumption ◽  
Cross Sectional Study ◽  
Processed Foods ◽  
Food Groups ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Chi Square Test

Background: The child feed in the first two years of life is of fundamental importance for a healthy growth and development. Aims: To verify the association between food consumption indicators and overweight in children under the age of two, followed up by primary care health professionals. Methods: A cross-sectional study was conducted on 232 children assisted by primary care. A structured questionnaire was used with questions on sociodemographic data of mothers or guardians and food intake and anthropometric data of children. The analysis of the association between excess weight and food intake indicators was performed using the Pearson’s chi-square test (χ2) and Fisher’s exact test (f ˂ 5). Results: Regarding food intake in children under 6 months of age, 35.1% of the children were exclusively breastfed. Among children at the age of 6 to 23 months: 66.3% were on continued breastfeeding; 16.7% consumed adequate foods at the age of 6 to 8 months; 90.4% consumed foods that belonged to the six food groups; 76.3% consumed food at the minimum frequency and with adequate consistency; 88.9% consumed iron-rich and vitamin A-rich foods, and 59.3% consumed ultra-processed foods. Regarding nutritional status, 24.5% of the children were overweight. Conclusion: There was no statistically significant association between overweight and food consumption indicators among the surveyed children. However, exclusive breastfeeding was below the recommended level, a low percentage of the introduction of complementary foods at the appropriate age and high consumption of ultra-processed foods reveal the need to improve the assistance provided by primary care to this group.

scholarly journals Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e033443 ◽  
Author(s):  
Osamah Al-gassimi ◽  
Hassan Bin Usman Shah ◽  
Rawan Sendi ◽  
Heba A Ezmeirlly ◽  
Lauren Ball ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Primary Care Physicians ◽  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge And Skills ◽  
Nutrition Care ◽  
Dietary Behaviours

ObjectivesPrimary care physicians have an opportunity to support healthy dietary behaviours of patients by providing nutrition care. However, it is unclear whether primary care physicians in the Kingdom of Saudi Arabia (KSA) are sufficiently competent in nutrition. This study aimed to assess the nutrition competence of primary care physicians in KSA and identify whether nutrition competence is associated with the provision of nutrition care to patients living with diet-related chronic disease.DesignA cross-sectional study.SettingChronic disease clinics across 48 primary care centres under the Ministry of Health in the city of Jeddah, KSA.Participants90 primary care physicians completed the survey (response rate: 98%). General practitioners and family medicine residents, specialists, and consultants actively working in chronic disease clinics between February and May 2019 were included.Primary and secondary outcome measuresPrimary outcome measure was nutrition competence of primary care physicians measured via the validated nutrition competence (NUTCOMP) questionnaire.ResultsPrimary care physicians perceived themselves as competent in nutrition care but their reported provision of nutrition care was limited. Confidence in their nutrition knowledge and skills elicited the lowest mean scores of 25.8 (±5.4) out of 35 and 29 (±5.2) out of 40, respectively. The reported provision of nutrition care was closely correlated with physicians’ confidence in their nutrition knowledge (r=0.57) and communication (r=0.52). Three factors were identified as predicting whether physicians provide nutrition care to patients: confidence in counselling about nutrition (p<0.001), having previous nutrition education (p=0.005) and a higher professional qualification (p=0.008).ConclusionsPrimary care physicians felt confident in providing nutrition care to patients living with diet-related chronic disease. Primary care physicians would benefit from higher levels of nutrition knowledge and skills to effectively support patients to improve their dietary behaviours and health conditions, leading to a positive impact on public health.

scholarly journals Exploring health literacy in Wuhan, China: a cross-sectional analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Xin Mei ◽  
Qing Zhong ◽  
Gong Chen ◽  
Yuanxia Huang ◽  
Junlin Li
Keyword(s):  
Risk Factors ◽  
Health Literacy ◽  
Chronic Diseases ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Education Levels ◽  
Chi Square Test

Abstract Background In recent years, research on health literacy has become increasingly focused on the health care system and public health. This cross-sectional study aimed to investigate health literacy and analyse the risk factors that affect health literacy in Wuhan, China. Methods Multistage stratified random sampling was used to select 5304 urban and rural residents aged 15 to 69 years from 204 monitoring points in 15 districts of Wuhan. Using the Chinese Citizen Health Literacy Questionnaire (HLQ) (2018 edition), a face-to-face survey was conducted from November to December 2018. Risk factors that may affect health literacy were assessed using the Chi-square test and multivariate logistic regression models. Results The knowledge rate of health literacy was relatively low (19.3%). The knowledge rate of health-related behaviour and lifestyle (BAL, 17.3%) was the lowest of the three aspects of health literacy, and the knowledge rate of chronic diseases (CD, 19.0%) was the lowest of the six dimensions of health literacy. Respondents who lived in urban areas, had higher education levels, worked as medical staff, had a higher household income and did not suffer from chronic diseases were likely to have higher health literacy. Conclusions The health literacy levels of citizens in Wuhan are insufficient and need to improve.

scholarly journals A cross-sectional study on effect of non-communicable diseases on prevalent oral health conditions

2016 ◽  
Vol 4 (1) ◽  
pp. 246 ◽  
Author(s):  
Aasim Farooq Shah ◽  
Irfan Ashraf Baba ◽  
Subha Soumya Dany ◽  
Manu Batra
Keyword(s):  
Chronic Disease ◽  
Oral Health ◽  
Chronic Diseases ◽  
General Health ◽  
Dental Health ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Diseases

Background: Non communicable diseases (NCDs) are defined as diseases of long duration, generally progress slowly and are the major cause of adult mortality and morbidity worldwide. NCDs mainly lead by four diseases which include: cardiovascular diseases, diabetes mellitus (DM), cancers and chronic respiratory diseases. Poor oral health reflects the general health, and several oral diseases are related to chronic diseases. The aim and objectives was to find casual association between NCDs with oral disease and further aims to provide evidence to health care providers regarding the significance of oral health while treating the patients for NCDs.Methods: The present cross sectional study was conducted to examine the oral health status of patients with NCD reporting to Dental OPD of Government Dental College and Hospital, Srinagar.  This hospital based study done through a convenience sampling technique, using a questionnaire and oral examination. A self-administered questionnaire was written in English language and was also translated in local language, first part of questionnaire was used to collect the demographic details, second part was designed regarding the medication history, oral habits such as smoking and consumption of betel nuts, medical history and earlier visit to dentist, cleaning of teeth, significance of dental health and its effect on general health and the third part of questionnaire was completely based on dental examination. The data was entered manually on Microsoft excel and then analyzed on statistical package SPSS version 20. Associations between different variables were assessed through application of χ2. The Data was analyzed using SPSS Statistics 20.0.Results: The present study was established with a sample of 300 participants. Male to female ratio was 2:3. Mean age of the participants was 46.6 years. It was observed that out of the total patients who visited the dentist, 42% (n=126) suffered from some chronic disease. 61% (n=183) were oblivious of the importance of dental health. When inquired if oral health affects general health 58.6% (n= 176) acknowledged its importance. 59 participants who lost more than three teeth who had chronic disease, 58.6% (n=176) respondents presented with bleeding gums, 66.3% (n=199) with food deposition, 52% (n=158) had halitosis, 26% (n= 78) had oral ulceration, 22.3% (n=67).Conclusions: It was concluded from this study that majority of participants with chronic diseases had poor oral health which requires immediate attention from the medical practitioners as well as dentists should counsel patients for maintenance and promotion of oral health.

scholarly journals Evaluation of “being healthy, being away from chronic diseases” public service advertisement in Chongqing, China: A cross-sectional study

2017 ◽  
Author(s):  
Ping Hu ◽  
Ting ting Wu ◽  
Cheng bin Wu ◽  
Hao Huang ◽  
Zhirong Fu ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Public Service ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Global Public Health ◽  
Unhealthy Lifestyle ◽  
Cross Sectional ◽  
Media Campaigns ◽  
The Public

Background: Chronic diseases have become a global public health issue, and mass media campaigns are often used to encourage and sustain positive behavior change. Our aim was to evaluate the effect of public service advertising on the awareness of Chongqing citizens. Methods: The theme of the public service advertisement launched in Chongqing was “being healthy, being away from chronic diseases.” A self-designed questionnaire was used in an outdoor intercept survey to collect information about the perception of citizens toward the effect of the advertisement on cognitive situations. Results: A total of 985 valid questionnaires were received. Respondents had good understanding of chronic disease (23.6±4.1, total score: 30), but only 58.4% of participants thought cancer is one type of chronic disease. The awareness of cancer as a chronic disease among the group who had seen this advertisement (63.6%) was higher than that of the group who had not seen the advertisement (56.5%) (p=0.046). After watching the advertisement, approximately 77.4% of participants attempted to remind their family and friends to prevent chronic diseases, roughly 78.2% tried to persuade their family and friends to change their unhealthy lifestyle habits, and 73.2% of participants reported that it increased the possibility of their own lifestyle change. Logistic regression analysis indicates that occupation, educational level, watching the advertising through TV, watching the advertising through indoor LED screen, and watching the advertising through mobile TV affected the three post-viewing behavior changes Conclusion : The public service advertisement achieved a certain knowledge propaganda effect. It may help change awareness and improve health behavior of the public. Key words: Public service advertisement , Chronic diseases, Health; Awareness, Behavior

scholarly journals 0596 Providers Rarely Assess Obstructive Sleep Apnea Symptoms Among Patients with Chronic Obstructive Pulmonary Disease

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A228-A228
Author(s):  
L M Donovan ◽  
T Keller ◽  
N H Stewart ◽  
L J Spece ◽  
D H Au ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Symptom Assessment ◽  
Cross Sectional Study ◽  
Mixed Effects ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Care Clinic ◽  
General Internal ◽  
Obstructive Sleep

Abstract Introduction Professional societies recommend providers assess sleep symptoms in COPD, but it is unclear if this occurs. We aimed to evaluate OSA symptom assessment and documentation among patients with COPD, and the patient and provider characteristics associated with this assessment. Methods We conducted a cross-sectional study of adults aged ≥40 years with clinically diagnosed COPD and no prior diagnosis of OSA. We selected patients receiving care at two academic general internal medicine clinics between 6/1/2011 - 6/1/2013. We abstracted charts to assess how often OSA symptoms such as snoring, somnolence, witnessed apneas, or gasping/choking arousals were documented as present or absent. We performed multivariable mixed-effects logistic regression to assess associations of patient and primary care provider (PCP) factors with assessment of OSA symptoms. Patient factors included demographics, body mass index, comorbidities, healthcare utilization, and severity of COPD, and PCP factors including demographics, degree, and years of experience. Results Of 523 patients with COPD, only 26 (5.0%) had documentation of OSA symptom assessment within a one-year period. In mixed effects models, only referral to general pulmonary clinic was associated with the assessment of OSA symptoms (OR: 4.56, 95% CI 1.28-15.52). Among the 26 individuals who had OSA symptoms assessed, 9 (34.6%) reported snoring, 15 (57.7%) reported daytime somnolence, 2 (7.7%) reported gasping/choking arousals, and 5 (19.2%) reported witnessed apneas. Among those assessed for OSA symptoms, providers referred 11 (42.3%) for formal sleep consultation. Conclusion Providers rarely document OSA symptoms for patients with COPD in primary care clinic, but assessment is greater among those with pulmonary specialty consultation. Given time constraints in primary care, external facilitation of sleep symptom assessment may improve symptom recognition and receipt of appropriate services. Support NIH 5K23HL111116-05, VA Center of Innovation for Veteran-Centered and Value-Driven Care.

scholarly journals Phenotypic Variation in Patients with Chronic Obstructive Pulmonary Disease in Primary Care

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Emmylou Beekman ◽  
Ilse Mesters ◽  
Mark G. Spigt ◽  
Eva A. M. van Eerd ◽  
Rik Gosselink ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Status ◽  
Airway Obstruction ◽  
Physical Therapist ◽  
Patient Characteristics ◽  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Phenotypic Differences

Introduction. Despite the high number of inactive patients with COPD, not all inactive patients are referred to physical therapy, unlike recommendations of general practitioner (GP) guidelines. It is likely that GPs take other factors into account, determining a subpopulation that is treated by a physical therapist (PT). The aim of this study is to explore the phenotypic differences between inactive patients treated in GP practice and inactive patients treated in GP practice combined with PT. Additionally this study provides an overview of the phenotype of patients with COPD in PT practice.Methods. In a cross-sectional study, COPD patient characteristics were extracted from questionnaires. Differences regarding perceived health status, degree of airway obstruction, exacerbation frequency, and comorbidity were studied in a subgroup of 290 inactive patients and in all 438 patients.Results. Patients treated in GP practice combined with PT reported higher degree of airway obstruction, more exacerbations, more vascular comorbidity, and lower health status compared to patients who were not referred to and treated by a PT.Conclusion. Unequal patient phenotypes in different primary care settings have important clinical implications. It can be carefully concluded that other factors, besides the level of inactivity, play a role in referral to PT.

scholarly journals Comparing the prevalence of multimorbidity using different operational definitions in primary care in Singapore based on a cross-sectional study using retrospective, large administrative data

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e039440
Author(s):  
Yi An Janis Lee ◽  
Ying Xie ◽  
Poay Sian Sabrina Lee ◽  
Eng Sing Lee
Keyword(s):  
Primary Care ◽  
Chronic Diseases ◽  
Chronic Conditions ◽  
Operational Definition ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
High Burden ◽  
Study Population ◽  
Study Methodology ◽  
Microsoft Office

ObjectivesMultimorbidity is a norm in primary care. A consensus on its operational definition remains lacking especially in the list of chronic conditions considered. This study aimed to compare six different operational definitions of multimorbidity previously reported in the literature for the context of primary care in Singapore.Design, setting and participantsThis is a retrospective study using anonymised primary care data from a study population of 787 446 patients. We defined multimorbidity as having three or more chronic conditions in an individual. The prevalence of single conditions and multimorbidity with each operational definition was tabulated and standardised prevalence rates (SPRs) were obtained by adjusting for age, sex and ethnicity. We compared the operational definitions based on (1) number of chronic diseases, (2) presence of chronic diseases of high burden and (3) relevance in primary care in Singapore. IBM SPSS V.23 and Microsoft Office Excel 2019 were used for all statistical calculations and analyses.ResultsThe SPRs of multimorbidity in primary care in Singapore varied from 5.7% to 17.2%. The lists by Fortin et al, Ge et al, Low et al and Quah et al included at least 12 chronic conditions, the recommended minimal number of conditions. Quah et al considered the highest proportion of chronic diseases (92.3%) of high burden in primary care in Singapore, with SPRs of at least 1.0%. Picco et al and Subramaniam et al considered the fewest number of conditions of high relevance in primary care in Singapore.ConclusionsFortin et al’s list of conditions is most suitable for describing multimorbidity in the Singapore primary care setting. Prediabetes and ‘physical disability’ should be added to Fortin et al’s list to augment its comprehensiveness. We propose a similar study methodology be performed in other countries to identify the most suitable operational definition in their own context.

scholarly journals Adherence To Antihypertensive Medications Among Primary Care Centre Attendees in Trinidad: A Cross-Sectional Study

2021 ◽  
Author(s):  
Shastri Motilal
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Cross Sectional Study ◽  
The Body ◽  
Uncontrolled Hypertension ◽  
Sectional Study ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Assistance Program ◽  
Average Systolic Blood Pressure

Objective: To determine the adherence levels to antihypertensive medications and its associated factors among primary care attendees in Trinidad. Methods: A cross-sectional study was carried out whereby an interviewer-administered questionnaire was administered to public primary care attendees throughout Trinidad. Non-pregnant hypertensive adults, attending chronic disease clinic on anti-hypertensive medications for at least 1 year were eligible. Results: Of 225 participants (92% response rate), 58% displayed a low level of adherence to anti-hypertensive medications and 73.3% had uncontrolled hypertension, both independent of age, gender, and ethnicity. Experiencing adverse effects to prescribed medications (P=0.003) and self-reported use of herbal/alternative treatment (P=0.024) for hypertension were significantly associated with higher rates of low adherence. Having too many pills to take and fear about the potential effects of these medications on the body were both correlated with low adherence (P< 0.001) Obtaining antihypertensive medications from a national chronic disease assistance program was inversely correlated with low adherence (P= 0.03). There were no statistically significant associations between adherence and average systolic blood pressure (P= 0.20), home self-monitoring (P= 0.75), daily dosing frequency (P= 0.53), or daily number of pills (P= 0.68) Conclusion: Most primary care hypertensive patients who attended chronic disease clinics at primary care health centers around Trinidad were found to have uncontrolled hypertension along with low adherence to antihypertensive medications. Education, screening for herbal use, and improvements to the existing national medication program, are discussed as interventions to improve adherence in this setting. Keywords: Hypertension, Adherence, Antihypertensive medications, Primary Care

scholarly journals Evaluation of “being healthy, being away from chronic diseases” public service advertisement in Chongqing, China: A cross-sectional study

2017 ◽  
Author(s):  
Ping Hu ◽  
Ting ting Wu ◽  
Cheng bin Wu ◽  
Hao Huang ◽  
Zhirong Fu ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Public Service ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Global Public Health ◽  
Unhealthy Lifestyle ◽  
Cross Sectional ◽  
Media Campaigns ◽  
The Public

Background: Chronic diseases have become a global public health issue, and mass media campaigns are often used to encourage and sustain positive behavior change. Our aim was to evaluate the effect of public service advertising on the awareness of Chongqing citizens. Methods: The theme of the public service advertisement launched in Chongqing was “being healthy, being away from chronic diseases.” A self-designed questionnaire was used in an outdoor intercept survey to collect information about the perception of citizens toward the effect of the advertisement on cognitive situations. Results: A total of 985 valid questionnaires were received. Respondents had good understanding of chronic disease (23.6±4.1, total score: 30), but only 58.4% of participants thought cancer is one type of chronic disease. The awareness of cancer as a chronic disease among the group who had seen this advertisement (63.6%) was higher than that of the group who had not seen the advertisement (56.5%) (p=0.046). After watching the advertisement, approximately 77.4% of participants attempted to remind their family and friends to prevent chronic diseases, roughly 78.2% tried to persuade their family and friends to change their unhealthy lifestyle habits, and 73.2% of participants reported that it increased the possibility of their own lifestyle change. Logistic regression analysis indicates that occupation, educational level, watching the advertising through TV, watching the advertising through indoor LED screen, and watching the advertising through mobile TV affected the three post-viewing behavior changes Conclusion : The public service advertisement achieved a certain knowledge propaganda effect. It may help change awareness and improve health behavior of the public. Key words: Public service advertisement , Chronic diseases, Health; Awareness, Behavior

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