Evaluation of a Question Prompt List About Cardiovascular Disease Risk and Prevention After Hypertensive Pregnancy: A Pilot Study
ABSTRACT Introduction The aim of this study was to pilot test a question prompt list (QPL) about cardiovascular disease (CVD) risk reduction after hypertensive pregnancy (HDP). Methods In a prospective cohort study of adult women who had HDP given the QPL before and surveyed after a physician visit,...
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| Format: | Article |
| Language: | English |
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Wiley
2024-12-01
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| Series: | Health Expectations |
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| Online Access: | https://doi.org/10.1111/hex.70085 |
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| author | Smita Dhakal Bethany Rankin Taryn Assaf Jane Baker Laura Chisick Tracey Colella Natalie Dayan Maureen Dobbins Sherry Grace Serena Gundy Sheila O'Keefe McCarthy Ziran Meng Beth Murray‐Davis Sarah Neil‐Sztramko Kara Nerenberg Winnie Sia Graeme Smith Maria Timofeeva Anna R. Gagliardi |
| author_facet | Smita Dhakal Bethany Rankin Taryn Assaf Jane Baker Laura Chisick Tracey Colella Natalie Dayan Maureen Dobbins Sherry Grace Serena Gundy Sheila O'Keefe McCarthy Ziran Meng Beth Murray‐Davis Sarah Neil‐Sztramko Kara Nerenberg Winnie Sia Graeme Smith Maria Timofeeva Anna R. Gagliardi |
| author_sort | Smita Dhakal |
| collection | DOAJ |
| description | ABSTRACT Introduction The aim of this study was to pilot test a question prompt list (QPL) about cardiovascular disease (CVD) risk reduction after hypertensive pregnancy (HDP). Methods In a prospective cohort study of adult women who had HDP given the QPL before and surveyed after a physician visit, we assessed perceived person‐centred care, self‐efficacy for self‐management, perceived self‐management and QPL feasibility. Results Twenty‐three women participated: 57% of diverse ethno‐cultural groups, 65% < 40 years of age and 48% immigrants. Most scored high for person‐centred care (mean 4.1 ± 0.2/5); and moderately for self‐efficacy (mean 7.4 ± 0.6/10) and self‐management (mean 3.1 ± 0.3/5). Most appreciated QPL design and reported QPL benefits: helped them to prepare for the visit and know what to ask; increased confidence to ask questions, knowledge of the link between HDP and CVD and lifestyle behaviours to reduce CVD risk. Most reported that physicians were receptive to discussing QPL questions. Conclusion Women appreciated the QPL and knowledge about self‐management was high but self‐efficacy for or perceived self‐management was moderate. It appears feasible to share a QPL with ethno‐culturally diverse women who can share it with physicians to facilitate discussions about post‐pregnancy HDP‐related CVD risk. Patient or Public Contribution This study involved women who experienced HDP and engaged ethno‐culturally diverse women with lived experience of HDP as study advisors in all stages of the research. |
| format | Article |
| id | doaj-art-ccae8bb270de447790a283f65a60cfe1 |
| institution | OA Journals |
| issn | 1369-6513 1369-7625 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj-art-ccae8bb270de447790a283f65a60cfe12025-08-20T02:04:15ZengWileyHealth Expectations1369-65131369-76252024-12-01276n/an/a10.1111/hex.70085Evaluation of a Question Prompt List About Cardiovascular Disease Risk and Prevention After Hypertensive Pregnancy: A Pilot StudySmita Dhakal0Bethany Rankin1Taryn Assaf2Jane Baker3Laura Chisick4Tracey Colella5Natalie Dayan6Maureen Dobbins7Sherry Grace8Serena Gundy9Sheila O'Keefe McCarthy10Ziran Meng11Beth Murray‐Davis12Sarah Neil‐Sztramko13Kara Nerenberg14Winnie Sia15Graeme Smith16Maria Timofeeva17Anna R. Gagliardi18Toronto General Hospital Research Institute University Health Network Toronto Ontario CanadaToronto General Hospital Research Institute University Health Network Toronto Ontario CanadaBriar Hill Midwives Calgary Alberta CanadaAllin Clinic University of Alberta Edmonton Alberta CanadaHealth Science Centre University of Manitoba Winnipeg Manitoba CanadaCardiovascular Prevention and Rehabilitation Program University Health Network Toronto Ontario CanadaMcGill University Health Centre McGill University Montreal Quebec CanadaDepartment of Health Research Methods, Evidence, and Impact McMaster University Hamilton Ontario CanadaFaculty of Health York University Toronto Ontario CanadaMcMaster University Medical Centre McMaster University Hamilton Ontario CanadaDepartment of Nursing Brock University Guelph Ontario CanadaWomen's Heart Clinic Queen Elizabeth II Hospital Halifax Nova Scotia CanadaMidwifery Education Program McMaster University Hamilton Ontario CanadaDepartment of Health Research Methods, Evidence, and Impact McMaster University Hamilton Ontario CanadaFoothill Medical Centre University of Calgary Calgary Alberta CanadaRoyal Alexandra Hospital University of Alberta Edmonton Alberta CanadaMaternal Health Clinic Kingston General Hospital Kingston Ontario CanadaDepartment of Cardiology Women's College Hospital Toronto Ontario CanadaToronto General Hospital Research Institute University Health Network Toronto Ontario CanadaABSTRACT Introduction The aim of this study was to pilot test a question prompt list (QPL) about cardiovascular disease (CVD) risk reduction after hypertensive pregnancy (HDP). Methods In a prospective cohort study of adult women who had HDP given the QPL before and surveyed after a physician visit, we assessed perceived person‐centred care, self‐efficacy for self‐management, perceived self‐management and QPL feasibility. Results Twenty‐three women participated: 57% of diverse ethno‐cultural groups, 65% < 40 years of age and 48% immigrants. Most scored high for person‐centred care (mean 4.1 ± 0.2/5); and moderately for self‐efficacy (mean 7.4 ± 0.6/10) and self‐management (mean 3.1 ± 0.3/5). Most appreciated QPL design and reported QPL benefits: helped them to prepare for the visit and know what to ask; increased confidence to ask questions, knowledge of the link between HDP and CVD and lifestyle behaviours to reduce CVD risk. Most reported that physicians were receptive to discussing QPL questions. Conclusion Women appreciated the QPL and knowledge about self‐management was high but self‐efficacy for or perceived self‐management was moderate. It appears feasible to share a QPL with ethno‐culturally diverse women who can share it with physicians to facilitate discussions about post‐pregnancy HDP‐related CVD risk. Patient or Public Contribution This study involved women who experienced HDP and engaged ethno‐culturally diverse women with lived experience of HDP as study advisors in all stages of the research.https://doi.org/10.1111/hex.70085cardiovascular diseasecommunicationhypertensive disorders of pregnancyqualitative interviewrisk reduction, question prompt list |
| spellingShingle | Smita Dhakal Bethany Rankin Taryn Assaf Jane Baker Laura Chisick Tracey Colella Natalie Dayan Maureen Dobbins Sherry Grace Serena Gundy Sheila O'Keefe McCarthy Ziran Meng Beth Murray‐Davis Sarah Neil‐Sztramko Kara Nerenberg Winnie Sia Graeme Smith Maria Timofeeva Anna R. Gagliardi Evaluation of a Question Prompt List About Cardiovascular Disease Risk and Prevention After Hypertensive Pregnancy: A Pilot Study Health Expectations cardiovascular disease communication hypertensive disorders of pregnancy qualitative interview risk reduction, question prompt list |
| title | Evaluation of a Question Prompt List About Cardiovascular Disease Risk and Prevention After Hypertensive Pregnancy: A Pilot Study |
| title_full | Evaluation of a Question Prompt List About Cardiovascular Disease Risk and Prevention After Hypertensive Pregnancy: A Pilot Study |
| title_fullStr | Evaluation of a Question Prompt List About Cardiovascular Disease Risk and Prevention After Hypertensive Pregnancy: A Pilot Study |
| title_full_unstemmed | Evaluation of a Question Prompt List About Cardiovascular Disease Risk and Prevention After Hypertensive Pregnancy: A Pilot Study |
| title_short | Evaluation of a Question Prompt List About Cardiovascular Disease Risk and Prevention After Hypertensive Pregnancy: A Pilot Study |
| title_sort | evaluation of a question prompt list about cardiovascular disease risk and prevention after hypertensive pregnancy a pilot study |
| topic | cardiovascular disease communication hypertensive disorders of pregnancy qualitative interview risk reduction, question prompt list |
| url | https://doi.org/10.1111/hex.70085 |
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