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“It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change

OBJECTIVE: Despite knowledge of the effect of lifestyle changes in preventing cardiovascular disease, a large proportion of people have unhealthy lifestyle habits. The aim of our study is a) to explore the experiences of participants at high risk of CVD of lifestyle change after participation in a o...

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Autores principales: Lönnberg, Lena, Damberg, Mattias, Revenäs, Åsa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7470076/
https://www.ncbi.nlm.nih.gov/pubmed/32677859
http://dx.doi.org/10.1080/02813432.2020.1794414
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author Lönnberg, Lena
Damberg, Mattias
Revenäs, Åsa
author_facet Lönnberg, Lena
Damberg, Mattias
Revenäs, Åsa
author_sort Lönnberg, Lena
collection PubMed
description OBJECTIVE: Despite knowledge of the effect of lifestyle changes in preventing cardiovascular disease, a large proportion of people have unhealthy lifestyle habits. The aim of our study is a) to explore the experiences of participants at high risk of CVD of lifestyle change after participation in a one-year structured lifestyle counselling programme and b) to link the techniques and strategies used by the participants to the processes of the transtheoretical model of behaviour change (TTM). DESIGN: A qualitative explorative design was used to collect data on participants’ experiences. An abductive content analysis was conducted using the processes within TTM for the deductive analysis. SETTING: Patients that participated in a one-year lifestyle counselling programme in Swedish primary care, were interviewed. SUBJECTS: Eight men and eight women, aged 51–75 years, diagnosed with hypertension or type 2 diabetes mellitus. MAIN OUTCOME MEASURES: Experiences of lifestyle change in patients at high cardiovascular risk. RESULTS: The analysis yielded four dimensions that assisted lifestyle change: ‘The value of knowledge’, ‘Taking control’, ‘Gaining trust in oneself’ and ‘Living with a chronic condition’. The theme ‘It’s up to me’ illustrated that lifestyle change was a personal matter and responsibility. CONCLUSION: Enhanced knowledge, self-efficacy, support from others and the individual’s insight that it was his/her own decisions and actions that mattered were core factors to adopt healthier lifestyle habits. Practice Implications: KEY POINTS: A large proportion of people persist to have unhealthy lifestyle habits also after receiving a diagnosis of hypertension or diabetes mellitus, type 2. This study contributes to enhanced knowledge of how patients experience lifestyle change after counselling in primary care. Both experiential and behavioural processes as defined by the transtheoretical model of behaviour change were used to make lifestyle changes by the patients in this study.
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spelling pubmed-74700762020-09-15 “It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change Lönnberg, Lena Damberg, Mattias Revenäs, Åsa Scand J Prim Health Care Research Articles OBJECTIVE: Despite knowledge of the effect of lifestyle changes in preventing cardiovascular disease, a large proportion of people have unhealthy lifestyle habits. The aim of our study is a) to explore the experiences of participants at high risk of CVD of lifestyle change after participation in a one-year structured lifestyle counselling programme and b) to link the techniques and strategies used by the participants to the processes of the transtheoretical model of behaviour change (TTM). DESIGN: A qualitative explorative design was used to collect data on participants’ experiences. An abductive content analysis was conducted using the processes within TTM for the deductive analysis. SETTING: Patients that participated in a one-year lifestyle counselling programme in Swedish primary care, were interviewed. SUBJECTS: Eight men and eight women, aged 51–75 years, diagnosed with hypertension or type 2 diabetes mellitus. MAIN OUTCOME MEASURES: Experiences of lifestyle change in patients at high cardiovascular risk. RESULTS: The analysis yielded four dimensions that assisted lifestyle change: ‘The value of knowledge’, ‘Taking control’, ‘Gaining trust in oneself’ and ‘Living with a chronic condition’. The theme ‘It’s up to me’ illustrated that lifestyle change was a personal matter and responsibility. CONCLUSION: Enhanced knowledge, self-efficacy, support from others and the individual’s insight that it was his/her own decisions and actions that mattered were core factors to adopt healthier lifestyle habits. Practice Implications: KEY POINTS: A large proportion of people persist to have unhealthy lifestyle habits also after receiving a diagnosis of hypertension or diabetes mellitus, type 2. This study contributes to enhanced knowledge of how patients experience lifestyle change after counselling in primary care. Both experiential and behavioural processes as defined by the transtheoretical model of behaviour change were used to make lifestyle changes by the patients in this study. Taylor & Francis 2020-07-17 /pmc/articles/PMC7470076/ /pubmed/32677859 http://dx.doi.org/10.1080/02813432.2020.1794414 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Lönnberg, Lena
Damberg, Mattias
Revenäs, Åsa
“It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change
title “It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change
title_full “It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change
title_fullStr “It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change
title_full_unstemmed “It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change
title_short “It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change
title_sort “it’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7470076/
https://www.ncbi.nlm.nih.gov/pubmed/32677859
http://dx.doi.org/10.1080/02813432.2020.1794414
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