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Characteristics and motives of non-responders in a stepwise cardiometabolic disease prevention program in primary care
BACKGROUND: A high response rate is an important condition for effective prevention programs. We aimed at gaining insight into the characteristics and motives of non-responders in different stages of a stepwise prevention program for cardiometabolic diseases (CMD) in primary care. METHODS: We perfor...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565495/ https://www.ncbi.nlm.nih.gov/pubmed/33970254 http://dx.doi.org/10.1093/eurpub/ckab060 |
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author | Badenbroek, Ilse F Nielen, Markus M J Hollander, Monika Stol, Daphne M de Wit, Niek J Schellevis, François G |
author_facet | Badenbroek, Ilse F Nielen, Markus M J Hollander, Monika Stol, Daphne M de Wit, Niek J Schellevis, François G |
author_sort | Badenbroek, Ilse F |
collection | PubMed |
description | BACKGROUND: A high response rate is an important condition for effective prevention programs. We aimed at gaining insight into the characteristics and motives of non-responders in different stages of a stepwise prevention program for cardiometabolic diseases (CMD) in primary care. METHODS: We performed a non-response analysis within a randomized controlled trial assessing the effectiveness of a stepwise CMD prevention program in the Netherlands. Patients between 45 and 70 years without known CMD were invited for stage 1 of the program, completing a CMD risk score. Patients with an increased risk were advised to visit their general practice for additional measurements, stage 2 of the program. We analyzed determinants of non-response using data from the risk score, electronic medical records, questionnaires and Statistics Netherlands. RESULTS: Non-response in stage 1 was associated with a younger age, male sex, a migration background, a low prosperity score, self-employment, being single and having lower consultations rates in general practice. Non-response in stage 2 was associated with a low prosperity score, being employed, having no chronic illness, smoking, a normal waist circumference, a negative family history for cardiovascular disease or diabetes and having a lower consultation rate. More than half of the non-responders in stage 2 reported not visiting the GP because they did not expect to have any CMD, despite their increased risk. CONCLUSIONS: To achieve a larger and more equal uptake of prevention programs for CMD, we should use methods adapted to characteristics of non-responders, such as targeted invitation methods and improved risk communication. |
format | Online Article Text |
id | pubmed-8565495 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-85654952021-11-04 Characteristics and motives of non-responders in a stepwise cardiometabolic disease prevention program in primary care Badenbroek, Ilse F Nielen, Markus M J Hollander, Monika Stol, Daphne M de Wit, Niek J Schellevis, François G Eur J Public Health Health Promotion BACKGROUND: A high response rate is an important condition for effective prevention programs. We aimed at gaining insight into the characteristics and motives of non-responders in different stages of a stepwise prevention program for cardiometabolic diseases (CMD) in primary care. METHODS: We performed a non-response analysis within a randomized controlled trial assessing the effectiveness of a stepwise CMD prevention program in the Netherlands. Patients between 45 and 70 years without known CMD were invited for stage 1 of the program, completing a CMD risk score. Patients with an increased risk were advised to visit their general practice for additional measurements, stage 2 of the program. We analyzed determinants of non-response using data from the risk score, electronic medical records, questionnaires and Statistics Netherlands. RESULTS: Non-response in stage 1 was associated with a younger age, male sex, a migration background, a low prosperity score, self-employment, being single and having lower consultations rates in general practice. Non-response in stage 2 was associated with a low prosperity score, being employed, having no chronic illness, smoking, a normal waist circumference, a negative family history for cardiovascular disease or diabetes and having a lower consultation rate. More than half of the non-responders in stage 2 reported not visiting the GP because they did not expect to have any CMD, despite their increased risk. CONCLUSIONS: To achieve a larger and more equal uptake of prevention programs for CMD, we should use methods adapted to characteristics of non-responders, such as targeted invitation methods and improved risk communication. Oxford University Press 2021-05-10 /pmc/articles/PMC8565495/ /pubmed/33970254 http://dx.doi.org/10.1093/eurpub/ckab060 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Health Promotion Badenbroek, Ilse F Nielen, Markus M J Hollander, Monika Stol, Daphne M de Wit, Niek J Schellevis, François G Characteristics and motives of non-responders in a stepwise cardiometabolic disease prevention program in primary care |
title | Characteristics and motives of non-responders in a stepwise
cardiometabolic disease prevention program in primary care |
title_full | Characteristics and motives of non-responders in a stepwise
cardiometabolic disease prevention program in primary care |
title_fullStr | Characteristics and motives of non-responders in a stepwise
cardiometabolic disease prevention program in primary care |
title_full_unstemmed | Characteristics and motives of non-responders in a stepwise
cardiometabolic disease prevention program in primary care |
title_short | Characteristics and motives of non-responders in a stepwise
cardiometabolic disease prevention program in primary care |
title_sort | characteristics and motives of non-responders in a stepwise
cardiometabolic disease prevention program in primary care |
topic | Health Promotion |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565495/ https://www.ncbi.nlm.nih.gov/pubmed/33970254 http://dx.doi.org/10.1093/eurpub/ckab060 |
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