Cardiovascular absolute risk assessment and management: Engagement and outcomes in general practice patients

Aim
To explore patients’ engagement and outcomes in cardiovascular absolute risk assessment and management in general practice.

Methods
In depth interviews (25 with patients, five with general practitioners) were conducted. Questionnaires and medical record audits were used to collect quantitative information before and after the intervention.

Results
Patient self assessment of risk before consultation helped to motivate and reinforce patient self care and to prompt GPs to initiate risk discussion. General practitioners’ use of a cardiovascular absolute risk calculator as an aid in making decisions and in negotiating and sharing care with patients helped engage patients during the consultations and motivate them to change their behaviours. Cardiovascular absolute risk consultations improved patients’ understanding and awareness of cardiovascular disease risk and self management in the short term.

Discussion
The study demonstrates that a feasible intervention for cardiovascular absolute risk assessment and management in primary care settings had a positive effect on patient attitudes and engagement in their own care for heart risk.