Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services
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- 作者：Sue Crengle ; Janet Smylie ; Margaret Kelaher ; Michelle Lambert…
- 关键词：Indigenous health ; Health literacy ; Cardiovascular diseases ; Medication knowledge ; Non ; randomized study design ; Clinical trial
- 刊名：BMC Public Health
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：14
- 期：1
- 全文大小：273 KB
- 参考文献：Aboriginal and Torres Strait Islander Health Performance Framework 2012: detailed analyses, Volume IHW 94. AIHW, Canberra
1. Anand, SS, Yusuf, S, Jacobs, R, Davis, AD, Yi, Q, Gerstein, H, Montague, PA, Lonn, E (2001) Risk factors, atherosclerosis, and cardiovascular disease among Aboriginal people in Canada: the Study of Health Assessment and Risk Evaluation in Aboriginal Peoples (SHARE-AP). Lancet 358: pp. 1147-1153 CrossRef
2. Curtis, E, Harwood, M, Riddell, T In: Robson, B, Harris, R eds. (2007) Cardiovascular disease, in Hauora: Màori Standards of Health IV.?A study of the years 2000-005. Te Rōpū Rangahau Hauora a Eru Pōmare, Wellington
3. Tobias, M, Blakely, T, Matheson, D, Rasanathan, K, Atkinson, J (2009) Changing trends in indigenous inequalities in mortality: lessons from New Zealand. Int J Epidemiol 38: pp. 1711-1722 CrossRef
New Zealand Cardiovascular Guidelines Handbook: A summary resource for primary care practitioners. New Zealand Guidelines Group, Wellington
4. Abbott, P, Davison, J, Moore, L (2008) Too many of us have gone early - priorities in heart health education for Aboriginal people. Aust Fam Physician 37: pp. 266-268
5. Riddell, T, Lindsay, G, Kenealy, T, Jackson, R, Crengle, S, Bramley, D, Wells, S, Marshall, R (2008) The accuracy of ethnicity data in primary care and its impact on cardiovascular risk assessment and management--PREDICT CVD-8. N Z Med J 121: pp. 40-48
6. Wells, S, Furness, S, Rafter, N, Horn, E, Whittaker, R, Stewart, A, Moodabe, K, Roseman, P, Selak, V, Bramley, D, Jackson, R (2008) Integrated electronic decision support increases cardiovascular disease risk assessment four fold in routine primary care practice. Eur J Cardiovasc Prev Rehabil 15: pp. 173-178 CrossRef
7. Wells, S, Kerr, A, Broad, J, Riddell, T, Kenealy, T, Jackson, R (2007) The impact of New Zealand CVD risk chart adjustments for family history and ethnicity on eligibility for treatment (PREDICT CVD-5). N Z Med J 120: pp. U2712
8. Riddell, T, Jackson, RT, Wells, S, Broad, J, Bannink, L (2007) Assessing Maori/non-Maori differences in cardiovascular disease risk and risk management in routine primary care practice using web-based clinical decision support: (PREDICT CVD-2). N Z Med J 120: pp. U2445
9. Bannink, L, Wells, S, Broad, J, Riddell, T, Jackson, R (2006) Web-based assessment of cardiovascular disease risk in routine primary care practice in New Zealand: the first 18,000 patients (PREDICT CVD-1). New Zeal Med J 119: pp. U2313
10. Si, D, Bailie, R, Cunningham, J, Robinson, G, Dowden, M, Stewart, A, Connors, C, Weeramanthri, T (2008) Describing and analysing primary health care system support for chronic illness care in Indigenous communities in Australia’s Northern Territory - use of the Chronic Care Model. BMC Health Serv Res 8: pp. 112 CrossRef
11. Wu, JR, Moser, DK, Lennie, TA, Burkhart, PV (2008) Medication adherence in patients who have heart failure: a review of the literature. Nurs Clin 43: pp. 33-53
12. Choiniere, R, Lafontaine, P, Edwards, A (2000) Distribution of cardiovascular risk by socioeconomic status among Canadian adults. CMAJ 162: pp. S13-S24
13. Frijling, BD, Lobo, CM, Keus, IM, Jenks, KM, Akkermans, RP, Hulscher, ME, Prins, A, van der Wouden, JC, Grol, RP (2004) Perceptions of cardiovascular risk among patients with hypertension or diabetes. Patient Educ Counsel 52: pp. 47-53 CrossRef
14. Wagner, J, Lacey, K, Abbott, G, de Groot, M, Chyun, D (2006) Knowledge of heart disease risk in a multicultural community sample. Ann Behav Med 31: pp. 224-230 CrossRef
15. Homko, CJ, Santamore, WP, Zamora, L, Shirk, G, Gaughan, J, Cross, R, Kashem, A, Petersen, S, Bove, AA (2008) Cardiovascular disease knowledge and risk perception among underserved individuals at increased risk of cardiovascular disease. J Cardiovasc Nurs 23: pp. 332-337 CrossRef
16. Mooney, LA, Franks, AM (2009) Evaluation of community health screening participants-knowledge of cardiovascular risk factors. J Am Pharmacists Assoc: JAPhA 49: pp. 529-537
文摘
Background Cardiovascular diseases (CVD) are leading causes of mortality and morbidity among Indigenous people in New Zealand, Australia and Canada and are a major driver of the inequities in life expectancy between Indigenous and non-Indigenous people in these countries. Evidence-based pharmaceutical management of CVD can significantly reduce mortality and morbidity for persons diagnosed with CVD or for those at intermediate or high risk of CVD. Health literacy has been identified as a major barrier in the communication and implementation of appropriate pharmaceutical management plans for CVD. Addressing health literacy is particularly relevant in Indigenous populations where there are unique health and adult literacy challenges. Methods/design This study will examine the effect of a customized, structured CVD medication programme, delivered by health professionals, on the health literacy of Indigenous people with, or at risk, of CVD. Primary outcomes are patient’s knowledge about CVD medications; secondary outcomes examine changes in health literacy skills and practices. The study will employ a multi-site pre-post design with multiple measurement points to assess intervention efficacy. Participants will be recruited from four Indigenous primary care services in Australia, Canada and New Zealand. Three educational sessions will be delivered over four weeks. A tablet application will support the education sessions and produce a customized pill card for each participant. Participants will be provided with written information about CVD medications. Medication knowledge scores, and specific health literacy skills and practices will be assessed before and after the three sessions. Statistical analyses will identify significant changes in outcomes over each session, and from the pre-session one to post-session three time points. Discussion This study will make an important contribution to understanding the effect of a structured primary care-based intervention on CVD health literacy in Indigenous populations. The study also illustrates the incorporation of Indigenous health research principles and processes in clinical trials and provides insights that may be useful in other contexts. Trial registration Australian and New Zealand Clinical Trials Register (ACTRN12612001309875; date of registration 18/12/2012).