Introduction/Background: The American Heart Association’s Life’s Essential 8 (LE8) is a cardiovascular health (CVH) framework assigning scores to eight CVH metrics, inversely associated with cardiovascular disease (CVD) risk. We aimed to assess patient perspectives on completing LE8 questionnaires and receiving LE8 scores as a means to promote behavior change. This evaluation used an inductive, data-driven qualitative approach. Objectives: To identify: (1) patient perspectives on completing LE8 questionnaires, and (2) how best to provide LE8 CVH scores to motivate improvements in CVH. Methods: This qualitative observational study recruited adult patients who completed the LE8 questionnaire, had video conferencing access, and were fluent in English. Participants were invited to semi-structured interviews about their experience with the LE8 questionnaire and perceptions of the resulting score. Transcripts were coded independently by three researchers to develop preliminary codebooks. A finalized codebook was created with input from the entire study team and was applied to all transcripts in Dedoose. Codes were grouped into themes, and thematic frequency was calculated based on the number of quotes per theme. Results were ranked by prevalence. The process was applied to each research question. Results: Four overarching themes were identified per question (Table 1). For question one, the most common theme was “logistical interpretation of the questionnaire and results.” Many participants reported not noticing their LE8 CVH score in the after-visit summary. However, most found the questionnaire easy to complete and the score understandable when seen. For question two, the most common theme was “retrieval of CVH score results and accessibility.” Participants preferred receiving their LE8 score by text, email, or phone—separate from the after-visit summary. They recommended including a short summary explaining the score’s meaning and suggested actions. Conclusion: This initiative highlights the need to optimize LE8 delivery. While patients found the questionnaire easy to complete, they suggested reducing redundancy and allowing updates to prior responses. Most did not recall seeing their score in the after-visit summary and preferred separate, direct communication. Patients also expressed a desire to review their score with clinicians. Incorporating LE8 discussions into clinic visits may enhance engagement and improve CVH outcomes.
Quadir et al. (Tue,) studied this question.