Key result
Communication about the potential of lifestyle change to reduce future risk was largely missing, causing uncertainty, anxiety, and disengagement with lifestyle change among patients with CHD.
Why the study?
Health education drives lifestyle change in coronary heart disease, but little is known about how patients experience this education and risk communication.
Systematic Review (n=1,325)
Clear, empathetic, and open risk communication by health professionals is crucial for engaging coronary heart disease patients in secondary prevention and lifestyle changes.
Answers are grounded in this paper and cite their sources.
Clinicians must integrate explicit lifestyle risk discussions into CHD care; confirms communication gaps as key barriers to secondary prevention adherence.
Coronary heart disease (CHD) has no cure, and patients with myocardial infarction are at high risk for further cardiac events. Health education is a key driver for patients' understanding and motivation for lifestyle change, but little is known about patients' experience of such education. In this review, we aimed to explore how patients with CHD experience health education and in particular risk communication. A total of 2,221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized using thematic analysis. Findings show that both "what" was communicated, and "the way" it was communicated, had the potential to influence patients' engagement with lifestyle changes. Communication about the potential of lifestyle change to reduce future risk was largely missing causing uncertainty, anxiety, and, for some, disengagement with lifestyle change. Recommendations for ways to improve health education and risk communication are discussed to inform international practice.
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Mentrup et al. (2019) conducted a systematic review in Coronary heart disease (CHD) (n=1,325). Health education and risk communication was evaluated on Patients' experiences of health education and risk communication. Communication about the potential of lifestyle change to reduce future risk was largely missing, causing uncertainty, anxiety, and disengagement with lifestyle change among patients with CHD.
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