Key result
Participants identified social support (62.6%), patient education (83.5%), mental health (50.7%), and lifestyle changes (85.1%) as the four major priorities for services in ASCVD clinical programs.
Why the study?
Optimal design of clinical programs for patients with premature ASCVD requires an understanding of patient and family priorities for services.
Understanding patient priorities such as social support, education, mental health, and lifestyle changes is crucial for designing effective, patient-oriented secondary prevention programs for young adults with ASCVD.
Aligning programs with patient priorities may boost engagement in young ASCVD care; supports patient-centered design but requires prospective trials.
BACKGROUND: Optimal design of clinical programs for patients with premature atherosclerotic cardiovascular disease (ASCVD) (men aged ≤ 50 years, women aged ≤ 55 years) requires an understanding of their priorities. We aimed to explore patient and family priorities for services in clinical programs. METHODS: olumbia (SAVE BC) (n = 15). In Phase II, we designed a questionnaire based on Phase I data and distributed it to all current SAVE BC participants. We collected close-ended responses (n = 116) and stratified data using participant category (index, family member), age, sex, and number of clinic visits. RESULTS: We identified 4 major priorities for services in clinical programs: social support (weight: 62.6%), patient education (weight: 83.5%), mental health (weight: 50.7%), and lifestyle changes (85.1%). To address these priorities, participants wanted ASCVD clinical programs to enable recruitment of their family members, establish a comprehensive education component (with research updates in research programs), deliver mental health screening and support after myocardial infarction, and provide longitudinal sessions to support maintenance of lifestyle modifications. These services were identified in Phase I and verified in Phase II. CONCLUSION: We identified 4 priorities for services in clinical programs designed for patients with premature ASCVD and their families. Further research should be done to elucidate their outcomes and most effective methods to provide these services.
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Cho et al. (2019) studied Premature atherosclerotic cardiovascular disease (ASCVD) (n=116). Clinical program services was evaluated on Patient and family priorities for services in clinical programs. Participants identified social support (62.6%), patient education (83.5%), mental health (50.7%), and lifestyle changes (85.1%) as the four major priorities for services in ASCVD clinical programs.
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