Key result
A specialized postpartum cardiovascular risk-reduction clinic for females with prior hypertensive disorders of pregnancy resulted in 79% being very satisfied and 95% making preventive behavior changes.
Why the study?
Females with hypertensive disorders of pregnancy have increased lifelong cardiovascular disease risk and guidelines recommend follow-up, but patient experiences with specialized longitudinal postpartum cardiovascular risk reduction clinics needed evaluation.
Does a specialized postpartum cardiovascular risk-reduction clinic improve patient satisfaction and preventive health behaviors in females with prior hypertensive disorders of pregnancy?
Observational (n=42)
Does a specialized postpartum cardiovascular risk-reduction clinic improve patient satisfaction and preventive health behaviors in females with prior hypertensive disorders of pregnancy?
A specialized, longitudinal postpartum cardiovascular risk-reduction clinic for females with prior hypertensive disorders of pregnancy is associated with high patient satisfaction and positive changes in preventive health behaviors.
Answers are grounded in this paper and cite their sources.
Supports integration of specialized postpartum clinics into care; extends evidence for targeted prevention after hypertensive disorders of pregnancy.
BackgroundFemales who experience a hypertensive disorders of pregnancy (HDP) have an increased lifelong risk of cardiovascular diseases. Thus, Canadian clinical practice guidelines recommend cardiovascular risk reduction follow-up after HDP. This study examined the experiences of patients with HDP who attended a specialized, longitudinal General Internal Medicine (GIM) postpartum cardiovascular risk reduction clinic called PreVASC. PreVASC focuses on comprehensive cardiovascular risk reduction through cardiovascular risk factor screening and management tailored specifically for females after HDP.MethodsThis multi-method study examined the experiences of females with HDP through: 1) quantitative survey (summarized with descriptive statistics); 2) semi-structured qualitative patient phone interviews (results grouped thematically); and 3) triangulation of qualitative themes with quantitative survey results.ResultsOverall, 37% (42 of 115) of eligible clinic patients participated, 79% (n=33) of participants reported being “very satisfied” with the PreVASC clinic’s specialized longitudinal model of care and 95% (n=40) reported making at least one preventive health behavior change after receiving individualized counselling on cardiovascular risk reduction. Qualitative results found improvements in patient-reported cardiovascular health knowledge, health behaviours and health-related anxiety. A preference for in-person vs. telephone clinic visits was reported by participants.ConclusionAn in-person, GIM specialist-led, longitudinal model of CVD preventive care focused specifically on cardiovascular risk reduction after HDP had positive impacts on patient experience, health knowledge and preventive health behaviours. This novel knowledge on patient preferences for a longitudinal, specialized model of care advances cardiovascular risk reduction tailored specifically for high-risk people after HDP. Females who experience a hypertensive disorders of pregnancy (HDP) have an increased lifelong risk of cardiovascular diseases. Thus, Canadian clinical practice guidelines recommend cardiovascular risk reduction follow-up after HDP. This study examined the experiences of patients with HDP who attended a specialized, longitudinal General Internal Medicine (GIM) postpartum cardiovascular risk reduction clinic called PreVASC. PreVASC focuses on comprehensive cardiovascular risk reduction through cardiovascular risk factor screening and management tailored specifically for females after HDP. This multi-method study examined the experiences of females with HDP through: 1) quantitative survey (summarized with descriptive statistics); 2) semi-structured qualitative patient phone interviews (results grouped thematically); and 3) triangulation of qualitative themes with quantitative survey results. Overall, 37% (42 of 115) of eligible clinic patients participated, 79% (n=33) of participants reported being “very satisfied” with the PreVASC clinic’s specialized longitudinal model of care and 95% (n=40) reported making at least one preventive health behavior change after receiving individualized counselling on cardiovascular risk reduction. Qualitative results found improvements in patient-reported cardiovascular health knowledge, health behaviours and health-related anxiety. A preference for in-person vs. telephone clinic visits was reported by participants. An in-person, GIM specialist-led, longitudinal model of CVD preventive care focused specifically on cardiovascular risk reduction after HDP had positive impacts on patient experience, health knowledge and preventive health behaviours. This novel knowledge on patient preferences for a longitudinal, specialized model of care advances cardiovascular risk reduction tailored specifically for high-risk people after HDP.
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Nix et al. (2023) conducted an observational in Hypertensive disorders of pregnancy (n=42). PreVASC specialized postpartum cardiovascular risk reduction clinic was evaluated on Being very satisfied with the specialized longitudinal model of care. A specialized postpartum cardiovascular risk-reduction clinic for females with prior hypertensive disorders of pregnancy resulted in 79% being very satisfied and 95% making preventive behavior changes.
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