Association of the state hope and decisional conflict with the outcomes of an educational intervention to decrease cardiovascular risk in women: mixed methods study in primary health care
BackgroundPatient education in lifestyle changes has a positive effect on health in individuals with cardiovascular (CV) risk. We analyzed the effect of an educational intervention on women with different menopausal status in relation to their decisional conflict (DC) about treatment for CV risk and hope that their health will improve according to desired expectations.MethodsThis prospective interventional follow-up study exposed women to the intervention consisted of a 60-minute lecture on the
... nute lecture on the change of lifestyle and nutrition habits to reduce CV risk. We measured the 10-year risk of fatal cardiovascular disease (CVD) and parameters that increase CV risk, the participants filled in 3 questionnaires and six months after the intervention we collected the participants' feedback on the intervention.ResultsOut of 104 participants, 102 (98%) completed the study. The intervention significantly decreased the 10-year risk of fatal CVD at three months from median 3.3 (95% CI = 2.6–4.3) to 2.9 (95% CI = 2.2–3.6) (P < 0.001) regardless of their menopausal status. The intervention decreased decisional conflict for all respondents after the intervention, and it remained significantly lower at 3 months, but the overall state hope did not change. Two predictive factors of reduced CV risk were identified: high 10-year risk of fatal CVD at the beginning of the study (OR = 1.58, 95% CI 1.15–2.13) and smoking status before the intervention (OR = 4.05, 95% CI 1.07–15.51).ConclusionsA brief educational intervention may be effective in reducing CV risk. Hope and decisional conflict seem not to contribute to CV risk reduction, as only poor health and smoking habits were predictive of risk reduction success.Trial registrationTrial was retrospectively registrated in CT.gov in February 28th 2019.Number of protocol: IP-2014-09-7672. Number of registration: NCT03863210.