3 results on '"Marta Sanz Sanz"'
Search Results
2. A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study-A pragmatic, cluster-randomized trial.
- Author
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Esperanza Escortell-Mayor, Isabel Del Cura-González, Elena Ojeda-Ruiz, Teresa Sanz-Cuesta, Isidro Rodríguez-Salceda, Jesús García-Soltero, María-José Rojas-Giraldo, Pedro Herrera-Municio, Alicia Jorge-Formariz, Ángela Lorenzo-Lobato, Luisa Cabello-Ballesteros, Rosario Riesgo-Fuertes, Sofía Garrido-Elustondo, Mariel Morey-Montalvo, Milagros Rico-Blázquez, Ricardo Rodríguez-Barrientos, María-Dolores Fuente-Arriaran, Gloria Sierra-Ocaña, Encarnación Serrano-Serrano, Carmelina Sanz-Velasco, Roberto Carrascoso-Calvo, Juan Carlos Recio-Velasco, Marta Sanz-Sanz, Mercedes Rumayor-Zarzuelo, Olga-Inés Bermejo-Mayoral, Josefina Galán-Esteban, Antonio Sarría-Santamera, and Educore Group
- Subjects
Medicine ,Science - Abstract
PURPOSE:Uncertainty exists regarding the best way to communicate cardiovascular risk (CVR) to patients, and it is unclear whether the comprehension and perception of CVR varies according to the format used. The aim of the present work was to determine whether a strategy designed for communicating CVR information to patients with poorly controlled high blood pressure (HBP), but with no background of cardiovascular disease, was more effective than usual care in the control of blood pressure (BP) over the course of a year. METHODS:A pragmatic, two-arm, cluster-randomized controlled trial was performed. Consecutive patients aged 40-65 years, all diagnosed with HBP in the last 12 months, and all of whom showed poor control of their condition (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg), were recruited at 22 primary healthcare centres. Eleven centres were randomly assigned to the usual care arm, and 11 to the informative intervention arm (Educore arm). At the start of the study, the Educore arm subjects were shown the "low risk SCORE table", along with impacting images and information pamphlets encouraging the maintenance of good cardiovascular health. The main outcome variable measured was the control of HBP; the secondary outcome variables were SCORE table score, total plasma cholesterol concentration, use of tobacco, adherence to prescribed treatment, and quality of life. RESULTS:The study participants were 411 patients (185 in the Educore arm and 226 in the usual care arm). Multilevel logistic regression showed that, at 12 months, the Educore intervention achieved better control of HBP (OR = 1.57; 1.02 to 2.41). No statistically significant differences were seen between the two arms at 12 months with respect to the secondary outcomes. CONCLUSIONS:Compared to usual care, the Educore intervention was associated with better control of HBP after adjusting for age, baseline SBP and plasma cholesterol, at 12 months.
- Published
- 2020
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3. A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study-A pragmatic, cluster-randomized trial
- Author
-
Mariel Morey-Montalvo, Sofía Garrido-Elustondo, Isidro Rodríguez-Salceda, Alicia Jorge-Formariz, Mercedes Rumayor-Zarzuelo, Isabel del Cura-González, Carmelina Sanz-Velasco, Luisa Cabello-Ballesteros, Roberto Carrascoso-Calvo, Rosario Riesgo-Fuertes, Antonio Sarría-Santamera, Elena Ojeda-Ruiz, Ricardo Rodríguez-Barrientos, Esperanza Escortell-Mayor, Jesús García-Soltero, María-José Rojas-Giraldo, Juan Carlos Recio-Velasco, Marta Sanz-Sanz, Josefina Galán-Esteban, Ángela Lorenzo-Lobato, Milagros Rico-Blázquez, Olga-Inés Bermejo-Mayoral, Teresa Sanz-Cuesta, Encarnación Serrano-Serrano, Pedro Herrera-Municio, Gloria Sierra-Ocaña, María-Dolores Fuente-Arriaran, Instituto de Salud Carlos III, and Ministerio de Ciencia e Innovación (España)
- Subjects
Male ,Social Sciences ,Blood Pressure ,Disease ,030204 cardiovascular system & hematology ,Cardiovascular Medicine ,Biochemistry ,Vascular Medicine ,law.invention ,0302 clinical medicine ,Randomized controlled trial ,Quality of life ,Sociology ,law ,Early Intervention, Educational ,Medicine and Health Sciences ,030212 general & internal medicine ,Cluster randomised controlled trial ,Multidisciplinary ,Framingham Risk Score ,Drugs ,Middle Aged ,Lipids ,Cholesterol ,Cardiovascular Diseases ,Hypertension ,Medicine ,Female ,Research Article ,Adult ,medicine.medical_specialty ,Patients ,Science ,Diastole ,MEDLINE ,Medication Adherence ,03 medical and health sciences ,Patient Education as Topic ,medicine ,Humans ,Antihypertensive Agents ,Aged ,Pharmacology ,Primary Health Care ,business.industry ,Biology and Life Sciences ,Communications ,Health Care ,Blood pressure ,Physical therapy ,Quality of Life ,business ,Antihypertensives - Abstract
PURPOSE: Uncertainty exists regarding the best way to communicate cardiovascular risk (CVR) to patients, and it is unclear whether the comprehension and perception of CVR varies according to the format used. The aim of the present work was to determine whether a strategy designed for communicating CVR information to patients with poorly controlled high blood pressure (HBP), but with no background of cardiovascular disease, was more effective than usual care in the control of blood pressure (BP) over the course of a year. METHODS: A pragmatic, two-arm, cluster-randomized controlled trial was performed. Consecutive patients aged 40-65 years, all diagnosed with HBP in the last 12 months, and all of whom showed poor control of their condition (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg), were recruited at 22 primary healthcare centres. Eleven centres were randomly assigned to the usual care arm, and 11 to the informative intervention arm (Educore arm). At the start of the study, the Educore arm subjects were shown the "low risk SCORE table", along with impacting images and information pamphlets encouraging the maintenance of good cardiovascular health. The main outcome variable measured was the control of HBP; the secondary outcome variables were SCORE table score, total plasma cholesterol concentration, use of tobacco, adherence to prescribed treatment, and quality of life. RESULTS: The study participants were 411 patients (185 in the Educore arm and 226 in the usual care arm). Multilevel logistic regression showed that, at 12 months, the Educore intervention achieved better control of HBP (OR = 1.57; 1.02 to 2.41). No statistically significant differences were seen between the two arms at 12 months with respect to the secondary outcomes. CONCLUSIONS: Compared to usual care, the Educore intervention was associated with better control of HBP after adjusting for age, baseline SBP and plasma cholesterol, at 12 months. This study was funded by the Spanish Ministry of Science and Innovation via the Instituto de Salud Carlos III, Subprograma de Proyectos de Investigación en Evaluación de Tecnologías Sanitarias y Servicios de Salud (PI 09/90354), and the Fundación de Investigación e Innovación Biomédica en Atención Primaria (FIIBAP). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript Sí
- Published
- 2020
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