'Check it out!' Decision-making of vulnerable groups about participation in a two-stage cardiometabolic health check: a qualitative study
Publication year
2015Source
Patient Education and Counseling, 98, 2, (2015), pp. 234-44ISSN
Publication type
Article / Letter to editor
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Organization
Primary and Community Care
Journal title
Patient Education and Counseling
Volume
vol. 98
Issue
iss. 2
Page start
p. 234
Page end
p. 44
Subject
Radboudumc 18: Healthcare improvement science RIHS: Radboud Institute for Health SciencesAbstract
OBJECTIVE: Exploring determinants influencing vulnerable groups regarding (non-) participation in the Dutch two-stage cardiometabolic health check, comprising a health risk assessment (HRA) and prevention consultations (PCs) for high-risk individuals. METHODS: Qualitative study comprising 21 focus groups with non-Western (Surinamese, Turkish, Moroccan) immigrants aged 45-70, adult children from one of these descents, native Dutch with a lower socioeconomic status, and healthcare professionals working with these groups. RESULTS: Reasons for not completing the HRA included (flawed) risk perceptions, health negligence, (health) illiteracy, and language barriers. A face-to-face invitation from a reliable source and community outreach to raise awareness were perceived as facilitating participation. Reasons for not attending the PCs overlapped with completing the HRA but additionally included risk denial, fear about the outcome, its potential consequences (lifestyle changes and medication prescription), and disease-related stigma. CONCLUSION: Reasons for not completing the HRA were mainly cognitive, whereas reasons for not attending the PCs were also affective. PRACTICE IMPLICATIONS: When designing a two-stage health check, choice of invitation method seems important, as does training healthcare professionals in techniques to effectively handle patients' (flawed) risk perceptions and attitudinal ambivalence. Focus should be on promoting informed choices by providing accurate information.
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- Academic publications [238441]
- Faculty of Medical Sciences [90373]
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