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A protocol paper: community engagement interventions for cardiovascular disease prevention in socially disadvantaged populations in the UK: an implementation research study
- Source :
- Global Health Research and Policy, Global Health Research and Policy, Vol 5, Iss 1, Pp 1-9 (2020)
- Publication Year :
- 2020
- Publisher :
- BMC, 2020.
-
Abstract
- Background Cardiovascular disorders (CVD) are the single greatest cause of mortality worldwide. In the UK, the National Health Service (NHS) has launched an initiative of health checks over and above current care to tackle CVD. However, the uptake of Health Checks is poor in disadvantaged communities. This protocol paper sets out a UK-based study (Sussex and Nottingham) aiming to co-produce a community delivered CVD risk assessment and coaching intervention to support community members to reduce their risk of CVD. The overall aim of the project is to implement a tailored-to-context community engagement (CE) intervention on awareness of CVD risks in vulnerable populations in high, middle and low-income countries. The specific objectives of the study are to enhance stakeholder’ engagement; to implement lifestyle interventions for cardiovascular primary prevention, in disadvantaged populations and motivate uptake of NHS health checks. Methods This study uses both qualitative and quantitative methods in three phases of evaluation, including pre-, per- and post-implementation. To ensure contextual appropriateness the ‘Scaling-up Packages of Interventions for Cardiovascular disease prevention in selected sites in Europe and Sub-Saharan Africa: An implementation research’ (SPICES) project will organize a multi-component community-engagement intervention. For the qualitative component, the pre-implementation phase will involve a contextual assessment and stakeholder mapping, exploring potentials for CVD risk profiling strategies and led by trained Community Health Volunteers (CHV) to identify accessibility and acceptability. The per-implementation phase will involve healthy lifestyle counselling provided by CHVs and evaluation of the outcome to identify fidelity and scalability. The post-implementation phase will involve developing sustainable community-based strategies for CVD risk reduction. All three components will include a process evaluation. A stepped wedge cluster randomised trial of the roll out will focus on implementation outcomes including uptake and engagement and changes in risk profiles. The quantitative component includes pre and post-intervention surveys. The theory of the socio-ecological framework will be applied to analyse the community engagement approach. Discussion Based on the results ultimately a sustainable community engagement-based strategy for the primary prevention of CVD risk will be developed to enhance the performance of NHS health care in the UK. The Trial Registration number is ISRCTN68334579.
- Subjects :
- Counseling
medicine.medical_specialty
Implementation research
Health (social science)
Epidemiology
Psychological intervention
030204 cardiovascular system & hematology
Risk Assessment
Vulnerable Populations
State Medicine
03 medical and health sciences
Study Protocol
0302 clinical medicine
Nursing
Health care
medicine
Stakeholder analysis
030212 general & internal medicine
Stepped-wedge cluster randomised trial
Community engagement
business.industry
lcsh:Public aspects of medicine
Health Policy
Public health
1. No poverty
Public Health, Environmental and Occupational Health
Community Participation
lcsh:RA1-1270
CVD risk prevention
United Kingdom
3. Good health
Disadvantaged
England
Cardiovascular Diseases
Community health
Human medicine
business
Psychology
Subjects
Details
- Language :
- English
- ISSN :
- 23970642
- Database :
- OpenAIRE
- Journal :
- Global Health Research and Policy, Global Health Research and Policy, Vol 5, Iss 1, Pp 1-9 (2020)
- Accession number :
- edsair.doi.dedup.....a6fa1e2ce544d23eb8c8ac98677b9e21