Generating personalised cardiovascular risk management educational interventions linking SCORE and behaviour change

Selena Davis, Syed Abidi, Jafna Cox

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

2 Citas (Scopus)

Resumen

Quality and timely patient education can reduce cardiovascular disease risk. The PULSE (Personalisation Using Linkages of SCORE and behaviour change readiness to Web-based Education) project objective is to design a Web-based personalised educational intervention for the management of cardiovascular risk. The intervention is based on a patient profile generated by combining: (i) an electronic data capture template (DCT); (ii).the Systematic COronary Risk Evaluation (SCORE) algorithm for ten-year risk assessment for fatal cardiovascular disease; and (iii) a Stage determination model for behavioural change readiness. The DCT inherently contains a set of evidence-based parameters for disease evaluation and management. The SCORE estimation directs the selection of clinical guideline target values for risk factors. The patient's Stage of Change determines messages consistent with the individual's behaviour change processes, decisional balance, and self-efficacy. The interventions are designed to address both medical and psychosocial aspects of risk management and, as such, staged lifestyle modification materials and non-staged messages based on Canadian clinical guidelines are combined to motivate personal risk management. The personalisation decision logic is represented in Medical Logic Modules and implemented in Java. The system design is a Web-based system so that it can generate and deliver personally relevant educational materials to the patient. The PULSE educational process is initiated by a healthcare professional in a primary care setting. A system prototype has been developed and evaluated including system testing specific to the accurate functioning of the personalisatiorn decision logic - i.e. accurate selection of personalised messages for a given patient profile.

Idioma originalEnglish
Páginas (desde-hasta)73-82
Número de páginas10
PublicaciónJournal on Information Technology in Healthcare
Volumen6
N.º1
EstadoPublished - feb. 1 2008

ASJC Scopus Subject Areas

  • Health Informatics
  • Health Information Management

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