University of Montreal Hospital Research Centre (CRCHUM), 850, rue St-Denis, Montreal, Canada.
Department of Family and Emergency Medicine, University of Montreal, Montreal, Canada.
BMC Public Health. 2021 Mar 12;21(1):497. doi: 10.1186/s12889-021-10558-6.
Chronic diseases are responsible for over 70% of all deaths globally. While some self-management programs have been shown to be efficacious in preventing or altering trajectories for some chronic conditions, scaling-up and sustaining such programs beyond tightly-controlled study conditions remain a major challenge. CISSS-Laval partnered with the Cardiovascular Health Awareness Program team to co-develop Cible-santé/prévention and evaluate the first cohort of participants enrolled in the program, in order to better understand the program's implementation and scope. The objective of the current study was to describe the profile of attendees and the level of engagement of participants in a new, region-wide cardiometabolic disease self-management program offered in Laval, Canada.
This was a prospective study with no comparison group. Potential participants were identified and referred to the program from April to December 2015 by their primary care health professional practicing in one of the city's interdisciplinary primary care clinics. They had their blood pressure, waist circumference and body mass index measured by trained volunteers, and completed a questionnaire on health habits, level of activation and the risk of developing prediabetes and type 2 diabetes over the next 10 years.
A descriptive analysis of the first cohort of 141 Cible-Santé/prévention participants showed very low attendance. Furthermore, only 1 in 10 of enrolled participants completed the full program. The program typically attracted adults with some risk factors associated with their conditions (high waist circumference, obesity), but with an already high level of knowledge, skills and confidence to participate in self-management activities.
This study provides a portrait of new participants to a self-management cardiometabolic disease program, which highlights the potential of supporting patients ready to make changes but also exposes the difficulty of attracting a larger number and diversity of participants and in encouraging completion of the program.
慢性疾病在全球造成的死亡占比超过 70%。虽然一些自我管理项目已被证明在预防或改变某些慢性疾病的轨迹方面有效，但在严格控制的研究条件之外扩大和维持这些项目仍然是一个主要挑战。CISSS-拉瓦尔与心血管健康意识项目团队合作，共同开发 Cible-santé/prévention，并评估该项目的首批参与者，以更好地了解该项目的实施和范围。本研究的目的是描述参加者的特征以及参与者在加拿大拉瓦尔地区提供的新的、区域性心血管代谢疾病自我管理计划中的参与程度。
这是一项没有对照组的前瞻性研究。潜在的参与者是通过他们在城市的一个跨学科初级保健诊所工作的初级保健医疗专业人员从 2015 年 4 月至 12 月被识别并被推荐到该项目的。他们的血压、腰围和体重指数由经过培训的志愿者测量，并完成了一份关于健康习惯、激活程度以及未来 10 年内发展为前驱糖尿病和 2 型糖尿病风险的问卷。
对 Cible-Santé/prévention 项目的首批 141 名参与者进行的描述性分析显示，出勤率非常低。此外，只有十分之一的参与者完成了整个项目。该项目通常吸引了有一些与其疾病相关的风险因素（高腰围、肥胖）的成年人，但他们已经具有较高的知识、技能和信心来参与自我管理活动。
本研究提供了一个新的自我管理心血管代谢疾病计划的参与者画像，突出了支持准备做出改变的患者的潜力，但也暴露了吸引更多数量和多样性的参与者并鼓励完成该计划的困难。
