Vascular Research Unit, Department of Surgery, Regional Hospital Central Denmark, Viborg, Denmark.
Department of Clinical Medicine, Aarhus University, Denmark.
Health Expect. 2021 Jun;24(3):880-891. doi: 10.1111/hex.13228. Epub 2021 Mar 24.
Knowledge is lacking about how to increase uptake among people with type 2 diabetes (T2D) invited to preventive initiatives like cardiovascular screening.
To explore how to improve participation of people with T2D in cardiovascular screening using patient and public involvement (PPI).
Patient and public involvement was included in a qualitative research design. From April to October 2019, we invited 40- to 60-year-old people with T2D (n = 17) to individual consultative meetings, using an interviewing approach. Before the interviews, participants were asked to read a proposed invitation letter to be used in a cardiovascular screening programme. Inductive content analysis was undertaken.
Participants considered cardiovascular screening important and beneficial from both a personal and social perspective. We found that the relational interaction between the person with T2D and the health-care professional was key to participation and that nudging captured through the design of the screening programme and the wording of the invitation letter was requested.
In preventive initiatives perceived as meaningful by the invitee, a focus on recruitment is crucial to facilitate participation. This study contributed with knowledge about how to promote participation by involving health-care professionals in recruitment initiatives and through nudging. This knowledge may assist researchers, policymakers and ethicists' understanding and assessment of the ethical appropriateness and public acceptability of nudging in cardiovascular screening.
By consulting 17 people with T2D, we are now in a position to suggest how a screening initiative should be altered because tools to improve uptake have been identified.
对于如何提高 2 型糖尿病（T2D）患者参与心血管筛查等预防措施的积极性，我们知之甚少。
探索如何利用患者和公众参与（PPI）提高 T2D 患者参与心血管筛查的积极性。
本研究采用定性研究设计，纳入了患者和公众参与。2019 年 4 月至 10 月，我们邀请了 17 名年龄在 40 至 60 岁之间的 T2D 患者参加了个体咨询会议，并采用访谈的方式进行。在访谈之前，参与者被要求阅读拟用于心血管筛查计划的邀请信。我们采用了归纳式内容分析法进行分析。
参与者认为心血管筛查从个人和社会角度来看都是重要且有益的。我们发现，T2D 患者与医疗保健专业人员之间的关系互动是参与的关键，并且需要通过筛查计划的设计和邀请信的措辞来实现这种推动。
在被邀请者认为有意义的预防措施中，关注招募对于促进参与至关重要。本研究为如何通过让医疗保健专业人员参与招募活动以及通过推动来促进参与提供了知识。这些知识可以帮助研究人员、政策制定者和伦理学家理解和评估在心血管筛查中推动的伦理适当性和公众可接受性。
通过咨询 17 名 T2D 患者，我们现在可以提出应该如何改变筛查计划，因为已经确定了提高参与度的工具。
