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dc.contributor.authorGidlow, Christopher
dc.contributor.authorEllis, Naomi
dc.contributor.authorCowap, Lisa
dc.contributor.authorRiley, Victoria
dc.contributor.authorCrone, Diane
dc.contributor.authorCottrell, Elizabeth
dc.contributor.authorGrogan, Sarah
dc.contributor.authorChambers, Ruth
dc.contributor.authorClark-Carter, David
dc.date.accessioned2020-10-06T16:02:45Z
dc.date.available2020-10-06T16:02:45Z
dc.date.issued2020-09-25
dc.identifier.citationGidlow, C.J., Ellis, N.J., Cowap, L., Riley, V.A., Crone, D., Cottrell, E., Grogan, S., Chambers, R. and Clark-Carter, D. (2020) Quantitative examination of video-recorded NHS Health Checks: comparison of the use of QRISK2 versus JBS3 cardiovascular risk calculators. BMJ open, 10(9), p.e037790.en_US
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/10369/11162
dc.descriptionArticle published in BMJ Open available open access at http://dx.doi.org/10.1136/bmjopen-2020-037790en_US
dc.description.abstractObjectives Quantitatively examine the content of National Health Service Health Check (NHSHC), patient–practitioner communication balance and differences when using QRISK2 versus JBS3 cardiovascular disease (CVD) risk calculators. Design RIsk COmmunication in NHSHC was a qualitative study with quantitative process evaluation, comparing NHSHC using QRISK2 or JBS3. We present data from the quantitative process evaluation. Setting and participants Twelve general practices in the West Midlands (England) conducted NHSHC using JBS3 or QRISK2 (6/group). Patients were eligible for NHSHC based on national criteria (aged 40–74, no existing cardiovascular-related diagnoses, not taking statins). Recruitment was stratified by patients’ age, gender and ethnicity. Methods Video recordings of NHSHC were coded, second-by-second, to quantify who was speaking and what was being discussed. Outcomes included consultation duration, practitioner verbal dominance (ratio of practitioner:patient speaking time (pr:pt ratio)) and proportion of time discussing CVD risk, risk factors and risk management. Results 173 video-recorded NHSHC were analysed (73 QRISK, 100 JBS3). The sample was 51% women, 83% white British, with approximately equal proportions across age groups. NHSHC duration varied greatly (6.8–38.0 min). Most (60%) lasted less than 20 min. On average, CVD risk was discussed for less than 2 min (9.06%±4.30% of consultation time). There were indications that, compared with NHSHC using JBS3, those with QRISK2 involved less CVD risk discussion (JBS3 M=10.24%, CI: 8.01–12.48 vs QRISK2 M=7.44%, CI: 5.29–9.58) and were more verbally dominated by practitioners (pr:pt ratio JBS3 M=3.21%, CI: 2.44–3.97 vs QRISK2=2.35%, CI: 1.89–2.81). The largest proportion of NHSHC time was spent discussing causal risk factors (M=37.54%, CI: 32.92–42.17). Conclusions There was wide variation in NHSHC duration. Many were short and practitioner-dominated, with little time discussing CVD risk. JBS3 appears to extend CVD risk discussion and patient contribution. Qualitative examination of how it is used is necessary to fully understand the potential benefits of these differences.en_US
dc.language.isoenen_US
dc.publisherBMJen_US
dc.relation.ispartofseriesBMJ Open;
dc.titleQuantitative examination of video-recorded NHS Health Checks: comparison of the use of QRISK2 versus JBS3 cardiovascular risk calculatorsen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1136/bmjopen-2020-037790
dcterms.dateAccepted2020-08-04
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US
rioxxterms.versionVoRen_US
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/en_US
rioxxterms.licenseref.startdate2020-10-06
rioxxterms.funder.project37baf166-7129-4cd4-b6a1-507454d1372een_US


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