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Be SMART: examining the experience of implementing the NHS Health Check in UK primary care

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Be SMART: examining the experience of implementing the NHS Health Check in UK primary care. / Shaw, Rachel; Pattison, Helen M.; Holland, Carol Ann et al.
In: BMC Family Practice, Vol. 16, No. 1, 22.01.2015.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Shaw R, Pattison HM, Holland CA, Cooke R. Be SMART: examining the experience of implementing the NHS Health Check in UK primary care. BMC Family Practice. 2015 Jan 22;16(1). doi: 10.1186/s12875-014-0212-7

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Shaw, Rachel ; Pattison, Helen M. ; Holland, Carol Ann et al. / Be SMART : examining the experience of implementing the NHS Health Check in UK primary care. In: BMC Family Practice. 2015 ; Vol. 16, No. 1.

Bibtex

@article{c037e1ebc80b4d289cf331552da33169,
title = "Be SMART: examining the experience of implementing the NHS Health Check in UK primary care",
abstract = "The NHS Health Check was designed by UK Department of Health to address increased prevalence of cardiovascular disease by identifying risk levels and facilitating behaviour change. It constituted biomedical testing, personalised advice and lifestyle support. The objective of the study was to explore Health Care Professionals{\textquoteright} (HCPs) and patients{\textquoteright} experiences of delivering and receiving the NHS Health Check in an inner-city region of England.MethodsPatients and HCPs in primary care were interviewed using semi-structured schedules. Data were analysed using Thematic Analysis.ResultsFour themes were identified. Firstly, Health Check as a test of {\textquoteleft}roadworthiness{\textquoteright} for people. The roadworthiness metaphor resonated with some patients but it signified a passive stance toward illness. Some patients described the check as useful in the theme, Health check as revelatory. HCPs found visual aids demonstrating levels of salt/fat/sugar in everyday foods and a {\textquoteleft}traffic light{\textquoteright} tape measure helpful in communicating such {\textquoteleft}revelations{\textquoteright} with patients. Being SMART and following the protocolrevealed that few HCPs used SMART goals and few patients spoke of them. HCPs require training to understand their rationale compared with traditional advice-giving. The need for further follow-up revealed disparity in follow-ups and patients were not systematically monitored over time.ConclusionsHCPs{\textquoteright} training needs to include the use and evidence of the effectiveness of SMART goals in changing health behaviours. The significance of fidelity to protocol needs to be communicated to HCPs and commissioners to ensure consistency. Monitoring and measurement of follow-up, e.g., tracking of referrals, need to be resourced to provide evidence of the success of the NHS Health Check in terms of healthier lifestyles and reduced CVD risk.Keywords",
keywords = "Cardiovascular diseases, Public health, Preventive medicine, Health behaviour, Intervention studies, Qualitative research",
author = "Rachel Shaw and Pattison, {Helen M.} and Holland, {Carol Ann} and Richard Cooke",
year = "2015",
month = jan,
day = "22",
doi = "10.1186/s12875-014-0212-7",
language = "English",
volume = "16",
journal = "BMC Family Practice",
issn = "1471-2296",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Be SMART

T2 - examining the experience of implementing the NHS Health Check in UK primary care

AU - Shaw, Rachel

AU - Pattison, Helen M.

AU - Holland, Carol Ann

AU - Cooke, Richard

PY - 2015/1/22

Y1 - 2015/1/22

N2 - The NHS Health Check was designed by UK Department of Health to address increased prevalence of cardiovascular disease by identifying risk levels and facilitating behaviour change. It constituted biomedical testing, personalised advice and lifestyle support. The objective of the study was to explore Health Care Professionals’ (HCPs) and patients’ experiences of delivering and receiving the NHS Health Check in an inner-city region of England.MethodsPatients and HCPs in primary care were interviewed using semi-structured schedules. Data were analysed using Thematic Analysis.ResultsFour themes were identified. Firstly, Health Check as a test of ‘roadworthiness’ for people. The roadworthiness metaphor resonated with some patients but it signified a passive stance toward illness. Some patients described the check as useful in the theme, Health check as revelatory. HCPs found visual aids demonstrating levels of salt/fat/sugar in everyday foods and a ‘traffic light’ tape measure helpful in communicating such ‘revelations’ with patients. Being SMART and following the protocolrevealed that few HCPs used SMART goals and few patients spoke of them. HCPs require training to understand their rationale compared with traditional advice-giving. The need for further follow-up revealed disparity in follow-ups and patients were not systematically monitored over time.ConclusionsHCPs’ training needs to include the use and evidence of the effectiveness of SMART goals in changing health behaviours. The significance of fidelity to protocol needs to be communicated to HCPs and commissioners to ensure consistency. Monitoring and measurement of follow-up, e.g., tracking of referrals, need to be resourced to provide evidence of the success of the NHS Health Check in terms of healthier lifestyles and reduced CVD risk.Keywords

AB - The NHS Health Check was designed by UK Department of Health to address increased prevalence of cardiovascular disease by identifying risk levels and facilitating behaviour change. It constituted biomedical testing, personalised advice and lifestyle support. The objective of the study was to explore Health Care Professionals’ (HCPs) and patients’ experiences of delivering and receiving the NHS Health Check in an inner-city region of England.MethodsPatients and HCPs in primary care were interviewed using semi-structured schedules. Data were analysed using Thematic Analysis.ResultsFour themes were identified. Firstly, Health Check as a test of ‘roadworthiness’ for people. The roadworthiness metaphor resonated with some patients but it signified a passive stance toward illness. Some patients described the check as useful in the theme, Health check as revelatory. HCPs found visual aids demonstrating levels of salt/fat/sugar in everyday foods and a ‘traffic light’ tape measure helpful in communicating such ‘revelations’ with patients. Being SMART and following the protocolrevealed that few HCPs used SMART goals and few patients spoke of them. HCPs require training to understand their rationale compared with traditional advice-giving. The need for further follow-up revealed disparity in follow-ups and patients were not systematically monitored over time.ConclusionsHCPs’ training needs to include the use and evidence of the effectiveness of SMART goals in changing health behaviours. The significance of fidelity to protocol needs to be communicated to HCPs and commissioners to ensure consistency. Monitoring and measurement of follow-up, e.g., tracking of referrals, need to be resourced to provide evidence of the success of the NHS Health Check in terms of healthier lifestyles and reduced CVD risk.Keywords

KW - Cardiovascular diseases

KW - Public health

KW - Preventive medicine

KW - Health behaviour

KW - Intervention studies

KW - Qualitative research

U2 - 10.1186/s12875-014-0212-7

DO - 10.1186/s12875-014-0212-7

M3 - Journal article

VL - 16

JO - BMC Family Practice

JF - BMC Family Practice

SN - 1471-2296

IS - 1

ER -