Promoting nurse-led behaviour change interventions to prevent cardiovascular disease in disadvantaged communities: A scoping review

Broughan, J (通讯作者),UCD Sch Med, Catherine McAuley Educ & Res Ctr, Nelson St, Dublin 7, Ireland.
2022-11
Cardiovascular diseases (CVD) are the leading cause of death worldwide and they disproportionally affect people living in disadvantaged communities. Nurse-led behaviour change interventions have shown great promise in preventing CVD. However, knowledge regarding the impact and nature of such interventions in disadvantaged communities is limited. This review aimed to address this knowledge gap. A six-stage scoping review framework developed by Arksey and O'Malley, with revisions by Levac et al., was used. The search process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Extension for Scoping Reviews (PRISMA-ScR). Three electronic databases were searched (PUBMED/MEDLINE, CINAHL Plus, and Cochrane CENTRAL), and included studies were analysed using Braun and Clarke's 'Thematic Analysis' approach. Initial searches yielded 952 papers and 30 studies were included in the review following duplicate, title/abstract, and full-text screening. The included studies indicate that nurse-led behaviour change primary prevention interventions in disadvantaged areas are largely effective; albeit the considerable variety of intervention approaches, study populations and outcome measures used to date make it difficult to ascertain this. Other identified key areas in the promotion of nurse-led behaviour change included tailoring interventions to specific populations, providing adequate training for nurses, overcoming patient access difficulties and encouraging patient engagement. Overall, the findings indicate that nurse-led behaviour change interventions for high-risk CVD patients in disadvantaged areas show much promise, although there is considerable variety in the interventions employed and studied to date. Further research is needed to examine the unique barriers and facilitators of interventions for specific disadvantaged groups.
HEALTH & SOCIAL CARE IN THE COMMUNITY
卷号:30|期号:6|页码:2071-2095
ISSN:0966-0410|收录类别:SSCI
语种
英语
来源机构
University College Dublin; University College Dublin; University College Dublin; University College Dublin; Saint Vincent's University Hospital
资助机构
Health Research Board's Summer Student Scholarship initiative
资助信息
The study was funded by the Health Research Board's Summer Student Scholarship initiative.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
1
2013以来使用计数
1
EISSN
1365-2524
出版年
2022-11
DOI
10.1111/hsc.13867
关键词
cardiovascular diseases disadvantaged health behaviour practice patterns nurses
WOS学科分类
Public, Environmental & Occupational Health Social Work
学科领域
循证公共卫生 循证社会学