TY - JOUR
T1 - Feasibility and success rates of response enhancing strategies in a stepwise prevention program for cardiometabolic diseases in primary care
AU - Badenbroek, Ilse F
AU - Nielen, Marcus M J
AU - Hollander, Monika
AU - Stol, Daphne M
AU - Kraaijenhagen, Roderik A
AU - de Wit, Niek J
AU - Schellevis, François G
N1 - Funding Information:
This work was supported by ZonMW (The Netherlands Organization for Health Research and Development) under grant number 50–51515–98-192; Lekker Lang Leven (a collaboration of the Dutch Diabetes Research Foundation, the Dutch Heart Foundation and the Dutch Kidney Foundation) under grant number 2012.20.1595; and Innovatiefonds Zorgverzekeraars (Healthcare Insurance Innovation Fund) under grant number 2582. The sponsors played no role in study design, data collection, data analysis, data interpretation, or writing of the report. Acknowledgements
Funding Information:
The authors thank NIPED Institute for the contribution to data management.
Publisher Copyright:
© 2020, The Author(s).
PY - 2020/12/1
Y1 - 2020/12/1
N2 - BACKGROUND: Prevention programs for cardiometabolic diseases (CMD), including cardiovascular disease, diabetes mellitus and chronic kidney disease are feasible, but evidence for the cost-effectiveness of selective CMD prevention programs is lacking. Response rates have an important role in effectiveness, but methods to increase response rates have received insufficient attention. The aim of the current study is to determine the feasibility and the success rate of a variety of response enhancing strategies to increase the participation in a selective prevention program for CMD.METHODS: The INTEGRATE study is a Dutch randomised controlled trial to assess the effectiveness and cost-effectiveness of a stepwise program for CMD prevention. During the INTEGRATE study we developed ten different response enhancing strategies targeted at different stages of non-response and different patient populations and evaluated these in 29 general practices.RESULTS: A face-to-face reminder by the GP increased the response significantly. Digital reminders targeted at patients with an increased CMD risk showed a positive trend towards participation. Sending invitations and reminders by e-mail generated similar response rates, but at lower costs and time investment than the standard way of dissemination. Translated materials, information gatherings at the practice, self-management toolkits, reminders by telephone, information letters, local media attention and SMS text reminders did not increase the response to our program.CONCLUSIONS: Inviting or reminding patients by e-mail or during GPs consultation may enhance response rates in a selective prevention program for CMD. Different response-enhancing strategies have different patient target populations and implementation issues, therefore practice characteristics need to be taken into account when implementing such strategies.TRIAL REGISTRATION: Dutch trial Register number NTR4277 . Registered 26 November 2013.
AB - BACKGROUND: Prevention programs for cardiometabolic diseases (CMD), including cardiovascular disease, diabetes mellitus and chronic kidney disease are feasible, but evidence for the cost-effectiveness of selective CMD prevention programs is lacking. Response rates have an important role in effectiveness, but methods to increase response rates have received insufficient attention. The aim of the current study is to determine the feasibility and the success rate of a variety of response enhancing strategies to increase the participation in a selective prevention program for CMD.METHODS: The INTEGRATE study is a Dutch randomised controlled trial to assess the effectiveness and cost-effectiveness of a stepwise program for CMD prevention. During the INTEGRATE study we developed ten different response enhancing strategies targeted at different stages of non-response and different patient populations and evaluated these in 29 general practices.RESULTS: A face-to-face reminder by the GP increased the response significantly. Digital reminders targeted at patients with an increased CMD risk showed a positive trend towards participation. Sending invitations and reminders by e-mail generated similar response rates, but at lower costs and time investment than the standard way of dissemination. Translated materials, information gatherings at the practice, self-management toolkits, reminders by telephone, information letters, local media attention and SMS text reminders did not increase the response to our program.CONCLUSIONS: Inviting or reminding patients by e-mail or during GPs consultation may enhance response rates in a selective prevention program for CMD. Different response-enhancing strategies have different patient target populations and implementation issues, therefore practice characteristics need to be taken into account when implementing such strategies.TRIAL REGISTRATION: Dutch trial Register number NTR4277 . Registered 26 November 2013.
KW - Cardiovascular diseases
KW - General practice
KW - Health risk assessment
KW - Patient participation rates
KW - Primary prevention
UR - http://www.scopus.com/inward/record.url?scp=85095424465&partnerID=8YFLogxK
U2 - 10.1186/s12875-020-01293-9
DO - 10.1186/s12875-020-01293-9
M3 - Article
C2 - 33158419
SN - 1471-2296
VL - 21
JO - BMC Family Practice
JF - BMC Family Practice
IS - 1
M1 - 228
ER -