Prevention of Cardiovascular Diseases in Community Settings and Primary Health Care

A Pre-Implementation Contextual Analysis Using the Consolidated Framework for Implementation Research

Bibliographic Data

ID15485135
AuthorsNaomi Aerts (0000-0002-9338-1871, University of Antwerp, corresponding author), Sibyl Anthieren (0000-0003-4762-1907, University of Antwerp), Sibyl Anthierens (University of Antwerp), Peter Van Bogaert (0000-0001-6636-3793, University of Antwerp), Lieve Peremans (0000-0001-6849-0040, University of Antwerp), Hilde Bastiaens (0000-0002-5509-3406, University of Antwerp)
Year2022
Volume19
Issue14
Pages8467-8467
Publication date2022-07-11
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19148467
PMID35886317
OpenAlexW4285038387
LanguageEN
References cited69

Cardiovascular diseases are the world's leading cause of mortality, with a high burden especially among vulnerable populations. Interventions for primary prevention need to be further implemented in community and primary health care settings. Context is critically important to understand potential implementation determinants. Therefore, we explored stakeholders' views on the evidence-based SPICES program (EBSP); a multicomponent intervention for the primary prevention of cardiovascular disease, to inform its implementation. In this qualitative study, we conducted interviews and focus groups with 24 key stakeholders, 10 general practitioners, 9 practice nurses, and 13 lay community partners. We used adaptive framework analysis. The Consolidated Framework for Implementation Research guided our data collection, analysis, and reporting. The EBSP was valued as an opportunity to improve risk awareness and health behavior, especially in vulnerable populations. Its relative advantage, evidence-based design, adaptability to the needs and resources of target communities, and the alignment with policy evolutions and local mission and vision, were seen as important facilitators for its implementation. Concerns remain around legal and structural characteristics and intervention complexity. Our results highlight context dimensions that need to be considered and tailored to primary care and community needs and capacities when planning EBSP implementation in real life settings

Business · Context (archaeology · Focus group · Implementation research · Intervention (counseling · Medical education · Political science · Process management · Psychological intervention · Public relations · Qualitative research · Sociology · Health Policy Implementation Science · Health Promotion and Cardiovascular Prevention · Medicine · Nursing · Primary Care and Health Outcomes · Psychology

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