A protocol paper: community engagement interventions for cardiovascular disease prevention in socially disadvantaged populations in the UK: an implementation research study

摘要

In the UK, the National Health Service (NHS) has launched the Health Check initiative aimed to reduce CVD. It is a national risk assessment and management programme, free to adults aged 40 to 74 living in England, who do not currently have any vascular disorders and are not being treated for certain risk factors such as diabetes [ ]. It aims to assess the 10-year risk of CV events and disorders. Risk is assessed using QRISK2 [ ], a tool which involves collection of the following information: age, gender, ethnicity, smoking status, family history of CHD, body mass index (BMI), cholesterol test, systolic and diastolic blood pressure, levels of physical activity, and alcohol consumption. Attendees receive a low ( 10% but  20%) 10-year cardiovascular (QRISK2) score. Above the 10% cut-off, attendees are offered a discussion with a qualified person, such as a nurse, about lifestyle and motivation to change, which may include goal setting and plans for follow up. Patients may also be offered medication for cholesterol and blood pressure. The NHS Health Check is recommended to be undertaken every 5 years.