Barriers and Facilitators that Influence on Adopting Healthy Lifestyles in People with Cardiovascular Disease.
Jessica Natalia Saavedra Espinosa, Martha Yelitza Rodríguez Malagón, Sara Pamela Londoño Granados and 3 others
PMID 34822231WHAT IT FOUND
In 28 people with cardiovascular disease, healthy lifestyle scores rose after a nurse-delivered brief intervention.
Family support, daily work and neighbours helped; money, jobs, appetite and pain were barriers.
Key findings
01In the 28 participants, the total FANTASTICO lifestyle score rose from 81.21 to 87.71 on a 0 to 100 scale after the brief intervention.
02Only activity, type of personality, and insight showed significant change; nutrition, tobacco, alcohol, sleep and stress, family and friends, conduction and work, and other drugs did not.
03Participants described family support, neighbours, occupation activities, home space, and purpose as facilitators, and money, work, appetite, and physical limitations as barriers.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 28 people were analysed, and the authors say the sample does not represent a significant percentage of the study population. All participants were in a rural chronic disease program in Tausa, so the findings may not apply to urban patients or other settings. The study measured one group before and after the intervention, so improvement over 120 days could be due to the chronic disease program, natural change, or assessment. Participants knew they were receiving the intervention, and the authors mention a possible Hawthorne effect. Qualitative interviews stopped at 12 participants, so the themes may not include all views. The brief intervention included face-to-face meetings and phone calls within an existing chronic disease program, so the contribution of any single component cannot be separated.
The easy way to misread this
Do not conclude that the brief nursing intervention caused the lifestyle score rise. The participants were already in a chronic disease program and received face-to-face meetings and phone calls, and the study had no comparison group, so other factors could explain the change.