Literature DB >> 19772369

The heart truth professional education campaign on women and heart disease: needs assessment and evaluation results.

Janet Pregler1, Karen M Freund, Mary Kleinman, Maureen G Phipps, Rose S Fife, Becky Gams, Ana E Núñez, Margaret R Seaver, Cathy J Lazarus, Nancy C Raymond, Joan Briller, Sebastian Uijtdehaage, Cindy S Moskovic, Gretchen Guiton, Michele David, Geralde V Gabeau, Stacie Geller, Kelli Meekma, Christopher Moore, Candace Robertson, Gloria Sarto.   

Abstract

BACKGROUND: Heart disease is the leading cause of death for women in the United States. Research has identified that women are less likely than men to receive medical interventions for the prevention and treatment of heart disease. METHODS AND
RESULTS: As part of a campaign to educate healthcare professionals, 1245 healthcare professionals in 11 states attended a structured 1-hour continuing medical education (CME) program based on the 2004 AHA Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women and completed a pretest and posttest evaluation. We identified significant knowledge deficits in the pretest: 45% of attendees would initially recommend lifestyle changes alone, rather than statin therapy, for women diagnosed with coronary artery disease (CAD); 38% identified statin therapy as less effective in women compared with men for preventing CAD events; 27% identified Asian American women at low risk (rather than high risk) for type 2 diabetes mellitus (DM); and 21% identified processed meat (rather than baked goods) as the principal dietary source of trans fatty acids. Overall, healthcare professionals answered 5.1 of 8 knowledge questions correctly in the pretest, improving to 6.8 questions in the posttest (p < 0.001). Family physicians, obstetrician/gynecologists, general internists, nurse practitioners/physician assistants, and registered nurses all statistically significantly improved knowledge and self-assessed skills and attitudes as measured by the posttest.
CONCLUSIONS: Significant knowledge deficits are apparent in a cross-section of healthcare providers attending a CME lecture on women and heart disease. A 1-hour presentation was successful in improving knowledge and self-assessed skills and attitudes among primary care physicians, nurse practitioners, physician assistants, and registered nurses.

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Year:  2009        PMID: 19772369      PMCID: PMC2864468          DOI: 10.1089/jwh.2008.1260

Source DB:  PubMed          Journal:  J Womens Health (Larchmt)        ISSN: 1540-9996            Impact factor:   2.681


  11 in total

1.  Evidence-based guidelines for cardiovascular disease prevention in women.

Authors:  Lori Mosca; Lawrence J Appel; Emelia J Benjamin; Kathy Berra; Nisha Chandra-Strobos; Rosalind P Fabunmi; Deborah Grady; Constance K Haan; Sharonne N Hayes; Debra R Judelson; Nora L Keenan; Patrick McBride; Suzanne Oparil; Pamela Ouyang; Mehmet C Oz; Michael E Mendelsohn; Richard C Pasternak; Vivian W Pinn; Rose Marie Robertson; Karin Schenck-Gustafsson; Cathy A Sila; Sidney C Smith; George Sopko; Anne L Taylor; Brian W Walsh; Nanette K Wenger; Christine L Williams
Journal:  Circulation       Date:  2004-02-04       Impact factor: 29.690

2.  Observations of the treatment of women in the United States with myocardial infarction: a report from the National Registry of Myocardial Infarction-I.

Authors:  N C Chandra; R C Ziegelstein; W J Rogers; A J Tiefenbrunn; J M Gore; W J French; M Rubison
Journal:  Arch Intern Med       Date:  1998-05-11

3.  Ethnic, gender, and age-related differences in treatment and control of dyslipidemia in hypertensive patients.

Authors:  Katharine H Hendrix; Jessica E Riehle; Brent M Egan
Journal:  Ethn Dis       Date:  2005       Impact factor: 1.847

4.  Use of cholesterol-lowering therapy and related beliefs among middle-aged adults after myocardial infarction.

Authors:  John Z Ayanian; Bruce E Landon; Mary Beth Landrum; James R Grana; Barbara J McNeil
Journal:  J Gen Intern Med       Date:  2002-02       Impact factor: 5.128

5.  National study of physician awareness and adherence to cardiovascular disease prevention guidelines.

Authors:  Lori Mosca; Allison H Linfante; Emelia J Benjamin; Kathy Berra; Sharonne N Hayes; Brian W Walsh; Rosalind P Fabunmi; Johnny Kwan; Thomas Mills; Susan Lee Simpson
Journal:  Circulation       Date:  2005-02-01       Impact factor: 29.690

6.  Providers' perceptions of factors affecting women's referral to outpatient cardiac rehabilitation programs: an exploratory study.

Authors:  Lisa Benz Scott; Jerilyn K Allen
Journal:  J Cardiopulm Rehabil       Date:  2004 Nov-Dec       Impact factor: 2.081

Review 7.  Gender differences in mortality after myocardial infarction. Why women fare worse than men.

Authors:  A Nohria; V Vaccarino; H M Krumholz
Journal:  Cardiol Clin       Date:  1998-02       Impact factor: 2.213

8.  The effect of race and sex on physicians' recommendations for cardiac catheterization.

Authors:  K A Schulman; J A Berlin; W Harless; J F Kerner; S Sistrunk; B J Gersh; R Dubé; C K Taleghani; J E Burke; S Williams; J M Eisenberg; J J Escarce
Journal:  N Engl J Med       Date:  1999-02-25       Impact factor: 91.245

9.  Sex differences in the use of implantable cardioverter-defibrillators for primary and secondary prevention of sudden cardiac death.

Authors:  Lesley H Curtis; Sana M Al-Khatib; Alisa M Shea; Bradley G Hammill; Adrian F Hernandez; Kevin A Schulman
Journal:  JAMA       Date:  2007-10-03       Impact factor: 56.272

10.  Ethnic and sex differences in the prevalence, treatment, and control of dyslipidemia among hypertensive adults in the GENOA study.

Authors:  John G O'Meara; Sharon L R Kardia; Jeffrey J Armon; C Andrew Brown; Eric Boerwinkle; Stephen T Turner
Journal:  Arch Intern Med       Date:  2004-06-28
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  2 in total

1.  Preventing cardiovascular disease in midlife women with HIV: An examination of facilitators and barriers to heart health behaviors.

Authors:  Amelia M Stanton; Georgia R Goodman; Gregory K Robbins; Sara E Looby; Marcel Williams; Christina Psaros; Greer Raggio
Journal:  J Women Aging       Date:  2022-02-24

2.  Accounting for clinical action reduces estimates of gender disparities in lipid management for diabetic veterans.

Authors:  Varsha G Vimalananda; Donald R Miller; Timothy P Hofer; Robert G Holleman; Mandi L Klamerus; Eve A Kerr
Journal:  J Gen Intern Med       Date:  2013-07       Impact factor: 5.128

  2 in total

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