PCR006: An integrated knowledge translation approach to co-create and evaluate patient education tools on cholesterol management

Richelle Baddeliyanage, BSc; Suvabna Theivendrampillai, BHSc; Laura Ferreira-Legere, MSc, RN; Jeanette Cooper; Christine Fahim; Jacob Udell, MD; Sharon Straus

Abstract

Context: The objective of CHOICES (Community Heart Outcomes Improvement and Cholesterol Education Study) is to understand how evidence-informed cholesterol management can prevent cardiovascular disease (CVD) in 14 health regions at higher risk in Ontario, Canada using a suite of educational interventions. An integrated knowledge translation (IKT) approach was used to co-create an educational tool on CVD risk, behaviour modifications for cholesterol management, and cholesterol-lowering medications. In order to further understand the needs of Ontario residents related to CVD prevention, a process evaluation was conducted through engagement with the public. Objective: To evaluate implementation quality including reach, responsiveness and usability of the patient-targeted educational tool for cholesterol management. Study Design: A 10-minute online survey was administered to users of the tool. Population: Adults aged 40-75 years who reside in one of the 14 identified regions in Ontario with higher-than-average CVD risk. The tool and survey were shared broadly in the targeted regions and participants were recruited through social media, stakeholder involvement, and market research organizations. Outcome Measures: Reach was measured by the number of participants who received the tool and completed the survey. The survey measured perceived usability of organization, layout and applicability of the tool (6-items). Responsiveness was measured by the level of receptivity and interest in sharing the tool (4-items). Respondents ranked their level of agreement to each question on a likert scale from 1 (Strongly Disagree) to 7 (Strongly Agree). Results: 230 users of the tool were recruited to participate, of which 104 completed the survey (response rate= 45.2%). Respondents indicated that the tool’s content was clear (M = 6.00, SD = 1.05) and would support them as a patient seeking cholesterol related information (M = 6.00, SD = 0.99). Respondents indicated their high likelihood to recommend the tool to their personal networks (M = 5.37, SD = 1.19) and preference to receive similar information from their family physician (M = 5.92, SD = 1.15). Conclusion: Overall, participant responsiveness and receptivity to the co-created patient educational tool was high. This work enhances understanding of the benefits of co-created patient-targeted interventions to improve cholesterol management and ultimately inform the implementation of similar scalable strategies across Ontario.
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Jack Westfall
jwestfall@aafp.org 11/19/2021

Great poster and abstract. Thanks

Brenda Andreas
11/20/2021

For those of use at risk for cardiovascular issues this is a great tool for health literacy and self management.

Gillian Bartlett
gillian.bartlett@health.missouri.edu 11/22/2021

Great work and love the acronym! I really like the idea of using more terminology like co-creation - I think of IKT as co-creation AND co-action.

Richelle Koopman
koopmanr@health.missouri.edu 11/22/2021

I very much enjoyed the topic of knowledge translation and patient guides.  I would have liked to see more of the tool, but perhaps in your published manuscript describing the research!  Thank you.

Emily Godfrey
godfreye@uw.edu 11/22/2021

Thanks for a great implementation project. Did you project entail any patient engagement? Its helpful to state at what point patients were directing the project.

Ann Macaulay
ann.macaulay@mcgill.ca 11/22/2021

Good example of IKT- I would be very interested to learn more details about the tool co-creation process

Andy Pasternak
avpiv711@sbcglobal.net 11/26/2021

Excellent topic. Do these tools use some of the risk calculators to help people understand their CVD risk?

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