A cross-sectional time series of cardiometabolic health education format preferences across sociodemographic groups

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Diabetic Medicine Pub Date : 2024-07-12 DOI:10.1111/dme.15404

Angharad Woolley, Michelle Hadjiconstantinou, Danielle H. Bodicoat, Kamlesh Khunti, Melanie J. Davies, Samuel Seidu

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Abstract

Aims

Health education is integral to cardiometabolic disease (CMD) management. This study aimed to assess whether and how education preferences have changed over time, and whether trends differ by sociodemographic characteristics (education status, age, ethnicity, and sex).

Methods

A cross-sectional questionnaire was deployed across five counties in the East Midlands, UK between 2017 and 2022 to adults with CMD (type 2 diabetes, cardiovascular disease or cerebrovascular disease). Respondent demographic data were collected alongside health education preferences. Statistical analyses ascertained whether demographic characteristics influenced preferences. The distribution of preferences over time was charted to identify trends.

Results

A total of 4301 eligible responses were collected. Face-to-face one-to-one education was preferred (first choice for 75.1% of participants) but popularity waned over the five-year period. Trends were similar amongst demographic groups. Online education showed a U-shaped trend: In 2017, 44% of respondents ranked it as acceptable, peaking at 53% in 2019, but declining again, to below base line, 43%, by 2022. This modality was more popular with participants aged younger than 65 years, but popularity in people older than 65 years increased over the study period. The popularity of printed information also declined over time across all demographic groups except those of South Asian ethnicity, for whom it remained static.

Conclusions

The overwhelming preference for face-to-face one-to-one health education from a doctor or nurse highlights the importance of preserving access to this modality, even in the face of current NHS pressures and trends towards digitalisation. Trends are changing, and should continue to be monitored, including between different sociodemographic groups.

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不同社会人口群体对心脏代谢健康教育形式偏好的横截面时间序列。

目的：健康教育是心脏代谢疾病（CMD）管理不可或缺的一部分。本研究旨在评估教育偏好是否以及如何随着时间的推移而变化，以及不同社会人口特征（教育状况、年龄、种族和性别）的趋势是否有所不同：2017年至2022年期间，在英国东米德兰兹郡的五个县对患有CMD（2型糖尿病、心血管疾病或脑血管疾病）的成年人进行了横断面问卷调查。受访者的人口统计学数据与健康教育偏好一并收集。统计分析确定了人口统计学特征是否会影响偏好。对不同时期的偏好分布进行了图表分析，以确定趋势：结果：共收集到 4301 份符合条件的回复。面对面的一对一教育是首选（75.1% 的参与者为首选），但在五年期间受欢迎程度有所下降。不同人口群体的趋势相似。在线教育呈现出 U 型趋势：2017 年，44% 的受访者认为在线教育是可以接受的，2019 年达到 53%的峰值，但到 2022 年又再次下降，低于基准线，为 43%。这种方式在 65 岁以下的参与者中更受欢迎，但在 65 岁以上人群中的受欢迎程度在研究期间有所上升。在所有人口群体中，印刷信息的受欢迎程度也随着时间的推移而下降，但南亚族裔除外，他们的受欢迎程度保持不变：绝大多数人更喜欢医生或护士进行面对面的一对一健康教育，这凸显了即使在当前国家医疗服务体系面临压力和数字化趋势的情况下，保留这种教育方式的重要性。趋势正在发生变化，应继续加以监测，包括不同社会人口群体之间的趋势。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”