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Willingness to participate in prevention programs for cardiometabolic diseases in general practice.

Nielen, M., Petter, J., Reitsma-van Rooijen, M., Korevaar, J. Willingness to participate in prevention programs for cardiometabolic diseases in general practice.: , 2014.
Background: Preventing the development of cardiometabolic diseases, the leading cause of death orldwide, can be supported by populationbased prevention programs. In the Netherlands, a prevention program with a stepwise approach is developed in general practice, based on the guideline ‘Cardiometabolic prevention consultation’. This program is aimed at detecting individuals at risk for cardiometabolic diseases, followed by tailored lifestyle advices and/or treatment. The effectiveness of such a program is largely determined by participation rates. Objective: To identify factors related to willingness to participate in health checks and lifestyle intervention programs to prevent cardiometabolic diseases. Methods: A questionnaire was send to a random sample of 1,500 Dutch adults. Predictors of willingness to participate were identified with logistic regression analyses. Predictors investigated were sociodemographic variables, risk factors for cardiometabolic diseases and motivational aspects. Results: The response rate was 63%. 56% of the participants was willing to participate in a health check. Higher age (>65 years) and the desire to know the actual risk for cardiometabolic diseases (OR=4.6; 95% CI: 3.0-7.2) were associated with a significant increased willingness to participate. Becoming unnecessarily worried was a significant barrier (OR=0.3; 95% CI: 0.1-0.4). 47% was willing to participate in a lifestyle intervention program. 39-65 year olds were most willing to participate. Attention for prevention relapse behavior (OR=3.3; 95% CI: 1.5-6.9), informing the general practitioner about results (OR=2.6; 95% CI: 1.6- 4.4) and conducting the program in a group (OR=2.0; 95% CI: 1.1-3.5) were positively associated with willingness to participate. Conclusion: Willingness to participate in a health check depended mostly on personal beliefs, whereas social aspects contributed most to willingness to participate in a lifestyle intervention program. This information can be used to optimize and tailor the promotion of prevention programs in order to increase participation rates. (aut. ref.)