- Title
- Development of a primary care intervention to reduce cardiovascular risk factors after hypertensive pregnancies
- Creator
- Slater, Kaylee Aviva
- Relation
- University of Newcastle Research Higher Degree Thesis
- Resource Type
- thesis
- Date
- 2024
- Description
- Research Doctorate - Doctor of Philosophy (PhD)
- Description
- Women with a history of hypertensive disorders of pregnancy (HDP) are at an increased risk of cardiovascular disease (CVD), although are largely unaware of this risk and are not receiving CVD preventative care in accordance with clinical guidelines. The overall purpose of this research was to co-design an intervention using the Behaviour Change Wheel (BCW) framework, to improve CVD risk assessment and management for Australian women after HDP in primary care in the Hunter New England Local Health District (HNELHD), New South Wales, Australia. Stage 1 (Understanding the behaviour) included a systematic review and meta-analysis of primary and secondary CVD prevention interventions for women, two cross-sectional surveys with Australian general practitioners (GPs) and women with a history of HDP and an online discussion with GPs and women with a history of HDP in HNELHD. The systematic review and meta-analysis revealed that there is a lack of research in women of childbearing age, in sex-specific CVD risk factors, and in healthcare settings. The surveys revealed that women are unaware of their increased CVD risks, are not receiving CVD preventative care recommended in clinical guidelines. GPs barriers to CVD care include a lack of training and resources in CVD prevention after HDP, and a lack of awareness of women’s HDP history. These findings as well as those from the online discussion proposed that the intervention should be set within primary care, and target improvements in communication between hospital staff and GPs, and education for GPs and women regarding CVD prevention post-HDP. Stage 2 (Identify intervention options) and Stage 3 (Identify content and implementation options) included a co-design study using Integrated Knowledge Translation to design an intervention. The co-design study included a series of five online meetings with the investigator team and end-users (GPs, obstetricians, midwives, and women post HDP). The intervention would firstly be delivered within the hospital setting via physical resources to close the communication gap between hospital and primary care of HDP occurrence. The second part of the intervention would be delivered via an update to an existing GP information portal enabling improvement in provision of care, and by digital and physical resources for use within GP consultations. The intervention addresses the inadequate communication between hospital and primary care and will provide education for women and GPs about CVD prevention after HDP.
- Subject
- hypertensive disorders of pregnancy; cardiovascular disease; co-design; consumer involvement; pregnancy; primary care; thesis by publication
- Identifier
- http://hdl.handle.net/1959.13/1512975
- Identifier
- uon:56687
- Rights
- Copyright 2024 Kaylee Aviva Slater
- Language
- eng
- Full Text
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT01 | Thesis | 8 MB | Adobe Acrobat PDF | View Details Download | ||
| View Details Download | ATTACHMENT02 | Abstract | 626 KB | Adobe Acrobat PDF | View Details Download |