Resumo

VARTANYAN, Felix et al. Effects of an educational intervention in the clinical management of cardiovascular risk factors in primary healthcare: experiment with the Project Globe Consortium in Russia. FEM (Ed. impresa) [online]. 2013, vol.16, n.3, pp.131-136. ISSN 2014-9840.  https://dx.doi.org/10.4321/S2014-98322013000300003.

Introduction. Cardiovascular diseases are the main cause of morbimortality and of burden of disease in both developed and developing countries. Therefore the appropriate management of cardiovascular risk factors (CVR) in primary and secondary prevention is highly relevant. The role of continuing medical education and continuing professional development on performance improvement has been questioned. An educational intervention addressed to primary care physicians as continuing professional development as well as to their patients with CVR was devised. Principles of therapeutic education were used. The objective was to evaluate the impact of both educational interventions on cognitive and attitudinal parameters of CVR, as well as the impact on their surrogate markers of disease progression. Subjects and methods. 30 primary care physicians from outpatient clinics in the Moscow metropolitan area were invited to the educational intervention (lectures, seminars, workshops for a total of 72 h during one month). Afterwards 600 patients with CVR attending the same clinics received education on CVR (12 sessions over 3 months). Patients were clinically evaluated on quarterly bases during one year of follow up. Results. A significant reduction in surrogate markers of CVR was observed (blood pressure, serum lipids, weight, smoking, etc.) among the patient cohort as a probable consequence of leveraged therapeutic adherence. Likewise, the knowledge and attitudes improved significantly both in physicians and their patients. Conclusions. A sequential education of physicians and their patients with CVR seems to have a favorable impact upon surrogate markers of risk. Further controlled studies are needed to confirm these preliminary results.

Palavras-chave : Adherence; Cardiovascular risk; Continuing professional development; Educational intervention; Primary care; Therapeutic education.

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