A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study-A pragmatic, cluster-randomized trial.

PURPOSE: Uncertainty exists regarding the best way to communicate cardiovascular risk (CVR) to patients, and it is unclear whether the comprehension and perception of CVR varies according to the format used. The aim of the present work was to determine whether a strategy designed for communicating CVR information to patients with poorly controlled high blood pressure (HBP), but with no background of cardiovascular disease, was more effective than usual care in the control of blood pressure (BP) over the course of a year. METHODS: A pragmatic, two-arm, cluster-randomized controlled trial was performed. Consecutive patients aged 40-65 years, all diagnosed with HBP in the last 12 months, and all of whom showed poor control of their condition (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg), were recruited at 22 primary healthcare centres. Eleven centres were randomly assigned to the usual care arm, and 11 to the informative intervention arm (Educore arm). At the start of the study, the Educore arm subjects were shown the "low risk SCORE table", along with impacting images and information pamphlets encouraging the maintenance of good cardiovascular health. The main outcome variable measured was the control of HBP; the secondary outcome variables were SCORE table score, total plasma cholesterol concentration, use of tobacco, adherence to prescribed treatment, and quality of life. RESULTS: The study participants were 411 patients (185 in the Educore arm and 226 in the usual care arm). Multilevel logistic regression showed that, at 12 months, the Educore intervention achieved better control of HBP (OR = 1.57; 1.02 to 2.41). No statistically significant differences were seen between the two arms at 12 months with respect to the secondary outcomes. CONCLUSIONS: Compared to usual care, the Educore intervention was associated with better control of HBP after adjusting for age, baseline SBP and plasma cholesterol, at 12 months.

Sesiones docentes en Atención Primaria. Experiencia en los centros de un Área de Madrid / Teaching sessions in primary care. Experience in health centres in an area of Madrid

Existe la percepción por parte de los responsables de docencia de los diferentesequipos de Atención Primaria del Área 7 de Madrid de una importante disparidad en la organizaciónde las sesiones docentes. Por esta razón, la Comisión de Docencia e Investigación delÁrea 7 de Madrid organizó una jornada de puesta en común. Este artículo pretende mostrar lasdiferentes formas organizativas, modelos de sesiones, ventajas de las sesiones docentes, problemaspercibidos y propuestas de mejora. Finalmente, se plantea un decálogo que pueda servircomo guía para la organización de las sesiones docentes en los centros de Atención Primaria(AU)

Those responsible for teaching of primary care teams of Area 7 of Madrid have noteda significant disparity in the organisation of teaching sessions. Therefore, the Madrid Area 7Commission for Teaching and Research organised an idea-sharing day. This article aims to showthe different organisational forms, model sessions, the benefits of education sessions, perceivedproblems and suggestions for improvement. Finally there is a decalogue, which can serve as aguide for organising teaching sessions in primary care(AU)

[Teaching sessions in primary care. Experience in health centres in an area of Madrid]. / Sesiones docentes en Atención Primaria. Experiencia en los centros de un Área de Madrid.

Those responsible for teaching of primary care teams of Area 7 of Madrid have noted a significant disparity in the organisation of teaching sessions. Therefore, the Madrid Area 7 Commission for Teaching and Research organised an idea-sharing day. This article aims to show the different organisational forms, model sessions, the benefits of education sessions, perceived problems and suggestions for improvement. Finally there is a decalogue, which can serve as a guide for organising teaching sessions in primary care.