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Table 3 The final EPA-Cardio instrument

From: Development and pilot of an internationally standardized measure of cardiovascular risk management in European primary care

Patients/Practice

Instruments/Data content

Number of items

Data abstraction tools

Patient groups*

1 and 2

- Sex and age

- 2 items

 

- Quality indicators (QI) on documentation of:

- 16 items for patient group 1 (18 QI)**

 

   - Patient's lifestyle (smoking, physical activity and BMI)

 
 

   - lifestyle advice (smoking, physical activity and diet advice)

 
 

   - levels of blood pressure, cholesterol and blood glucose

 
  

- 14 items for patient group 2 (12 QI)

Patient group 1

- QI on documentation of pharmaceutical treatment (statins, anti-platelet therapy and influenza vaccination)

- 3 items (3 QI)

Interview guide

Lead GP

- QI on documentation an medical record

- 8 items (8 QI)

 

- QI on CVD risk assessment

- 27 items (20 QI)

 

- Practice engagement in CVD-quality improvement (programs) or

- 7 items (5 QI)

 

- Practice engagement in CVD-related public health programs+

- 1 item

 

- Views on primary prevention (lifestyle, lifestyle advice and support)+

- 11 items

Patient questionnaires

All patient groups: 1,2,3

- Patient demographics and conditions+

- 11 items

 

- Quality of primary care delivery (EUROPEP)+[27]

- 23 items

Patient group 1

- QI on lifestyle advice and patient perspective

- 2 items (2 QI)

 

- Quality of chronic illness care (PACIC)+ [28;29]

- 26 items

Patient groups

1 and 2

- Quality of life / health state (EQ5D)+[51]

- 5 items and VAS

 

- Medication/ Medication adherence (Morisky score) +[30]

- 5 items

Patient groups

2 and 3

- Lifestyle: Rapid assessment of physical activity+ (RAPA) [32]

- 14 items

 

- Lifestyle: Rapid Eating and Activity Assessment for participants - shortened version (REAP-S)+[33]

- 16 items

 

- Lifestyle: Behavior Change Consortium: Smoking Assessment (Mid-Sized model - baseline measurements)+[34]

- 10 items

Patient group 3

- Views on primary prevention (lifestyle, lifestyle advice and support) +

- 11 items (6 QI)

Questionnaire for the practice team +

Practice team

- Information process and technology

- 11 items

 

- Organisation of chronic care and prevention

- 20 items

 

- Quality improvement activities

- 13 items

 

- Practice size and location

- 5 items

 

- Practice staff (number and function)

- 7 items

  1. * Patient groups: 1 = Patients with CHD, 2 = Patients at high risk, 3 = Primary prevention group
  2. ** The information in brackets refers to the number of quality indicators (QI) included
  3. + Supplementary instruments
  4. VAS = Visual analogue scale