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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