PT - JOURNAL ARTICLE AU - Christopher J Gidlow AU - Naomi J Ellis AU - Victoria Riley AU - Lisa Cowap AU - Diane Crone AU - Elizabeth Cottrell AU - Sarah Grogan AU - Ruth Chambers AU - Sian Calvert AU - David Clark-Carter TI - Cardiovascular disease risk communication in NHS Health Checks: a qualitative video-stimulated recall interview study with practitioners AID - 10.3399/BJGPO.2021.0049 DP - 2021 Oct 01 TA - BJGP Open PG - BJGPO.2021.0049 VI - 5 IP - 5 4099 - http://bjgpopen.org/content/5/5/BJGPO.2021.0049.short 4100 - http://bjgpopen.org/content/5/5/BJGPO.2021.0049.full SO - BJGP Open2021 Oct 01; 5 AB - Background NHS Health Check (NHSHC) is a national programme to identify and manage cardiovascular disease (CVD) risk. Practitioners delivering the programme should be competent in discussing CVD risk, but there is evidence of limited understanding of the recommended 10-year percentage CVD risk scores. Lifetime CVD risk calculators might improve understanding and communication of risk.Aim To explore practitioner understanding, perceptions, and experiences of CVD risk communication in NHSHCs when using two different CVD risk calculators.Design & setting Qualitative video-stimulated recall (VSR) study with NHSHC practitioners in the West Midlands.Method VSR interviews were conducted with practitioners who delivered NHSHCs using either the QRISK2 10-year risk calculator (n = 7) or JBS3 lifetime CVD risk calculator (n = 8). Data were analysed using reflexive thematic analysis.Results In total, nine healthcare assistants (HCAs) and six general practice nurses (GPNs) were interviewed. There was limited understanding and confidence of 10-year risk, which was used to guide clinical decisions through determining low-, medium-, or high-risk thresholds, rather than as a risk communication tool. Potential benefits of some JBS3 functions were evident, particularly heart age, risk manipulation, and visual presentation of risk.Conclusion There is a gap between the expectation and reality of practitioners’ understanding, competencies, and training in CVD risk communication for NHSHCs. Practitioners would welcome heart age and risk manipulation functions of JBS3 to promote patient understanding of CVD risk, but there is a more fundamental need for practitioner training in CVD risk communication.