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Journal of general internal medicine
Jan 21, 2025;

A Proposed Framework to Aid Primary Care Clinicians in Promoting Cardiovascular Health.

Amrik Singh Khalsa, Carla K Miller, Kyung E Rhee, HyunYi Cho
Author Information
  1. Amrik Singh Khalsa: Division of Primary Care Pediatrics, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA. Amrik.Khalsa@nationwidechildrens.org. ORCID
  2. Carla K Miller: Department of Applied Health Science, School of Public Health, Indiana University-Bloomington, 1025 E. 7th St., Room 178, Bloomington, IN, 47405, USA.
  3. Kyung E Rhee: Department of Pediatrics, University of California, San Diego, School of Medicine, 9500 Gilman Drive, MC 0874, La Jolla, CA, 92093, USA.
  4. HyunYi Cho: School of Communication, College of Arts and Sciences, The Ohio State University, 3016 Derby Hall 154 N Oval Mall, Columbus, OH, 43210, USA.
PMID: 39838248 DOI: 10.1007/s11606-025-09351-7

Abstract

Healthy lifestyle behaviors play a significant role in promoting cardiovascular health. Primary care clinicians (PCCs) are tasked with promoting cardiovascular health through the assessment of lifestyle behaviors and the use of behavior change counseling. However, PCCs face several barriers including a lack of training in counseling techniques. We propose a framework to guide the development of a patient-centered digital communication bundle that can aid PCCs in helping their patients create and sustain feasible lifestyle changes. Our framework proposes that this digital communication bundle contains the following features: assess and analyze an individual's cardiovascular health status; communicate personalized information in a health-literacy-friendly, visual format; assess behavioral components of change (e.g., motivation) that can inform the PCC's approach in guiding behavior change; provide PCCs with brief, behavior change counseling prompts that are grounded in motivational interviewing; and assess and address potential structural, socioeconomic, and environmental barriers, thereby fostering resilience in patients' lifestyle change efforts. We highlight the available research to support the need for such a tool and its potential ability to guide PCCs while also promoting behavior change in a patient-centered manner.

Keywords

behavior change cardiovascular health cardiovascular risk health literacy

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