%0 Journal Article
%T Impact of a cardiovascular disease risk screening result on preventive behaviour in asymptomatic participants of the ROBINSCA trial
%A Carlijn M van der Aalst
%A Harry J de Koning
%A Marleen Vonder
%A Matthijs Oudkerk
%A Sabine JAM Denissen
%J European Journal of Preventive Cardiology
%@ 2047-4881
%D 2019
%R 10.1177/2047487319843396
%X A teachable moment for preventive behavioural change can occur when asymptomatic individuals receive their cardiovascular disease screening result. This study investigated prevention-seeking behaviour and compliance with preventive treatment of participants of the population-based Risk Or Benefit IN Screening for CArdiovascular disease (ROBINSCA) trial after receiving a screening result. Asymptomatic Dutch individuals (n£¿=£¿43,447) were randomly assigned (1:1:1) to screening for cardiovascular disease by either traditional risk assessment (intervention arm A), or determining the amount of coronary artery calcification (intervention arm B), or to usual care (control arm). A random sample (n£¿=£¿600) of ROBINSCA participants with a screening result (arms A and B) received an online questionnaire (in 2017) to measure the impact of a cardiovascular disease screening result in low and increased (arm A: risk£¿>£¿10%; arm B: Agatston£¿¡Ý£¿100) risk groups. Of all respondents (438/600; 73%) 63.5% were men and the mean age (£¿¡À£¿standard deviation) was 63.8£¿¡À£¿6.9 years. Individuals with an increased coronary artery calcification score consulted their general practitioner more often compared to increased risk individuals from arm A: 140/149 (94%) and 86/137 (62.8%), respectively (P£¿<£¿0.001). Current use of blood pressure and cholesterol-lowering drugs was significantly higher in the increased coronary artery calcification score group (108/140; 77.1%), compared to the group with an increased traditional risk (35/80, 43.8%; P£¿<£¿0.001). Self-reported compliance was high (98.1¨C100%). Receiving the screening result might be a teachable moment that can enhance cardiovascular disease prevention-seeking behaviour through consulting a general practitioner and high compliance with preventive treatment. The impact of the screening result was more profound in the increased coronary artery calcification score group. Trial registration number: NTR647
%K Cardiovascular disease
%K coronary disease
%K health knowledge
%K attitudes
%K practice
%K mass screening
%K randomised controlled trial
%K treatment adherence and compliance
%U https://journals.sagepub.com/doi/full/10.1177/2047487319843396