Randomised controlled trial comparing uptake of NHS Health Check in response to standard letters, risk-personalised letters and telephone invitations

BMC Public Health
Christopher GidlowDavid Clark-Carter

Abstract

NHS Health Check is a primary prevention programme offering cardiovascular disease (CVD) risk assessment to adults in England aged 40-74. Uptake remains a challenge and invitation method is a strong predictor of uptake. There is evidence of low uptake when using invitation letters. Telephone invitations might increase uptake, but are not widely used. We explored the potential to improve uptake through personalising letters to patient's CVD risk, and to compare this with generic letters and telephone invitations. HEalth Check TRial (HECTR) was a three-arm randomised controlled trial in nine general practices in Staffordshire (UK). Eligible patients were randomised to be invited to a NHS Health Check using one of three methods: standard letter (control); telephone invitation; letter personalised to the patient's CVD risk. The primary outcome was attendance/non-attendance. Data were collected on a range of patient- and practice-level factors (e.g., patient socio-demographics, CVD risk, practice size, Health Checks outside usual working hours). Multi-level logistic regression estimated the marginal effects to explore whether invitation method predicted attendance. Invitation costs were collated from practices to estimate cost benef...Continue Reading

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Citations

Mar 25, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Marie DahlJes S Lindholt
May 29, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Natalie GoldTim Chadborn

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Software Mentioned

EMIS
HEalth Check TRial
QRISK
DocMail
HECTR
Qualtrics

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