1. SPIMEU
Determinants of successful Implementation of Selective Prevention of cardio-metabolic diseases across Europe
SPIMEU

2. Barriers and facilitators among healthcare providers and patients for selective prevention of cardiometabolic diseases
Joke Korevaar
on behalf of
Wändell PE, de Waard AKM , Holzmann MJ, Gornitzki C, Lionis C, de Wit NJ, Søndergaard J, Sønderlund A, Schellevis FG, Hollander M, and Carlsson AC
SPIMEU

3. ?
First question  mobile phone/tablet/laptop Selective cardio-metabolic prevention should preferably be coordinated by primary care.
SPIMEU

4. Aim
Systematic review on hampering and facilitating factors for selective prevention of CMD among health care professionals
Key-articles – backward-forward citation key-articles – search terms from key-articles
Medline – Embase - Cinahl
SPIMEU

5. Results of the search 10,566 hits – 6,683 unique hits
Screening Title + abstract
Scoring full-text  28 articles
SPIMEU

6. Results – 28 articles
Barriers and facilitators on the level of: structure, organisation, and professional and social context. Structure – barriers: Lack of support, lack of IT, no focus on prevention Structure – facilitators: strong support, good IT-support, strong focus on
SPIMEU

7. Results – 28 articles
Organisation Barriers: Lack of time, lack of reimbursement Facilitators: part of daily routine, reimbursement
SPIMEU

8. Results – 28 articles
Professional context Barriers: Lack of training/experience/knowledge Facilitators: sufficient training/knowledge, confidence Social context B: lack of pt adherence / family support F: long relation with pt / enlisting help family
SPIMEU

9. Results – 28 articles
Attitude B: Doubts about benefit / usefulness, lack of motivation, causes problems for the patient F: feel responsible to offer prevention, importance of prevention
SPIMEU

10. Conclusion
Same barriers/facilitators observed in different countries, even if the setting or primary health care system differed. Two studies from the same country can observe opposite barriers/facilitators Barrier can be, in a different setting, a facilitator
SPIMEU

11. ?
Selective cardio-metabolic prevention programs should firstly be implemented as a pilot in each respective country and then tailored to the specific contexts that apply to that country
SPIMEU