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Provision of professional interpreters and Heart School attendance for foreign-born compared with native-born myocardial infarction patients in Sweden

Zwackman, Sammy ; Leosdottir, Margret LU ; Hagström, Emil ; Jernberg, Tomas ; Karlsson, Jan Erik ; Lawesson, Sofia Sederholm LU ; Michelsen, Halldora Ögmundsdottir LU orcid ; Ravn-Fischer, Annica ; Wallert, John and Alfredsson, Joakim (2024) In IJC Heart and Vasculature 51.
Abstract

Objective: Interactive patient education, referred to as Heart School (HS), is an important part of cardiac rehabilitation (CR) after myocardial infarction (MI), which has been associated with improved outcomes. Little is known about HS attendance among foreign-born patients. The aims were to assess; 1) HS attendance in foreign-born versus native-born patients, 2) the association between the provision of professional interpreters and HS attendance, and 3) secondary prevention goal attainment after MI based on HS attendance. Methods: The provision of professional interpreters during post-MI follow-up was assessed by a questionnaire sent to all 78 Swedish CR sites. Patient-specific data was retrieved from the SWEDEHEART registry. The... (More)

Objective: Interactive patient education, referred to as Heart School (HS), is an important part of cardiac rehabilitation (CR) after myocardial infarction (MI), which has been associated with improved outcomes. Little is known about HS attendance among foreign-born patients. The aims were to assess; 1) HS attendance in foreign-born versus native-born patients, 2) the association between the provision of professional interpreters and HS attendance, and 3) secondary prevention goal attainment after MI based on HS attendance. Methods: The provision of professional interpreters during post-MI follow-up was assessed by a questionnaire sent to all 78 Swedish CR sites. Patient-specific data was retrieved from the SWEDEHEART registry. The association between the provision of professional interpreters and HS attendance was estimated with logistic regression models. HS attendance and attainment of secondary prevention goals by country of birth were investigated. Results: In total, 8377 patients < 75 years (78 % male) were included. Foreign-born (19.8 %) had a higher prevalence of cardiovascular risk factors and were less likely to attend HS (33.7 vs 51.3 %, p < 0.001), adjusted odds ratio (OR) 0.59 (95 % confidence interval (CI) 0.52–0.68), compared with native-born patients. CR centers providing professional interpreters had higher HS attendance among foreign-born (adjusted OR 1.55, 95 % CI 1.20–2.01) but not among native-born patients. Attending HS was similarly associated with improved secondary prevention goal attainment in both groups. Conclusions: Despite similar positive association between HS attendance and attainment of secondary prevention goals, foreign-born patients attended HS less often. With the provision of professional interpreters, HS attendance increased in foreign-born patients.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Language barriers, Myocardial infarction, Patient education, Professional interpreters, Secondary prevention
in
IJC Heart and Vasculature
volume
51
article number
101392
publisher
Elsevier
external identifiers
  • pmid:38550272
  • scopus:85188745678
ISSN
2352-9067
DOI
10.1016/j.ijcha.2024.101392
language
English
LU publication?
yes
id
de88a760-0beb-443f-95a0-cb8135b55f2b
date added to LUP
2024-04-16 14:33:18
date last changed
2024-04-17 03:00:18
@article{de88a760-0beb-443f-95a0-cb8135b55f2b,
  abstract     = {{<p>Objective: Interactive patient education, referred to as Heart School (HS), is an important part of cardiac rehabilitation (CR) after myocardial infarction (MI), which has been associated with improved outcomes. Little is known about HS attendance among foreign-born patients. The aims were to assess; 1) HS attendance in foreign-born versus native-born patients, 2) the association between the provision of professional interpreters and HS attendance, and 3) secondary prevention goal attainment after MI based on HS attendance. Methods: The provision of professional interpreters during post-MI follow-up was assessed by a questionnaire sent to all 78 Swedish CR sites. Patient-specific data was retrieved from the SWEDEHEART registry. The association between the provision of professional interpreters and HS attendance was estimated with logistic regression models. HS attendance and attainment of secondary prevention goals by country of birth were investigated. Results: In total, 8377 patients &lt; 75 years (78 % male) were included. Foreign-born (19.8 %) had a higher prevalence of cardiovascular risk factors and were less likely to attend HS (33.7 vs 51.3 %, p &lt; 0.001), adjusted odds ratio (OR) 0.59 (95 % confidence interval (CI) 0.52–0.68), compared with native-born patients. CR centers providing professional interpreters had higher HS attendance among foreign-born (adjusted OR 1.55, 95 % CI 1.20–2.01) but not among native-born patients. Attending HS was similarly associated with improved secondary prevention goal attainment in both groups. Conclusions: Despite similar positive association between HS attendance and attainment of secondary prevention goals, foreign-born patients attended HS less often. With the provision of professional interpreters, HS attendance increased in foreign-born patients.</p>}},
  author       = {{Zwackman, Sammy and Leosdottir, Margret and Hagström, Emil and Jernberg, Tomas and Karlsson, Jan Erik and Lawesson, Sofia Sederholm and Michelsen, Halldora Ögmundsdottir and Ravn-Fischer, Annica and Wallert, John and Alfredsson, Joakim}},
  issn         = {{2352-9067}},
  keywords     = {{Language barriers; Myocardial infarction; Patient education; Professional interpreters; Secondary prevention}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{IJC Heart and Vasculature}},
  title        = {{Provision of professional interpreters and Heart School attendance for foreign-born compared with native-born myocardial infarction patients in Sweden}},
  url          = {{http://dx.doi.org/10.1016/j.ijcha.2024.101392}},
  doi          = {{10.1016/j.ijcha.2024.101392}},
  volume       = {{51}},
  year         = {{2024}},
}