Abstract：
OBJECTIVE: Health education is integral to cardiometabolic disease (CMD) management. This study aimed to assess whether and how education preferences have changed over time, and whether trends differ by sociodemographic characteristics (education status, age, ethnicity, and sex).
METHODS: A cross-sectional questionnaire was deployed across five counties in the East Midlands, UK between 2017 and 2022 to adults with CMD (type 2 diabetes, cardiovascular disease or cerebrovascular disease). Respondent demographic data were collected alongside health education preferences. Statistical analyses ascertained whether demographic characteristics influenced preferences. The distribution of preferences over time was charted to identify trends.
RESULTS: A total of 4301 eligible responses were collected. Face-to-face one-to-one education was preferred (first choice for 75.1% of participants) but popularity waned over the five-year period. Trends were similar amongst demographic groups. Online education showed a U-shaped trend: In 2017, 44% of respondents ranked it as acceptable, peaking at 53% in 2019, but declining again, to below base line, 43%, by 2022. This modality was more popular with participants aged younger than 65 years, but popularity in people older than 65 years increased over the study period. The popularity of printed information also declined over time across all demographic groups except those of South Asian ethnicity, for whom it remained static.
CONCLUSIONS: The overwhelming preference for face-to-face one-to-one health education from a doctor or nurse highlights the importance of preserving access to this modality, even in the face of current NHS pressures and trends towards digitalisation. Trends are changing, and should continue to be monitored, including between different sociodemographic groups.
METHODS: A cross-sectional questionnaire was deployed across five counties in the East Midlands, UK between 2017 and 2022 to adults with CMD (type 2 diabetes, cardiovascular disease or cerebrovascular disease). Respondent demographic data were collected alongside health education preferences. Statistical analyses ascertained whether demographic characteristics influenced preferences. The distribution of preferences over time was charted to identify trends.
RESULTS: A total of 4301 eligible responses were collected. Face-to-face one-to-one education was preferred (first choice for 75.1% of participants) but popularity waned over the five-year period. Trends were similar amongst demographic groups. Online education showed a U-shaped trend: In 2017, 44% of respondents ranked it as acceptable, peaking at 53% in 2019, but declining again, to below base line, 43%, by 2022. This modality was more popular with participants aged younger than 65 years, but popularity in people older than 65 years increased over the study period. The popularity of printed information also declined over time across all demographic groups except those of South Asian ethnicity, for whom it remained static.
CONCLUSIONS: The overwhelming preference for face-to-face one-to-one health education from a doctor or nurse highlights the importance of preserving access to this modality, even in the face of current NHS pressures and trends towards digitalisation. Trends are changing, and should continue to be monitored, including between different sociodemographic groups.
摘要：
目的：健康教育是心血管代谢疾病（CMD）管理的组成部分。这项研究旨在评估教育偏好是否以及如何随着时间的推移而改变，以及趋势是否因社会人口学特征而异(教育状况，年龄,种族,和性别）。
方法：在东米德兰兹郡的五个县进行了横断面调查问卷，2017年至2022年英国向CMD成年人(2型糖尿病，心血管疾病或脑血管疾病）。受访者的人口统计数据与健康教育偏好一起收集。统计分析确定人口统计学特征是否影响偏好。绘制了偏好随时间的分布以确定趋势。
结果：共收集了4301份符合条件的回复。面对面的一对一教育是首选（75.1％的参与者的首选），但在五年期间，受欢迎程度有所下降。人口群体之间的趋势相似。在线教育呈U型趋势：2017年，44%的受访者认为可以接受，2019年达到53%的峰值，但再次下降，到基线以下，43%,到2022年。这种模式在65岁以下的参与者中更受欢迎，但是在研究期间，65岁以上人群的受欢迎程度有所增加。随着时间的推移，除了南亚种族之外，所有人口群体中印刷信息的受欢迎程度也有所下降，对他们来说，它仍然是静态的。
结论：医生或护士对面对面一对一健康教育的压倒性偏好凸显了保持这种方式的重要性，即使面对当前的NHS压力和数字化趋势。趋势在变化,并且应该继续受到监测，包括不同的社会人口群体之间。
方法：在东米德兰兹郡的五个县进行了横断面调查问卷，2017年至2022年英国向CMD成年人(2型糖尿病，心血管疾病或脑血管疾病）。受访者的人口统计数据与健康教育偏好一起收集。统计分析确定人口统计学特征是否影响偏好。绘制了偏好随时间的分布以确定趋势。
结果：共收集了4301份符合条件的回复。面对面的一对一教育是首选（75.1％的参与者的首选），但在五年期间，受欢迎程度有所下降。人口群体之间的趋势相似。在线教育呈U型趋势：2017年，44%的受访者认为可以接受，2019年达到53%的峰值，但再次下降，到基线以下，43%,到2022年。这种模式在65岁以下的参与者中更受欢迎，但是在研究期间，65岁以上人群的受欢迎程度有所增加。随着时间的推移，除了南亚种族之外，所有人口群体中印刷信息的受欢迎程度也有所下降，对他们来说，它仍然是静态的。
结论：医生或护士对面对面一对一健康教育的压倒性偏好凸显了保持这种方式的重要性，即使面对当前的NHS压力和数字化趋势。趋势在变化,并且应该继续受到监测，包括不同的社会人口群体之间。
