Data_Sheet_1_Assessing Knowledge Gaps of Women and Healthcare Providers Concerning Cardiovascular Risk After Hypertensive Disorders of Pregnancy—A Scoping Review.docx

Background: A history of a Hypertensive Disorder of Pregnancy (HDP) at least doubles a woman's risk of cardiovascular disease (CVD). The risk increases within 10 years after HDP and continues for life, making long-term health after HDP of major public health importance. Understanding knowledge gaps in health care professionals and women regarding cardiovascular health after HDP is an important component in addressing these risks.Objectives: The primary aim was to examine what women and healthcare providers (HCP) know about cardiovascular risks after HDP. The secondary aims were to identify enablers and barriers to knowledge and action on knowledge.Methods: A scoping review was conducted. This was a narrative synthesis, using PRISMA-ScR guidelines, of English-language full text articles that included assessment of knowledge of women, and/or HCP, on long term cardiovascular risk after HDP. The databases Embase, Medline, Scopus, ProQuest, Cochrane, and PsycInfo were searched from 01 January 2005 to 31 May 2019.Results: Twelve studies were included, six addressing women's knowledge, five addressing HCP knowledge, and one addressing both. The studies included 402 women and 1,215 HCP from seven countries. Regarding women's knowledge, six of seven studies found women had limited or no knowledge about the link between HDP and CVD. Where women were aware of the link, the majority had sourced their own information, rather than obtaining it through their HCP. In five of six studies, HCP also mostly had limited knowledge about HDP-CVD links. Primary enablers for HCP acquisition of knowledge and counseling were the availability and knowledge of guidelines. Where comparisons between HCP groups were made, obstetricians had greater knowledge than family physicians, internal medical specialists, or midwives.Conclusion: There was a low level of knowledge amongst HCP and women about increased CVD risk after HDP. Where women had higher levels of knowledge, the information was often obtained informally rather than from HCP. There were variations in knowledge of HCP, with obstetricians generally more aware than other professions. Further country and context-specific research on current status of women's and HCP's knowledge is therefore necessary when creating educational strategies to address knowledge gaps after HDP.

背景：妊娠高血压疾病（HDP）的历史至少将女性患心血管疾病（CVD）的风险翻倍。该风险在HDP发生后10年内增加，并持续终身，使得HDP后的长期健康成为公共卫生领域的重要议题。探讨医疗保健专业人员及女性对HDP后心血管健康知识认知的差距，是应对这些风险的重要环节。目标：主要目标旨在探究女性和医疗保健提供者（HCP）对HDP后心血管风险的认知。次要目标为识别影响知识和行动的认知促进因素及障碍。方法：进行了一项范围综述。本研究采用PRISMA-ScR指南，对2005年1月1日至2019年5月31日期间发表的英语全文文献进行叙事综合，评估了女性和/或HCP对HDP后长期心血管风险的认知。检索了Embase、Medline、Scopus、ProQuest、Cochrane和PsycInfo数据库。结果：共纳入12项研究，其中6项针对女性的知识，5项针对HCP的知识，1项针对两者。研究纳入了来自7个国家的402名女性和1,215名HCP。关于女性的知识，7项研究中6项发现女性对HDP与CVD之间的联系知之甚少或一无所知。当女性意识到这种联系时，大多数人是通过自己的信息来源而非通过HCP获取的。在6项研究中，HCP对HDP-CVD联系的了解也大多有限。HCP获取知识和咨询的主要促进因素是指南的可用性和知识。在比较HCP群体时，产科医生比家庭医生、内科医学专家或助产士拥有更多的知识。结论：医疗保健专业人员和女性对HDP后增加的CVD风险认知水平较低。当女性的知识水平较高时，信息往往是通过非正式途径而非从HCP那里获得的。HCP的知识存在差异，产科医生通常比其他职业更了解。因此，在制定针对HDP后知识差距的教育策略时，有必要进行更多针对女性和HCP当前知识状态的国家和情境特定研究。