PRP019: Aortic Stenosis: Educational Patient Intervention and Assessment of Provider Perspectives in Underserved Primary Care Clinics

Jacob Lynn, BS; Henry Haley; George Matar, MD; Neli Ragina, PhD, Director Research; Zachary Yaker; Carmen Avramut; Sarah Yonder, MD; Stephen Zyzanski, PhD; Libing Kathy Dong; Jea Ho Yu; Wendy Biggs, MD; Abiola Alaka


Context: The financial burden of untreated Aortic Stenosis (AS) is well established with high annual costs incurred by patients in the US both with symptomatic and asymptomatic AS. Additionally, AS has the capability of quickly escalating to a poor prognosis. Increasing awareness of this disease in a primary care setting is necessary because the population at risk for developing AS is growing; however, knowledge about AS is lacking. Objective: Increase patient knowledge and assess the outcomes of providing educational intervention on AS and other heart valve problems. Gather Primary Care Provider (PCP) perspective on providing educational intervention during regularly scheduled clinic visits. Setting or Dataset: Primary Care Clinics in Medically Underserved Michigan Population Studied: Patients ≥60 years old and their PCPs Intervention/Instrument: Validated pre- and post- surveys and educational intervention video. Study Design: This is a prospective cross-sectional study assessing the knowledge of AS in patients pre- and post-educational intervention using validated surveys and an educational video. The enrolled patients’ PCPs’ perspectives were also gathered via survey. Results: Following educational intervention, participants improved their knowledge of topics related to AS, including cause of AS (p=.03) and common symptoms of AS (p=.001). Additionally, both symptomatic and asymptomatic subjects reported diagnosis with AS at their scheduled PCP visit. Moreover, patients reported they felt more inclined to go to regular checkups (50%) and more comfortable with recognizing the signs/symptoms of AS (88%). The results of the PCP survey demonstrated that increased PCP age correlated with routine education on AS (p=.0447). Furthermore, 50% of PCPs reported they felt more inclined to discuss AS with their patients as a result of our study. Conclusion: This study demonstrated the effectiveness of AS educational intervention on improving patients’ knowledge on the signs and symptoms of this disease in the primary care setting. In addition, this study aided PCPs in realizing the importance of routinely educating patients on AS. In the long term, targeting geriatric populations and their PCPs in a primary care setting could help with timely diagnosis of AS and thus prevent the debilitating progression of this disease.

Social Media


11400 Tomahawk Creek Parkway
Leawood, KS 66211