{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:50:50Z","timestamp":1791521450067,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore patient perspectives on the acceptability of a nurse\u2010led personalised cardiovascular risk intervention in Type 2 diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study nested within a randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Two online focus groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095 per group) were conducted with adults who received personalised cardiovascular risk information through computed tomography coronary angiography or polygenic risk scores within a nurse\u2010led intervention. A co\u2010designed discussion guide explored risk understanding, views of the nurse\u2010led consultation, emotional responses, behaviour change and feasibility. Data were analysed using reflexive thematic analysis informed by the Theoretical Framework of Acceptability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five interrelated themes were identified: (1) making personalised risk tangible; (2) interpretation requires relationship; (3) channelling concern into action; (4) from insight to incremental agency; and (5) feasibility and system conditions for scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among focus group participants who completed the intervention, the model was highly acceptable, with nurse\u2010led translation of complex risk information supporting engagement and behaviour change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and Patient Care<\/jats:title>\n                    <jats:p>Cardiovascular nurse coaching may strengthen the clinical value of personalised risk tools by supporting understanding, emotional response and translation into achievable prevention goals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study addressed the limited understanding of how adults with Type 2 diabetes perceive personalised cardiovascular risk communication. It found that acceptability was dynamic and improved when nurse\u2010led explanation and goal setting supported behavioural engagement, with implications for cardiovascular nurses and services implementing personalised prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This study adhered to the consolidated criteria for reporting qualitative research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Participants contributed to study design through co\u2010development of the focus group guide and informed interpretation of findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial and Protocol Registration<\/jats:title>\n                    <jats:p>\n                      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