The barriers to patients decreasing their cardiac risk may be categorised into four groups, using the acronym BEST:[#gale-j.-2012]
- Behaviours — Ingrained habits, lifestyle behaviours and lack of planning
- Emotions — Moods and our emotional reactions to situations, e.g., getting angry or depressed about a diagnosis, or anxious about not achieving our planned goals
- Situations — Finances, medical conditions, cognitive and physical abilities, social supports, work and childcare commitments, access to services
- Thinking — Beliefs, attitudes, expectations, habitual thinking patterns, motivation and knowledge
Clinicians should explore all four categories to help patients identify barriers to adhering to clinical advice. This helps uncover subtle factors that might otherwise undermine attempts to change.