Identifying barriers to lipoprotein(a) testing in secondary cardiovascular prevention and co-designing implementation strategies: an Italian behavior change wheel-informed study

Marcello Arca, Rossella Marcucci, Aldo Pietro Maggioni, Claudio Bilato, Eugenio Stabile, Francesco Cipollone, Davide Capodanno, Giovanna Liuzzo, Ferdinando Varbella, Federico Guerra, Stefano Carugo, Diletta Valsecchi, Monica Cangini, Alessio Maria Ghiringhelli, Simone Parretti, Francesca Donnaloja, · 2026

Read Identifying barriers to lipoprotein(a) testing in secondary cardiovascular prevention and co-designing implementation strategies: an Italian behavior change wheel-informed study by Marcello Arca, Rossella Marcucci, Aldo Pietro Maggioni, Claudio Bilato, Eugenio Stabile, Francesco Cipollone, Davide Capodanno, Giovanna Liuzzo, Ferdinando Varbella, Federico Guerra, Stefano Carugo, Diletta Valsecchi, Monica Cangini, Alessio Maria Ghiringhelli, Simone Parretti, Francesca Donnaloja, (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13597708.txt.

Description

Marcello Arca leads a large Italian team in 2026 in asking why so few at-risk patients get tested for lipoprotein(a), a fatty particle that raises heart disease risk on its own. Guidelines urge screening, since high levels mark higher risk, yet testing stays rare in everyday prevention after a first event.

Using the Behavior Change Wheel, a framework for designing behavior shifts, the team interviewed and surveyed the people involved to name the real barriers. They then co-designed practical fixes with those same stakeholders. The study targets the gap between what guidelines say and what clinics actually do.

Catalog record

CREATORMarcello Arca, Rossella Marcucci, Aldo Pietro Maggioni, Claudio Bilato, Eugenio Stabile, Francesco Cipollone, Davide Capodanno, Giovanna Liuzzo, Ferdinando Varbella, Federico Guerra, Stefano Carugo, Diletta Valsecchi, Monica Cangini, Alessio Maria Ghiringhelli, Simone Parretti, Francesca Donnaloja,
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE33 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13597708

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