What interventions should clinicians consider when assessing psychosocial stressors in adults to help prevent ASCVD events?
Clinicians should consider lifestyle counseling for weight loss, which should include assessment of and interventional recommendations for psychosocial stressors, sleep hygiene, and other individualized barriers. Furthermore, health literacy should be assessed every 4 to 6 years to maximize recommendation effectiveness. Additionally, clinicians should consider assessing potential barriers to adhering to a heart-healthy diet, including food access and economic factors, particularly for persons from vulnerable populations, such as individuals residing in either inner-city or rural environments, those at socioeconomic disadvantage, and those of advanced age. Finally, neighborhood environment and access to facilities for physical activity should be considered when prescribing exercise and physical activity.