Adherence
A nurse-facilitated, risk-stratified self-management intervention significantly improves cardiovascular risk factors (blood pressure, cholesterol, weight) and reduces absolute CVD risk scores in high-risk regional adults over six months.
If you live in a regional area and have high cardiovascular risk, a local nurse-led clinic using a risk-stratified system (GARDIAN) can significantly improve your blood pressure, cholesterol, and weight over six months through tailored lifestyle advice and regular follow-ups, even without seeing a specialist.
Clinically significant changes in 326 (76%) participants were observed. Average BP decreased by 4 mmHg (systolic) and 1 mmHg (diastolic), weight by almost 1 kg, total cholesterol by 0.6 mmol/l and body mass index (BMI) by 0.3 kg/m2. A change in absolute CVD risk scores of –0.4% was observed.
Why this rating
Pre/post observational study with a large sample size (n=530) but no control group, introducing potential bias.
Source
Cardiovascular disease prevention via a nurse-facilitated intervention clinic in a regional setting: The Protecting Healthy Hearts Program
M. Carrington et al. · European Journal of Cardiovascular Nursing · 2014
DOI 10.1177/1474515114537022
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