Effectiveness of a tailored intervention to improve cardiovascular risk management in primary care: study protocol for a randomised controlled trial

Trials
Elke HuntinkJan van Lieshout

Abstract

Cardiovascular disease (CVD) is an important worldwide cause of mortality. In The Netherlands, CVD is the leading cause of death for women and the second cause of death for men. Recommendations for diagnosis and treatment of CVD are not well implemented in primary care. In this study, we aim to examine the effectiveness of a tailored implementation program targeted at practice nurses to improve healthcare for patients with (high risk for) CVD. A two-arm cluster randomized trial is planned. We offer practice nurses a tailored program to improve adherence to six specific recommendations related to blood pressure and cholesterol target values, risk profiling and lifestyle advice. Practice nurses are offered training and feedback on their motivational interviewing technique and an e-learning program on cardiovascular risk management (CVRM). They are also advised to screen for the presence and severity of depressive symptoms in patients. We also advise practice nurses to use selected E-health options (selected websites and Twitter-consult) in patients without symptoms of depression. Patients with mild depressive symptoms are referred to a physical exercise group. We recommend referring patients with major depressive symptoms for ass...Continue Reading

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Citations

Jun 20, 2014·BMC Health Services Research·Naomi HeijmansMichel Wensing
Sep 15, 2015·International Journal of Mental Health Systems·Eivind AakhusSigne A Flottorp
Jul 15, 2015·The American Journal of Medicine·Rajesh PatelVineet Chopra
Nov 29, 2014·Scandinavian Journal of Primary Health Care·Eivind AakhusSigne A Flottorp
May 20, 2015·Nursing Outlook·Yueh-Chi Tsai, Chieh-Hsing Liu
Apr 19, 2015·BMC Medical Research Methodology·Naomi HeijmansMichel Wensing
Apr 30, 2015·The Cochrane Database of Systematic Reviews·Richard BakerCornelia Jäger
Mar 16, 2017·The Cochrane Database of Systematic Reviews·Kunal N KarmaliMark D Huffman
Aug 16, 2016·Implementation Science : IS·Jan van LieshoutMichel Wensing
May 20, 2020·Contemporary Clinical Trials Communications·Jacob HillCorita R Grudzen

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