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Evidence-Based Resource Summary

Strength of Evidence: 
4 out of 4
4 out of 4
Year Published: 
2014

Interventions for Improving Modifiable Risk Factor Control in the Secondary Prevention of Stroke

Description of Resource: 
People who experience a stroke or transient ischemic attack (TIA) are at risk of future stroke and other cardiovascular events. Several medications and lifestyle changes can be used to lower stroke risk by improving the control of modifiable risk factors, such as blood pressure and body mass index (BMI). This systematic review assessed the effects of three types of interventions: educational and behavioral interventions for patients, educational and behavioral interventions for stroke service providers, and organizational interventions. This review identified 26 trials and found that organizational interventions led to improvements in systolic blood pressure, diastolic blood pressure, blood pressure target achievement, and BMI. Changes to healthcare services that addressed only patient education or behavior, without any changes to the organization of patient care, were generally not associated with clear evidence of changes in modifiable risk factors.

Evidence-Based Resource Details

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Developed By: 
Cochrane Review
Developer Type: 
Non-Federal Government
Healthy People 2020 Topic Area(s): 
Heart Disease and Stroke
Healthy People 2020 Objectives: 
Resource Type: 
Systematic Review
Citation: 
Lager KE, Mistri AK, Khunti K, Haunton VJ, Sett AK, Wilson AD. Interventions for improving modifiable risk factor control in the secondary prevention of stroke. Cochrane Database Syst Rev [Internet]. 2014 [cited 2017 Dec 29];(5). Art. No.: CD009103. doi: 10.1002/14651858.CD009103.pub2. Available from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009103.pub2/full