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December 6, 2007International Journal of Evidence-Based Healthcare

Effectiveness of brief structured interventions on risk factor modification for patients with coronary heart disease: a systematic review

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Key result

A systematic review of 17 trials (N=4725) found suggestive but inconclusive evidence that brief structured interventions benefit risk factor modification in patients with coronary heart disease.

Why the study?

Do brief structured interventions improve risk factor modification in patients with coronary heart disease?

Population

4,725 patients with coronary heart disease across 17 randomized and quasi-randomized controlled trials

Comparison

Brief structured interventions targeted at the… vs Usual care or extensive intervention

Design

Systematic_review, Randomised and quasi-randomised controlled trials

Follow-up

Up to 12 months

Authors

RFRitin FernandezGeneral / Preventive / LipidsRGRhonda GriffithsGriffith UniversityBEBronwyn EverettUniversity of Wollongong

Discussion

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Overview

Constraint Check:* No restating key finding? Yes, focuses on the *implication.

Study Design

Type

Systematic Review (n=4,725)

Structured PICO

Do brief structured interventions improve risk factor modification in patients with coronary heart disease?

P
Population
4,725 patients with coronary heart disease across 17 randomized and quasi-randomized controlled trials
I
Intervention
Brief structured interventions targeted at the modification of single (diet, smoking) or multiple risk factors
C
Comparator
Usual care or extensive intervention
O
Outcome
Risk factor modification (including diet modification, smoking cessation, weight loss, blood pressure, blood glucose, and lipid profile)surrogate

Brief structured interventions can have beneficial effects on behavioral risk factor modification (like smoking cessation and diet) in patients with coronary heart disease, though physiological benefits require larger trials to confirm.

Limitations

  • Small sample sizes in existing trials
  • Small sample sizes in included trials

Cite This Study

Fernandez et al. (2007) conducted a systematic review in coronary heart disease (n=4,725). Brief structured interventions vs. Usual care or extensive intervention was evaluated on Risk factor modification (diet, smoking cessation, multiple risk factors). A systematic review of 17 trials (N=4725) found suggestive but inconclusive evidence that brief structured interventions benefit risk factor modification in patients with coronary heart disease.

synapsesocial.com/papers/6a107017d13714ec96ffd45bhttps://doi.org/10.1111/j.1479-6988.2007.00080.x
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