Why the study?
Although the beneficial effects of secondary cardiovascular prevention are undisputed, implementation remains challenging, with a persistent gap between guideline-mandated risk factor targets and clinical reality.
Do multidisciplinary strategies and lifestyle interventions improve secondary prevention outcomes in patients with coronary artery disease?
Do multidisciplinary strategies and lifestyle interventions improve secondary prevention outcomes in patients with coronary artery disease?
Innovative multidisciplinary strategies, such as nurse-coordinated programs and telerehabilitation, effectively improve medication adherence and lifestyle modification in the secondary prevention of coronary artery disease.
Implementation gaps in secondary CVD prevention persist; extends evidence with multidisciplinary Dutch strategies for adherence and lifestyle.
While the beneficial effects of secondary prevention of cardiovascular disease are undisputed, implementation remains challenging. A gap between guideline-mandated risk factor targets and clinical reality was documented as early as the 1990s. To address this issue, research groups in the Netherlands have performed several major projects. These projects address innovative, multidisciplinary strategies to improve medication adherence and to stimulate healthy lifestyles, both in the setting of cardiac rehabilitation and at dedicated outpatient clinics. The findings of these projects have led to changes in prevention and rehabilitation guidelines.
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Jørstad et al. (2020) studied this question.
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