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Effectiveness of an Intervention Aimed at Improving Information for Patients with High Cardiovascular Risk: INFORISK Clinical Trial

Author

Listed:
  • Carlos Brotons

    (EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain)

  • Irene Moral

    (EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain)

  • Diana Fernández

    (EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain)

  • Mireia Puig

    (EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain)

  • M. Teresa Vilella

    (EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain)

  • Teresa Puig

    (Epidemiology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, CIBER Cardiovascular, IIB Sant Pau, 08041 Barcelona, Spain)

  • LLuís Cuixart

    (EAP Dreta de l’Eixample, 08013 Barcelona, Spain)

  • Gemma Férriz

    (ABS Sagrada Familia, 08017 Barcelona, Spain)

  • Anna M. Pedro

    (ABS Gaudí, 08017 Barcelona, Spain)

  • Roger Codinachs

    (EAP Vic Sud, 08500 Vic, Spain)

  • Mónica Rodríguez

    (CAP Pare Claret, 08037 Barcelona, Spain)

  • Rubén Fuentes

    (EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain)

  • on behalf of INFORISK Study Investigators

    (INFORISK Study Investigators are listed in acknowledgments.)

Abstract

Background: The concept of global cardiovascular risk is not usually well understood by patients in consultation. Methods: This was a multicenter, prospective, randomized, open clinical trial of one-year duration to evaluate the effectiveness in reducing global cardiovascular risk with an intervention aimed at high-risk patients to improve information on the cardiovascular risk compared to the usual care. The intervention was focused on providing information about cardiovascular risk in a more understandable way, explaining the best practices to reduce cardiovascular risk, and tailoring information to the individual. Results: Four-hundred and sixty-four subjects participated in the study; 59.3% were men, and the mean age was 61.0 (SD 8.0) years. Significant reductions in systolic blood pressure (SBP) (−3.12 mmHg), body mass index (BMI) (−0.34 kg/m 2 ), abdominal circumference (−1.24 cm), and REGICOR cardiovascular risk (−0.63) were observed in the intervention group. Overall, no differences in cardiovascular risk score were observed between groups at the end of follow-up. Conclusions: Providing an easy-to-understand assessment of the cardiovascular risk motivated high-risk patients to adopt a healthier lifestyle and improved cardiovascular risk after one year in the intervention group. Clinicians should assess a patient’s baseline understanding of their CV risk using tools other than absolute risk before making treatment recommendations.

Suggested Citation

  • Carlos Brotons & Irene Moral & Diana Fernández & Mireia Puig & M. Teresa Vilella & Teresa Puig & LLuís Cuixart & Gemma Férriz & Anna M. Pedro & Roger Codinachs & Mónica Rodríguez & Rubén Fuentes & on , 2021. "Effectiveness of an Intervention Aimed at Improving Information for Patients with High Cardiovascular Risk: INFORISK Clinical Trial," IJERPH, MDPI, vol. 18(7), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3621-:d:527387
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    References listed on IDEAS

    as
    1. Won Ju Hwang & Soo Jin Kang, 2020. "Interventions to Reduce the Risk of Cardiovascular Disease among Workers: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(7), pages 1-16, March.
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    3. Isaac M. Lipkus & Greg Samsa & Barbara K. Rimer, 2001. "General Performance on a Numeracy Scale among Highly Educated Samples," Medical Decision Making, , vol. 21(1), pages 37-44, February.
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