Improving patient adherence to lifestyle advice (IMPALA): a cluster-randomised controlled trial on the implementation of a nurse-led intervention for cardiovascular risk management in primary care (protocol)
2008

Improving Patient Adherence to Lifestyle Advice: A Nurse-Led Intervention for Cardiovascular Risk Management

Sample size: 720 publication Evidence: moderate

Author Information

Author(s): Koelewijn-van Loon Marije, van Steenkiste Ben, Ronda Gaby, Wensing Michel, Stoffers Henri E, Elwyn Glyn, Grol Richard, van der Weijden Trudy

Primary Institution: Maastricht University, School for Public Health and Primary Care

Hypothesis

The intervention will modify patients' adherence to lifestyle advice.

Conclusion

The study aims to evaluate whether a nurse-led intervention can improve patient adherence to lifestyle advice for cardiovascular risk management.

Supporting Evidence

  • Many patients at high risk of cardiovascular diseases are managed in general practice.
  • Adherence to lifestyle advice in general practice is not optimal.
  • The intervention includes risk communication, a decision aid, and motivational interviewing.

Takeaway

This study is trying to help patients follow healthy lifestyle advice better by having nurses work closely with them.

Methodology

A cluster-randomised controlled trial involving 20 general practices with 720 patients, comparing an intervention group receiving nurse-led support to a control group receiving usual care.

Potential Biases

Potential biases may arise from self-reported measures of adherence and the subjective nature of patient experiences.

Limitations

The study may face challenges in patient recruitment and adherence to the intervention.

Participant Demographics

Patients eligible for cardiovascular risk assessment, including those with high blood pressure, high cholesterol, smokers, and those with diabetes.

Digital Object Identifier (DOI)

10.1186/1472-6963-8-9

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