There were no significant effects of organisational  interventions on lipid profile , HbA1c , medication adherence or recurrent cardiovascular events .
Pooled results indicated that educational interventions were not associated with clear differences in any of the review outcomes .
The estimated effects of organisational interventions were compatible with improvements and no differences in several modifiable risk factors .
BACKGROUND People with stroke or transient ischaemic attack ( TIA ) are at increased risk of future stroke and other cardiovascular events .
Evidence -based strategies for secondary stroke prevention have been established .
However , the implementation of prevention strategies could be improved .
OBJECTIVES To assess the effects of stroke service interventions for implementing secondary stroke prevention strategies on modifiable risk factor control , including patient adherence to prescribed medications , and the occurrence of secondary cardiovascular events .
Improving Knowledge and Skills for Use of Medication by Patients After Stroke: Evaluation of a Nursing Intervention
Nir Z , Weisel-Eichler A : Improving knowledge and skills for use of medication by patients after stroke : Evaluation of a nursing intervention . Am J Phys Med Rehabil 2006;85:582–592 . Objective : The objective of this study was to determine if a tailored nursing intervention , as opposed to usual rehabilitation care , can improve knowledge and behavioral skills for correct use of medication use in aged stroke patients . Design : Stratified r and om sampling created two homogenous groups : 73 intervention patients , who were provided with the nursing intervention program along with usual rehabilitation care , and 82 controls , who underwent usual rehabilitation care alone .  Participants were assessed within the first week of admission to the rehabilitation ward , 3 mos after stroke ( at the end of the intervention ) , and 6 mos after stroke . An assessment instrument measuring correct knowledge and skills concerning medications was used . Results : After 3 and 6 mos , intervention subjects were significantly better than controls in knowledge of shape and dosage of their medications , in knowledge of side effects and correct response to side effects , and in adherence to their dietary regimen . However , for knowledge of color and daily schedule of medications , there were differences at 3 mos , but differences were diminished after 6 mos . Conclusions : This nursing intervention , tailored to the specific needs of the aged stroke patient , increased the patients ’ knowledge and skills concerning medication therapy , but to a limited extent and for a limited time
There were no significant effects of organisational  interventions on lipid profile , HbA1c , medication adherence or recurrent cardiovascular events .
Pooled results indicated that educational interventions were not associated with clear differences in any of the review outcomes .
The estimated effects of organisational interventions were compatible with improvements and no differences in several modifiable risk factors .
BACKGROUND People with stroke or transient ischaemic attack ( TIA ) are at increased risk of future stroke and other cardiovascular events .
Evidence -based strategies for secondary stroke prevention have been established .
However , the implementation of prevention strategies could be improved .
OBJECTIVES To assess the effects of stroke service interventions for implementing secondary stroke prevention strategies on modifiable risk factor control , including patient adherence to prescribed medications , and the occurrence of secondary cardiovascular events .