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 .
Outreach nurse support after stroke: a descriptive study on patients' and carers' needs, and applied nursing interventions
Objective : To describe the number and types of problems mentioned by successfully contacted home-dwelling stroke patients and their carers , and nursing interventions applied . Design : In this multicentre quantitative study in the Netherl and s , stroke patients and carers received outreach nurse support consisting of three telephone contacts and one home visit within six months after discharge . St and ardized checklists describing a wide range of potential problems were used to record problems and interventions . Subjects : A sample of 173 patients admitted for a stroke and discharged home , and 148 carers . Results : Of 173 patients , 166 ( 96 % ) were contacted and 162 mentioned in total 1419 problems . Physical problems were mentioned most frequently ( 92 % ; 153/166 ) , followed by emotional problems ( 60 % ; 99/166 ) . The proportion of patients with problems decreased from 94 % ( 142/151 ) at the first contact to 74 % ( 108/145 ) at the last contact . Of 148 carers , 118 ( 80 % ) were contacted and 84 mentioned 266 problems . ‘ Psychosocial burden ’ was mentioned most frequently ( 45 % ; 53/118 ) . Proportions of carers with problems were 56 % ( 54/96 ) at the first contact and 37 % ( 26/70 ) at the last contact . Of 864 interventions to patients , stroke nurses most frequently applied ‘ supportive listening ’ ( 55 % ; 471/864 ) and ‘ reassuring or encouraging ’ ( 12 % ; 107/864 ) , and of 258 interventions to carers 45 % ( 115/258 ) were ‘ supportive listening ’ and 17 % ( 43/258 ) ‘ informing ’ . Conclusions : Almost all patients and most carers were contacted . Though the number of needs decreased during the consecutive contacts , many patients and carers still raised problems during the last contact . Nurses most frequently applied the intervention ‘ supportive listening ’
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 .