Conclusions Interventions using physician reminders , using dedicated personnel to deliver screening , and provision of financial incentives were found to be effective in increasing CVD risk factors screening uptake
Background Cardiovascular disease ( CVD ) is the leading cause of death globally .
However , many individuals are unaware of their CVD risk factors .
The objective of this systematic review is to determine the effectiveness of existing intervention strategies to increase uptake of  CVD risk factors screening .
Evidence to action: a tailored multifaceted approach to changing family physician practice patterns and improving preventive care.
BACKGROUND Although there is much room for improvement in the performance of recommended preventive manoeuvres , many inappropriate preventive interventions are being done . We evaluated a multifaceted intervention , delivered by nurses trained in prevention facilitation , to improve prevention in primary care . METHODS Forty-six health service organizations ( HSOs ) were recruited from 100 sites in Ontario . After baseline data were collected , we r and omly assigned the practice s to either an 18-month ( July 1997 to December 1998 ) multifaceted intervention delivered by 1 of 3 nurse facilitators ( 23 practice s ) or no intervention ( 23 practice s ) . The unit of intervention and analysis was the medical practice . The outcome measure was an overall index of preventive performance , which was calculated as the proportion of eligible patients who received 8 recommended preventive manoeuvres less the proportion of eligible patients who received 5 inappropriate preventive manoeuvres . RESULTS One HSO , in the intervention group , was lost to follow-up . Before the intervention , the index of preventive performance was similar for the intervention and control groups ( 31.9 % [ 95 % confidence interval ( CI ) 27.3%-36.5 % ] and 32.1 % [ 95 % CI 27.2%-37.0 % ] respectively ) . At follow-up the corresponding values were 43.2 % ( 95 % CI 38.4%-48.0 % ) and 31.9 % ( 95 % CI 26.8%-37.0 % ) , for an absolute improvement in the intervention group of 11.5 % ( p < 0.001 ) . The mean proportion of eligible patients who received the recommended manoeuvres was 62.3 % ( 95 % CI 58.2%-66.4 % ) in the intervention group , as compared with 57.4 % ( 95 % CI 54.1%-60.7 % ) in the control group , for an absolute improvement of 7.2 % ( p = 0.008 ) . The corresponding values for the inappropriate manoeuvres were 19.1 % ( 95 % CI 15.6%-22.6 % ) and 25.5 % ( 95 % CI 20.0%-31.0 % ) , for an absolute improvement of 4.4 % ( p = 0.019 ) . INTERPRETATION The tailored multifaceted intervention delivered by nurse facilitators was effective in modifying physician practice patterns and significantly improved preventive care performance
Conclusions Interventions using physician reminders , using dedicated personnel to deliver screening , and provision of financial incentives were found to be effective in increasing CVD risk factors screening uptake
Background Cardiovascular disease ( CVD ) is the leading cause of death globally .
However , many individuals are unaware of their CVD risk factors .
The objective of this systematic review is to determine the effectiveness of existing intervention strategies to increase uptake of  CVD risk factors screening .