There was no significant difference in smoking continuance , or improved fruit and vegetable consumption .
CONCLUSIONS There are benefits to be derived from multimodal secondary prevention interventions .
BACKGROUND Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke .
We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions .
Does behaviour modification affect post-stroke risk factor control? Three-year follow-up of a randomized controlled trial
Objective : Little is known about the long-term effectiveness after stroke of interventions for behaviour modification and ensuring concordance with therapies . We describe a follow-up study of a previous r and omized controlled trial of a brief period of behaviour modification . The aim of this study was to determine outcomes three years after the initial intervention . Design : Survivors of the original cohort were contacted and asked to attend for follow-up interview , within a geriatric day hospital . This study was carried out in the Geriatric Day Hospital at Stobhill Hospital , Balornock Road , Glasgow . Interventions : Details of risk factor control , including blood pressure , cholesterol levels and diabetic control , were assessed . Question naires used in the initial study were repeated including the Geriatric Depression Scale score , Euroqol Perceived Health Status and Stroke Services Satisfaction Question naire . Main measures : Primary outcome was collective risk factor control . Clinical outcomes including recurrent cerebrovascular events , medication persistence and perceived health status were also recorded . Results : Mean length of follow-up was 3.6 years ( SD 0.43 ) . Of the 205 patients enrolled in the initial study , 102 patients attended for repeat interview ( 49 intervention/53 control ) . There were no significant differences in the percentage of controlled risk factors between groups ( intervention 51.7 % versus control 55.9 % , P = 0.53 ) . Similarities were observed in the number of recurrent clinical events and medication persistence between groups . No overall difference was observed in perceived health status , satisfaction with care or depression scores . Conclusions : Brief intervention with respect to behaviour modification and risk factor control does not appear to have any long-term benefit . These results must be cautiously interpreted in light of the small study number and further research is required
There was no significant difference in smoking continuance , or improved fruit and vegetable consumption .
CONCLUSIONS There are benefits to be derived from multimodal secondary prevention interventions .
BACKGROUND Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke .
We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions .