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 .
Impact of an informed choice invitation on uptake of screening for diabetes in primary care (DICISION): randomised trial
Objective To compare the effect of an invitation promoting informed choice for screening with a st and ard invitation on attendance and motivation to engage in preventive action . Design R and omised controlled trial . Setting Four English general practice s. Participants 1272 people aged 40 - 69 years , at risk for diabetes , identified from practice registers using a vali date d risk score and invited to attend for screening . Intervention Intervention was a previously vali date d invitation to inform the decision to attend screening , presenting diabetes as a serious potential problem , and providing details of possible costs and benefits of screening and treatment in text and pie charts . This was compared with a brief , st and ard invitation simply describing diabetes as a serious potential problem . Main outcome measures The primary end point was attendance for screening . The secondary outcome measures were intention to make changes to lifestyle and satisfaction with decisions made among attenders . Results The primary end point was analysed for all 1272 participants . 55.8 % ( 353/633 ) of those in the informed choice group attended for screening , compared with 57.6 % ( 368/639 ) in the st and ard invitation group ( mean difference −1.8 % , 95 % confidence interval −7.3 % to 3.6 % ; P=0.51 ) . Attendance was lower among the more deprived group ( most deprived third 47.5 % v least deprived third 64.3 % ; P<0.001 ) . Interaction between deprivation and effect of invitation type on attendance was not significant . Among attenders , intention to change behaviour was strong and unaffected by invitation type . Conclusions Providing information to support choice did not adversely affect attendance for screening for diabetes . Those from more socially deprived groups were , however , less likely to attend , regardless of the type of invitation received . Further attention to invitation content alone is unlikely to achieve equity in uptake of preventive services . Trial registration Current Controlled Trials IS RCT N 73125647
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 .